Documentation of access to RR Artery . Prior to procedure, manual palpation of arterial access carried out by operator. For difficult access sonosite is used.

At end of procedure:- clean area with sterile saline withdraw sheath back 2-3 cms, position TR Band with green dot 1-2 mm above puncture site. Check band is secure ( use little finger) . Insert up to 15mls of air into Band and inflate & withdraw at same time . Withdraw 1 ml until flashback occurs , re insert 1 ml at a time until haemastatsis is achieved . Check with sats probe and complete reverse barbeau test to check for radial artery patency .