Cast Removal
A cast is typically removed when a fracture heals or requires further manipulation. Less common indications include cast damage, a pressure ulcer under the cast, excessive drainage or bleeding, and a constrictive cast.
Equipment
Cast spreader ▪ cast saw with vacuum attachment ▪ gloves ▪ cast scissors ▪ hearing protection for patient and staff ▪ Optional: goggles, masks.
Preparation of Equipment
The cast saw may be loud enough to require the use of hearing protection for the patient and staff members present during the cast removal, according to Occupational Safety and Health Administration (OSHA) standards. Follow the manufacturer’s directions for use.
Implementation
Verify the doctor’s order.
Gather the equipment.
Confirm the patient’s identity using at least two patient identifiers according to your facility’s policy.1
Explain the procedure to the patient. Tell him that he will feel some heat and vibration when the cast is split with the cast saw. If the patient is a child, tell him that the saw is very noisy but won’t cut the skin beneath. Have the patient report any discomfort or excessive heat during the procedure. Emphasize that he must remain still during the procedure.
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