Page 244 - Orthopedic Casts and Splints2

Performance Steps
a. Squeeze patient's fingers/toes and nail beds will turn white
b. Release patient's fingers/toes and nail beds will return pink .
CAUTION: If capillary refill is delayed for more than 2 seconds inform physician and follow physician's
instruction.
17. Give patient verbal and written instructions on cast care.
a. Instruct patient to call the cast clinic should they have any concerns or questions regarding
their cast. Provide patient with a copy of the clinic hours and telephone number. After duty
hours instruct patient to report to the Emergency Room.
b. Present patient with cast care booklet or ( written instruction )
c. Instruct patient not to stick any objects down the cast, do not remove the cast, and do not
alter the cast ( e. g. writing or coloring the cast).
18. Annotate the procedure applied to patient in medical record or SF 513.
NOTE: Record the procedure applied and cast care instruction provided to the patient in patient's
medical record or Standard Form 513 and sign your name.

19. Escort patient to front desk to make a follow up appointment.
Performance Measures GO NO GO

1. Received the order from the physician( reviewed if in writing) —— ——
2. Identified yourself to the patient. —— ——

3. Positioned the patient (supine) in the middle of the bed or sitting in chair. —— ——
4. Explained the procedure to the patient. —— ——

5. Inspected cast. —— ——
6. Gathered equipment . —— ——

7. Assembled materials. —— ——
8. Removed the medial aspect of the cast. —— ——
9. Removed the lateral aspect of the cast. —— ——

10. Separated the cast. —— ——
11. Removed the underlying cast padding. —— ——

12. Removed the anterior and posterior shells for splint fabrication, if required. —— ——
13. Inspected patient's skin. —— ——

14. Padded the cast. —— ——
15. Secured the elastic bandage clips with adhesive tape. —— ——

16. Checked patient's capillary refill. —— ——
17. Gave patient verbal and written instructions on cast care. —— ——
18. Annotated the procedure applied to patient in medical record or SF 513. —— ——

19. Escorted patient to front desk to make a follow up appointment. —— ——

Evaluation Guidance: Score the soldier a GO on the task, if all steps are passed (P). Score the soldier
NO-GO if any step is failed (F). If the soldier fails any step, show what was done wrong and how to do it
correctly.

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