Page 293 - Orthopedic Casts and Splints2

Performance Measures GO NO GO

6. Gathered equipment. —— ——
7. Assembled materials —— ——
8. Prepared stockinette. —— ——

9. Prepared plaster reinforcement splint for the volar aspect of the cast. —— ——
10. Prepared aluminum splint. —— ——

11. Applied stockinette to patient's injured arm. —— ——
12. Applied finger traps to fingers on injured hand . —— ——

13. Measured patient's injured wrist w/ goniometer. —— ——
14. Applied cast padding( webril) to injured wrist/forearm —— ——

15. Prepared casting materials. —— ——
16. Placed fiberglass casting/ examination gloves on hands. —— ——
17. Opened fiberglass casting package. —— ——

18. Applied 1st plaster or fiberglass roll. —— ——
19. Laminated the casting material. —— ——

20. Applied reinforcement splint to volar aspect of cast. —— ——
21. Applied 2nd plaster or fiberglass roll. —— ——
22. Molded cast material to wrist/forearm. —— ——

23. Checked range of motion ( ROM ) of phalanges and thumb. —— ——
24. Checked alignment of injured wrist with goniometer. —— ——

25. Checked cast dimensions. —— ——
26. Applied aluminum splint. —— ——

27. Applied 3rd plaster roll. —— ——
28. Applied th plaster roll. —— ——

29. Checked patient's capillary refill. —— ——
30. Cleaned plaster resin off patient's skin using a damp wash cloth, towel or alcohol —— ——
pad.
31. Gave patient verbal and written instructions on cast care. —— ——
32. Annotated the procedure applied to patient in medical record or SF 513. —— ——

33. Fitted sling as required. —— ——
34. Escorted patient or direct family to front desk for 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.

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