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CJ: Orthopedic Nursing CJ-02: Cast Care
No. Competency Item NAC DEV COM DTE EXC
CJ-02-01 Demonstrate knowledge of the pathophysiology of fractures, manisfestations, and medical management.
CJ-02-02 Demonstrate knowledge and ability to care for clients with a variety of casts.
  Demonstrate ability to assess client with a cast:          
  • bleeding
  • CJ-02-04
  • cast drying
  • CJ-02-05
  • complications i.e., compartment syndrome, compression syndrome, infection
  • CJ-02-06
  • edema
  • CJ-02-07
  • external fixators
  • CJ-02-08
  • neurovascular status
  • CJ-02-09
  • pain.
  •   Demonstrate ability to cut cast as ordered by physician:          
  • bivalving
  • CJ-02-11
  • trimming
  • CJ-02-12
  • removing
  • CJ-02-13
  • windowing
  • CJ-02-14
  • univalving
  • CJ-02-15
  • follow-up care.
  • CJ-02-16 Demonstrate ability to teach client and family regarding cast care and observation for complications.
    CJ-02-17 Demonstrate ability to document and report the assessment, location and type of cast, special procedures, and findings.
      Demonstrate ability to describe common orthopedic diagnostic tests and nursing implications such as:          
  • arthrogram
  • CJ-02-19
  • bone scan
  • CJ-02-20
  • computed axial tomography (CAT or CT scan)
  • CJ-02-21
  • magnetic resonance imaging (MRI)
  • CJ-02-22
  • myelogram
  • CJ-02-23
  • tomogram
  • CJ-02-24
  • X-ray.
  • CJ-02-25 Demonstrate knowledge and ability to teach client and family about the diagnostic tests, procedures, and follow-up necessary as per agency policy.
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