Page 277 - Orthopedic Casts and Splints2

APPLY A QUADRILATERAL THIGH BEARING CAST
081-834-0049
Conditions: Given an orthopaedic patient requiring a Quadrilateral Thigh Bearing cast ( QTB ) sitting or
supine on an orthopaedic examination bed, nursing personnel, family members, physician, physician's
verbal or written order, patient's medical record, or Standard Form 513(consultation form), grease pencil,
pen , work cart/station,(4) rolls of orthoflex, (4) rolls of 6 inch plaster , (4) rolls of 4 inch plaster, box of 5
x 30 inch plaster reinforcement sheets, (5) rolls of 4 or 5 inch fiberglass, (2) rolls of 3 inch webril, (3)
rolls of 4 inch webril, (3) rolls of 6 inch webril, roll of (3,4 or 6 inch ) stockinette, stockinette container,
fiberglass casting gloves, examination gloves, scissors, cast saw with vacuum, cast spreader,(2) safety
goggles, (3) packages of disposable foam ear plugs, roll of 2 inch adhesive tape, (3) hospital
pads(chux), bed sheet, pillow, (2) disposable paper shorts, two knee hinges, elastic knee cage,
quadrilateral socket, goniometer, ruler, tape measure, bucket of tepid water w/ plastic bag, thermometer,
support bar, cast care booklet or equivalent, box of alcohol pads, damp wash cloth/ or towel, sink w/
faucet, tube of surgical lubricant , orthopaedic bump, flat board, thigh holder, T stand, 1 pair of crutches
and trash receptacle.

Standards: Is reached when the injured leg, ankle and knee are immobilized by the cast from the web
spacing of the toes to 4 inches distal to the groin( on the medial side ), and flared 3 inches proximal to
the greater trochanter on the lateral side. Hinges are applied to the medial and lateral aspects of the
knee. The ankle is dorsiflexed at a 90 degree angle, absent of inversion or eversion with toes 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.

3. Explain the procedure to the patient.

274