Page 190 - Orthopedic Casts and Splints2

Performance Steps

3
Infant Hip Spica

NOTE: The Hip Spica is applied from 3 inches distal to the nipple line( jugular notch ) to the metatarsal
heads on the injured side and to 2 inches proximal to the uninjured knee. The neck, shoulders, hands,
fingers, toes and uninjured foot have full range of motion.
(Refer to Figure 3-x).
CAUTION: During cast application a chemical response(exothermic reaction) will occur between the
water(H2O) and the plaster ( gypsum). This is a safe and common occurrence. The cast will initially
become warm and cool down within 2-5 minutes. However, if it doesn't cool down or there is an
increase of heat intensity during the cast application, the cast may need to be removed.
4. Inspect patient's upper torso and legs.
a. Place examination gloves on hands.
CAUTION: Always practice Body Substance Isolation (BSI) prior to applying traction, splints or casts
to patients.
b. Pull privacy curtain.
NOTE: If curtain is not available, use treatment room.
c. Instruct or assist parent in removal of child's clothing.
CAUTION: A chaperone should always be used.

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