Page 222 - Orthopedic Casts and Splints2

Performance Steps

3
Single Sugar Tong Splint

NOTE: The Sugar Tong splint (STS) will be applied from the base of the metacarpophalangeal joints(
MCPJ's), posteriorly around the elbow to the distal palmer crease (DPC ). The elbow will be flexed at
90 degrees, with the wrist between 0-15 degrees of dorsal extension and absent of radial, ulnar
deviation, pronation, supination. The fingers will have full range of motion(ROM) with the thumb having
restricted movement.( Refer to Figure 3-x).

CAUTION: During splinting application a chemical response(exothermic reaction) will occur between
the water (H2O) and the plaster (gypsum). This is a safe and common occurrence. The splint will
initially become warm and cool down within 2-5 minutes. However, if it doesn't cool down or there is
an increase of heat intensity during the cast application, the splint may need to be removed.
4. Inspect patient's arms.
a. Place examination gloves on hands.
CAUTION: Always practice Body Substance Isolation (BSI) prior to applying traction, splints or casts
to patients.
b. Place patient sitting or supine on examination bed.
c. Inspect both arms for any skin conditions(e.g. cuts, abrasions, laceration and skin rashes).
NOTE: Inform physician if conditions are present and follow physician's instruction.
d. Examine both arms and wrists for jewelry and remove if found.
NOTE: All jewelry on both hands and wrist must be removed. Give jewelry to family member or secure
with patient's belongings in NCOIC office.

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