Page 362 - Orthopedic Casts and Splints2

Performance Steps

30. Give patient verbal instruction on Right Angle traction.
a. Inform patient to push the nurse call button on the side of the bed rails for assistance.
b. The patient's humerus must be extended off the bed to assist with bone alignment.

Performance Measures GO NO GO

1. Received the order from the physician (reviewed if in writing). —— ——
2. Gathered needed equipment . —— ——

3. Assembled materials. —— ——
4. Checked serviceability of overhead traction frame and bed. —— ——

5. Identified yourself to the patient. —— ——
6. Explained the procedure to the patient. —— ——
7. Positioned the patient ( supine ) in the middle of the bed . —— ——

8. Prepared patient's injured arm. —— ——
9. Checked patient capillary refill. —— ——

10. Applied skin adherent to injured arm. —— ——
11. Applied and secured adhesive vent foam strap with Nelson finger exerciser to —— ——
injured arm.
12. Applied and secured adhesive vent foam strap with spreader block to injured arm. —— ——
13. Secured 44 inch single clamp bar to the long bar on the overhead frame. —— ——

14. Secured (2) pulleys to the distal end of single clamp bar. —— ——
15. Adjusted the patient's position. —— ——

16. Tied traction cord to Nelson finger exerciser/ spreader block. —— ——
17. Threaded traction cord through pulleys on single clamp bar and tie to weight —— ——
carrier.
18. Placed canvas sling on top of biceps muscle. —— ——
19. Inserted spreader bar ends in perforated holes on the canvas sling. —— ——

20. Attached weight carrier to spreader bar —— ——
21. Applied weight plates. —— ——

22. Elevated or raised the bed on the affected side. —— ——
23. Measured injured arm at a 90 degree angle to the floor with goniometer. —— ——

24. Checked and adjusted traction and arm alignment/angle. —— ——
25. Checked patient capillary refill. —— ——

26. Inspected overhead traction frame and bed. —— ——
27. Inspected traction equipment. —— ——
28. Gave patient verbal instruction on Right Angle traction. —— ——

359