I realize that this is an old post...but I have some questions about sheath pulling. My unit is a high volume cath lab.. and in the past 3 months, our nurses have Manually pulled 366 arterial sheaths, averaging 30 per RN during this time...Some of our nurses have stopped pulling r/t injuries ...hand and wrist pain, thumb numbmess, one nurse would vagal during pulls.. Our nurses are getting hurt. Has anyone else heard of this? Our MDs DO NOT and WILL NOT use closure devices.