Page 93 - Orthopedic Casts and Splints2

Performance Measures GO NO GO

25. Trimmed cast to fit patient. —— ——
26. Checked range of motion (ROM) of phalanges, thumb and elbow —— ——
27. Checked cast dimensions. —— ——

28. Checked alignment of wrist with goniometer. —— ——
29. Applied 3rd plaster/fiberglass roll. —— ——

30. Applied reinforcement splints to the supracondylar flanges. —— ——
31. Applied 4th plaster/fiberglass roll. —— ——

32. Checked patient's capillary refill. —— ——
33. Cleaned plaster resin off of patient's skin using a damp wash cloth, towel or —— ——
alcohol pad.

34. Gave patient verbal and written instructions on cast care. —— ——
35. Fitted sling to patient as required. —— ——

36. Annotated the procedure in patient's medical record or SF 513.. —— ——
37. Escorted patient or direct patient to front desk to make a follow up appointment. —— ——

Evaluation Guidance: Score the orthopaedic technician a GO on the task if all steps are passed (P).
Score the orthopaedic technician a NO-GO( NG ) if any step is failed (F). All performance measures must
be passed to receive a go.

References
Required Related
0812110-0765
0-8151-0910-5
0-8342-0763-X
38709590
BLAUVELT, CAROLYN T.
STP 8-91H14-SM-TG
THROUGH SELF-INSTRUCTUION
TM 6-840
TM 8-231

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