Page 240 - Orthopedic Casts and Splints2

BIVALVE A CAST
081-834-0039
Conditions: Given an orthopaedic patient with a casted extremity, sitting or supine on a orthopaedic
examination bed, nursing personnel, family member, physician's verbal or written order, patient's medical
record, or Standard Form 513(consultation form), marking pen, cast cutter with vacuum, cast spreader,
cast bender( duck bills), (3) packages of disposable foam ear plugs, (3) safety goggles, work
cart/station, fiberglass casting gloves, examination gloves, scissors, roll of 2inch adhesive tape, 2 or 3
inch webril or equivalent, (2) 3 inch elastic bandages, (1) 3 or 4 inch fiberglass/plaster rolls, (2) hospital
pads(chux), bed sheet, pillow, ruler, tape measure, bucket of tepid water w/ plastic bag, box of alcohol
pads, wash cloth/towel, sink w/ faucet, tube of surgical lubricant, orthopaedic bump, and thermometer.

Standards: Is reached when the cast is cut medial/lateral or anterior/posterior, and opened by cast
spreader or cast bender (duck bill). The cast padding is cut re- padded and secured by fiberglass/plaster
roll or elastic bandage. Capillary refill is administrated to the toes/fingers and passed successfully.
Performance Steps

1. Receive the order from the physician( review if in writing)
2. Identify yourself to the patient.
NOTE: Tell the patient your name and job title.
3. Position the patient (supine) in the middle of the bed or sitting in chair.

4. Explain the procedure to the patient.

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