Assisting With a Cast Application

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‭Schools of Health and Allied Health Sciences‬

‭College of Nursing‬

‭CLINICAL PERFORMANCE EVALUATION CHECKLIST‬

‭ASSISTING WITH CAST APPLICATION‬

‭ ame: __________________________________ Section: ____________ Grade: __________‬


N
‭Subject: _____________________________________________________ Date: __________‬

‭ one‬
D ‭Done‬ ‭Multipl‬
‭With‬ ‭ ith 1‬ e
w ‭ Errors‬
‭STEPS‬ ‭No‬ ‭Error‬ ‭ een‬
S
‭Errors‬
‭3‬ ‭2‬ ‭1‬
‭ TTITUDE: 30% (15 points)‬
A
‭1.‬ ‭Displays readiness in performing the procedure‬

‭2.‬ ‭Accepts criticism by showing effort to correct mistakes‬

‭3.‬ ‭Shows enthusiasm and interest in performing the‬


‭procedure and in learning pertinent points related to it.‬

‭4.‬ ‭Shows professionalism, reliability and confidence in‬


‭performing the procedure.‬

‭5.‬ ‭Answers rationale questions readily.‬

‭Total (15 points)‬

‭KNOWLEDGE AND SKILLS: 70%‬


‭1.‬ ‭Review the medical record and medical orders to‬
‭determine the needed for the cast.‬

‭2.‬ ‭Identify the patient. Explain the procedure to the patient‬


‭and verify area to be casted.‬

‭3.‬ ‭Perform a pain assessment and assess for muscle spasm.‬


‭Administer prescribed medications in sufficient time to‬

‭4.‬ ‭Perform hand hygiene and put on gloves, if necessary.‬

‭5. Close the room or curtains. Place the bed at an‬


‭appropriate and comfortable working height, if necessary.‬
‭6. Position the patient as needed, depending on the type of‬
‭cast being applied and the location of the injury. Support‬
‭the extremities or body part to be casted.‬
‭7. Drape the patient with the waterproof pads.‬
‭8. Cleanse and dry the affected body part.‬
‭9. Position and maintain the affected body part in the position‬
‭indicated by the physician as the stockinette, sheet‬
‭wadding, and padding is applied. The stockinette should‬
‭extend beyond the ends of the cast. As the wadding is‬
‭applied, check for wrinkles.‬
‭10. Continue the position and maintained the affected body‬
‭part in the position indicated by the physician or advanced‬
‭practice professional as the casting material applied. Assist‬
‭ ith finishing by folding the stockinette or other padding‬
w
‭down over the outer edge of the cast.‬
‭11.‬‭Support the cast during hardening‬‭. Handle hardening‬
‭plaster casts with the palms of hands, not fingers. Support‬
‭the cast on a firm, smooth surface. Do not rest it on hard‬
‭surface or sharp edges. Avoid placing pressure on the cast.‬
‭12‬‭. Elevate the injured limb above the heart level‬‭with‬
‭pillow or bath blankets as ordered, making sure‬
‭pressure is evenly distributed under the cast.‬
‭13. Remove gloves and dispose of them properly; palce the‬
‭bed in the lowest position, if necessary.‬
‭14. Obtain x-rays as ordered.‬
‭15.‬‭Instruct the patient to report pain, odor, drainage,‬
‭changes in sensation, abnormal sensation, or the‬
‭inability to move fingers or toes of the affected‬
‭extremity.‬
‭16. Leave the cast uncovered and exposed to the air.‬
‭Reposition the patient every 2 hours. Depending on the‬
‭facility policy, a fan may be used to dry the cast.‬
‭17. Perform hand hygiene.‬
‭Total (39 points)‬

‭Instructor’s Comments:‬

‭_________________________________________‬

‭Signature Over Printed Name of the Student‬

‭Signature Over Printed Name of the Clinical Instructor‬

‭Prepared By:‬

‭ AHLOU S. VILLAFLOR, RN, MAN‬


M
‭BSN 3 RLE COORDINATOR‬

‭Noted by:‬

‭ ILL MARIE CABRERA HERMOGENES, MAN., Ed.D‬


J
‭Assistant Dean‬

‭ ICHELLE B. YU, RN., MAN., DM‬


M
‭Dean‬
‭Reference:‬

‭ ynn, Pamela &LeBon Marilee. 2011. Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:A Nursing‬
L
‭Process Approach, 3‬‭rd‬ ‭Edition.Wolters Kluwer Health‬

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