I was wondering wether or not your hospitals have develped protocols or policies regarding insertion and post insertion care/management of patients with reference to angioseals (after both angiography and angioplasties). Any help would be welcome. Thanks.
Dec 14, '06
Vanderbilt procedure: vumc policies
Jan 3, '07
I had to develop one when we got a cath lab to do diagnostic only heart caths. basically the doctor inserts it. we apply TAO on it and cover it with a tegaderm. Occasionally we have to put a sandbag on for 30 minutes or so. I know the new angioseal VIP states that the patient can get up in 30 minutes. Our patients lie flat for 3 hours. Prior to getting up, the RN assesses the site to make sure its soft and no bleeding. If its soft the pt is able to get up ambulate in unit and then can go home after 30-45 minutes if there is no further bleeding.
if I can help you any more, let me know
Jan 4, '07
Whether a protocol is in effect is not important. You should really read the literature that the company produces and I'm sure available to you. Remember that oozing is common, and you may have to apply direct pressure as if you were pulling the lines yourself for awhile. Lower extremity assessment would be the same as if the patient didn't even have the seal.
Jan 4, '07
Thanks for your replies. Our hospital is currently using the 'VIP' model manufactured by St. Jude. We are currently advising our patients to take bed rest for 2 hours prior to mobilization and to inform the assigned nurse prior to it.
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