Page 169 - Orthopedic Casts and Splints2

Performance Measures GO NO GO

11. Applied stockinette to patient's upper torso. —— ——
12. Measured patient's spine with goniometer. —— ——
13. Applied felt padding to the iliac crests, spine and any other areas of special —— ——
attention.
14. Placed folded towel over the area of the diaphragm. —— ——

15. Applied cast padding( webril) to patient's upper torso. —— ——
16. Prepared casting materials. —— ——

17. Placed fiberglass casting gloves on hands. —— ——
18. Applied 1st and 2nd plaster/fiberglass roll. —— ——
19. Laminated the casting material. —— ——

20. Applied reinforcement splints to the posterior, medial and lateral aspects of the —— ——
cast .

21. Applied 3rd and 4th plaster/fiberglass rolls( repeat steps 19-20). —— ——
22. Molded the cast. —— ——

23. Trimmed cast to fit patient. —— ——
24. Checked range of motion ( ROM ) of shoulders and hips. —— ——
25. Checked cast dimensions. —— ——

26. Measured patient's spine with goniometer. —— ——
27. Applied 4th and 5th plaster/fiberglass rolls ( repeat steps 19-20 ) —— ——

28. Checked patient's capillary refill. —— ——
29. Cleaned plaster resin off patient's skin using a damp wash cloth, towel or alcohol —— ——
pad.
30. Gave patient verbal and written instructions on cast care. —— ——

31. Annotated the procedure applied to the patient in medical record or SF 513. —— ——
32. Escorted patient or direct 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
0-8342-0763-X
38709590
TM 8-231

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