Plaster Slab Application

Orthopedics · Orthopedics · 15–20 min

Application of a plaster of Paris (POP) slab for immobilization.

Indications

  • • Undisplaced fracture
  • • Post-reduction protection
  • • Soft-tissue injury needing rest

Contraindications

  • ⚠ Compartment syndrome (never circumferential)
  • ⚠ Open wound needing inspection

Equipment

  • • POP rolls / slabs
  • • Cotton padding (soffban)
  • • Crepe bandage
  • • Water bucket (lukewarm)
  • • Scissors

Positioning

  • • As appropriate for the procedure and patient comfort.

Consent

  • • Explain indication, benefits, alternatives
  • • Explain risks & complications
  • • Obtain written/verbal consent as per SOP
  • • Document consent

Universal precautions

  • • Hand hygiene
  • • PPE — gloves, mask, eye protection
  • • Aseptic technique
  • • Sharps safety
  • • Verify patient identity & site

Step-by-step (0/7)

Tap to complete

Fracture reduced and in functional position.

Immediate complications

  • ⚠ Neurovascular compromise
  • ⚠ Pressure sores

Delayed complications

  • • Compartment syndrome
  • • Stiffness
  • • DVT

Recognition

  • • 5 Ps — pain, pallor, paresthesia, pulselessness, paralysis

Initial management

  • • Split slab; escalate to ortho immediately

Prevention

  • • Non-circumferential
  • • Adequate padding
  • • Warning to patient

Post-procedure observation

  • • Neurovascular obs q4h × 24h

Monitoring

  • • Slab intact
  • • Distal function

Documentation

  • • Type of slab, position

Patient instructions

  • • Keep dry
  • • Return if pain / colour change

Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.

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