Page 84 - Orthopedic Casts and Splints2

APPLY A MUNSTER CAST
081-834-0013
Conditions: Given an orthopaedic patient requiring a Muenster cast, sitting on a orthopaedic
examination bed, family member, nursing personnel, physician, physician's verbal or written order,
patient's medical record, or Standard Form 513(consultation form) , pen , work cart/station, (4) rolls of 3
or 4 inch plaster , (2) rolls of 5 inch ortho flex plaster, box of 4 x 15 inch plaster reinforcement sheets,
(4) rolls of 2 or 3 inch fiberglass, (3) rolls of 2 or 3 inch webril, roll of stockinette( 2, 3 or 4 inch),
stockinette container, fiberglass casting gloves, examination gloves, scissors, cast saw, cast spreader, 2
pairs of safety goggles, box of disposable ear plugs, roll of 2 inch adhesive tape, (2) hospital
pads(chux),(2) bed sheets, pillow, goniometer, ruler, tape measure, bucket of tepid water w/ plastic bag,
thermometer, sling, cast care booklet or equivalent, box of alcohol pads, damp wash cloth or towel, sink
w/ faucet, tube of surgical lubricant , orthopaedic bump, T stand(turnstile casting stand) and trash
receptacle.

Standards: Is reached when the wrist is immobilized, in a neutral position, by the cast from the distal
palmar crease( DPC) /metacarpophalangeal joints(MCPJ's) to 3 inches proximal to the elbow. Ulnar,
radial deviation and pronation supination are eliminated from the wrist The cast restricts rotation of the
forearm, but allows complete elbow flexion and extension with free range of motion for the 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 patient your name and job title.
3. Explain the procedure to the patient.

81