Page 186 - Orthopedic Casts and Splints2

Performance Steps
d. Instruct patient not to stick anything down the cast, do not remove the cast and do not alter
the cast( e.g. writing on it, coloring.)
29. Annotate the procedure applied to the patient in medical record or SF 513.
NOTE: Record the procedure applied and cast care instruction provided to patient and sign your name.
30. Escort patient or direct patient to front desk to make a follow up appointment.

Performance Measures GO NO GO

1. Received the order from the physician (reviewed if in writing) —— ——
2. Identified yourself to patient. —— ——
3. Explained the procedure to the patient. —— ——

4. Inspected patient's injured torso. —— ——
5. Checked patient's capillary refill. —— ——

6. Gathered equipment —— ——
7. Assembled materials —— ——

8. Prepared stockinette. —— ——
9. Prepared 6 plaster reinforcement splints for the posterior aspect of the arm, —— ——
anterior and posterior iliac crests and sacrococcygeal region.

10. Prepared felt pads. —— ——
11. Applied stockinette to patient's upper torso. —— ——

12. Applied felt padding to the iliac crests, spine , and axilla region. —— ——
13. Placed folded towel over the area of the diaphragm. —— ——

14. Applied cast padding( webril) to patient's injured arm. —— ——
15. Prepared casting materials. —— ——

16. Placed fiberglass casting gloves on hands. —— ——
17. Opened fiberglass casting package —— ——
18. Applied 1st and 2nd plaster/fiberglass roll. —— ——

19. Laminated the casting material. —— ——
20. Applied reinforcement splints to the cast. —— ——

21. Applied 3rd and 4th plaster/fiberglass rolls. —— ——
22. Molded the cast material. —— ——

23. Applied wooden bar (strut) to the medial aspect of the mid forearm and anterior —— ——
iliac crest region.
24. Checked range of motion ( ROM ) of uninjured shoulder and hips. —— ——

25. Trimmed cast to fit patient. —— ——
26. Checked cast dimensions. —— ——

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