4How to prevent complications Apply splint by trained professionalUs!What we do!Apply splint correctlyCollaboration with the Docs!Monitor neurovascular status.
5The 6 P’s of extremity assessment Pain:Palpate the entire extremity for increase painPallor:Note color and temperature and capillary refillPulses:Palpate proximal and distal pulsesParesthesia:Assess for burning, tingling, numbnessParalysis:Assess motor function (both active and passivePressure:Palpate for firmness of compartment
6Equipment need for application Cotton bandage( soft roll, cotton roll) Pad entire area to be splintedPlaster slabs or pre padded fiberglass (Orthoglass), immobilize above and below injuryRoom temperature water (apply generously)Elastic bandageAdhesive tape or fastners
7Types of Splints Yes,its broken and needs a splint! Why sure Doctor, not aproblem!
8Volar Splint The Volar short arm splint is used for: Fractures of the wristFractures of the second to fifth metacarpals,Carpal tunnel syndromeSoft tissue injuries
10Gutter Splint Two types: radial and ulnar Gutter splints are used for: Phalangeal fracturesMetacarpal fractures
11Figure Eight Splint Used to stabilize a clavicle fracture To be applied properly the patient must be erect with hands on his iliac crest with shoulders in abduction (as seen in picture)
12Buddy taping of toesSecure the fractured toe to the adjacent toe with adhesive stripsSheet wadding between toes prevents maceration
13Posterior Leg Splint This splint is used for: Distal leg fractures Ankle fracturesTarsal fracturesMetatarsal fractures
14Stirrup Splint To prevent inversion or eversion of the ankle Immobilizes the ankle for fractures near the ankleApply from below the knee and wrap around the ankle
15Thumb Spica Splint This splint is used for : Scaphoid fractures Extraarticular fractures of the thumbUlnar collateral ligament injuries
16What do you do after you have applied your splint??? 1.Have MD/PA evaluate splint2.Document what you have done!!!
17Documentation Which Splint you applied Which extremity you applied the splint to6 P’sTime you applied the splintCondition of any woundHow the patient tolerated the procedureWhich MD/PA evaluated splint and time
18Application of Splints Follow up on the floor and perform the following splints under the observation of your preceptorGutter splintVolar splintThumb SpicaPosterior leg splintStirrup leg splintClavicle Brace
19To Receive Credit for having completed this Review of Splinting : Certificate of Completion of On-line Module – Splinting in the EDComplete the Certificate with your name and date of completionPrint and sent to Tammy Whitehead for records.