Developing best practice in arterial sheath removal for registered nurses

The purpose of this study was to evaluate the consistency of nursing practice in the discontinuation of sheaths on designating nursing units. The sample population was randomly selected based on interventional cardiac procedures where sheaths remained in place after leaving the catheterization lab. The data collected demonstrated inconsistencies in current practice of sheath removal and specific device preference by the nursing staff. Changes to the policies and physician order set were revised to best practice standards. Annual competency training was developed for the staff as was written and visual education. The changes that were implemented throughout the project provided for a positive change in patient outcome, revenue savings, and patient satisfaction.