Unique Plan Description: Neuro Endovascular Post Sheath Removal
Plan Selection Display: Neuro Endovascular Post Sheath Removal
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2022-05-31 11:28:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2022-05-31 12:44:03
Available at all facilities: Yes

Neuro Endovascular Post Sheath Removal
Activity
	Activity-Restrictions
		T;N, Immobilize affected extremity while on bedrest. (radial device post procedure)
		T;N
			Comment: Immobilize arm. Limit motion in extremity for 2 hours post procedure. Patient must keep affected wrist straight. (Do not bend) for that time. Wrist board may be used to limit extremity movement (radial device post procedure)
		T;N, Do not lift more than 10 pound for 5 days after the sheath has been removed (radial device post procedure)
		T;N
			Comment: : No push or pulling with affect arm for 24 hour. Patient should not lift more than 5 pounds with involved arm for 72 hours post procedure (radial device post procedure)(radial device post procedure)
	Elevate head of bed
		Elevate head of bed: Elevate head of bed 30 degrees (radial device post procedure)
			Comment: continuously
	Bedrest
		6, hr
			Comment: Strict bedrest for 6 hours post femoral arterial sheath removal (radial device post procedure)
Patient Care
	Notify MD
		T;N
			Comment: if any new or worsening chest pain/angina, bleeding or hematoma, loss of distal pulses or extremity ischemia, new neurologic deficit. Any new, severe back and/or groin pain, or emerging bruising or swelling over the abdomen, groin, or flank areas with low BP and increasing heart rate should be documented and reported immediately to the procedural physician. (Femoral/Radial Sheath Post Procedure)
	Obtain supplies/equipment
		T;N, Doppler with gel to remain at bedside at all times (radial device post procedure)
	Incision/Drain Assessment-Focused
		T;N
			Comment: Apply manual pressure and restart bedrest if bleeding or hematoma re-occurs. (radial device post procedure)
	Patient Education
		T;N, Instructions: Educate patient on limb and weight restrictions (radial device post procedure)

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase