title: Wire vascular closure device: evaluation of an evidence-based protocol for post-endovascular procedure patients.
abstract: Vascular closure devices (VCDs) can shorten the time to hemostasis, ambulation and discharge and improve patient comfort.(1) An evidence-based practice (EBP) project was initiated to assess impact of a shortened postoperative compression and bed rest protocol on patients undergoing arteriotomy using a wire vascular closure device (WVCD). Following protocol development, a post-implementation evaluation was initiated to assess selected outcomes including compression and bed rest time, complication rate and possible related variables. Following implementation of the new protocol, clinicians were able to shorten both compression and bed rest times by 50%, and Post-Anesthesia Care Unit (PACU) length of stay decreased to a maximum of 5 hours.
authors.affiliation: Mercy Medical Center, Baltimore, Maryland, USA. mrieben@mdmercy.com
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Rieben
authors.forename: Susan
authors.initials: S
authors.lastname: Appling
authors.forename: Ryan
authors.initials: R
authors.lastname: MacDonald
mesh_terms: D004434:Early Ambulation; D057510:Endovascular Procedures / Q000451:nursing*; D004867:Equipment Design; D004869:Equipment Safety; D019317:Evidence-Based Medicine; D006470:Hemorrhage / Q000209:etiology / Q000451:nursing / Q000517:prevention & control; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods / Q000451:nursing*; D006801:Humans; D010351:Patient Discharge; D016032:Randomized Controlled Trials as Topic; D012107:Research Design; D013997:Time Factors; D016896:Treatment Outcome; D058106:Wound Closure Techniques / Q000295:instrumentation / Q000451:nursing*