Get Nursing Protocol For The Removal Of Epicardial Pacing

This guide provides comprehensive instructions on how to complete the NURSING PROTOCOL FOR THE REMOVAL OF EPICARDIAL PACING form online. Following the outlined steps will ensure that the form is accurately filled out, promoting patient safety and adherence to protocols.

Follow the steps to effectively fill out the nursing protocol form.

1. Click the ‘Get Form’ button to access the NURSING PROTOCOL FOR THE REMOVAL OF EPICARDIAL PACING form and open it in your preferred editor.
2. Begin by reviewing the patient's haemodynamic stability. Ensure the patient has been stable for at least 24 hours and has not required pacing for the last 12 hours. Document these findings.
3. Conduct a baseline ECG and vital signs before proceeding with the wire removal. Ensure the ECG interpretation is signed off by a Doctor, SCP, or Specialist Nurse.
4. Check the patient's clotting profile. If they are on , ensure the INR is less than 3.0 prior to removal. If the patient is starting for Atrial Fibrillation, remove the pacing wires before commencement.
5. Inform the patient about the procedure in detail, ensuring they understand the process and obtain their consent to proceed with the wire removal.
6. To carry out the procedure, position the patient comfortably. Using aseptic technique, cut the attaching suture and remove the atrial wire first by gently pulling it steadily.
7. Inspect each wire post-removal for any tissue fragments and check for intactness. Discard the wires accordingly. If infection is suspected, place the wire in a sterile pot for microbiology analysis.
8. Advise the patient to rest for at least one hour after the removal. Perform observations at intervals of 30 minutes, one hour, and four hours post-removal. Report any abnormalities.
9. Lastly, document the date and time of wire removal and advise the patient to report any feelings of unwellness or palpitations immediately.
10. Once all fields are completed and documented, save the changes, and download, print, or share the completed form as necessary.

Fill out your NURSING PROTOCOL FOR THE REMOVAL OF EPICARDIAL PACING online to ensure thorough patient care and compliance with medical protocols.