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

1. Position

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.

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