ORCID
https://orcid.org/0009-0009-6015-8153
Date of Award
Spring 4-30-2023
Document Type
Paper
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
Advisor
Dr. Ruth Chavez
First Committee Member
Dr. Chai Sribanditmongkol
Second Committee Member
Dr. Joy Shoemaker
Keywords
ACT, Activated Clotting Time, Rebleed, Pediatric, Cardiac Catheterization
Subject Categories
Medicine and Health Sciences
Abstract
Cardiac catheterization (CC) procedure is a minimally invasive procedure that requires arterial and/or venous access with the introduction of a small tube called a sheath that allows for the passage of wires and catheters into the heart. Heparin is a medication known as a ‘blood thinner’ that is administered throughout the procedure to prevent clots from forming. The activated clotting time (ACT) is a diagnostic point of care test used to measure how long it takes blood to clot. Post CC care requires patients to lie flat for several hours to ensure bleeding will not occur at the punctured vessel site. Therefore, the ACT is a significant factor to consider before pulling sheaths at the end of a CC procedure to reduce the risk of post procedure bleeding. Currently no pediatric protocol exists for appropriate ACT level for sheath removal post CC in the pediatric population. The project team proposes a pilot project to collect data by performing a retrospective chart review on whether the peak ACT and ending post procedure ACT greater than 180 seconds affect rebleed rates post procedure at a large pediatric hospital located in Central Ohio. Rebleeding post CC procedure requires extra monitoring of the pediatric patient and places the patient at risk for agitation and a prolonged hospitalization. The scholarly project proposal concludes with a discussion of the barriers endured while trying to complete the project and provides recommendations to mitigate such challenges for future projects. Keywords: ACT, activated clotting time, rebleed, cardiac catheterization, pediatric
Acknowledgement 1
1
Acknowledgement 2
1
Licensing Permission
Copyright, all rights reserved. Fair Use
Recommended Citation
Carey, Stacey, "Activated Clotting Times and Rebleed Rates in Pediatric Patients Post Cardiac Catheterization: A Pilot Project Proposal" (2023). Doctor of Nursing Practice Scholarly Projects. 76.
https://digitalcommons.otterbein.edu/stu_doc/76
Poster