Page 265 - Orthopedic Casts and Splints2

Performance Steps

22. Escort patient or direct 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 patient. —— ——

3. Explained the procedure to the patient. —— ——
4. Inspected patient's upper extremities. —— ——

5. Checked patient's capillary refill. —— ——
6. Gathered equipment. —— ——

7. Assembled materials —— ——
8. Prepared cast padding ( webril) for Coaptation splint. —— ——
9. Prepared plaster splint for the anterior and posterior aspect of the upper arm. —— ——

10. Measured patient's injured elbow w/ goniometer. —— ——
11. Applied splint to injured upper arm. —— ——

12. Secured Coaptation splint to injured arm. —— ——
13. Molded casting material to arm/elbow. —— ——
14. Checked ROM of phalanges and thumb. —— ——

15. Checked alignment of elbow with goniometer. —— ——
16. Checked splint dimensions. —— ——

17. Checked patient's capillary refill. —— ——
18. Cleaned plaster resin off patient's skin using a damp wash cloth or towel or —— ——
alcohol pad.
19. Gave patient verbal and written instructions on cast care. —— ——

20. Fitted sling to patient as required. —— ——
21. Annotated the procedure applied to patient in medical record or SF 513. —— ——

22. Escorted patient or direct 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 measures must
be passed to receive a go.

References
Required Related
0-443-04809-6
0812110-0765
0-8151-0910-5
0-8342-0763-X
38709590
TM 8-231
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