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Related Experiment Videos

Peripheral arterial sheath removal program: a performance improvement initiative.

Virginia A Capasso1, Cheryl Codner, Gregory Nuzzo-Meuller

  • 1Munn Center for Nursing Research, Massachusetts General Hospital, Boston, Massachusetts 02114, USA. vcapasso@partners.org

Journal of Vascular Nursing : Official Publication of the Society for Peripheral Vascular Nursing
|December 5, 2006
PubMed
Summary

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Shifting postprocedural care for endovascular procedures to specially trained nurses on a vascular unit is safe and effective. This approach improves patient outcomes and optimizes resource utilization in cardiac catheterization laboratories.

Area of Science:

  • Cardiovascular Medicine
  • Vascular Surgery
  • Nursing Education

Background:

  • Increasing endovascular procedures strain healthcare resources, leading to patient throughput delays.
  • Alternative postprocedural care settings and personnel are explored to enhance efficiency.
  • Ensuring the safety and efficacy of these alternative models is crucial.

Purpose of the Study:

  • To develop and evaluate a performance improvement project for postprocedural care.
  • To assess the safety and effectiveness of transferring intraarterial sheath removal to trained nurses.
  • To examine the impact on patient outcomes over a 15-month prospective period.

Main Methods:

  • A performance improvement project was implemented on an inpatient vascular surgical unit.

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  • Specially trained acute care nurses managed postprocedural care and sheath removal.
  • Administrative, educational, and clinical components were integrated into the project.

    • Main Results:

    • The project evaluated the safety and effectiveness of the new care model.
    • Key patient outcomes were prospectively monitored over 15 months.
    • Data analysis focused on patient safety and procedural success.

    Conclusions:

    • Shifting postprocedural care to trained nurses on a vascular unit is feasible.
    • This model demonstrates safety and effectiveness in managing endovascular procedure recovery.
    • Optimizing care delivery can improve patient outcomes and resource management.