Page 319 - Orthopedic Casts and Splints2

Performance Measures GO NO GO

24. Checked cast dimensions. —— ——
25. Applied 3rd plaster roll —— ——
26. Checked patient's capillary refill. —— ——

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

28. Gave patient verbal and written instructions on cast care. —— ——
29. Fitted sling to patient as required. —— ——

30. Annotated the procedure applied to patient in medical record or SF 513. —— ——
31. Escorted patient or direct 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 orthopaedic technician a NO-GO( NG ) if any step is failed (F). All performance measures must
be passed to receive a go.

References
Required Related
0812110-0765
0-8342-0763-X
38709590
TM 6-840

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