Page 198 - Orthopedic Casts and Splints2

APPLY A SHORT LEG SPLINT
081-834-0030
Conditions: Given an orthopaedic patient requiring a Short Leg Splint (SLS) sitting or supine on a
orthopaedic examination bed, nursing personnel, physician, family member, physician's verbal or written
order, patient's medical record, or Standard Form 513(consultation form), pen , work cart/station, (6) rolls
of 6 inch plaster , box of 5 x 30 inch plaster reinforcement sheets, (4) rolls of 6 inch webril, examination
gloves, scissors,(3) elastic bandages, roll of 2 inch paper tape, (2) hospital pads(chux),(2) bed sheets,
pillow, disposable paper shorts, goniometer, ruler, tape measure, bucket of tepid water w/ plastic bag,
thermometer, cast care booklet or equivalent, box of alcohol pads, damp wash cloth or towel, sink w/
faucet, tube of surgical lubricant , orthopaedic bump, thigh holder,1 pair of crutches and trash
receptacle.

Standards: Is reached when a posterior splint is secured to the patient's injured leg from the tips of the
toes to 3 inches distal to the popliteal space (bend of the knee) with (3) elastic bandages. The ankle is
measured at 90 degrees of dorsiflexion, absent of inversion or eversion, with toes having full range of
motion. Capillary refill test is administrated to the toes and passed successfully.

Performance Steps
1. Receive the order from the physician (review if in writing).

2. Identify yourself to patient.
Note: Explain to patient your name, and job title.

3. Explain the procedure to the patient.

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