Opti Rap

If you should bleed from the puncture site at home, you should apply firm pressure over the site and have someone call for an ambulance. They should then continue to press over the site of bleeding until the ambulance arrives. If this should happen whilst you are being driven home, press on your wrist and ask your driver to take you to the nearest A&E Department. The likelihood of this event is less than 1 in 1000. If over the course of the first 5 days you develop a lump at the puncture site or if it is causing you pain, altered sensation or coldness you are advised to phone the Cath Lab Day Ward, where we can get the problem assessed. An area of bruising will probably develop around the puncture site or forearm, if this is excessive or painful then you should see your GP practice nurse.

Initial check for perfused haemostasis, using pulse oximetry (ensuring wave form on monitor) and ulnar compression. Removing air again until bleed then reinsert 1ml of air. Observe for signs of Haematoma and reduce with manual compression, if necessary. Always ensuring patient centred care. Using reverse Barbeau technique before patient enters lab to ensure adequate radial patency before procedure, repeating this technique when the patient enters recovery. RAO occlusion protocol, see attached.