Page 163 - Orthopedic Casts and Splints2

Performance Steps

3
Body Jacket

NOTE: The Body Jacket is applied from 3 inches distal to the nipple line (sternal notch) to the
symphysis pubis with the spine in neutral position. The neck, shoulders, hands, fingers, knees, hip ,
ankle and toes have full range of motion.(Refer to Figure 3-x).

CAUTION: During cast application a chemical response(exothermic reaction) will occur between the
water(H2O) and the plaster ( gypsum). This is a safe and common occurrence. The cast will initially
become warm and cool down within 2-5 minutes. However, if it doesn't cool down or there is an
increase of heat intensity during the cast application, the cast may need to be removed.

4. Inspect patient's injured torso.
a. Place examination gloves on hands.
CAUTION: Always practice Body Substance Isolation ( BSI ) prior to applying traction, splints or casts
to patients.
b. Place patient behind privacy curtain.
c. Give patient disposable paper shorts and gown.
CAUTION: The same gender chaperone should always be present to assist female patients in
removal of clothing.
d. Instruct patient to remove all clothing and put on shorts and gown.
e. Check patient's upper torso for any skin conditions ( e. g. cuts, abrasions, lacerations and
skin rashes).
NOTE: Inform physician if conditions are present and follow physician's order.

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