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    BST CHECKLIST FOR TRAINING - Sheet1

    Uploaded by

    Ryan Victor Manalo
    This document provides instructions for setting up and applying balanced skeletal traction. It is done in three phases: 1) preparation of necessary equipment and informing the patient, 2) attaching the traction apparatus including slings and ropes, 3) applying traction weights while maintaining manual traction and securing the apparatus. Key steps include measuring and fitting splints and slings, aligning pulleys along the limb, applying weights gradually while swinging the limb to check efficiency, and ensuring principles of traction are followed.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    BST CHECKLIST FOR TRAINING - Sheet1

    Uploaded by

    Ryan Victor Manalo
    1 views3 pages
    This document provides instructions for setting up and applying balanced skeletal traction. It is done in three phases: 1) preparation of necessary equipment and informing the patient, 2) attaching the traction apparatus including slings and ropes, 3) applying traction weights while maintaining manual traction and securing the apparatus. Key steps include measuring and fitting splints and slings, aligning pulleys along the limb, applying weights gradually while swinging the limb to check efficiency, and ensuring principles of traction are followed.

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    This document provides instructions for setting up and applying balanced skeletal traction. It is done in three phases: 1) preparation of necessary equipment and informing the patient, 2) attaching the traction apparatus including slings and ropes, 3) applying traction weights while maintaining manual traction and securing the apparatus. Key steps include measuring and fitting splints and slings, aligning pulleys along the limb, applying weights gradually while swinging the limb to check efficiency, and ensuring principles of traction are followed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1 views3 pages

    BST CHECKLIST FOR TRAINING - Sheet1

    Uploaded by

    Ryan Victor Manalo
    This document provides instructions for setting up and applying balanced skeletal traction. It is done in three phases: 1) preparation of necessary equipment and informing the patient, 2) attaching the traction apparatus including slings and ropes, 3) applying traction weights while maintaining manual traction and securing the apparatus. Key steps include measuring and fitting splints and slings, aligning pulleys along the limb, applying weights gradually while swinging the limb to check efficiency, and ensuring principles of traction are followed.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    BALANCED SKELETAL TRACTION

    SETUP (1ST PHASE) STATUS

    NOT
    STEPS: DONE
    DONE
    Verify/check the Doctor's Order to determine the following:
    Patient's demographic
    The site of the affection
    Prescribed/initial weight to be used
    Inform the patient about the need and purpose of the procedure to allay patient's anxiety and to elicit
    cooperation
    Prepare necessary personnel and materials for facilitation of BST application:
    Identify the different parts of the Orthopedic Bed
    BALKAN FRAME (1); Determine parts
    Vertical Bar (4)
    Horizontal Bar (2/3)
    Straight/Curved Bar (1)
    Pulleys (3)
    Overhead Trapeze (1) or (2)
    FIRM MATTRESS
    Gather equipment's needed for BST:
    ROPES (3); Determine appropriate use and placement
    SHORT: Padded Ring (PR)
    LONG: Traction Weight (TW)
    LONGEST: Suspension Weight (SW)
    THOMAS SPLINT (1); Determine appropriate size
    Adult
    Pedia
    PEARSONS ATTACHMENT (1); Determine appropriate size
    Adult
    Pedia
    TRACTION WEIGHT (TW) (1); Determine appropriate weight
    Prescribed or 10% of patient's body weight
    SUSPENSION WEIGHT (SW) (1); Determine appropriate weight
    50% of traction weight
    SLINGS (5); Determine appropriate size for attachment
    Thigh (2)
    Leg (3)
    BINDER CLIP (5)
    FOOT BOARD/REST (1)
    STEINMANN PIN HOLDER
    REST SPLINT (1) (unavailable)
    POINT PERSONS (3); Determine important roles
    1st person (MAIN): Facilitate application of the APPARATUS
    2nd person: Facilitate application of MANUAL TRACTION
    3rd person: Facilitate support and lifting AFFECTED LIMB

