Pre‐procedure

ActionRationale

1. 1.Show
   Explain and discuss the procedure with the patient.
   To ensure that the patient understands the procedure and gives their valid consent (NMC [202], C).
2. 2.Show
   If possible, position the patient seated upright on a bed or couch and raise the height to a comfortable level.
   To ensure the comfort of both the patient and nurse. E

Procedure

1. 3.Show
   Turn the stocking inside out to the heel.
   This makes it easier to ease the stocking up. E
2. 4.Show
   Pull the foot of the stocking over the patient's foot.
    
3. 5.Show
   Turn the rest of the stocking back over the foot and up the leg.
   To prevent a tourniquet effect developing at the ankle and to enable the stocking to be eased up the leg. E
4. 6.Show
   Ask the patient to keep the leg straight and if possible to push against the nurse.
   To ensure that a good grip can be gained on the stocking. E
5. 7.Show
   Starting at the foot, gradually ease the stocking into place over the heel and up the leg a bit at a time, until it is in its final position.
   Since it is the material of the stocking that provides the pressure, it must be distributed evenly to ensure an even distribution of pressure. E
6. 8.Show
   Do not pull from the top.
   This will cause the stocking top to become overstretched and will lead to an uneven distribution of the stocking material (manufacturer's instructions, C).
7. 9.Show
   Once the stocking is in place, check that there are no creases or wrinkles, particularly around the joints.
   Wrinkles cause chafing of the skin and constricting bands of pressure. E

Post‐procedure

1. 10.Show
   Check that the patient finds the stocking comfortable and ask that any feelings of pain, tingling or numbness be reported. Check the toes for any visible signs of altered circulation.
   Pain, tingling or numbness indicates that the stocking has been either inappropriately applied or fitted. E
2. 11.Show
   To remove the stocking, peel it off the limb from the top downwards. Do not roll it down.
   Rolling the stocking can result in tight bands of material forming, which are difficult to move. E
3. 12.Show
   Document the manufacturer and style and size of garment that the patient has been provided with.
   To maintain accurate records (NMC [202], C).