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.
2. Padding
3. Prepare slab
4. Wet slab
5. Apply
6. Bandage
7. Instructions
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.
