Page 82 - Orthopedic Casts and Splints2

Performance Steps
d. Instruct patient not to stick anything down the cast, do not remove the cast and do not alter
the cast( e.g. writing on it, coloring.)
28. Fit sling to patient as required.
NOTE: Consideration for applying a sling include elderly patient's, severity of fractures (e.g. Colles',
Smith's, Bennett's), patient's comfort, physician's or technician's preference.

29. Annotate the procedure applied to patient in medical record or SF 513.
NOTE: Record the procedure applied and cast care instruction provided to patient in medical record or
Standard Form 513 and sign your name.
30. Escort or direct patient to front desk to make a follow up appointment.

Performance Measures GO NO GO
1. Received the order from the physician (reviewed if in writing) —— ——

2. Identified yourself to patient. —— ——
3. Explained the procedure to the patient. —— ——

4. Inspected patient's arms. —— ——
5. Checked capillary refill of patient's hands/fingers. —— ——
6. Gathered equipment. —— ——

7. Assembled materials —— ——
8. Prepared stockinette. —— ——

9. Prepared plaster reinforcement splint for the volar aspect of the cast. —— ——
10. Applied stockinette to patient's injured arm. —— ——

11. Measured patient's injured wrist w/ goniometer. —— ——
12. Applied cast padding( webril) to injured wrist/forearm —— ——

13. Prepared casting materials. —— ——
14. Placed fiberglass casting/ examination gloves on hands. —— ——
15. Opened fiberglass casting package. —— ——

16. Applied 1st plaster or fiberglass roll. —— ——
17. Laminated the casting material. —— ——

18. Applied reinforcement splint to volar aspect of cast. —— ——
19. Applied 2nd plaster or fiberglass roll. —— ——

20. Molded the cast. —— ——
21. Checked range of motion ( ROM ) of phalanges and thumb. —— ——

22. Checked alignment of injured wrist with goniometer. —— ——
23. Checked cast dimensions. —— ——
24. Applied 3rd plaster roll. —— ——

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