6b. Transradial Project Self-Critique

Transradial Project Self-Critique

As you perform your self-critique, practice stating the standards, ALL problem areas, and the reason for the problems.

Propose possible solutions to resolve the problems.

Adequate

Needs work

Professionalism

• I have been prepared for class and provided gentle treatment of the patient.
• My words, actions, appearance, and body language have been professional.

Universal precautions

I used universal precautions and have been aware and taken action to reduce risk of injury to myself and others

Bench test

• I performed the bench test and calculated the control system efficiency.
• I checked the operation of the housing and cable while off the patient.

Operation and setup of housing and cable

Control system efficiency >80%

F TD/Harness

4)

Socket Fit

ANATOMICAL LANDMARKS

• I can properly locate all anatomical landmarks within the socket.

TISSUE FIT

• I recognize how tissue fits within the socket.

TRIMLINES AND ROM

• I measured the ROM with and without the socket.
• I know the proper location of the trimlines.
• I can explain the reasoning for the location of the trimlines.

Elbow flexion

Elbow extension

Transverse rotation

Trimline location

STABILITY/LOAD TESTS

• I performed all the stability and load tests.
• I can describe the locations of anticipated pressures.

Elbow extension

Elbow flexion

Transverse rotation

Axial Compression

Axial load <1” (2.5cm)

OVERALL SOCKET FIT

• I have identified areas of high pressure.

Distributed pressures

• I used the socket comfort scale to assess socket comfort from the patient’s perspective.

Socket comfort

Adequate

Needs work

Joint axis location

• I can locate the joint axis.

Joint axis located:

Length of the prosthesis

• I have a reference mark on the socket for length.

Length referenced:

Alignment

• I aligned the forearm section in the proper pre-flexion angle and palmer and radial cant.

Appropriate alignment:

Operation of the prosthesis

• I checked and measured the patient’s ability to open and close the TD. (mechanical range = )

Elbow at 90 degrees

TD at waist

TD at mouth

Harness critique

• I checked the suspension of the prosthesis.
• I checked the comfort of the harness and cuff.
• I checked the operation of the harness.

Suspension:

Comfort (and cuff):

Operation:

Technical quality

• I fabricated the prosthesis with these qualities: Plastic pulled with good suction, no defects in plastic, smooth and even edges/trimlines, rivets smooth with no sharp edges, straps, and materials clean, pads placed securely

Comprehension

• I understand the concepts and can explain the fit of function as well as how to solve problems easily and clearly.
• I can explain the fit and operation of the prosthesis.

Function

• I identified the patient-centered functional needs and considered methods to assess the prosthesis function/usefulness.

To receive full marks, you must thoroughly articulate the process, state the standard, identify all problem areas, and explain the reason for the problems and the possible solutions to resolve.

If you fail to identify a problem, you will be marked down.

End of Visit

_____ Length and alignment appropriate for pt

_____ Functional outcome (observation or assessment measure of your choice)

_____ Socket comfort score

_____ No excessive skin discoloration

_____ Minimal if any skin discoloration or sock marks on bony prominences

Instructor Signature __________________________________________ Date___________________