Page 207 - Orthopedic Casts and Splints2

Performance Steps
e. Layer each padding 2-4 thickness.

12. Prepare plaster splint.
a. Open box of 5 x 30 inch plaster reinforcement sheets. Remove and unwrap package. Locate
edge of 2 stacks and remove from package. Place on work cart/station.
NOTE: 5 x 30 inch plaster splints are usually stacked in increments of five from the manufacturer. If not
pre stacked, count out 10-15 layers of plaster sheets.
b. Open box of 4 x 15 inch plaster reinforcement sheets. Remove and unwrap package. Locate
edges of 10-15 plaster sheets and remove from package. Place on work cart/station.
NOTE: The technician may choose to use 4 inch plaster rolls.
c. Place stack of 15-20 (5 x 30 inch) plaster sheets 1/2 inch distal to the edge of the webril, cut
off excess amount . Place on work cart/station.
d. Place stack of 5-10 (4x 15 inch) plaster sheets 1/2 inch distal to the edge of the webril, cut off
excess amount . Place on work cart/station.
NOTE: Discard all excess materials in trash receptacle.

13. Apply posterior splint to injured arm.
NOTE: Assistance(e.g. family member, nurse) may be used when securing splint.
a. Hold each end of the plaster sheets, place in bucket of tepid water and remove when bubbles
cease to rise.
b. Squeeze the splint together (do not wring the roll ).
c. Place the plaster sheets centered and 1/2 inch from the edge of the padding.
d. Laminate plaster splint.
e. Fold over the edges of the padding.
f. Place additional layer of padding over folded edges.
g. Place the padded splint on posterior side of the arm from the DPC to 2 inches distal to the
axilla.

14. Apply stirrups to splint .
a. Hold end of first stirrup, place in bucket of tepid water and remove when bubbles cease to
rise.
b. Squeeze the splint together ( do not wring the splint ).
c. Place the plaster sheets centered and 1/2 inch from the edge of the padding and laminate
plaster.
d. Laminate plaster splint.
e. Fold over the edges of the padding.
f. Place additional layer of webril padding over folded edges.
g. Place the padded splint on the medial side of the posterior splint from the base of the deltoid
muscle to mid forearm.
h. Repeat steps 13 a-g for lateral splint.

15. Secure posterior splint and stirrups to injured arm.
a. Place the edge of the elastic bandage on the ulnar styloid and begin wrapping around the wrist
two rotations to secure the edge .
b. Fold down and hold excess ends of the padding, wrap a figure of eight around the elbow,
continue down the arm until the padding is completely covered.
c. Secure elastic bandage with clips.
d. Tape down the elastic bandage between the clips.
e. Remove the clips and dispose in trash receptacle.
16. Mold the splint to the arm.
a. Place palm of hand on the triceps muscle and apply pressure. Hold until contours takes shape.
b. Place palm of hand on the olecranon ( elbow ) and apply pressure. Hold until contours takes
shape.
c. Place palm of hand along the ulnar and apply pressure. Hold until contours takes shape.
17. Check range of motion ( ROM ) of phalanges and shoulder.
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