Skill 30[1]..Petaling a Cast.pdf

SKILL 30

Petaling a Cast

EQUIPMENT

Wet-proof adhesive tape: 1-inch, 2-inch, and 1 / 2 -inch for

very small areas

Scissors

Moleskin (optional; not to be used around the perineum or

an area likely to get wet)

PROCEDURE

1. Prepare child and family. Enhances cooperation and

participation and reduces anxiety and fear.

2. Ensure cast is dry. Petaling is applied only after a cast is

dry.

3. Gather equipment. Promotes organization and effi-

ciency.

4. Wash hands. Reduces transmission of microorganisms.

5. Prepare petals by cutting strips of adhesive tape or

moleskin 1 1 / 2 to 4 inches long depending on thickness of

cast. Ends may be rounded or pointed.

NOTE: Pointed petals wrinkle more easily than

rounded petals.

6. Pull stockinette lining taut over edge of cast and petal

the cast with adhesive tape or moleskin. Assures that

stockinette padding stays in place.

a. Place one end of the tape on the inside of the cast,

sticky side against cast.

b. Bring other end of tape up over the cast and tape it

down on the outside of the cast. Press firmly.

c. Petals (tape strips) should overlap slightly and cover

the entire exposed edge of the cast. (Figure 24)

FIGURE 24 Infant in hip spica cast. Note

all edges are petaled with adhesive strips,

which overlap.

DOCUMENTATION

1. Time of procedure and material used.

2. Reaction of child to the procedure.

3. Teaching given child and primary caregiver.