Nursing care standardization for sheath removal at interventional centres in the Czech Republic

Česká verzia

Authors: L. Klemsová ^1,2; K. Žiaková ³
Authors place of work: Ústav ošetřovatelství a porodní asistence, LF OU v Ostravě ¹; Kardiovaskulární oddělení, FN Ostrava ²; Ústav ošetrovateľstva, JLF Martin a UK Bratislava, Slovensko ³
Published in the journal: Kardiol Rev Int Med 2014, 16(3): 191-195
Category: Cardiology Review

Summary

Aim:
The analysis of special nursing care focusing on arterial sheath removal at interventional sites in the Czech Republic.

Methods:
The empirical data was collected by means of a questionnaire created by us for the purposes of this article. The questionnaire consisted of seven questions (six closed, dichotomous; one open). According to the National Register of Cardiovascular Interventions (NRKI) of the Czech Republic, there are 22 centres performing cardiovascular interventions. All of them were approached with a request to fill in the questionnaire. The questionnaire was distributed through official e‑mail addresses. The results for each monitored item were put into a chart showing absolute frequency.

Results:
The analysis showed that the most common approach in the Czech Republic is via radial artery, in up to 78% of cases. Sheath decannulation from the arterial basin is performed by nurses at 16 centres, 10 of which have implemented the specialised nursing standard. Nurse training for professional performance takes place at four centres only, which is disproportionate to the number of decannulations carried out by nurses.

Conclusion:
The introduction of the nursing standard for sheath removal is not a condition for a nurse to perform it, despite the fact that it is carried out quite routinely at 16 centres. According to the data obtained, the management of sheath decannulation in the Czech Republic is very disunited.

Keywords:
nursing standard – decannulation – sheath – femoral – radial

Zdroje

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