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Cardiology
Designing, Planning, and Implementing a Cardiac Catheterization Laboratory Organizational, A
Built from Cardiovascular Catheterization and Intervention: A Textbook of Coronary, Peripheral, and Structural Heart Disease
What’s inside
7 sections · 93 slides
Overview
- Scope of this topic
Pre-planning the project
- Expansion of catheterization laboratory procedures
- Evolution of catheterization laboratory imaging
- Purpose of pre-implementation planning
- Needs assessment and gap analysis
- Deciding the size and scope of the project
- Procedure mix as a design input
- Procedure-specific design requirements
- Physician specialties to represent on the team
- Anticipated shifts in procedural volume
- Market competition and consolidation
- Feasibility of staffing a new laboratory
- Priorities of academic, community and outpatient settings
- Building the project timeline
- Project budget and cost control
- Stages and timeframe for laboratory planning
- Phases of the build in sequence
Architecture and room design
- Priorities of the architectural design phase
- Location of the catheterization suite
- Adjacencies within the hospital
- Elevator sizing and access control
- Facility Guidelines Institute imaging room classes
- Imaging room classification and access
- Room sizing principles
- Minimum room areas
- Design options that increase space demand
- Contemporary room areas from a working example
- Procedure room design features
- Hybrid interventional suite layout
- Preparation and recovery suite
- Communication within the procedure room
- Equipment consoles in the procedure room
- Integrated display of fluoroscopy and physiologic data
Environment, safety and information technology
- Ventilation requirements
- Temperature and humidity control
- Uninterrupted power supply
- Safety and regulatory compliance
- Patient safety goals and readiness testing
- Information technology infrastructure
- Role of the cardiovascular information system
- Integration factors for the information system
- Cardiovascular information system requirements
- Reporting and registry data capture
- Scalability of the information system
Staffing and the clinical team
- Clinical staffing as a determinant of outcome
- The optimal catheterization team
- On-call staffing models
- Onboarding and orientation
- Role of the circulator
- Role of the monitor
- Role of the scrub assistant
- Role of the registered nurse in sedation
- The catheterization team at the table side
- Shared accountability and communication
- Training and retention of staff
- Physician credentialing and privileges
- Physician responsibilities
- Operator experience and supervision
- Acquiring competence in a new procedure
- Progression to independent practice
- Informed consent and shared decision-making
Operational workflow and quality
- Scheduling challenges in the laboratory
- Operational assessment and process mapping
- Patient flow in workflow design
- Staffing, equipment and safety in workflow design
- Domains of operational workflow design
- Quality assurance programme
- Licensure and certification
- Accreditation of the facility
- Patient experience and the built environment
- Patient-centred support services
- Patient education and follow-up processes
Future growth and special settings
- Designing for future flexibility
- Same-day discharge and ambulatory competition
- Diversification of procedures
- Occupational injury and radiation protection
- Anticipated role of artificial intelligence
- Catheterization laboratories in ambulatory centres
- Hospital laboratory and ambulatory centre compared
- Purpose of the hybrid laboratory
- Design requirements of the hybrid room
- Take-away principles for design: workflow and staff
- Take-away principles for design: flexibility and technology
- References
- References (continued)
- Cardiovascular Catheterization and Intervention: A Textbook of Coronary, Peripheral, and Structural Heart Disease
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