shamack4

I work in a heart and vascular critical care step down unit (I know such a long name) and recover patients from cath lab immediate post op. We have specific MD-RN orders regarding activity , and steps to follow for deflation of the cuff. Also what steps to follow if any complications were to arise such as bleeding or hematoma at the puncture site. Generally one hour post op 3cc is removed q10 min until total cc are aspirated out of tr band cuff. The cath lab will call in report and confirm amount of cc inflated in tr band cuff. VS are the same q15 x4, q30 min x2, q1hr x2 the q4. Then when totally deflated tr band is removed from wrist and pressure dressing with tecaderm is applied over folded 4x4. Restrictions include no bps on limb for 24 hours and restricted activity of right wrist. Also cns checks should be frequent along with palpating pulses. Educate pt to report tingling or loss of sensation in between assessments