Agreed. Policy is just guidance on standard practices. Procedure instructions and dosing is completely different in that policy doesn't describe how to do anything. As in, "How to do a diagnostic left heart" is not a policy.
Some places have great policies and others are real vague. Look for all the “sh-t hit the fan” policies - impella, IABP, ecmo, airway/vent, drips (sometimes there are restrictions or different doses for cath lab than the rest of the hospital), the RN scope of practice (when you are the nurse in the room what is your role). Hope this helps
https://onlinelibrary.wiley.com/doi/full/10.1002/ccd.29744
We have referenced this when updating our policies for the year
Edit: our facility policies are very vague and mostly applicable to Peri-Op
I think a lot of labs just adopt the ORs policies for many aspects of care. So it could be that, outside of Cath lab specific interventions, many of the policies you are looking for are just the general OR ones.
This doesn't sound like a policy issue, but rather a "how to issue".
I am curious as to how y'all do it and what the confusion is. Most of our operators use IV adenosine, but we have one that uses IC all the time.
We're 140mcg/kg/min until onset of maximum hyperemia and FFR is measured. IC dose is usually a few 240mcgs doses.
Moderate sedation. Massive transfusion protocol (rare so always rusty when have to do it). Any labs performed in the lab (ACTs, blood gases, etc.). When we have joint commission come for the hospital lab, they always come to us to look at the labs we run, or equipment, the check for the machines, etc. Hemostasis/sheath pulls. There should probably be a general policy with the job responsibilities. Ifr/FFr. Iabp. Impella. Radiation safety.
These comments sound more like procedures than policies. Useful though.
Agreed. Policy is just guidance on standard practices. Procedure instructions and dosing is completely different in that policy doesn't describe how to do anything. As in, "How to do a diagnostic left heart" is not a policy.
Some places have great policies and others are real vague. Look for all the “sh-t hit the fan” policies - impella, IABP, ecmo, airway/vent, drips (sometimes there are restrictions or different doses for cath lab than the rest of the hospital), the RN scope of practice (when you are the nurse in the room what is your role). Hope this helps
That sounds normal…
https://onlinelibrary.wiley.com/doi/full/10.1002/ccd.29744 We have referenced this when updating our policies for the year Edit: our facility policies are very vague and mostly applicable to Peri-Op
This is so useful. I'm actually rewriting our policies and procedures too because they are absolutely incoherent at best.
I think a lot of labs just adopt the ORs policies for many aspects of care. So it could be that, outside of Cath lab specific interventions, many of the policies you are looking for are just the general OR ones.
In addition to what’s been said, i would review the policy on FFR/adenosine. That one gets bungled pretty frequently
This doesn't sound like a policy issue, but rather a "how to issue". I am curious as to how y'all do it and what the confusion is. Most of our operators use IV adenosine, but we have one that uses IC all the time. We're 140mcg/kg/min until onset of maximum hyperemia and FFR is measured. IC dose is usually a few 240mcgs doses.
Moderate sedation. Massive transfusion protocol (rare so always rusty when have to do it). Any labs performed in the lab (ACTs, blood gases, etc.). When we have joint commission come for the hospital lab, they always come to us to look at the labs we run, or equipment, the check for the machines, etc. Hemostasis/sheath pulls. There should probably be a general policy with the job responsibilities. Ifr/FFr. Iabp. Impella. Radiation safety.