Date of Graduation

Summer 8-12-2022

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Dr. Susan Mortell DNP, RN, CNL

Second Advisor

Dr. Cynthia Huff DNP, RN, OCN, CRNI, CNL

Abstract

Abstract

Problem: An increase in elective left heart catheterizations (LHC) using a trans-radial approach procedure for both outpatients and inpatients contributes to a delayed and sometimes postponement due to limited recovery beds available in the adult Cath lab recovery room.

Context: A thorough microsystem assessment in an Adult Cath lab department shows how current practice affects the unit performance in terms of productivity and the lack of information about the recent evidence-based studies related to radial hemostasis compression devices (HCD) expedited removal to shorten the patient length of stay and facilitate early discharge.

Intervention: The hemostatic radial compression device is weaned after one hour from its application until the radial HCD is removed after 30 minutes from the start of its weaning process. All patients who underwent LHC using radial artery access are observed for complications within two hours of recovery.

Measures: The outcome measure is to expedite the removal of radial HCD and to discharge 80% of the patient within two hours of recovery. The process measure is to discharge 80% of the elective patient cardiac catheterization using radial access within two hours of recovery. The balancing measure is to prevent patient readmission rates due to complications.

Results: After a thorough staff education and training, 100% of the patients who underwent elective LHC procedures using radial access successfully expedited the removal of HCD within two hours of recovery and were discharged safely in two hours or less from May 2022 to June 2022.

Conclusions: Trans radial access is the preferred and convenient way to perform LHC. Radial HCD expedited removal in less than two hours of recovery is proven safe and effective with fewer complications that can facilitate early discharges and increase unit productivity.

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