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Assisting in Application Ofcast (Plaster of Paris & Fiberglass Cast

This document provides instructions for applying plaster of Paris or fiberglass casts. It describes the materials and equipment needed, including casting materials, padding, scissors, and water. It outlines the steps to prepare, implement, and evaluate the application of a cast, which includes inspecting the skin, gathering supplies, applying the casting material, trimming the cast, positioning and elevating the extremity, and providing aftercare instructions to the client. The goal of applying a cast is to immobilize an injured body part such as a fractured bone to promote healing.

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Jan Federick Bantay
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231 views9 pages

Assisting in Application Ofcast (Plaster of Paris & Fiberglass Cast

This document provides instructions for applying plaster of Paris or fiberglass casts. It describes the materials and equipment needed, including casting materials, padding, scissors, and water. It outlines the steps to prepare, implement, and evaluate the application of a cast, which includes inspecting the skin, gathering supplies, applying the casting material, trimming the cast, positioning and elevating the extremity, and providing aftercare instructions to the client. The goal of applying a cast is to immobilize an injured body part such as a fractured bone to promote healing.

Uploaded by

Jan Federick Bantay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

ASSISTING IN APPLICATION OFCAST

(PLASTER OF PARIS & FIBERGLASS CAST

Prepared by:
Maricel D. Abalona RN, MN
Cast
A mold mad of plaster of Paris or fiberglass which is used to immobilize the
trunk or any body part so that a fracture of a bone, a dislocation or an
injury to soft tissue can heal.

Plaster of Paris.
A hard but fairly light substance.
Crinoline (a firmly woven cotton fabric)
rolls impregnated with plaster of Paris
are immersed in water and molded to a
body part to form a cast.
Fiberglass Cast
Also referred to as a ‘light” cast because
of its light weight. It is a roll of
synthetic cast material that is in sealed
moisture-proof packages that begin to
harden as soon as the package is
opened. These materials come in a
wide variety of colors.
RATIONALE
 
1. To immobilize the trunk or a body part.
2. To allow healing of a bone fracture, a dislocation, or a soft tissue injury.
 
 
EQUIPMENTS Wadding sheet Cast Padding
Casting material depending (cotton cast
on the type of cast to be padding)
applied

Cast saw in case windowing Synthetic Cast


is needed Padding material Stockinette
for finishing cast

Adhesive cloth tape Plastic apron and gloves

Large,
heavy-duty Rolls of Plaster of Paris
scissors

A bucket of water

Cast knife for  


trimming
PLANNING AND IMPLEMENTATION

 Review the client’s record

 Inspect the skin over which the cast is to be

applied for any abrasions or interruptions

in skin integrity. Look for signs of edema

that may intensify pressure caused by the

cast.

 Find out what the client knows about the

procedure. Determine if the physician has

ordered a sedative to be given 30 minutes

before casting.

 Wash your hands.

 Gather equipment on a cart.


 Identify the client.
 Drape the client. Place a plastic-covered
sheet or pillow under the part to be casted.
 Offer emotional support and reassurance to
the client
 Assist the physician in applying the cast.
 When the cast is completed, remove excess
material from the client’s skin.
 
11. Position the client to support the cast.
 
12. Handle the cast until it is completely dry. Use the
flat side of the palm of your hands.
 
13. Elevate the extremity slightly higher than the heart.
 
14. Leave the cast uncovered during drying period.
 
15. Provide client teaching as to
 

16. Monitoring of the cast area


 
17. Length of time for the cast to dry.
 
18. Importance of reporting feelings of pain, pressure, or altered sensation.
19. Aftercare of equipment. Wash your hands.
EVALUATION AND DOCUMENTATION
 
1. Evaluate the following:

a) Client’s comfort
b) Condition of the cast
c) Neurovascular status, including circulation, motion, and sensation of the
affected part.

2. Document the type of cast applied, the date and time, the client’s comfort
and neurovascular status.
 

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