help with groin sheath pulls - any pointers? - page 2
I recently took a job in a Cardiovascular recovery unit, partly because of the hours and partly because it is so close to home that I can get to work in <10 without driving on the highway..a real... Read More
Aug 23, '09I like to use my fingers rather than my fist- easier to control exactly where the pressure is. Put the bed down so you can use your body weight rather than your arm/hand, and watch for mottling in the leg. Much easier to use a fem-stop _if_ you've placed it correctly, above the insertion site for art sheath.
Most of the docs here write for fentanyl prior to pulling the sheath but if you don't have it use whatever you've got to relax the pt. Explain what you're going to do and that it's going to be uncomfortable. Also be very clear that they won't be able to bend that leg or sit up for several hours.
I _always_ let other staff know when I'm pulling a sheath so they can come running at a moment's notice, and I always have an amp of atropine handy in case they vagal down.
Once you get the hang of it it's really not that complicated, you'll be fine.