Page 327 - Orthopedic Casts and Splints2
P. 327

Performance Measures                                                             GO    NO GO

                 7. Assembled materials .                                                      ——      ——
                 8. Prepared stockinette.                                                      ——      ——
                 9. Prepared plaster reinforcement splint for the radial aspect of the cast.   ——      ——

                10. Prepared plaster reinforcement sheets for the posterior aspect of cast.    ——      ——
                11. Applied stockinette to patient's injured arm.                              ——      ——

                12. Applied finger traps to fingers on injured hand ( if not used go to step 13 ).  ——  ——
                13. Measured patient's injured wrist w/ goniometer.                            ——      ——

                14. Measured injured elbow with goniometer.                                    ——      ——
                15. Applied cast padding( webril) to injured thumb, wrist and forearm.         ——      ——

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

                19. Applied 1st plaster/ fiberglass roll.                                      ——      ——
                20. Laminated the casting material.                                            ——      ——

                21. Applied reinforcement splint to radial aspect of cast.                     ——      ——
                22. Applied plaster reinforcement splint. to the posterior aspect of the cast  ——      ——
                23. Applied 2nd plaster/fiberglass roll.                                       ——      ——

                24. Measured injured elbow with goniometer.                                    ——      ——
                25. Measured patient's injured wrist w/ goniometer.                            ——      ——

                26. Molded the cast material to the wrist/forearm.                             ——      ——
                27. Molded the cast material to the biceps muscle.                             ——      ——

                28. Molded the cast material to the thumb.                                     ——      ——
                29. Applied 3rd and 4th plaster/fiberglass roll.                               ——      ——

                30. Trimmed proximal and distal edges of cast.                                 ——      ——
                31. Checked range of motion ( ROM ) of phalanges .                             ——      ——
                32. Checked alignment of wrist with goniometer.                                ——      ——

                33. Checked cast dimensions.                                                   ——      ——
                34. Applied 5th roll of plaster/fiberglass.                                    ——      ——

                35. Checked patient's capillary refill.                                        ——      ——
                36. Cleaned plaster resin off patient's skin using a damp wash cloth, towel or  ——     ——
                    alcohol pad.
                37. Gave patient verbal and written instructions on cast care.                 ——      ——
                38. Fitted sling to patient as required.                                       ——      ——
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