OCC Patient Assessment & Preparation Flashcards

Which sensory test is used to assess nerve function in the hand before upper extremity casting?

Answer: Two-point discrimination

Two-point discrimination evaluates sensory nerve integrity in the digits and is a key pre-cast neurological check.

Why is skin temperature assessed on both extremities before casting?

Answer: To detect unilateral coolness indicating vascular compromise

A cool extremity compared to the contralateral side may indicate impaired arterial flow requiring investigation before casting.

Before applying a long arm cast, the technician should document motor function by asking the patient to:

Answer: Flex and extend the fingers and wrist

Active range of motion of fingers and wrist documents baseline motor nerve function before the cast is applied.

What does the acronym 'CSM' stand for in orthopedic casting assessment?

Answer: Circulation, Sensation, Movement

CSM — Circulation, Sensation, Movement — is the standard neurovascular checklist performed before and after cast application.

A patient reports numbness and tingling in the fingers before cast application. This finding should be:

Answer: Documented and reported to the supervising clinician before proceeding

Pre-existing neurological symptoms must be documented and reviewed by the clinician to distinguish pre-cast from post-cast nerve involvement.

Which preparatory step reduces skin irritation under the cast?

Answer: Applying stockinette smoothly without wrinkles

A wrinkle-free stockinette prevents pressure points that can cause skin breakdown under the cast.