Cardiac Catheterization Radial Artery Access Checklist Form
Complete this checklist to document readiness and post-procedure checks for radial artery access in cardiac catheterization.
Patient initials
*
Procedure date and time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Site assessed and marked
*
Yes
Allen's or Barbeau test performed and documented
*
Yes
Sterile field prepared
*
Yes
Antiseptic applied to access site
*
Yes
Local anesthesia administered
*
Yes
Sheath inserted without complication
*
Yes
Hemostasis achieved post-procedure
*
Yes
Radial pulse palpable after procedure
*
Yes
Submit Checklist
Should be Empty: