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Published byDaisy Osborne Modified over 9 years ago
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Interventional Radiology: moving on from the troublesome teens Iain Robertson President British Society of Interventional Radiology Consultant Interventional Radiologist Greater Glasgow & Clyde Health Board Email: bsiriain@gmail.com
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History of IR 1953 1964 1977 1982 1985 1966 1972 1987 1991 2010
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UK Interventional Radiology Founded 1988 633 members 490 members 140 junior members 2 associate members
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Identity & Responsibility
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Vital, clinical service of proven effectiveness National Imaging Board Report NICE/ MHRA/ DOH RCR Chief Medical Officers
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What is an Interventional Radiologist?
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Internal Identity
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External Identity Subspecialist accreditation Defined curriculum Defined training pathway 3 years core 3 years IR Defined assessment
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Dependability (Responsibility)
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How do we know a good quality IR service?
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Vital means dependable 24/7 Clinical means patient focused Proven effectiveness means data driven
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Scope of Services Patient Focus Data Service Improvement
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RAG status Core 24/7 services England only just now Map revision March 2012
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Key Steps 1.Define the scope of services 2.Define staff involvement 3.Procedures manual 4.Unify equipment 5.Embobags
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Scope of services
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Key Steps: Scope of service Range of procedures appropriate for sites Understand what is done in hours Understand what you aim to do out of hours Set a defined target: hemorrhage control for most of us Define sites that will participate and how
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Make new friends Upskill new friends as reqd Set the bar EVAR Primary operator: 4 TIPPS Primary operator: 5 Embolization: 9 Nephrostomy around 15 1:6 is the minimum target Radiology Teams
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Hard Facts If you won’t do it OOH – you don’t do it in hours!
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Nurses Need nurse leadership Longer negotiation Cross-city service Staff rotation for training Reduce variability -Protocols Develop a manual
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Procedures manual Defines service Referral process & responsibilities Site specific info Protocols Equipment lists
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Unify equipment stock Everyone uses the same Supports the nurses/ radiographers Provides resilience Saved the hospital 150K Responsible control
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Embobags “Portable” consumables 2 embo bags Catheters Embolics Contrast Needles Everything……….
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Scope of Services Patient Focus Data Service Improvement
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www.bsir-qi.com
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