Page 312 - Orthopedic Casts and Splints2

APPLY SHORT ARM THUMB SPICA CAST
081-834-0061
Conditions: Given an orthopaedic patient requiring a Short Arm Thumb Spica Cast (SATSC), sitting or
supine on a orthopaedic examination bed, nursing personnel, family member, physician, physician's
verbal or written order, patient's medical record, or Standard Form 513(consultation form), pen , work
cart/station, finger trap set with stand, (3) rolls of 3 or 4 inch plaster , box of 4 x 15 inch plaster
reinforcement sheets, (2) rolls of 2 or 3 inch fiberglass, (2) rolls of 2 or 3 inch webril, fiberglass casting
gloves, examination gloves, scissors, (2) hospital pads (chux), bed sheet, pillow, goniometer, ruler, tape
measure, bucket of tepid water w/ plastic bag, sling, cast care booklet or equivalent, box of alcohol
pads,damp wash cloth or towel, sink w/ faucet, orthopaedic bump, thermometer and trash receptacle.

Standards: Is reached when the cast is applied from the tip of the injured thumb down the radial side of
the hand and arm to 1 inch distal to the cubitum space( bend of elbow). The wrist is immobilized by the
cast between 0-15 degrees of dorsal extension( absent of ulnar, radial, supination or pronation). The
cast eliminates rotation of the wrist and thumb, with free range of motion of the elbow and uninjured
fingers. Capillary refill test is administered to the fingers and thumb and successfully passed.

Performance Steps

1. Receive the order from the physician(review if in writing)
2. Identify yourself to the patient.
NOTE: Tell the patient your name and job title.
3. Explain the procedure to the patient.

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