LoopWorkflow
ROUGH DRAFT: Loop Implant Procedure Workflow, JG/AC October 2025
Gather supplies:
Hospital gown
Hair cover and shoe cover
Belongings bag for clothes and personal items
Pillow + case
Patient Identification and Pre-Procedure Check
Confirm patient’s full name, allergies, and date of birth using two identifiers
Verify consent form is signed and scanned: "Implantable rhythm monitor (implant or explant)"
Patient Preparation
Walk patient to ACU bathroom to change
Instruct patent to:
Remove everything from the waist up
Put on a hospital gown open to the front
Place personal belongings in the bag
Transfer to Procedure Room
Walk patient to the procedure room once ready
Mark in-room in Epic
Prep and monitoring
Attach MacLab ECG leads, blood pressure cuff, pulse oximeter.
Ensure comfort and explain each step
During Procedure
Maintain patient comfort and safety
Monitor vital signs pre & post
Document in Procedure Log
Post-procedure Care
Remove ECG stickers, blood pressure cuff, and pulse oximeter
Assess the insertion site for bleeding or swelling
Ensure patient is stable before ambulation
Document no in-lab complications and complete sign out
Document Epic "out of room"
Print discharge instructions
Open "pre & post procedure" tab (may be in rarely used)
Click on "post-procedure"
Near bottom of list click on "discharge instructions", scroll up to confirm "Cardiac EP discharge instructions for loop implant/explant" (paraphrased) populated in top of window
Click "after visit summary" on left to print preview and change language on left if necessary
Recovery and Discharge
Walk patient back to the bathroom to change into personal clothing
Assist as needed for safety
Accompany patient to the waiting room
Provide discharge instructions for wound care and follow up. Device instructions given by the company representative
Discharge patient from the facility
Right click on patient name in Epic schedule
Click “Patient Movement” then “Discharge”
Fill in Date, Time, and Disposition, then click "Discharge" in the bottom right corner of the screen
Confirm discharge complete by opening patient station, find today's date and confirm status is "discharged"
