Orthopedic Cast Care: A Comprehensive Guide to Comfort, Hygiene, and Preventing Complications
March 24, 2025A Comprehensive Guide to the Application of a Below Elbow Cast
The Standard Operating Procedure (SOP) for applying a Below Elbow Cast is an essential guide for Orthopaedic Trauma Personnel, ensuring proper cast application to promote healing, prevent complications, and restore function effectively. Improper application can lead to discomfort, pressure sores, fracture displacement, and even compartment syndrome, making adherence to protocol crucial.
Purpose and Scope
This SOP outlines the step-by-step process from initial patient contact to final assessment, aiming to:
Ensure timely and accurate cast application.
Prevent deformities and complications.
Facilitate early functional recovery and minimize the need for surgical intervention.
It applies to all Orthopaedic Trauma Technologists (OTTs) involved in cast application.
Key Terms & Equipment
The SOP provides definitions of essential terms such as fracture, reduction, manipulation, and traction. It also lists required materials, including:
✔️ Examination couch
✔️ Gloves & PPE
✔️ Plaster rolls & padding
✔️ Needles & syringes for anesthesia
Step-by-Step Procedure
1. Preparation
Greet the patient and confirm their identity.
Review diagnostic results and explain the procedure.
Obtain informed consent from the patient or guardian.
Assemble all necessary materials and wear protective gear.
2. Cast Application
Measure and cut the stockinet to ensure proper fit.
If reduction is needed, administer sedation or local anesthesia.
Apply padding material and plaster following a 50% overlap technique.
Mould the plaster to maintain fracture alignment.
Perform a neurovascular assessment to ensure proper circulation.
3. Post-Procedure Care
Send the patient for a check X-ray to verify alignment.
Provide detailed cast care instructions (e.g., avoiding water exposure, monitoring for swelling).
Document the procedure and dispose of waste safely.
Quality Control & Compliance
To maintain high standards, periodic quality checks and performance assessments are conducted. The SOP follows guidelines from WHO and healthcare infection control bodies.
For detailed guidelines on cast application, patient care, and compliance, download the full SOP document today. ✅
