Unique Plan Description: Stroke Mechanical Thrombectomy Radial Approach (MH)
Plan Selection Display: Stroke Mechanical Thrombectomy Radial Approach (MH)
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2023-12-07 15:07:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2023-12-11 07:40:13
Available at all facilities: Yes

Stroke Mechanical Thrombectomy Radial Approach (MH
Activity
	Bedrest
		T;N, 6, hr
			Comment: 6 hours post radial device removal
	Activity-As Tolerated
		After bedrest completed
	Activity-Restrictions
		T;N
			Comment: Do not lift more than 10 pounds for 5 days after radial device removal. No push or pulling with affected arm for 24 hours.
	Elevate head of bed
		T;N, Elevate head of bed 30 degrees
			Comment: Continuously
Patient Care
	Vascular Assessment-Focused
		T;N
			Comment: Now then every15 minutes x 4, every 30 minutes x 2, 1 hour x 4Incision/drain assessment and vascular assessment with each vital signs check. Assess for (CMS) circulation (including Doppler pulses), movement, and sensation of bilateral extremities distal to the site of puncture
	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 site, apply manual pressure, restart bedrest, and notify Provider
	Notify MD
		of bleeding or hematoma, loss of distal pulses or extremity ischemia
	No Venipunctures
		Or blood pressures on affected limb for 24 hours post procedure
	Hemostatic Compression Device
		T;N
			Comment: Start deflation of radial band 2 hours after radial band applied. Remove 3ml of air every 10 minutes until air is removed. If bleeding occurs when 2ml is removed, re-inflate with 2 ml of air. Wait 20 minutes then restart deflation. If site is free of complications after 1 hour, remove radial again and apply transparent dressing. Keep compression device at bedside in case of bleeding complications.

*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