Click-to-copy splints documentation for PTs and PTAs in skilled nursing. Free, no login.
Initial Day - Assessed patient skin prior to application, skin intact with good color. Static knee orthotic applied requiring specific adjustments for patient's ----- leg. Splint set at ---- degrees to maintain patient at optimal extension. Splint worn for 2 hours. Splint removed and skin assessed; skin integrity remains intact without adverse reaction.
SWD Intermittent Days / Manual Stretching / Splint - Following SWD and manual stretching; patient's skin was assessed prior to application, skin intact with good color. Static knee orthotic applied requiring specific adjustments for patient's ----- leg. Splint set at ---- degrees to maintain patient at optimal extension. Splint worn for 2 hours. Splint removed and skin assessed; skin integrity remains intact without adverse reaction.
Patient fitted with a resting hand splint on the --- UE to prevent contracture; wear schedule of --- hours on and --- hours off established.
Patient's splint inspected this date; skin at --- found --- . Splint adjusted and nursing educated on the revised wear schedule.
Patient's splint fabricated this date to maintain --- ; the patient tolerated --- min of initial wear without adverse skin response.
Nursing educated on the splint wear schedule of --- ; nursing verbalized the schedule and the skin inspection protocol with --- accuracy.
Patient's splint wear time progressed from --- to --- hours based on skin tolerance and reduction in tone from Modified Ashworth --- to ---.
Patient's splint discontinued 2/2 --- ; PT notified and the MD made aware.
Patient received PROM to the --- prior to splint application to reduce tone and improve splint fit.
Patient's splint straps adjusted to relieve pressure at --- ; skin reassessed after --- min with --- result.
Patient and caregiver educated on splint donning and doffing; caregiver returned demonstration with --- accuracy.
Patient's --- splint cleaned and inspected; the splint remains intact with no cracks or pressure points identified.
Patient's ankle contracture splint applied x --- hours nightly; DF improved from --- to --- degrees over --- weeks.
Patient's splint refabricated this date to accommodate --- ; the previous splint no longer provided adequate ---.
Patient tolerated splint wear x --- hours with c/o --- of 10 discomfort; wear time reduced to --- hours and reassessed.
Patient's splint schedule communicated to nursing, the caregiver, and the interdisciplinary team to ensure consistent application.
Patient's splint assessed for continued appropriateness; the splint remains indicated 2/2 --- and wear will continue.
Patient's splint promotes --- which directly supports --- ; skilled PT is required for fabrication, fitting, and ongoing skin monitoring.
Patient's skin inspected following splint removal; --- redness noted at --- , blanching within --- min, indicating acceptable fit.
Patient's splint transitioned from a --- to a --- design as tone reduced and functional grasp emerged.