Page 267 - Orthopedic Casts and Splints2

APPLY A PATELLA TENDON BEARING CAST
081-834-0048
Conditions: Given a orthopaedic patient requiring a Patella Tendon Bearing cast (PTB), in supine or
sitting position on a orthopaedic examination bed, nursing personnel, family member, physician,
physician's verbal or written orders, patient medical record, or Standard Form 513, work cart/station, roll
of 3 inch and 4 inch stockinette, stockinette container, (4) 3 inch webril rolls, (3) 4 inch plaster rolls,(3)
6 inch plaster rolls, (2) rolls of 5 inch ortho flex, box of 5 x 30 plaster reinforcement sheets , box of 4 x
15 plaster reinforcement sheets , tube of surgical lubricant, (4) 4 inch fiberglass rolls, fiberglass casting
gloves, examination gloves, cast saw with vacuum, cast spreader, box of disposable foam ear plugs, (2)
safety goggles, marking pen, scissors, (3) hospital pads, (2) bed sheets, goniometer, bucket of tepid
water w/ plastic bag, T stand, thigh holder, box of alcohol pads, damp wash cloth or towel, cast care
booklet or equivalent, tape measure, ruler, pillow, 1 pair of crutches, flat board, orthopaedic bump, trash
receptacle, disposable paper shorts or gown, cast shoe, thermometer and sink with faucet.

Standards: Is reached when the injured leg and ankle are immobilized by the cast from the web spacing
of the toes to 2-3 inches proximal to the femoral condyles on the medial and lateral sides, with the
popliteal space uncovered. The ankle is in neutral position( 90 degrees of dorsiflexion) absent of
inversion or eversion with toes and knee having full range of motion. Capillary refill test is administrated
to the toes and passed successfully.

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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