Page 159 - ASOP Orthopedic Casting Manual

3.6.3 Posterior Rigid Splint - Post-

Removal Care

Inspect the Skin: Check for redness, pressure sores, blisters, or

abrasions; Assess for swelling or signs of circulator y compromise;
Assess Neurovascular Status; Check capillar y refill, sensation, pulses,
and movement to ensure proper circulation.

Clean the Skin: If needed, clean the skin with mild soap and warm water
to remove any debris; Apply moisturizer if the skin is dr y or irritated.

Nex t Steps ( based on physician orders):
L1M If the splint was for temporar y immobilization, provide fur ther instructions on c asting, bracing, or additional c are;
L2M If the splint is being replaced or adjusted, ensure the new splint or c ast is applied promptl y to maint ain immobilization;
L3M Educ ate the p atient on any post-removal symptoms to monitor (e.g., p ain, swelling, or we akness).

Key Considerations & Tips
✅ Use blunt-tip trauma she ars to avoid injur y while cutting the b andage and stockinette.
✅ If the splint is tight, remove it graduall y and allow for per iodic p atient feedb ack.
✅ Always check circulation and sensation before & after removal.
✅ If the p atient exper iences incre ased p ain or discomfor t, stop and re assess before proceeding.

Conclusion

The application and removal of pre-fabricated lower leg splints are essential

skills in or thopedic and emergency care, ensuring proper immobilization while
minimizing complications. Mastering this technique requires attention to proper
positioning, padding, and secure application to provide stabilit y and comfor t for

the patient. Equally impor tant is the safe and systematic removal of the splint,
prioritizing patient safet y, skin integrit y, and neurovascular assessment. By
following these step-by-step procedures, heal thcare professionals can ensure
effective injur y management, reduce the risk of complications, and optimize

patient outcomes. Consistent practice and adherence to best practices will help
students gain confidence in applying and removing lower leg splints in clinical
settings.