Page 152 - Orthopedic Casts and Splints2

Performance Steps

24c
Cast edge is 3 inches distal to the popliteal space

25. Apply 4th roll of plaster/fiberglass ( repeat steps 16-17 ).
NOTE: The last roll in all casting applications is commonly referred to as the beautification roll or the
money roll. Take pride in your work.
26. Check patient's capillary refill.
a. Squeeze patient's toes and nail beds will turn white .
b. Release patient's toes and nail beds will return pink.
CAUTION: If capillary refill is delayed for more than 2 seconds inform physician and follow physician's
instruction.

27. Clean plaster resin off patient's skin using a damp wash cloth, towel or alcohol pad.
NOTE: Use alcohol pad or fresh water from the faucet and not from the casting bucket .
28. Apply a cast shoe.

29. Administer a crutch ambulation treatment( see task number 081-836-0041).
30. Give patient verbal and written instructions on cast care.
a. Instruct patient to call the cast clinic should they have any concerns or questions regarding
their cast. Provide patient with a copy of the clinic hours and telephone number. After duty
hours instruct patient to report to the Emergency Room.
b. Present patient with cast care booklet or ( written instruction )

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