cast application and removal

 

 

Guideline

 

Guideline Title/Subject:	Outpatient Department (OPD) Cast Application and Removal
Original Issue Date:	8 April 2018	Revision Dates:	5 May 2020
Department/Service:	Nursing

 

 

• PURPOSE:

 

All patients who require casting care receive a safe, effective level of care in an environment which is under the direct supervision of cast technician 

 

 

• SCOPE:

1. Cast technicians
2. Registered Nurses

                             

• GUIDELINE:

 

• Cast technician will assess, plan and supervise the implementation and evaluation of
  care of patients who require a cast
  1. Check the medical prescription form
  2. Assess patients’ needs
  3. Consider any relevant predisposing factors in the patient’s history, e.g. diabetes, rheumatoid arthritis, neurological impairment, allergies
  4. Consider the condition of the skin and limbs, eg. the injury, bony areas, redness, ulcers, swelling.
  5. Plan patients care
  6. Ensure that the equipment and materials are ready for use and conveniently situated
  7. Explain the procedure to the patient
  8. Gain patient’s informed verbal consent
  9. Apply a cast in the correct position

1. Apply suitable undercast padding being aware of any specific areas to pad
2. Check the cast is comfortable and functional.

2-All registered nurses will make sure all Patients have their casts adapted and removed safely

 

1. Check the medical prescription form
2. Assess the patient’s needs
3. Explain the procedure to the patient
4. Provide support for patients’ injuries, fractures or operation sites by placing a pillow
5. Remove Cast by using plaster cutter
6. Provide aftercare that considers:
7. Skin care
8. Further support e.g. splints, crutches, sticks

• Verbal and written advice

1. follow up appointment

• DOCUMENTATION: Electronic Medical Record (EMR)

 

• REFERENCES: Not applicable

 

• SIGN-OFF:

 

	Name (Printed)	Signature	Date	Position/Title
Prepared by:			18.May.20	SRN
Prepared by:			18.May.20	SRN
Reviewed by:			18.May.20	OPD Head Nurse
Approved by:			18.May.20	DON

 

 

 

 

 

 

 

 

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