    SETUP (2ND PHASE) STATUS


    NOT
    STEPS: DONE
    DONE
    Using SHORT ROPE, measure from the GREATER TROCHANTER up to the KNEE
    After determining, measure using SHORT ROPE to the THOMAS SPLINT
    Attach the PEARSONS ATTACHMENT to the THOMAS SPLINT (combined: "apparatus"), screws should be
    facing upward and is aligned with the knee
    Attach the REST SPLINT to the apparatus (unavailable)
    Apply the slings
    Start from the medial side to the lateral side, secure both ends together, fan fold nicely on the lateral
    aspect and secure with a pin or clip
    Observe the Principles in Sling Application:
    Not too tight and not too loose
    One (1) inch distance in between the slings to promote aeration or ventilation
    Popliteal area and heel portion should be free from any slings
    Smooth and right side should come in contact with the patient’s skin to avoid friction and irritation
    Two (2) longer and wider slings for the thigh portion (Thomas) and the three (3) for the leg area
    (Pearson)
    Tie the SHORT ROPE to the PADDED RING (PR) aligned to the inside bar of THOMAS SPLINT, using SLIP
    KNOT
    Secure the other of the rope to the screw of PEARSONS ATTACHMENT
    Align Pulleys (3):
    1st Pulley: Align to the INGUINAL AREA in favor of the affected limb
    2nd Puley: Align to the KNEE of the affected limb
    3rd Pulley: Align to the 1ST and 2ND Pulley

    APPLICATION (2ND PHASE) STATUS


    NOT
    STEPS: DONE
    DONE
    SUPPORT and PREPARE the affected limb for application of the APPARATUS
    Using STEINMANN PIN HOLDER, apply MANUAL TRACTION to the affected extremity
    Instruct the patient to elicit cooperation
    Hold on the trapeze
    Flex the unaffected leg
    Lift the hip with the count of three
    Apply the APPARATUS under the affected limb SIMULTANEOUSLY AND SAFELY with other POINT PERSON
    at the count of 3
    Check if the principles of sling application are followed; check the alignment; and make necessary adjustments.
    Adjust also the Pearson’s’ attachment if not aligned with the patients’ knee.
    Application of TRACTION WEIGHT (TW):
    While still applying MANUAL TRACTION, apply the appropriate TRACTION WEIGHT to the STEINMANN
    PIN HOLDER using the SLIPKNOT with LONG ROPE and then seated to the 3rd pulley; Clean up excess
    rope
    Using SLIPKNOT, tie to the STEINMANN PIN HOLDER
    The other end is to run along the 3rd pulley
    Attach the prescribed/initial weight and consume excess rope
    Application of SUSPENSION WEIGHT (TW):
    Attach suspension rope (longest) at the mid-part of the thigh rope with a slipknot
    Insert the end of the suspension rope to the 1st pulley
    Insert the suspension weight and hang it on the 1st pulley
    Insert the suspension rope to the 2nd pulley then pass it under the rest splint (unavailable), outside the
    traction rope, and tie it to the Thomas splint with a clove hitch knot and tie it again to the Pearson’s
    attachment with another clove hitch knot
    Consume the remaining rope
    Remove the rest splint
    Apply foot board (using ribbon knot) to prevent foot drop
    Check the efficiency of the traction by swinging the patient to and from, side to side. (Give the patient the same
    instructions during the insertion of the apparatus).
    Check the Principles of Traction:
    Patient should be in dorsal recumbent position
    Provide counter traction – patient’s body weight will serve as the counter traction
    The line of pull should be in line with the deformity
    1st pulley should be in line with the thigh
    2nd pulley should be in line with the knee
    3rd pulley should be in line with the 1st and 2nd pulleys
    Traction should always be continuous – importance of manual traction should be emphasized
    Avoid friction
    Knots should be away from the pulley
    Weight should be hanging freely
    Observe for wear and tear of the ropes and bags

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