Page 58 - Orthopedic Casts and Splints2

APPLY A SHORT ARM CAST
081-834-0010
Conditions: Given an orthopaedic patient requiring a Short Arm Cast ( SAC ), sitting on an orthopaedic
examination bed, nursing personnel, family member, physician, physician's verbal or written order,
patient's medical record, or Standard Form 513(consultation form), pen , work cart/station, (3) rolls of 3
inch plaster , (2) rolls of 2 inch plaster, box of 4 x 15 inch plaster reinforcement sheets, (3) rolls of 2 or
3 inch fiberglass, (3) rolls of 2 or 3 inch webril, roll of 2 or 3 inch stockinette, stockinette container,
fiberglass casting gloves, examination gloves, scissors ,(2) hospital pads(chux),(2) bed sheets, pillow,
goniometer, ruler, tape measure, bucket of tepid water w/ plastic bag, sling, cast care booklet or
equivalent, box of alcohol pads, damp wash cloth or towel, sink w/ faucet, tube of surgical lubricant ,
orthopaedic bump, finger trap set with stand, T stand ( Turnstile stand), thermometer and trash
receptacle.

Standards: Is reached when the wrist is immobilized, in neutral position( 0-15 degrees of dorsal
extension), by the cast from the distal palmar crease(DPC) /metacarpophalangeal joints( MCPJ's) to 1
inch distal to the cubitum space ( bend of elbow ). Ulnar, radial deviation, pronation and supination are
eliminated from the wrist and forearm. The cast eliminates rotation of the wrist and forearm, while allowing
full range of motion of the elbow, thumb and fingers. Capillary refill test is administered to the fingers and
passed successfully.

Performance Steps
1. Receive the order from the physician (review if in writing)

2. Identify yourself to patient.
NOTE: Tell the patient your name and your job title.

3. Explain the procedure to the patient.

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