Prepare and Implement Post-Procedure Care and Rehab plan
15
Schedule follow-up appointments
16
Patient Discharge
17
Report and Document Procedure
Preliminary Patient Assessment
This task is essential in evaluating the patient's condition before the procedure. It involves collecting medical history, conducting physical examination, and ordering necessary tests. The goal is to ensure the patient is fit for surgery and to identify any potential risks or complications. Are there any existing medical conditions or allergies that need to be considered?
1
None
2
Medication
3
Food
4
Environmental
5
Other
Pre-Procedure Risk Management Review
In this task, the medical team will review the patient's risk factors and develop strategies to minimize potential complications during the procedure. Consider factors such as age, prior surgeries, and comorbidities. What measures can be taken to reduce the risks?
1
Age over 65
2
Cardiovascular disease
3
Obesity
4
Diabetes
5
Previous surgeries
Approval: Cardiopulmonary assessment
Will be submitted for approval:
Pre-Procedure Risk Management Review
Will be submitted
Plan and Schedule Surgery Date
This task involves coordinating with the surgical team, anesthesiologist, and operating theater availability to determine the best date for the procedure. It's important to consider the patient's availability and any time-sensitive factors. What factors must be taken into account when scheduling the surgery?
1
Availability of operating theater
2
Availability of surgical team
3
Patient availability
Patient Surgical Briefing
Before the surgery, the patient must be fully informed about the procedure, its risks, and the expected outcomes. This task involves conducting a detailed briefing session with the patient and obtaining their consent. Ensure to address their concerns and answer any questions they may have. What information should be included in the briefing?
Prepare Operating Theater
This task involves ensuring that the operating theater is fully equipped and ready for the procedure. Coordinate with the surgical team and ensure all necessary instruments, equipment, and supplies are available. Are there any specific requirements for the operating theater setup?
1
Surgical instruments
2
Anesthesia equipment
3
Monitoring devices
4
Cardiovascular support equipment
5
Ventilation equipment
Anesthesia Administration
In this task, the anesthesia team will administer anesthesia to the patient before the surgery. This ensures the patient remains pain-free and unconscious during the procedure. Consider the patient's medical history, allergies, and preferences when selecting the anesthesia approach. What factors should be considered when selecting the anesthesia approach?
1
General anesthesia
2
Regional anesthesia
3
Local anesthesia
Commence Pulmonary Endarterectomy Procedure
This task marks the start of the actual procedure. The surgical team will perform the pulmonary endarterectomy, a surgical intervention to remove chronic blood clots from the pulmonary arteries. It requires a highly skilled and coordinated team. What steps are involved in this procedure?
1
Access to the pulmonary arteries
2
Clot removal
3
Artery repair
4
Hemostasis
5
Closure
Monitor Patient Vitals Throughout Procedure
This task involves continuous monitoring of the patient's vital signs during the procedure. It ensures the patient's safety and allows for early detection of any complications. What vital signs need to be monitored?
1
Blood pressure
2
Heart rate
3
Respiratory rate
4
Oxygen saturation
5
Temperature
Close surgical area post-procedure
After completing the procedure, the surgical team must ensure proper closure of the surgical area to promote healing and prevent infection. Consider wound care, sutures or staples removal, and dressing application. What measures should be taken to close the surgical area?
1
Wound cleaning
2
Suture removal
3
Dressing application
Move patient to Post-Anesthesia Care Unit (PACU)
After the procedure, the patient needs to be transferred to the Post-Anesthesia Care Unit (PACU) for recovery and monitoring. Coordinate with the PACU team and ensure a smooth transition. What factors should be considered when transferring the patient to the PACU?
Monitor patient in PACU
In the PACU, the patient's vital signs and overall condition must be closely monitored. This allows for early detection of any post-procedure complications and ensures a smooth recovery. What vital signs and observations should be monitored in the PACU?
1
Blood pressure
2
Heart rate
3
Respiratory rate
4
Oxygen saturation
5
Pain level
Approval: Surgeon for Post-Procedure Assessment
Will be submitted for approval:
Commence Pulmonary Endarterectomy Procedure
Will be submitted
Prepare and Implement Post-Procedure Care and Rehab plan
After the patient's condition stabilizes, a post-procedure care and rehabilitation plan must be developed and implemented. This includes pain management, medication administration, mobilization, and respiratory care. What elements should be included in the post-procedure care and rehab plan?
1
Pain management strategy
2
Medication administration plan
3
Mobilization protocol
4
Respiratory care plan
Schedule follow-up appointments
In this task, follow-up appointments are scheduled to monitor the patient's progress after the pulmonary endarterectomy procedure. It involves coordinating with the patient, healthcare providers, and necessary diagnostic or imaging services. The desired result is to ensure timely and appropriate follow-up care, assess the patient's recovery, and address any concerns or complications. What specific diagnostic tests or evaluations should be scheduled for the follow-up appointments? Are there any specific time frames or criteria for the follow-up visits?
1
CT scan
2
Echocardiogram
3
Pulmonary function tests
1
Date and time
2
Location
3
Specialist
Patient Discharge
This task involves preparing the patient for discharge from the healthcare facility following the pulmonary endarterectomy procedure. It includes reviewing the patient's post-procedure care plan, providing discharge instructions, arranging transportation if needed, and ensuring appropriate follow-up care. The desired result is to facilitate a safe and smooth transition to home care and promote the patient's well-being and recovery. What specific discharge instructions or recommendations should be provided? Are there any support services or resources that should be arranged for the patient's post-discharge period?
1
Ambulance
2
Private vehicle
3
Public transportation
Report and Document Procedure
In this task, the pulmonary endarterectomy procedure is thoroughly documented, and relevant reports and records are prepared. It includes recording surgical details, anesthesia management, patient response, and any complications or unexpected events. The desired result is to maintain a comprehensive and accurate record of the procedure and ensure that all necessary documentation is completed. What specific details or data points should be included in the procedure report? Are there any specific templates or forms that should be used for documentation?
