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. 2020 Apr 27;43(6):827–836. doi: 10.1007/s00270-020-02483-9

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