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Cast Care Clinical Performance Checklist

The document provides a clinical performance evaluation checklist for performing cast care. It evaluates students on their attitude (30%) and knowledge and skills (70%) in performing cast care procedures. The attitude section evaluates a student's readiness, acceptance of criticism, enthusiasm, professionalism and ability to answer questions. The knowledge and skills section lists 12 specific tasks involved in cast care including assessing the cast and patient, providing skin care, range of motion exercises and instructing the patient. The checklist is to be signed by the student and clinical instructor with an overall score.

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JUVIELY PREMACIO
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441 views2 pages

Cast Care Clinical Performance Checklist

The document provides a clinical performance evaluation checklist for performing cast care. It evaluates students on their attitude (30%) and knowledge and skills (70%) in performing cast care procedures. The attitude section evaluates a student's readiness, acceptance of criticism, enthusiasm, professionalism and ability to answer questions. The knowledge and skills section lists 12 specific tasks involved in cast care including assessing the cast and patient, providing skin care, range of motion exercises and instructing the patient. The checklist is to be signed by the student and clinical instructor with an overall score.

Uploaded by

JUVIELY PREMACIO
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Schools of Health and Allied Health Sciences

College of Nursing

CLINICAL PERFOMANCE EVALUATION CHECKLIST

PERFORMING CAST CARE

Name: Year & Group:


Inclusive Dates of RLE:

Done Done Multiple


with 1 Errors
With
Error Seen
PROCEDURE No
Errors
3 2 1
ATTITUDE – 30% (15 points)
1. Displays readiness in performing the procedure
2. Accepts criticism by showing effort to correct mistakes
3. Shows enthusiasm and interest in perfomring 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

KNOWLEDGE AND SKILLS: 70% (39 points)


1. Review the medical record and the nursing plan of care to
determine the need for cast care and care for the affected
body part.
2. Perform hand hygiene. Put on PPE, as indicated.
3. Identify the patient. Explain the procedure to the patient.
4. Close curtains around bed and close the door to the room, if
possible. Place the bed at an appropriate and comfortable
working height, if necessary.
5. If a plaster cast was applied, handle the casted extremity or
body area with the palms of your hands for the first 24 to 36
hours, until the cast is fully dry.
6. If the cast is on an extremity, elevate the affected area on
pillows covered with waterproof pads. Maintain the normal
curvatures and angles of the cast.
7. Keep cast (plaster) uncovered until fully dry.
8. Assess the condition of the cast. Be alert for cracks, dents,
or the presence of drainage from the cast. Perform skin and
neurovascular assessments according to facility policy, as
often as every 1 to 2 hours. Check for pain, edema, inability to
move body parts distal to the cast, pallor, pulses, and
abnormal sensations. If the cast is on an extremity, compare it
with the uncasted extremity.
9. If breakthrough bleeding or drainage is noted on the cast,
mark the area on the cast, according to facility policy. Indicate
the date and time next to the area. Follow physician orders or
facility policy regarding the amount of drainage that needs to
be reported to the physician.
10. Assess for signs of infection. Monitor the patient’s
temperature. Assess for a foul odor from the cast, increased
pain, or extreme warmth over an area of the cast.’

11. Reposition the patient every 2 hours. Provide back and


skin care frequently. Encourage range-of-motion exercises for
unaffected joints. Encourage the patient to cough and deep
breathe.
12. Instruct the patient to report pain, odor, drainage, change
in sensation, abnormal sensation, or the inability to move
fingers or toes of the affected extremity.
13. Remove PPE, if used. Place bed in lowest position. Perform
hand hygiene.
Total

FINAL SCORE
Comments:

(Signature Over Printed Name Of Student)

(Signature Over Printed Name Of Clinical Instructor)

Grading:
Attitude : 30% (10 points)
Knowledge and Skills : 70% (26 points)

Prepared By:

ANTHONY JOSEPH C. MERCADO, RN, MAN


MS Lecturer

Reference:

Lynn, Pamela &LeBon Marilee. 2011. Lippincott Williams & Wilkins. Skill Checklists for Taylor's Clinical Nursing Skills:A Nursing
Process Approach, 3rd [Link] Kluwer Health

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