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Mielke bleeding time, Simplate bleeding time, template bleeding time, Surgicutt bleeding time, Ivy bleeding time.
To evaluate platelet function.
There are no food, fluid, activity, or medication restrictions unless by medical direction. The patient may be instructed to withhold aspirin or related products for at least 1 wk prior to testing, as ordered. Note the last time and dose of medication taken that are known to prolong bleeding to include dietary supplements, anticoagulants, aspirin, and other salicylates.
Method: Timed observation of incision.
Template: 2.5 to 10 min.
Ivy: 2 to 7 min.
Slight differences exist in the disposable devices used to make the incision. Although the Mielke or template bleeding time is believed to offer greater standardization to a fairly subjective procedure, both methods are thought to be of equal sensitivity and reproducibility.
Critical Findings and Potential Interventions
- Greater than 14 min.
Timely notification to the requesting health-care provider (HCP) of any critical findings and related symptoms is a role expectation of the professional nurse. A listing of these findings varies among facilities.
Potential nursing interventions for bleeding include applying pressure to the incision until the bleeding stops and covering the incision site with a bandage. Some people are more prone than others to develop scars or keloids. Generally, they are pink to reddish in color, raised, and shinier than the surrounding skin. They can be itchy, tender, or even painful to the touch. There is no immediate intervention to prevent the formation of scars or keloids. Treatment options for developed scars and keloids range from cortisone injections to a variety of strategies for removal, each of which can vary widely in degree of success. The site should be observed for subsequent bleeding, bruising, or redness. Fever, localized redness, or warmth of the area to the touch may be indications of infection. Potential nursing interventions include monitoring temperature as well as administering antipyretic and antibiotic medications, as ordered.