Page 355 - Orthopedic Casts and Splints2

Performance Steps

4
Patient's injured fingers in finger traps

NOTE: Finger traps are placed on two or more fingers and used to suspended the arm off the bed in
a vertical position.(Refer to Figure 3-x).

5. Inspect patient's arms.
a. Place examination gloves on hands.
Caution: Always practice Body Substance Isolation (BSI) prior to applying traction, splints or casts to
patients.
b. Roll patient's shirt and place bed sheet over chest.
c. Inspect both arms for any skin conditions(e.g. cuts, abrasions, lacerations and skin rashes).
NOTE: Inform physician if conditions are present and follow physician instructions.
d. Examine both arms and wrists for jewelry and remove if found.
NOTE: All jewelry on fingers and wrists must be removed. Give jewelry and clothing to family member
or secure with patient's belongings in NCO office.
6. Check capillary refill of patient's fingers.
a. Squeeze patient's fingers and nail bed will turn white
b. Release patient's fingers and nail bed will return pink .
CAUTION: If capillary refill is delayed for more than 2 seconds inform physician and follow physician's
instruction.
7. Clean patient's skin using a damp wash cloth, towel or alcohol pad.
NOTE: Use alcohol pad or fresh water from the faucet and not from the casting bucket .
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