Page 196 - Orthopedic Casts and Splints2

Performance Measures GO NO GO

3. Explained the procedure to the parent(s) —— ——
4. Inspected child's upper torso and legs. —— ——
5. Checked child's capillary refill. —— ——

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

8. Prepared stockinette. —— ——
9. Prepared 3 plaster reinforcement splints for the posterior, lateral and groin —— ——
aspects of the cast on injured side.
10. Prepared felt pads. —— ——
11. Applied stockinette to child —— ——

12. Place child on hip spica table. —— ——
13. Applied felt padding to the iliac crests, spine and any other areas of special —— ——
attention.
14. Placed folded towel over diaphragm. —— ——

15. Applied cast padding( webril) to patient's upper torso and injured leg. —— ——
16. Prepared casting materials. —— ——
17. Placed fiberglass casting gloves on hands. —— ——

18. Opened fiberglass casting package . —— ——
19. Applied 1st and 2nd plaster/fiberglass roll. —— ——

20. Laminated the casting material. —— ——
21. Applied reinforcement splints to the posterior, lateral and groin aspects of the —— ——
cast .
22. Applied 3rd and 4th plaster/fiberglass rolls. —— ——

23. Molded the cast. —— ——
24. Trimmed cast to fit child. —— ——

25. Checked cast dimensions. —— ——
26. Applied 4th and 5th plaster/fiberglass rolls . —— ——
27. Attached wooden bar ( strut ) to cast. —— ——

28. Checked child's capillary refill. —— ——
29. Cleaned plaster resin off child's skin using a damp cloth, towel or alcohol pad. —— ——

30. Gave parent(s) verbal and written instructions on cast care. —— ——
31. Annotated the procedure applied in child's medical record or SF 513. —— ——
32. Escorted or directed parent(s) to front desk to make a follow up appointment. —— ——

193