Page 171 - ASOP Orthopedic Casting Manual
P. 171
ORTHOPEDIC CAST REMOVAL TECHNIQUIE
COMPETENCY ASSESSMENT SHEET
NAME:____________________ EVALUATOR:__________________
Date:_____________
CASR REMOVAL Technique – Time allotted = 15 minutes
Materials Needed Exceeds Meets Approaching Does Not Meet
Standards Standard Standard Standard
Cast Saw (oscillating) 5 3 1 0
Cast Spreader 5 3 1 0
Bandage Scissors 5 3 1 0
Protective gloves 5 3 1 0
Eye Protection (for clinician) 5 3 1 0
Towels or Padding (protect patient’s skin) 5 3 1 0
Patient Position and Preparation
Explains the removal procedure to patient 5 3 1 0
Informs the patient regarding expectations, including noise and sensation from cast saw 5 3 1 0
Patient is positioned properly / comfortably (seated or standing when applicable) 5 3 1 0
Extremity is clean and free from dirt/debris 5 3 1 0
Place towels or padding around the cast to protect the patient’s skin from the cast saw 5 3 1 0
Pre-removal check – neurovascular status 5 3 1 0
Removal Principles / Follow-up Care
Uses marker to indicate lines for removal 5 3 1 0
Appropriately incorporates “zip stick” between stockinet & padding (when applicable) 5 3 1 0
Maintains control of cast saw with one finger on cast at all times 5 3 1 0
Incorporates left and right hand into removal technique 5 3 1 0
Uses up/down motion straight into cast (no blade dragging) 5 3 1 0
Cuts through dorsal and volar aspect 5 3 1 0
Reassure and communicates with patient throughout the procedure to ensure comfort and 5 3 1 0
reduce anxiety.
Utilizes cast spreader as necessary 5 3 1 0
Uses bandage scissors to cut through the underpadding and stockinette beneath the cast, 5 3 1 0
being cautious not to contact patient’s skin.
Opens cast and slides fiberglass application away from patient 5 3 1 0
Inspects for any skin irritation, sores, or infection 5 3 1 0
Cleans the skin of extremity gently, as needed 5 3 1 0
Advises the patient on care for their limb post-cast removal, including gentle exercises, 5 3 1 0
skin care, and any necessary follow-up appointments with their healthcare provider
Disposes of casting materials, pursuant to facility guidelines 5 3 1 0
SKILL POINTS: _______ / 130_
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