Page 254 - Orthopedic Casts and Splints2

TOTAL CONTACT CAST
081-834-0046
Conditions: Given an orthopaedic patient requiring a Total Contact Cast (TCC) sitting or supine on a
orthopaedic examination bed, nursing personnel, family member, physician, physician's verbal or written
order, patient's medical record, or Standard Form 513(consultation form), pen , work cart/station, (3) rolls
of 6 inch plaster , (5) rolls of 4 inch plaster, (2) rolls of ortho flex, box of 5 x 30 inch plaster
reinforcement sheets, (4) rolls of 4 or 5 inch fiberglass, (2) rolls of 4 inch webril, (2) rolls of 3inch webril,
roll of 3 or 4 inch stockinette, stockinette container, fiberglass casting gloves, examination gloves,
scissors, cast saw with vacuum, cast spreader, (2) safety goggles, (2) packages of disposable foam ear
plugs, roll of 2 inch adhesive tape, (2) hospital pads(chux), (5) felt pads,(2) bed sheets, pillow,
disposable paper shorts or hospital scrubs, goniometer, ruler, tape measure, bucket of tepid water w/
plastic bag, thermometer, cast care booklet or equivalent, box of alcohol pads, damp wash cloth or
towel, sink w/ faucet, tube of surgical lubricant , orthopaedic bump, T stand, thigh holder, 1 pr of
crutches, cast shoe, flat board and trash receptacle.

Standards: Is reached when the injured foot and leg are casted from the tip of the toes to 3 inches
distal to the popliteal space ( bend of the knee). The ankle is in neutral position( 90 degrees of
dorsiflexion) absent of inversion or eversion .

Performance Steps
1. Receive the order from the physician (review if in writing)

2. Identify yourself to patient.
NOTE: Tell the patient your name and job title.
3. Explain the procedure to the patient.

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