Nursing Management in Removal of TR Band After Percutaneous Transradial Coronary Intervention
RADIAL ACCESS PROTOCOL
In order to address a radial arterial wound, the TR band should be deflated and removed in accordance with specific time phases. Additionally, a nurse will carefully monitor for any potential complications and administer appropriate wound management.
TR BANDTM APPLICATION PROTOCOL
Doctors use the minimum inflation volume for TR band to patients and they use Barbeau test to make sure that “minimum inflation volume” has achieved the hemostasis
TR BANDTM (TERUMO) IS USED AS STANDARD DEVICE |
INITIAL VOLUME OF INFLATION |
PATENT HEMOSTASIS CHECK AT APPLICATION? |
|
15 |
|
TR BANDTM (TERUMO) IS USED AS STANDARD DEVICE |
|
INITIAL VOLUME OF INFLATION |
15 |
PATENT HEMOSTASIS CHECK AT APPLICATION? |
|
TR BANDTM DEFLATION & REMOVAL PROTOCOL
TIME BEFORE FIRST DEFLATION |
TIME BETWEEN OTHER DEFLATION(S) |
TIME BETWEEN DEFLATION IF REBLEEDING |
AVERAGE VOLUME AT EACH DEFLATION |
120 |
60 |
15 |
13 |
TIME BEFORE FIRST DEFLATION |
120 |
TIME BETWEEN OTHER DEFLATION(S) |
60 |
TIME BETWEEN DEFLATION IF REBLEEDING |
15 |
AVERAGE VOLUME AT EACH DEFLATION |
13 |
DISCHARGE PROTOCOL
Doctor will review the radial arterial wound in the next day of procedure. Patient can discharge home if wound well. Pamphlet on wound self-care management will be delivered.
TIPS & TRICKS TO IMPROVE RADIAL ACCESS & DAILY WORKLOAD
Decrease the volume until it bleeds; re-inject 1cc to TR band -> minimal pressure for TR band.
Grouping the nursing care procedure such as vital signs monitoring, pain assessment and into one timeslot.
|
2.49 |
||
Average time to hemostasis - Interventional Procedure |
222.61 mins |
||
Average RAO following completion of hemostasis |
0.00% |
