One Procedure, Two Procedure, PREPROCEDURE
Starts at midnight the night before
NPO
The insertion site is usually sealed afterward using this
Closure device or compression device
Given On Call, morning of procedure before patient transports off unit
Aspirin
A common bleeding/bruising-related complication
Hematoma
You notified the provider of site oozing
Provider Notification
The only piece of clothing on patient prior to transport
Gown
1st set of vital signs & neurovascular check is performed
Immediately upon arrival & per provider order
Frequency of ambulation after bedrest complete
TID
Gold standard for treating active arterial bleeing
Manual compression
You called Rapid Response Team
Significant Event Note
Size of Peripheral IV required prior to procedure
What is 20g or larger?
Unit reference for removal of radial and femoral compression devices
Cardiac Cath Post-Procedure Compression Device Reference
Vital Signs Post-Procedure
Every 15 mins x2
Every 30 mins x3
Every 1 hour x2
Every 4 hours
How far above the puncture site is recommended for good hemostasis
1-2 cm
4 items documented at every assessment post-procedure
Vital signs
Peripheral Vascular Assessment
Neurovascular Assessment
Site Check
Patient must give this before the procedure begins
Informed consent
Who to contact if post-procedure orders are not present in signed & held orders
CAB SHVI General Cardiology
Reference when order states deflate and remove per facility protocol
TR Band (Radial Compression Device) Deflation and Removal Guidelines (AH Cabarrus) in PolicyTech
This potentially deadly condition involves the hearts electrical system
Arrhythmia
Flowsheet drop down needed in order to select site location & 'Post-Cath Site Checks'
PVS Additional Assessments
This medication is often used to prevent clotting before or during catheterization
Heparin
If transradial band, this must be confirmed at hand off with cath lab nurse
Amount of air present in balloon
To Activate orders pre-post procedures
Release Signed & Held Orders
6 P's of Perfusion
Pain, Pulselessness, Pallor, Paresthesia, Paralysis, Poikilothermia (cold temperature)
Post-Cath Compression Device Flowsheet