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Poster D: Changing the Pace: Standard of Care for Temporary Permanent Pacemakers Post Infective Endocarditis (13:00)
May 26, 2023 from 12:30pm EDT to 1:30pm EDT
Poster D: Changing the Pace: Standard of Care for Temporary Permanent Pacemakers Post Infective Endocarditis - 13:00
Pocket infections or endocarditis have a Class 1 indication for the complete removal of permanent pacemakers (PPM) due to the high recurrence of infection. In the span of about 2 weeks our Coronary Care Unit (CCU) had two patients with Temporary Permanent Pacemakers (TPPM) or semi-permanent Pacemakers (SPM). These patients were repatriated back from tertiary care centers post explantation of infected PPMs. The aim of this presentation will review how we developed evidenced-based guidelines and transitioned the care to the cardiology ward in order to maintain capacity in the CCU. A literature review was performed as well as liaising with our tertiary care partners. Care considerations included, ambulation, time to re-implant as well as the need for continuous cardiac monitoring verses telemetry. Evidenced-based guidelines, education with nursing staff, and a standardized approach to the transition of care will promote safe patient centered care for this patient population.
Speakers / Panelists
Esther Alleyne RN
Esther Alleyne
Esther Alleyne RN
Esther is the Clinical Nurse Educator for Cardiology and the Coronary Care Unit at William Osler Health System, where she gets to merge her passion for cardiovascular nursing and teaching. Her entire career has been focused within the cardiovascular program. Prior to her current role she spent her time at the bedside within Cardiology, Critical Care, and the Cardiac Procedures Unit. She is currently concluding her Master’s Degree in Nursing with an Education Specialization, where she hopes to improve her practice in her leadership role, continue to facilitate growth within nursing and support high quality care for the community served.
Melissa was born and raised in Newfoundland. Her love for cardiac nursing started early in her career and continues on today. After graduation she worked for a short time on the cardiology ward and moved on to the ICU/CCU at the Health Sciences Center in St John’s Newfoundland. