Importantly, independent nursing judgments regarding the methods for sheath removal and frequency of monitoring should be based on current evidence and knowledge of the risks for complications, given the patient’s characteristics and the circumstances surrounding the PCI procedure. Nurses are in a good position to recognize VASCs when they occur and be knowledgeable about management techniques to resolve them should they become problematic. Understanding that VASCs have both modifiable and nonmodifiable risk factors helps nurses address issues that they can affect while ensuring that at-risk patients receive optimal monitoring and management. A thorough understandingof vascular access issues and prompt recognition of these complications are essential to minimize the substantial morbidity, mortality, and hospital costs associated with them