1. Cardio Transport Process Map 2 1
HBS MD enters HC order
Cardiologist approves order
Cardiology calls Nuc Med to notify of approval
Nuc Med calls floor to request patient
RN calls HEN to request transport
RN Inputs HC transport request—notifying transport
RN preps patient for transport
RN prints transport report for HEN
HEN and transport arrive at patient room
Transport, HEN, and patient go to Nuc Med
Patient arrives at Nuc Med imaging room
Transport helps move patient then leaves; HEN stays
Patient gets resting image
Patient and HEN go to cardiology
1. Patient gets stress test
2. Patient and HEN go back to Nuc Med to reimage
3. Patient goes back to cardiology and finishes stress images
Nuc Med tech puts HC request for transport
Transport goes to Nuc Med
Transport, HEN, and patient leave Nuc Med
Patient taken back to room
Cardio Transport Process Map 2 1
Voice of the Patient
Process Pain Point
No or incorrect order in HC
HEN not always available, ANM may need to find replacement
Replacement may be break nurse which can lead to penalties for missed breaks
Points along the process where time stamps are collected
Carpet in hall slows down transport= increased risk of workplace injury & sometimes requiring a second transporter
Nuc Med not always aware of delays= difficult to plan for patient with full clinic schedule.
Monitors not always available, and far away to grab
Phone interruptions
Rounding and medication interruptions
Patient frustration--“I will be so happy when this over”
Patient concern—”Process doesn’t look coordinated”, lower confidence in care
Patient anxiety—”What’s going on?”
Patient not always ready when transport arrives
Difficult to coordinate HEN and transport
Sometimes cardiology cancels the test, but they do not notify transport team
Sometimes transport info in HC is missing or incorrect
Patient embarrassed—”I can walk. I wish I had my pants, underwear, bra on. Walking around in this open gown is very uncomfortable” 3
Narrow doorway slow down transport and increase risk of injury
Nuc Med unable to identify isolation patients to ensure precautions taken 4
Transport info in HC can be missing or incorrect
HEN has to wait for transport=$$
If no transport available, HEN takes patient back to room 5
Patient frustration--“I feel uneasy and confused being left in hallway, what’s taking so long?”