Page 154 - Orthopedic Casts and Splints2

Performance Measures GO NO GO

26. Checked patient's capillary refill. —— ——
27. Cleaned plaster resin off patient's skin using a damp cloth, towel or alcohol pad. —— ——
28. Applied a cast shoe. —— ——

29. Administered a crutch ambulation treatment( see task number 081-836-0041). —— ——
30. Gave patient verbal and written instructions on cast care. —— ——

31. Annotated the procedure applied to patient in medical record or SF 513. —— ——
32. Escorted patient to front desk to make a follow up appointment. —— ——

Evaluation Guidance: Score the orthopaedic technician a GO on the task, if all steps are passed (P).
Score the orthopaedic technician a NO-GO( NG ) if any step is failed (F). All performance measures must
be passed to receive a go.

References
Required Related
0812110-0765
0-8151-0910-5
0-8342-0763-X
38709590
BLAUVELT, CAROLYN T.
STP 8-91H14-SM-TG
THROUGH SELF-INSTRUCTUION
TM 8-231
TM 8-640

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