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Pulling Sheaths on a Cardiac Stepdown



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Jan 04, 2009 08:46 PM

Pulling Sheaths on a Cardiac Stepdown


We were recently informed that we are going to start pulling sheaths, post PTCA's, on my floor. We get 5 pts during the day (up to 6), & normally 6 pts at night (up to 7 at times). None of us, except our Manager, feels this would be safe to do. The training that only a select few are being offered, is 4 hours in ARU.

I was told that my hospital tried this a while back, but stopped it because someone died. I guess it was so long ago that the powers that be have forgotten about it. I do not want to put my license on the line for this. Neither do my co-workers.

We spoke to some of our CCU nurses & they think this is insane. They told us that they don't even like pulling sheaths. We'll have to do this with at least 2 nurses because the pt. usually vagals out & has to receive Atropine immediately. I think this whole idea is insane!!

Any thoughts of what we can do to protect our jobs & our license in this upcoming situation??? Even some of the docs are against it, but most of them don't care either way. Nice, huh?? Do we have a right to refuse this? We don't even have to do the hemodynamic compentencies, but they want us to be responsible for this unstable patients. This just doesn't make sense.

PLEASE RESPOND. THANK YOU.


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No. 1
Old Aug 31, 2009, 09:35 PM

Default Re: Pulling Sheaths on a Cardiac Stepdown
Ridiculous and extremely dangerous. Those patients need to be in a 2:1 or 1:1 setting. And your unit doesn't have the proper hemodynamic monitor system. That is way too much responsibility on a stepdown floor. They are probably doing it for cost--Administration finds nurses to be so dispensible....But let the an arterial sheath be pulled and the patient bleeds out or forms a hematoma that goes unnoticed and they brady to low and a code is callled....then the powers that be will rethink that decision. Good luck!!
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