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>'''


1. 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:'''


o Verify procedure and consent form is signed and complete
Hospital gown


2. Patient Preparation
Hair cover and shoe cover


o Walk patient to ACU bathroom
Belongings bag for clothes and personal items


Pillow + case


o Provide:


 Hospital gown
'''Patient Identification and Pre-Procedure Check'''


 Hair cover and shoe cover
Confirm patient’s full name, allergies, and date of birth using two identifiers


 Belongings bag for clothes and personal items
Verify consent form is signed and scanned: ''"Implantable rhythm monitor (implant or explant)"''


o Instruct patent to:
'''<br />Patient Preparation'''


 Remove everything from the waist up
Walk patient to ACU bathroom to change


 Put on a hospital gown open to the front


 Place personal belonging in the bag


3. Transfer to Procedure Room
'''Instruct patent to:'''


o Walk patient to the procedure room once ready
Remove everything from the waist up


o Assist patient onto the procedure table.
Put on a hospital gown open to the front


o Bring pillow from ACU
Place personal belongings in the bag


o Prep and monitoring:


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


 Ensure comfort and explain each step
'''Transfer to Procedure Room'''


4. During Procedure
Walk patient to the procedure room once ready


o Maintain patient comfort and safety
Mark in-room in Epic


o Monitor vital signs throughout


5. Post-procedure Care
'''Prep and monitoring'''


o Remove ECG stickers and blood pressure cuff
Attach MacLab ECG leads, blood pressure cuff, pulse oximeter.


o Assess the insertion site for bleeding or swelling
Ensure comfort and explain each step


o Ensure patient is stable before ambulation


6. Recovery and Discharge


o Walk patient back to the bathroom to change into personal clothing
'''During Procedure'''


o Assist as needed for safety
Maintain patient comfort and safety


o Accompany patient to the waiting room
Monitor vital signs pre & post


o Provide discharge instructions for wound care and follow up. Device instructions given by the company representative
Document in Procedure Log


7. Documentation


o Document completion of all steps, including consent, monitoring, patient tolerance and discharge condition
'''Post-procedure Care'''


8. Discharge patient from the facility
Remove ECG stickers, blood pressure cuff, and pulse oximeter


o In Epic Status board highlight patient’s name
Assess the insertion site for bleeding or swelling


o Go to “Patient Movement” and select “Discharge” as the disposition
Ensure patient is stable before ambulation


o Verify discharge location and time
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"

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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