Page 179 - Orthopedic Casts and Splints2

APPLY A SHOULDER SPICA CAST
081-834-0026
Conditions: Given an orthopaedic patient requiring a Shoulder Spica cast sitting on a orthopaedic
examination bed with curtain/partition, fracture table or standing bar set , physician, nursing personnel,
family member, 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, (4) 4 x 4 kerlix pads, 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, disposable paper
shorts, 12 inch wooden bar/strut, cast saw, 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 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 distal to the acromioclavicular joint( AC joint ). The injury arm is abducted at
a 90 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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