Procedure
Illustrated Step-By-Step Procedure
Nosebleed Convenience Kits
Identify which side the nosebleed is occurring with the patient in an upright position. Utilize a headlight, Frazier tip suction and a nasal speculum to adequately visualize inside of the nose and determine whether the site appears to be an anterior or posterior bleed. Open either an Anterior NozPak or a Posterior NozPak based on assessment.
Remove all contents of kit from packages and arrange on tray.
Apply thin film of Bacitracin over the PVA pack.
Decongest the involved side of the nose with Oxymetazoline per label or as directed by a Physician.
With gentle dilation of nasal opening with a nasal speculum, insert the PVA pack into the nose sliding it along the floor of the nose. If resistance, redirect and reinsert until the front of the pack is beyond the nostril opening.
Further decongest the nose on the involved side, with the PVA pack in place, using additional Oxymetazoline per label or as directed by a Physician.
Apply external nose clamp to base of nose and do not remove for at least 10 minutes.
Remove external nose clamp and assess for any further significant bleeding. If bleeding continues, consider removing the pack, visualizing site and consider additional management options.
When bleeding is adequately controlled, Apply the nasal drip pad below the nose/upper lip region to catch expected sero-bloody drainage.