Page 275 - Orthopedic Casts and Splints2

Performance Measures GO NO GO

10. Prepared 2nd plaster reinforcement splint ( condyles). —— ——
11. Applied stockinette to injured leg. —— ——
12. Measured patient's injured ankle w/ goniometer. —— ——

13. Applied cast padding (webril). —— ——
14. Prepared casting materials. —— ——

15. Placed fiberglass casting gloves on hands. —— ——
16. Opened fiberglass casting package . —— ——

17. Applied 1st plaster/fiberglass roll. —— ——
18. Laminated the cast. —— ——

19. Applied reinforcement splint to posterior aspect of cast. —— ——
20. Applied 2nd plaster/fiberglass roll ( repeat steps 17-18 ). —— ——
21. Molded the cast material to the lower leg. —— ——

22. Trimmed cast to fit patient. —— ——
23. Checked range of motion ( ROM ) of knee and toes. —— ——

24. Check alignment of ankle with goniometer. —— ——
25. Checked cast dimensions. —— ——
26. Applied and laminated plaster reinforcement splint to medial/ lateral side of —— ——
femoral condyle
27. Applied 3 rd and 4 th plaster/fiberglass roll . —— ——

28. Checked patient's capillary refill. —— ——
29. Cleaned plaster off patient's skin using a damp wash cloth, towel or alcohol pad. —— ——

30. Applied cast shoe. —— ——
31. Administered a crutch ambulation treatment ( See task number 081-836-0041 ) —— ——

32. Gave patient verbal and written instructions on cast care. —— ——
33. Annotated the procedure applied in patient's medical record or SF 513. —— ——

34. Escorted 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 ortho tech a NO-GO (NG) if any step is failed (F). All performance measured tasks must be
passed to receive a go.

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

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