Date on Paper
6-2023
Document Type
Doctoral Paper
Degree Name
D.N.P.
Department
Nursing
Committee Chair
Meyer, Kimberly
Committee Member
Burkhardt, Elizabeth
Author's Keywords
preprocedural; bleeding risk; assessment tool; bleeding; hemorrhage; screening
Abstract
Abstract
Background: Interventional Radiology (IR) procedures vary in their bleeding risk. Staff responsible for screening patients in the preprocedural setting may not have adequate education regarding specific factors associated with increased bleeding risk specific to IR patients. Society of Interventional Radiology (SIR) consensus guidelines recommend the use of screening tools, but no tools specific to IR are currently available.
Objectives: To evaluate confidence of staff assessing bleeding risk prior to IR procedures and identify areas where further education may be needed.
Methods: A prospective cohort study design was used to conduct a staff confidence screening tool specific to IR staff responsible for evaluating bleeding risk in patients undergoing percutaneous IR procedures.
Results: Following a training session covering the BSET-IR education tool, staff confidence assessing bleeding risk was significantly improved. Nurses were found to have the widest range of confidence based on the initial SCAB-IR assessment.
Discussion: The data collected from this project demonstrates the need for additional education in IR related to bleeding risk assessment. Bleeding risk associated with percutaneous IR procedures is multifactorial and requires heightened attention by staff when being assessed.
Key Words: interventional radiology procedures, preprocedural, bleeding risk, assessment tool, bleeding, hemorrhage, screening, screening test, HAS-BLED, bleedMAP, and Bleemacs
Recommended Citation
Bond, Nathaniel, "Bleeding risk assessment in interventional radiology." (2023). Doctor of Nursing Practice Papers. Paper 148.
Retrieved from https://ir.library.louisville.edu/dnp/148
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