Page 242 - Orthopedic Casts and Splints2

Performance Steps

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Bivalved upper extremity cast

NOTE: The cast is cut by a cast saw along the side. The cast is then opened by placing cast spreader
between the precut line and squeezing the handles together. The cast padding is cut with scissors.
Additional padding is applied and the cast is secured by elastic bandages .( Refer to Figure 3-x).

CAUTION:The patient may be scared of the cast removal process. Demonstrate to the patient how the
cast saw operates and what to expect during the removal process.

5. Inspect cast.
a. Place examination gloves on hands.
CAUTION: Always practice Body Substance Isolation (BSI) prior to applying traction, splints or casts
to patients.
b. Ask patient if cast was exposed to water, cast padding was pulled out, or the location of
external pins .
NOTE: Depending on the length of time the cast has been on, the technician must look for soft spots,
missing webril, cast exposed to water or location of external pins.
c. Check for bony prominences( e. g. ulnar styloid, malleolus)

6. Gather equipment to include scissors, cast saw, cast spreader, cast benders, hearing and eye
protection for patient and technician. Place on work cart/station.
7. Assemble materials to include; examination gloves, fiberglass casting gloves, elastic bandages,
plaster/fiberglass roll,webril ( casting padding ), roll of tape and place on work cart/station.

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