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Employee Name Date Theory Observed/ Verbalized Femostop a. Verbalizes indication for a Femostop. b. C. Verbalizes nursing responsibilities with application and removal of the Femostop d. Verbalizes the Femostop pressure protocol Physician must be present until pressure is at 60 mmHg pressure then to remain at 60 mmHg for 30 min and 30 mmHg for 2 hours unless otherwise ordered. e. Femostop Skills Demonstration Checklist Preceptor please initial an.

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