Edukasi Keperawatan: Cara Melepas Gips

Summary

This instructional video outlines the proper technique for removing a cast using the Delta cast saw and vacuum. The process begins with positioning the patient and carefully cutting the cast in sections from proximal to distal. Special attention is given to avoiding injury to bony prominences. The cast is then cut along the designated lines, with scissors used to assist in removing the cast in halves. The procedure ensures safety and precision, utilizing specialized tools for a clean, efficient removal process.

Takeaways

• 😀 The Delta cast saw and vacuum provide a quick and clean method for cast removal.
• 😀 Position the patient on their back with the lower leg rotated outward before starting the procedure.
• 😀 Begin sawing the cast from the inside of the lower leg, cutting proximally to distally.
• 😀 Make small cuts at a time, ensuring the saw blade only cuts through the cast, not the padding or stockinette.
• 😀 Avoid cutting over bony prominences like the malleolus during the process to prevent injury.
• 😀 After completing one side, position the patient on their side to continue cutting along the outside of the cast.
• 😀 At the ankle, saw at a 90-degree angle to facilitate precise separation of the cast.
• 😀 Use scissors to follow the saw lines, cutting from the top of the lower leg downward and from the foot towards the ankle.
• 😀 Ensure the padding and top layer of the stockinette are cut through during the removal process.
• 😀 Finish by cutting along the proximal edge of the stockinette to allow separation of the two halves of the cast.

Q & A

What is the primary tool used for removing the cast?

The primary tool used for removing the cast is the Delta cast saw, along with a vacuum for cleanup.

How should the patient be positioned before starting the cast removal?

The patient should be lying on their back with the lower leg turned out.

What is the recommended approach to cutting the cast?

The cast should be cut in small sections, starting proximally (near the knee) on the inside of the lower leg, and moving distally (toward the foot).

What precaution should be taken while cutting the cast?

Care should be taken to avoid cutting the padding and stockinette underneath the cast. The saw blade should only cut through the cast material.

What areas of the body should be especially careful when cutting the cast?

Extra care should be taken when cutting near bony prominences, such as the malleolus (ankle bone), to avoid injury.

How do you ensure that the entire cast is removed properly?

After the initial cuts, you should carefully redo any sections that may not have been fully separated, particularly around difficult areas like the ankle or foot.

What is the next step once the patient is positioned on their side?

Once the patient is on their side, a line should be cut along the outside of the cast, starting distally (near the foot) and moving proximally (towards the knee).

What should be done when cutting through the ankle area?

The cut should be made at a 90-degree angle and continue to the middle of the foot before starting from the distal end of the foot and moving proximally.

What tool is used to finish cutting along the lines after the saw work is done?

Scissors are used to cut along the outside and inside saw lines, ensuring that the stockinette and padding are fully separated.

What happens after both halves of the cast are separated?

After both halves of the cast are removed, the second half of the stockinette is also cut and removed, completing the cast removal process.