QTP4N1X1X-C1 — Orthopedic Surgical Specialty

QTP4N1X1X-C1 governs Air Force orthopedic surgical training for cast, splint, and traction applications and removal.

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  • Publication number: QTP4N1X1X-C1
  • Title: ORTHOPEDIC SURGICAL SPECIALTY
  • Date: 2022-07-12

View QTP4N1X1X-C1 on armypubs.army.mil


It contains checklists for applying and removing orthopedic casts and splints, setting up traction, and supporting patient care. It requires task evaluation, competency documentation, and close supervision during direct patient care.

Applies to: This qualification training package (QTP) was developed to make a training aid available that will assist Orthopedic Surgical Technicians to develop technical skills essential to performing specialized tasks.

Topics covered

  • Cast applications
  • Splint applications
  • Cast removal
  • Buck’s traction
  • Balanced suspension with skin traction
  • Balanced suspension with skeletal traction
  • Patient comfort and circulation

Questions and answers

What should be done with used and unused items after cast or splint procedures?

Discard used items and return unused items to storage.

How should a cast be removed?

Spread the cast apart by using cast spreaders. (paragraph 5)

What should be inspected after removing a cast?

Inspect skin for integrity/injury. Document pressure spots or abrasions. (paragraph 8)

How long should the extremity remain properly positioned while a splint dries?

Place a pillow lengthwise under extremity and maintain proper position of extremity until splint has dried.

What is required when applying skin traction to fractures?

Skin traction should not be used on fractures which require more than five to seven pounds of longitudinal force because of the possibility of sever skin irritation. (paragraph 5)

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