Page 353 - Orthopedic Casts and Splints2

Performance Measures GO NO GO

19. Checked patient's capillary refill. —— ——
20. Cleaned plaster off patient's skin using a damp wash cloth, towel or alcohol pad. —— ——
21. Administered a crutch ambulation treatment ( see task number 081-836-0041). —— ——

22. Annotated the procedure applied to patient in medical record or SF 513. —— ——
23. Escorted 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

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