Unique Plan Description: NeuroSurg Neuro Endovasc Radial Approach
Plan Selection Display: NeuroSurg Neuro Endovasc Radial Approach
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2024-09-12 07:45:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2025-02-27 08:44:52
Available at all facilities: Yes

NeuroSurg Neuro Endovasc Radial Approach
Activity
	Bedrest
		T;N, 6, hr
			Comment: 6 hours post radial device removal
	Activity-Restrictions
		T;N, Do not lift more than 10 pounds for 5 days after radial device removal. No push or pulling with affected arm for 24 hours.
	Limb Alert
		Immobilize affected limb while on bedrest
Patient Care
	Vascular Assessment-Focused
		T;N
			Comment: Post op per unit standard. Assess for CMS, circulation (including Doppler pulses) movement, sensation of bilateral extremities
	Incision/Drain Assessment-Focused
		T;N
			Comment: Post op per unit standard. 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.
	No Venipunctures
		NO venipuncture or blood pressure 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 remove, 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 sterile 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