Consensus Statement of Standards for Interventional Cardiovascular Nursing Practice

White, Kevin P.; Macfarlane, Heather; Hoffmann, Bernadette; Sirvas-Brown, Helene; Hines, Kathryn; Rolley, John; Graham, Sandi

doi:10.1016/j.hlc.2017.10.022

Cited by 22 publications

(16 citation statements)

References 18 publications

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“…According to the Consensus Statement of Standards for Interventional Cardiovascular Nursing Practice published in 2018, interventional cardiovascular nursing is a critical care nursing specialty providing complex nursing interventions to patients prone to clinical deterioration; consequently, appropriate guidance needs to be provided to assist health care providers in developing their workforce development and educational policies to minimize the risk for adverse events (5). Despite the widespread acceptance of the consensus, no relevant consensus documents or guidelines have been developed in China.…”

Section: Discussionmentioning

confidence: 99%

Conventional aortic valve replacement versus transcatheter aortic valve implantation: professional requirements for nurses

Jiang¹,

Hu²,

Wang³

et al. 2021

Ann Palliat Med

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Background: At present, the recommendation grade of transcatheter aortic valve implantation (TAVI) for aortic valve stenosis (AVS) has increased in many guidelines. Establishing an optimized TAVI nurse team is essential for improving surgical quality and outcomes. We compared the professional requirements for nurses in two surgical approaches for aortic stenosis and the different roles of nurses in the surgical teams, with an attempt to further improve the training programs for specialized nurses.Methods: The required professional knowledge and the role of nursing staff during TAVI or AVR (Conventional aortic valve replacement) were analyzed. These included knowledge on the pathophysiology of aortic stenosis, advantages and disadvantages of different heart valves, extracorporeal circulation, nursing cooperation during valve replacement, conventional surgical instruments and interventional consumables, surgical complications, radiation protection, operation of pacemakers, theory and operation of electric defibrillation. And the surgical team members and their roles, and doctor-patient satisfaction were also compared.Results: TAVI had higher requirements for the basic knowledge of the pathophysiology of aortic stenosis, advantages and disadvantages of different heart valves, extracorporeal circulation and theory and operation of electric defibrillation. And the clinical professional knowledge of conventional surgical instruments and interventional consumables, surgical complications, radiation protection, nursing cooperation, operation of pacemakers were also higher required in TAVI. Doctor-patient overall satisfaction were higher in TAVI than AVR (95.8% vs. 84.4%, 97.5% vs. 92.7%). Conclusions:The professional requirements for nurses differs between TAVI and AVR. Comprehensive programs should be designed to develop the basic knowledge and professional training for future cardiac operation.

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Section: Discussionmentioning

confidence: 99%

Conventional aortic valve replacement versus transcatheter aortic valve implantation: professional requirements for nurses

Jiang¹,

Hu²,

Wang³

et al. 2021

Ann Palliat Med

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“…Nursing-led performance of pre- and post-procedural ultrasound measurement and colour doppler flow utilisation in a cardiac catheterisation environment has not been previously described in the literature to our knowledge. Nursing staff are important elements in the early detection of procedural complications and are a key element in interventional nursing standards (White et al., 2018). This research addresses a previously underreported complication from a nursing perspective, and this innovative approach can be easily adopted in any cardiac catheterisation laboratory, offering a valuable adjunct to clinical care.…”

Section: Discussionmentioning

confidence: 99%

Nursing-led ultrasound to aid in trans-radial access in cardiac catheterisation: a feasibility study

Williams

Condon

Davies

et al. 2020

Journal of Research in Nursing

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Background Trans-radial access is increasingly common for cardiac catheterisation. Benefits include reduced bleeding complications, length of hospital stay and costs. Aims To determine the feasibility of implementing a nurse-led ultrasound programme to measure radial artery diameter before and after cardiac catheterisation; to determine radial artery occlusion (RAO) rates, risk factors for RAO and predictors of radial artery (RA) diameter. Method A prospective observational cohort study design for 100 consecutive patients undergoing cardiac catheterisation, using RA access. Pre- and post-procedural RA diameter were measured using ultrasound, by specialist nurses trained to do so. Logistic regression analyses were performed to determine risk factors for RAO and predictors of RA diameter with results reported as odds ratios (OR) and 95% confidence intervals (CI). Results There were no adverse events, supporting the feasibility of nurse led ultrasound programmes. A 4% ( n = 4) rate of occlusion was observed. Haemostasis device application time of greater than 190 min was a predictor of RAO (OR 3.12, 95% CI 0.31–31). Male gender and height were predictors for a RA diameter of >2.2 mm. Conclusions Nurses can lead the assessment of RA occlusion using ultrasound to enhance planning and care, including monitoring compression times to reduce RAO.

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“…3 A cardiac catheterisation laboratory (CCL) is the procedural area where coronary angiography and cardiac interventions are performed. CCLs across Australia and New Zealand have reported a significant increase in patient acuity and procedural complexity over the last 10 years, 4 which is attributed to an increasingly older patient population that present to the hospital with extensive comorbidities, such as type 2 diabetes and renal impairment. 5 These patients are at higher risk of complications during and after the procedure if risk factors are not identified and assessed prior to the procedure.…”

Section: Introductionmentioning

confidence: 99%

The design and evaluation of a pre-procedure checklist specific to the cardiac catheterisation laboratory

Nicholson

Kühn

Manias

et al. 2021

Australian Critical Care

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Background: With the increasing complexity of procedures being performed in the cardiac catheterisation laboratory, the multidisciplinary team has the challenge of providing safe care to patients who present with a multitude of healthcare needs. Although the use of a surgical safety checklist has become standard practice in operating theatres worldwide, the use of a pre-procedure checklist has not been routinely adopted into interventional cardiology. Objective: The aim of this study was to design and evaluate a pre-procedure checklist specific to the cardiac catheterisation laboratory. Method: A descriptive, exploratory design was used to develop a specifically designed pre-procedure checklist for use in the cardiac catheterisation laboratory in a private hospital in Melbourne, Australia. The pre-procedure checklist was developed by exploring the multidisciplinary team's opinion regarding the organisation's previous surgical pre-procedure checklist through a pre-implementation survey and focus groups. Following an expert review, and implementation of the proposed pre-procedure checklist, a post-implementation survey was completed. Results: Thirty-five (70%) cardiac catheterisation laboratory healthcare professionals completed the preimplementation survey, with 31 (62%) completing the post-implementation survey. Ninety-one per cent of participants agreed that important clinical information required for interventional procedures was not documented on the previous surgical checklist. A specific checklist was developed from the results of the survey and six focus groups (N ¼ 25) and implemented in the cardiac catheterisation laboratory. In the post-implementation survey, participants identified that the cardiac catheterisation laboratory specific pre-procedure checklist included all relevant clinical information and improved documentation of patient information. Conclusion:The development of a specific cardiac catheterisation laboratory pre-procedure checklist has led to an improved transfer of pertinent clinical information required prior to procedures being performed in the unit. The outcome of this study has implications for other cardiac catheterisation laboratories with the potential to standardise practice within interventional cardiology practice and improve patient safety outcomes.

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Consensus Statement of Standards for Interventional Cardiovascular Nursing Practice

Cited by 22 publications

References 18 publications

Conventional aortic valve replacement versus transcatheter aortic valve implantation: professional requirements for nurses

Conventional aortic valve replacement versus transcatheter aortic valve implantation: professional requirements for nurses

Nursing-led ultrasound to aid in trans-radial access in cardiac catheterisation: a feasibility study

The design and evaluation of a pre-procedure checklist specific to the cardiac catheterisation laboratory

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