Page 285 - Orthopedic Casts and Splints2
P. 285

Performance Measures                                                             GO    NO GO

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

                 8. Prepared stockinette.                                                      ——      ——
                 9. Prepared plaster reinforcement splint for the posterior aspect of the cast.  ——    ——

                10. Prepared plaster reinforcement splint for use at the femoral condyles.     ——      ——
                11. Prepared plaster reinforcement splint for use at the greater trochanter.   ——      ——

                12. Applied stockinette to patient's injured leg.                              ——      ——
                13. Positioned the patient's injured ankle at a 90 degree angle to the tibia.  ——      ——

                14. Measured patient's injured ankle w/ goniometer.                            ——      ——
                15. Measured injured knee with goniometer.                                     ——      ——
                16. Applied cast padding (webril) to patient's injured leg.                    ——      ——

                17. Prepared casting materials.                                                ——      ——
                18. Placed fiberglass casting gloves on hands.                                 ——      ——

                19. Opened fiberglass casting package .                                        ——      ——
                20. Applied 2 plaster/fiberglass rolls.                                        ——      ——
                21. Laminated the casting materials.                                           ——      ——

                22. Applied plaster splint to posterior aspect of cast.                        ——      ——
                23. Applied plaster splint to quadriceps muscle/greater trochanter region.     ——      ——

                24. Applied 2 plaster/fiberglass rolls                                         ——      ——
                25. Molded the cast material to the lower leg.                                 ——      ——

                26. Molded the cast material to the upper leg.                                 ——      ——
                27. Molded the cast material to the femoral condyles.                          ——      ——

                28. Checked cast dimensions.                                                   ——      ——
                29. Trimmed the knee region of cast.                                           ——      ——
                30. Secured two knee hinges to cast.                                           ——      ——

                31. Applied 5th roll of plaster/fiberglass                                     ——      ——
                32. Checked patient's capillary refill.                                        ——      ——

                33. Cleaned plaster off patient's skin using a damp c wash cloth, towel or alcohol  ——  ——
                    pad.

                34. Applied a cast shoe.                                                       ——      ——
                35. Issued crutches and demonstrate proper use.                                ——      ——
                36. Gave patient verbal and written instructions on cast care.                 ——      ——
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