Page 238 - Orthopedic Casts and Splints2

Performance Measures GO NO GO

13. Applied posterior splint to injured leg. —— ——
14. Secured the splint to the injured leg. —— ——
15. Molded the splint to the ankle/leg. —— ——

16. Checked range of motion (ROM ) of phalanges and knee. —— ——
17. Checked alignment of injured ankle with goniometer. —— ——

18. Checked splint dimensions. —— ——
19. Checked patient's capillary refill. —— ——

20. Prepared Bulky Jones for upper extremity. —— ——
21. Measured patient's injured wrist w/ goniometer. —— ——

22. Applied kerlix fluff's. —— ——
23. Secured fluffs with kerlix roll. —— ——
24. Applied volar splint to injured arm. —— ——

25. Secured volar splint to injured arm. —— ——
26. Molded the splint to forearm/wrist. —— ——

27. Checked range of motion ( ROM ) of phalanges and elbow. —— ——
28. Checked alignment of injured wrist with goniometer. —— ——
29. Checked splint dimensions. —— ——

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

32. Fitted patient with sling. —— ——
33. Administered a crutch ambulation treatment. —— ——

34. Gave patient verbal and written instruction on cast care. —— ——
35. Annotated the procedure applied to patient in medical record or SF 513. —— ——

36. Escort 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 measured tasks
must be passed to receive a go.

References
Required Related
0812110-0765
081-C-S004
0-8342-0763-X
38709590
COPPARD, B. M. & LOHMAN
TM 6-840
TM 8-231

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