Backrest angle in post-operative stent patients

S

skivail

Forum Crew Member
Messages
98
Reaction score
0
Points
0
Backrest angle in post-operative stent patients

I was told at an in-service training tonight that it is now part of our protocol to not elevate a post operative (<6 months) stent pt. past 45deg on a stretcher. We were given no reason or explanation. Does anyone have any ideas? We were only told that "It's a good way to get out patient to code."
:unsure:
 
I believe either it was misinterpreted or someone was B.S. Now, one should never raise a patient with a femoral sheath in place or those immediate post stent (<2-4 hours) cautiously afterwards. I attempted to look up any information (as I have never heard of such).

PTCA patients are allowed to immediately to sit up after they are determined to be stable and no complications.

I would like to see what specifics they are discussing and their references/citations to acclaim such.

R/r911
 
Yeah, I have never heard of anything so far-reaching either. Restricted elevation is generally used for the first day to aid in hemostasis at the catheterization site, as well as to discourage clot migration. But anything beyond 24 hours as a matter of routine is news to me.
 
Any idea what type of stent?

Most coronary stent patients are walking upright the next day.
 
We were not told what type of stent, just any post op stent pt. I am very close to quitting this organization. There is a constant flow of unsubstantiated changes to protocols but that paper work never seems to work its way down to the front lines. I love what I do there, but the politics is just getting to the point where I can't take it any more.
 
skivail said:
I am very close to quitting this organization. <snip> I love what I do there, but the politics is just getting to the point where I can't take it any more.
Click to expand...
In Ontario? You must be talking about an IFT job, not EMS.
 
It's actually a voly service. There is a mix of MFR/EMRs and PCPs.
 
Johnnies, or way up north?
 
Ah, okay then. Well, the good news is that you're not likely to encounter too many patients that this applies to with SJA. The bad news is that, despite their best intentions, most Ontario chapters that I am aware of are more of a social club than anything else. You'd probably search far and wide to find one that isn't encumbered by politics of that sort.
 
The division I belong to is by far one of the largest and busiest divisions in Ontario. Unlike many of the other "bandaid brigades" ours has an excellent working relationship with local EMS and are very well respected. My biggest problem is when MFRs who have been with St John for 2-25 years start telling PCPs that the PCPs are doing thigns the wrong way, or "that's not the St John way". For drug protocols that is understandable. When on a St John shift you have to adhere to St John protocol. Telling a paramedic who spent two full years in school and does this job for a living that they are not lifting properly or trying to tell them how to "properly" use a KED does not sit well with me.

My second issue is the fact that no one in St John has ever been able to produce any paper copies of our protocols (with the exception of our AED standing orders). The book that is provided during the MFR course is all we have. I was informed today of a change to our Nitro protocal (min b/p is now 110/70) but I have no proof of this besides the word of someone else in the organization.

The whole thing is just really starting to get to me. Sorry for the vent session...
 
You must log in or register to reply here.
Back
Top