Bleed Time

[integrativenurse]

Depending on who you ask about how long should a patient hold his sites, we get obscure answers even from our dialysis pros. Considering that there are no issues with their access and getting adequate heparinization.

-how long should a patient hold needle sites after pulling decannulation?

-how long should they keep the dressing on?

Extra points on :

-citing an article or study supporting length of hold time

-if they're on any meds that can affect bleed time (Plavix, Eliquis, aspirin, etc.) and not on maintenance intradialytic heparinization

 

[diabo, RN]

Great care is needed when removing the needles.  Since the bevel is razor sharp, even slight side movements can cut the access and therefore greatly increase the bleeding time.