IABP removal

RNforLongTime · Mar 10, 2003

In my facility (in PA) only Physicians are allowed to pull IABP's. Check your Nurse Practice Act to see if this is within your scope of Practice.

NurseGirlKaren · Mar 11, 2003

Where I work MD's or cath lab techs pull and hold.

RNforLongTime · Mar 11, 2003

Originally posted by NurseGirlKaren
Where I work MD's or cath lab techs pull and hold.

Are you referring to balloons or arterial sheaths? As an RN in Pennsylvania, I am permitted to pull arterial sheaths but NOT balloon pumps.

nimbex, RN · Mar 11, 2003

In NC, the MD pulls, and the trained RN holds pressure, evaluates the site and dresses it per policy. Now I know of many states that have IABP removal check offs as part of catatory 2's per nursing board of licensure. requires a trained RN with 3 check off's to do this.

In many states the nurse tech holds pressure after didactic training as well as three check offs per year

pickledpepperRN · Mar 11, 2003

Where I work only the physician removes a balloon. Femorial arterial sheaths us RNs remove.

NurseGirlKaren · Mar 12, 2003

To clarify:

RN's pull and hold arterial sheaths. Cath lab techs (who are radiology techs w/add'l training) pull and hold arterial sheaths and IABP balloons. MD's can do it all.

debmac · Mar 13, 2003

WHERE I WORK, ONLY MD PULL IABP AND SHEATHS..BUT THEY ARE NEW TO OUR HOSPITAL..NOT SURE WHAT MARYLAND NPA STATES REGARDING THIS ISSUE.

st4304 · Mar 13, 2003

I am a cath lab RN, and we pull all sheaths except the balloons. Only the MDs can pull balloons with us then holding pressure.

J. Tigana · Mar 15, 2003

only cardiologists remove them here in London.

CCURN · Apr 7, 2003

I pulled a baloon the other day, but the lady had just died..............***Our MDs always pull baloons on live patients. They also pull swans if the patient has a PPM or TPM. Also some MDS pull swans on a patient with a LBB, just in case they put them into CHB and give them a RBB...........

healingtouchRN · Apr 8, 2003

I did a removal in the 1980's before my BON decided RN's were not to do this. Our MD's or their SA/PA's do it & we hold pressure & all the other stuff involved. I am just glad for one LESS thing to do, we do so much else!!