Page 188 - Orthopedic Casts and Splints2

FABRICATE A HIP SPICA CAST (SINGLE)
081-834-0027
Conditions: Given an orthopaedic patient requiring a Hip Spica cast laying supine on an examination
bed, hip spica table with padded peroneal post and spinous process bar or orthopaedic fracture table,
nursing personnel, orthopaedic technician, family member, chaperone, physician, physician's verbal or
written order, patient's medical record, or Standard Form 513(consultation form), pen , work cart/station,
treatment room, (5) rolls of 6 inch plaster , (5) rolls of 4 inch plaster, (2) rolls of 2 inch plaster/fiberglass,
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, gown, blanket, pillow, roll of stockinette( 6,10 or 12 inches), roll of 2 ,3 or
4 inch stockinette, stockinette container, fiberglass casting gloves, examination gloves, scissors, cast
saw, cast spreader, (2) pair of safety goggles, (2) packages of ear plugs, roll of 2 inch adhesive tape,
(5-8 ) hospital pads(chux),( 2-5 ) bed sheets, blanket, 18 inch wooden/metal bar(strut), goniometer, ruler,
tape measure, bucket of tepid water w/ plastic bag, (3)orthopaedic felt pads or equivalent, thermometer,
cast care booklet or equivalent, box of alcohol pads, (2)damp wash cloths or towels, (2) hand towels,
sink w/ faucet, tube of surgical lubricant and trash receptacle.

Standards: Is reached when the pelvic girdle and injured leg are immobilized by the cast from 3 inches
proximal to the nipple line ( jugular notch) to the metatarsal heads on the injured side, to the level of the
greater trochanter on the opposite side. The neck, shoulders, uninjured knee, uninjured ankle and toes
have full range of motion. The patient can breath freely and digestion is unrestricted. The Capillary refill
test is administrated to the toes on both feet and passed successfully.

Performance Steps
1. Receive the order from the physician (review if in writing).
2. Identify yourself to parent (s).
NOTE: Tell the parent (s) your name and job title.
3. Explain the procedure to the parent (s).

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