Page 94 - Orthopedic Casts and Splints2

APPLY A LONG ARM CAST
081-834-0015
Conditions: Given an orthopaedic patient requiring a Long Arm Cast (LAC), in supine or sitting position
on a orthopaedic examination bed ,family member, nursing personnel, physician, physician's verbal or
written orders, patient's medical record, or Standard Form 513 (consultation form), work cart/station, sink,
roll of (2, 3, or 4 inch)stockinette , stockinette container, (2) rolls of 2 inch webril(cast padding) (3) roll of 3
inch webril(cast padding), (3) rolls of 3 inch plaster ,(3) rolls of 4 inch plaster, box of 4 x 15 plaster
reinforcement splint , box of 5 x 30 plaster reinforcement splint , (2) rolls of 2 or 3 inch fiberglass, (2) rolls
of 4 inch fiberglass, fiberglass casting gloves, examination gloves, scissors, (3) hospital pads (chux),(2)
bed sheets, goniometer, ruler, tape measure, bucket of water w/ plastic bag, tube of surgical lubricant ,
orthopaedic bump, box of alcohol pads, damp wash cloth or towel, pillow, finger trap set, cast care
booklet or equivalent, pen, sling, thermometer and trash receptacle.

Standards: Is reached when the wrist (0-15 degrees of dorsal extension) and elbow ( flexed at a 90
degree angle) are immobilized by the cast from the distal palmar crease (DPC )/metacarpophalangeal
joints( MCPJ's) to 2 inches distal to the axilla region. Ulnar, radial deviation, pronation and supination
are eliminated from the wrist and forearm. The cast eliminates rotation of the wrist, forearm and elbow
and allows 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 the patient.
NOTE: Tell patient your name and job title.
3. Explain the procedure to the patient.

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