Table 3.
Detailed processes
Bedside procedure in isolation ward | Procedure in IRC | |
---|---|---|
Pre-procedure | ||
IR to confirm indication, urgency and where to perform procedure CO to gather team, assign roles and conduct briefing | ||
Gather necessary equipment for a portable procedure To secure digital radiography unit if needed Proceed to isolation ward Wrap imaging equipment |
Patient prep | Procedure room prep |
Controller to liaise with ward, ED, security staff Ward staff to prepare patient for transfer Security to clear route Coordinate anesthetic support if needed Security team meets ward staff at patient location |
Procedure room cleared of mobile cabinets and non-essential items. Remaining equipment to be wrapped Recovery area cordoned off and set up for post-procedure PPE removal Signages placed to direct traffic |
|
IR, PR, SN, MN, CN to don full PPE to receive patient inside IR suite. Perform buddy check for PPE When patient and room are ready, CO to approve transfer of patient Patient transfer directly to procedure room | ||
Intra-procedure | ||
CN to don full PPE, enter isolation room, brief patient, conduct preprocedural checks with CO via walkie talkie UR to don full PPE enter room and position US machine CN and UR to position patient SN to enter with full PPE to clean and drape IR to enter with full PPE to perform procedure |
Perform patient checks and transfer to angiography table If required, anaesthetic team to perform intubation in PAPR Procedure commences. All personnel of procedure team to remain in room in full PPE Patient’s trolley to be cleaned and parked Equipment or drugs to be passed into IR suite, from support to procedure team members without physical contact |
|
Post-procedure | ||
Procedure team to remove PPE and equipment as per guidance Proceed to shower |
Controller informs ward staff/security Patient transferred to ward, escorted by ward staff and security Procedure team to remove plastic wrapping and wipe down equipment Procedure team to remove PPE in designated order and locations and then proceed to shower Controller activates Environmental Services to provide terminal cleaning of IR suite, recovery area and showers |