Patient Care Instructions: How to Apply and Remove AquaCast

AquaCast waterproof cast liners are a great way to help your patients be more comfortable, sanitary, and active as they recover from an injury or surgery. Below is more information on how to apply and remove the cast liner material.

AquaCast Application Instructions

  • First, be sure that the adhesive side of the liner is facing away from the patient’s skin. This is an easy mistake to make which can cause a lot of discomfort to the patient!
  • Use a spiral motion to wrap the AquaCast liner around the extremity. Start at the distal end of the extremity, and wrap proximally. Overlap each circumferential layer by about 50%. Do not wrap the liner too tightly. Check with the patient to ensure they are not experiencing any discomfort.
  • Wrinkles are normal and expected. Do not attempt to remove wrinkles, unless you believe they will irritate the patient’s skin.  
  • If no cuff is desired, extend the liner ½” beyond the expected edge of the casting tape. If you would like to create a cuff, extend it 1” and fold inwards.

*Do not use standard padding, stockinettes, or other cotton materials with AquaCast Liners.

Adding Additional Wrap Layers

Additional wrap layers are acceptable, but will increase drying time. If you choose to apply additional wrap layers, inform the patient that drying time will likely take longer than an hour, depending on factors such as humidity and body temperature.

Additional strips of folded AquaCast liner can be wrapped around the thumb, hand webbing, and bony prominences of the elbow or ankle in order to provide additional comfort. Instructions for applying additional layers are as follows:

  1. Ensure that the adhesive side of the new layer is matched to the adhesive side of the first layer.
  2. Make two cuts each, about 1” long, on opposite sides of the extremity, and fold these over.
  3. Secure the liner material with casting tape. Leave ½” at each end of the cast to serve in place of the cuff. The fold should be ¾”.

Post-Application Waterproof Cast Care

After applying the AquaCast Liner, provide the patient with the AquaCast® Liner Cast Care brochure. Advise the patient to contact your office if they experience one of the following symptoms:

  • Pain
  • Swelling
  • An unusual odor
  • Numbness or tingling
  • Blistering
  • A crack/soft spot in the cast
  • Skin irritation
  • Fever
  • Additional questions and concerns

Patients should also be verbally given basic cast care instructions.

Waterproof Cast Removal Instructions

AquaCast® Liners are not made of cotton, so extra care should be taken while removing the cast. In order to minimize risk of injury, always use SawStop® Cast Removal Aid material or a Saw Stop Zip Stick.

If you have any more questions about AquaCast products, please don’t hesitate to contact us here.