Page 36 - Orthopedic Casts and Splints2

Performance Steps

6
Russell's Traction

NOTE: Inform patient or family member that Russell's traction is designed for treatment of knee injuries
and fractures of the shaft of the femur. An adhesive vent foam strap or Buck's traction boot will be
applied to the injured leg, secured with elastic bandages with the knee supported by a sling and a
pillow placed under the calf. (Refer to Figure 3-x).

CAUTION: The trapeze handle should be secured to the trapeze clamp when not in use to prevent
further injury to patient. Technician will demonstrate for patient or family member (s)
7. Position the supine patient in the middle of the bed.
NOTE: Nursing personnel may be needed with patient positioning.
8. Prepare patient's injured leg and ankle for Russell's traction.
a. Place examination gloves on hands
CAUTION: Always practice Body Substance Isolation ( BSI ) prior to applying traction, splints or casts
to patients.
b. Remove patient's shoes and socks.
CAUTION: Always have the same gender chaperone available when patient's personal
property/clothing are to be removed.

NOTE: Give shoes and socks to family member or nursing personnel.
c. Inspect both lower legs for any skin conditions ( e. g. cuts, abrasions, lacerations, or rashes ).
NOTE: Inform nurse is skin conditions are present before continuing.

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