Edukasi Keperawatan: Cara Memasang Gips Pada Kaki

Summary

This instructional video provides a step-by-step guide on applying a medical splint to a patient's lower leg. It covers the preparation of materials, including stockinette, padding, and plaster bandages, as well as the correct technique for applying the splint. The procedure ensures proper immobilization while minimizing discomfort, with tips on smoothing out wrinkles and adding padding for protection. The splinting process also includes critical safety advice, such as wearing protective gloves and ensuring the splint is correctly set. After the splint is applied, final checks for comfort and range of motion are performed to ensure proper fit and support.

Takeaways

• 😀 Select the appropriate width of stockinette to fit the patient's limb comfortably.
• 😀 Measure the foot length and double it to determine the required length of stockinette for the procedure.
• 😀 Roll the stockinette onto the limb smoothly, ensuring no wrinkles or creases to avoid pressure points.
• 😀 Apply padding around the foot, ankle, and lower leg, adding extra padding over bony prominences for comfort and protection.
• 😀 Always wear protective gloves when handling plaster-of-Paris bandages to ensure hygiene and safety.
• 😀 Prepare the plaster bandage by folding it into six layers and dipping it into cold water to activate it.
• 😀 After dipping the plaster bandage in water, gently squeeze out excess moisture and straighten the splint.
• 😀 Apply the first splint under the patient's lower leg and secure it around the sole of the foot and up the leg.
• 😀 Place a second activated splint on the lateral side, wrapping it around the foot to the medial side, then secure with bandages.
• 😀 After the splints are set, trim any excess stockinette and fold the ends to ensure skin protection and comfort, then secure with bandages.

Q & A

What is the purpose of using stockinette during this procedure?

The stockinette is used to provide a smooth surface on the limb to prevent the splint from sliding. It also helps in avoiding wrinkles and creases during the application process.

Why is it important to apply padding over the metatarsals and ankle?

Padding is applied to these areas to ensure comfort and protect bony prominences. This helps to prevent pressure points and irritation when the splint is in place.

What is the recommended method for folding the plaster-of-Paris bandage before applying it?

The plaster-of-Paris bandage should be folded into six layers, which are then sized appropriately to fit the patient.

How is the plaster-of-Paris bandage activated for use?

The plaster-of-Paris bandage is activated by dipping it into cold water. After dipping, the ends are held and the splint is squeezed gently to remove excess water, ensuring it is ready for application.

What should be done with the splint after it has been activated and before applying it to the patient?

After activation, the splint should be straightened out, and any excess water should be squeezed out. The splint is then run over the edge of the bucket to remove any surface water.

How are the splints applied to the patient's lower leg?

The splint is first placed along the sole of the foot and wrapped around the lower leg. A second activated splint is applied from the lateral side of the foot to the medial side, smoothing it out to ensure a secure fit.

Why should the toe area be left free when securing the splint with bandages?

The toe area should be left free to avoid restricting blood flow or movement, ensuring that the patient’s toes are not constricted by the bandages.

What steps should be taken to ensure the stockinette is applied correctly?

The stockinette should be pulled out at the distal end and folded over. Any excess stockinette at the proximal end should be folded down smoothly to provide skin protection and comfort.

How should the bandage be wrapped around the patient's ankle and lower leg?

The bandage should first be wrapped around the ankle, starting distally, then wrapped around the metatarsals, and proceed upwards, overlapping by 50%. A second bandage may be used if necessary for additional support.

What is the ideal timeframe for checking the splint after application?

The splint should be checked after approximately three to five minutes to ensure that it has set properly. This also allows for any adjustments to prevent irritation or pressure points.

When is the splint fully set and ready for the patient to be released?

The splint is fully set after 24 hours, at which point the patient can be safely released.