Unique Plan Description: Stroke Mechanical Thrombectomy Femoral Approach (MH)
Plan Selection Display: Stroke Mechanical Thrombectomy Femoral Approach (MH)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2023-12-07 15:08:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-12-11 07:41:29
Available at all facilities: Yes

Stroke Mechanical Thrombectomy Femoral Approach (M
Activity
	Bedrest
		T;N, 6, hr
			Comment: 6 hours post sheath removal
	Elevate head of bed
		T;N
			Comment: Continuously                                                                                                                                                       May elevate head of bed maximum 30 degrees
	Activity-As Tolerated
		After bedrest completed
	Activity-Restrictions
		T;N, No lifting > 10 pounds for 48 hours
	Limb Alert
		Immobilize affected limb while on bedrest
Patient Care
	Vascular Assessment-Focused
		T;N
			Comment: Now then every15 minutes x 4, every 30 minutes x 2, 1 hour x 4Assess for (CMS) circulation (including Doppler pulses), movement, and sensation of bilateral extremities
	Incision/Drain Assessment-Focused
		T;N
			Comment: Now then every15 minutes x 4, every 30 minutes x 2, 1 hour x 4. If bleeding or hematoma occurs at the femoral site, apply manual pressure, restart bedrest, and notify Provider
	Notify MD
		bleeding or hematoma, loss of distal pulses or extremity ischemia
	Incision/Dressing Care
		T;N
			Comment: Okay to remove transparent dressing (from access site) in 24 hours.

*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