Post‐procedural considerations

Immediate care

Immediately following the procedure, the patient must lie on their right side for 3 hours and remain on bedrest for a total of 6 hours. They may be able to go to the toilet after 3 hours. Physiological observations are required every 15 minutes for the first hour and every 30 minutes for the following 2 hours; the frequency can then be reviewed by the registered nurse (Chernecky and Berger [32], Karamshi [112], Pagana and Pagana [177]). Any abnormality must be reported to the medical team immediately. The nurse should also observe the puncture site and abdomen for signs of bleeding and ensure that pain is adequately controlled. Pain is the most common problem reported by patients and can develop within 3 hours of the procedure, so it may be necessary to record the patient's pain scores and provide analgesia. Severe pain must always be reported to the medical team as it may be an indicator of a bleed or bile leak (Karamshi [112], Pagana and Pagana [177]). The patient may also require emotional care throughout and after the procedure (Karamshi [112]).

Ongoing care and education

A post‐procedure information sheet should be given to the patient identifying possible complications and instructions on what to do if any symptoms occur (Chernecky and Berger [32], Pagana and Pagana [177]).