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montyb79

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  1. I work in a very large, high acute cath lab with a high volume of patients that were accessed via radial artery for their procedure. Typically, if a patient is being admitted that has a TR band (vasc band, radial compression device... Etc), and the room is ready for patient transport out of the recovery area, the recovery RN will not deflate the band if the room or Nurse on the receiving unit is ready before the entire band can be deflated. There is not necessarily a policy, rather a nursing judgment based on safety. Most obviously, should bleeding occur with a partially deflated band, who will step in and address the bleeding? (Mainly, I wouldn't trust that a patient transporter would be able to handle this should it occur on the elevator or in a long hallway). I had quite the discussion today with a receiving nurse, who was astonished that holding off on deflation until a trained/qualified staff member would be immediately available to address such an instance of bleeding..... I'm wondering if any other nurses practice this way, or any hospitals with existing policies that address this potentially dangerous scenario. Thanks for any input

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