Page 209 - Orthopedic Casts and Splints2

Performance Measures GO NO GO

8. Measured patient's uninjured elbow w/ goniometer. —— ——
9. Measured patient's uninjured wrist w/ goniometer. —— ——
10. Prepared cast padding ( webril) for posterior splint. —— ——

11. Prepared cast padding for medial/lateral stirrups. —— ——
12. Prepared plaster splint. —— ——

13. Applied posterior splint to injured arm. —— ——
14. Applied stirrups to splint . —— ——

15. Secured posterior splint and stirrups to injured arm. —— ——
16. Molded the splint to the arm. —— ——

17. Checked range of motion ( ROM ) of phalanges and shoulder. —— ——
18. Checked alignment of injured elbow with goniometer. —— ——
19. Checked splint dimensions. —— ——

20. Checked patient's capillary refill. —— ——
21. Cleaned plaster off patient's skin using a damp wash cloth, towel or alcohol pad. —— ——

22. Fitted patient with a sling. —— ——
23. Gave patient verbal and written instructions on cast care. —— ——
24. Annotated the procedure applied to patient in medical record or SF 513. —— ——

25. Escorted patient to front desk to make a follow up appointment. —— ——

Evaluation Guidance: Score the orthopaedic technician a GO on the task, if all steps are passed (P).
Score the orthopaedic technician a NO-GO( NG ) if any step is failed (F). All performance measures must
be passed to receive a go.

References
Required Related
0812110-0765
081-C-S004
0-8342-0763-X
38709590
TM 8-231

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