Performing Neurovascular Observations

Neurovascular observations allow for a thorough and systematic assessment of a client’s neurovascular status. Neurovascular observation will be performed on an affected limb; this may involve client’s arm/hand or leg/foot.

Indications for neurovascular observations include:

• pre and post application of POP (plaster of Paris) or splint (including back slab)
• pre and post limb surgery
• fracture management (with or without traction)
• infection
• trauma to limb
• leg ulcer(s)
• burns, particularly circumferential
• changes in pain.

Subtle changes in the neurovascular status alert staff to changes in the blood circulation and nerve supply of a limb and the potential development of compartment syndrome in case of limb trauma/surgery.

The frequency of when and how often these observations need to be performed are guided by the:

• client’s history and assessment
• doctor’s instructions
• organisation’s policy and guidelines.