Page 21 - Orthopedic Casts and Splints2

Performance Measures GO NO GO

28. Checked alignment of injured elbow with goniometer. —— ——
29. Applied 3rd and 4th plaster/fiberglass roll. —— ——
30. Trimmed cast. —— ——

31. Checked cast dimensions. —— ——
32. Applied 5th plaster roll. —— ——

33. Placed pre manufacturer loop on cast. —— ——
34. Applied 2 inch roll to cast. —— ——

35. Incorporated loop to cast. —— ——
36. Prepared collar. —— ——

37. Applied collar to patient's neck. —— ——
38. Checked patient's capillary refill. —— ——
39. Cleaned plaster off patient's skin using a damp wash cloth, towel or alcohol pad. —— ——

40. Gave patient verbal and written instructions on cast care. —— ——
41. Annotated the procedure applied to patient in medical record or SF 513. —— ——

42. Escorted patient or direct family member to front desk for 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 measured tasks
must be passed to receive a GO.

References
Required Related
0-443-04809-6
0812110-0765
0-8151-0910-5
0-8342-0763-X
38709590
STP 8-91H14-SM-TG
TM 8-231
TM 8-640

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