Page 153 - Orthopedic Casts and Splints2

Performance Steps
c. Instruct patient to keep leg elevated and flex and extend toes to increase circulation in the
foot.
d. Instruct patient not to stick any objects down the cast, do not remove the cast, and do not
alter the cast ( e. g. writing or coloring the cast).
e. Instruct patient to use crutches and not to place any pressure on the cast for 24-48 hrs.

31. Annotate the procedure applied to patient in medical record or SF 513.
NOTE: Record the procedure applied and cast care instruction provided to the patient in patient's
medical record or Standard Form 513 and sign your name.
32. Escort patient or family member to front desk to make a follow up appointment.

Performance Measures GO NO GO
1. Received the order from the physician (reviewed if in writing). —— ——

2. Identified yourself to patient. —— ——
3. Explained the procedure to the patient. —— ——

4. Inspected patient's injured leg/ankle . —— ——
5. Checked patient's capillary refill. —— ——

6. Gathered equipment. —— ——
7. Assembled materials. —— ——
8. Prepared stockinette. —— ——

9. Prepared plaster reinforcement splint for the posterior aspect of the cast. —— ——
10. Applied stockinette to patient's injured leg. —— ——

11. Measured patient's injured ankle w/ goniometer. —— ——
12. Applied cast padding (webril). —— ——

13. Prepared casting materials. —— ——
14. Placed fiberglass casting gloves on hands. —— ——

15. Opened fiberglass casting package and go to step 16. —— ——
16. Applied 1st plaster/fiberglass roll. —— ——
17. Laminated the casting materials. —— ——

18. Applied plaster reinforcement splint to posterior aspect of cast. —— ——
19. Applied 2nd plaster/fiberglass roll repeat steps (16-17 ). —— ——

20. Molded the cast material to the lower leg. —— ——
21. Checked range of motion ( ROM ) of phalanges. —— ——
22. Checked alignment of injured ankle with goniometer. —— ——

23. Applied 3rd plaster/fiberglass roll ( repeat steps 16-17 ). —— ——
24. Checked cast dimensions. —— ——

25. Applied 4th roll of plaster/fiberglass ( repeat steps 16-17 ). —— ——
150