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
   The patient may be seated or standing.
    

Procedure

1. 3.Show
   Turn the sleeve inside out to the wrist. Pull over the patient's hand. Note: if a glove or separate handpiece is worn, always put the sleeve on after the glove or handpiece.
   To avoid increasing swelling in the hand. E
2. 4.Show
   Turn the rest of the sleeve back over the hand and up the arm.
   To prevent a tourniquet effect developing at the wrist and to enable the sleeve to be eased up the arm. E
3. 5.Show
   Ask the patient to grip something stable, such as a towel rail or the back of a chair.
   This steadies the arm and gives the patient something to pull against. E
4. 6.Show
   Working from the hand or wrist, gradually ease the sleeve up the arm.
   Since it is the material that provides the pressure, it must be evenly distributed to ensure an even distribution of pressure. C
5. 7.Show
   Do not pull up from the top.
   To prevent the top becoming overstretched which will result in an uneven distribution of pressure. C
6. 8.Show
   Once the sleeve is in place, check that there are no creases or wrinkles, particularly around the joints.
   Wrinkles and creases cause chafing of the skin and constricting bands of pressure. E

Post‐procedure

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