Page 92 - Orthopedic Casts and Splints2

Performance Steps
c. Instruct patient to elevated the extremity above the heart , extend, flex and wiggle
fingers(demonstrate for patient) to reduce swelling in the extremity.
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.)
35. 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.

36. Annotate the procedure applied to the patient in medical record or SF 513.
NOTE: Record the procedure applied and cast care instruction provided to patient and sign your name.
37. Escort patient 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 patient's capillary refill. —— ——
6. Gathered equipment. —— ——
7. Assembled materials. —— ——

8. Prepared stockinette. —— ——
9. Prepared plaster reinforcement splint for the volar aspect of the cast. —— ——

10. Prepared plaster reinforcement splint for the supracondylar( olecranon) . —— ——
11. Applied stockinette to patient's injured arm. —— ——

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

14. Prepared casting materials. —— ——
15. If used fiberglass casting materials go to step 17 and 18. —— ——
16. If used plaster casting materials go to step 19. —— ——

17. Placed fiberglass casting gloves on hands. —— ——
18. Opened fiberglass casting package and go to step 19. —— ——

19. Applied 1st plaster/fiberglass roll. —— ——
20. Laminated the casting material. —— ——
21. Applied reinforcement splint to the volar aspect of cast. —— ——

22. Applied 2nd plaster/fiberglass roll. —— ——
23. Molded cast (interosseous). —— ——

24. Molded cast(supracondylar). —— ——

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