Application of Splint
I. Purpose:
a. To outline and define the standardized procedure for the adult nurse practitioner on application of splints to temporary immobilization of sprains, fractures, and dislocations.
b. To ensure splints are applied and evaluated according to policy and procedure of organization.
II. Policy:
A. Assessment and necessity of splints will be monitored and revaluated throughout the course of treatment.
B. Competency to apply splints involves participation in a documented in-service education program, in addition to satisfactory completion of return demonstration. Proof of competency shall be filed in the adult nurse practitioners file and medical staff office.
C. The adult nurse …show more content…
Smooth out any wrinkles or bumps out, ensuring the splint is flat.
6. Apply wet splint material over the cast padding, smoothing it over splinted area.
7. Fold edges of stockinette and cast padding to ensure soft edges and to optimize integrity of splint.
8. Apply elastic bandage to secure splint.
9. Use palm of hands to mold the splint to contour the body.
10. Allow the splint to dry and harden while holding it in the desired position.
11. Apply tape to sides of split to keep elastic bandage in place.
VII. Patient Education
a. Patient and family are educated in proper use of splints, signs and symptoms of infection, signs of vascular compromise, and skin integrity throughout use of splints.
b. Advise the patient and family to not remove splint on their own, and to consult with adult nurse practitioner, physician, or emergency department to have splint removed.
c. Instruct patient to immediately report any signs or numbness, tingling, increased pain to adult nurse practitioner, physician, or emergency department.
VIII. Follow-up
a. Initial follow up should be done in 1 to 2 weeks, unless otherwise indicated.
IX. Physician Referral/ Consultation
a. Established patient’s whose condition hasn’t improved or has