Page 170 - Orthopedic Casts and Splints2

APPLY A VELPEAU CAST
081-834-0025
Conditions: Given an orthopaedic patient requiring a Velpeau cast sitting on a orthopaedic examination
bed with curtain or partition( if available), fracture table or standing grasping an overhead horizontal
support bar, nursing personnel, family member, chaperone, physician, physician's verbal or written
order, patient's medical record, or Standard Form 513(consultation form), pen, grease pencil, work
cart/station, (5) rolls of 6 inch plaster , (5) rolls of 4 inch plaster, box of 5 x 30 inch plaster
reinforcement sheets, (4) rolls of 4 or 5 inch fiberglass, (5) rolls of 4 inch webril, (4) rolls of 3inch webril,
disposable hospital gown, disposable paper shorts, roll of 6, 10 or 12 inch stockinette, stockinette
container, fiberglass casting gloves, examination gloves, scissors, cast saw, cast spreader, (2) safety
goggles, (2) packages of disposable foam ear plugs, roll of 2 inch adhesive tape, (5-10) hospital
pads(chux),( 2-4) bed sheets, pillow, goniometer, ruler, tape measure, bucket of tepid water w/ plastic
bag, (3) felt pads or equivalent, thermometer, cast care booklet or equivalent, box of alcohol pads, (2)
wash cloths or towels, (2) hand towels, sink w/ faucet, tube of surgical lubricant and trash receptacle.

Standards: Is reached when the cast extends from the iliac crests to 2 inches distal to the axilla of the
unaffected side and extends up to include the injured arm from 1 inch proximal to the ulnar styloid and
immobilizing the shoulder. The injured arm is positioned at a 45 degree angle to the upper torso with the
wrist having full range of motion. The neck ,uninjured shoulder and hands have full range of motion. The
patient can sit comfortably, breath freely and digestion is unrestricted. The Capillary refill test is
administrated to the fingers and passed successfully.

Performance Steps
1. Receive the order from the physician (review if in writing).

2. Identify yourself to patient.
NOTE: Tell the patient your name and job title.

3. Explain the procedure to the patient.

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