LoopWorkflow: Difference between revisions

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ROUGH DRAFT: Loop Implant Procedure Workflow
'''<big>ROUGH DRAFT: Loop Implant Procedure Workflow, JG/AC October 2025</big>'''


'''Patient Identification and Pre-Procedure Check'''


o Confirm patient’s full name and date of birth using two identifiers


o Verify and document allergies
'''Gather supplies:'''
 
Hospital gown
 
Hair cover and shoe cover
 
Belongings bag for clothes and personal items


o Verify procedure and consent form is signed and complete
Pillow + case


2. Patient Preparation


o Walk patient to ACU bathroom
'''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)"''


'''o Provide:'''
'''<br />Patient Preparation'''


 Hospital gown
Walk patient to ACU bathroom to change


 Hair cover and shoe cover


 Belongings bag for clothes and personal items
o Instruct patent to:


'''Instruct patent to:'''
'''Instruct patent to:'''


Remove everything from the waist up
Remove everything from the waist up
 
Put on a hospital gown open to the front
 
Place personal belongings in the bag


 Put on a hospital gown open to the front


 Place personal belonging in the bag
3. Transfer to Procedure Room


'''Transfer to Procedure Room'''
'''Transfer to Procedure Room'''


o Walk patient to the procedure room once ready
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


o Assist patient onto the procedure table.
Ensure patient is stable before ambulation


o Bring pillow from ACU
Document no in-lab complications and complete sign out


o Prep and monitoring:
Document Epic "out of room"


 Attach ECG leads, blood pressure cuff, pulse oximeter.


 Ensure comfort and explain each step
'''Print discharge instructions'''
4. During Procedure


'''4. During Procedure'''
Open "pre & post procedure" tab (may be in rarely used)


o Maintain patient comfort and safety
Click on "post-procedure"


o Monitor vital signs throughout
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
5. Post-procedure Care


'''5. Post-procedure Care'''
Click "after visit summary" on left to print preview and change language on left if necessary


o Remove ECG stickers and blood pressure cuff
Print


o Assess the insertion site for bleeding or swelling


o Ensure patient is stable before ambulation
6. Recovery and Discharge


'''6. Recovery and Discharge'''
'''Recovery and Discharge'''


o Walk patient back to the bathroom to change into personal clothing
Walk patient back to the bathroom to change into personal clothing


o Assist as needed for safety
Assist as needed for safety


o Accompany patient to the waiting room
Accompany patient to the waiting room


o Provide discharge instructions for wound care and follow up. Device instructions given by the company representative
Provide discharge instructions for wound care and follow up. Device instructions given by the company representative
7. Documentation


'''7. Documentation'''


o Document completion of all steps, including consent, monitoring, patient tolerance and discharge condition
'''Discharge patient from the facility'''
8. Discharge patient from the facility


'''8. Discharge patient from the facility'''
Right click on patient name in Epic schedule


o In Epic Status board highlight patient’s name
Click “Patient Movement” then “Discharge”


o Go to “Patient Movement” and select “Discharge” as the disposition
Fill in Date, Time, and Disposition, then click "Discharge" in the bottom right corner of the screen


o Verify discharge location and time
Confirm discharge complete by opening patient station, find today's date and confirm status is "discharged"

Latest revision as of 21:28, 3 November 2025

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

Print


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"

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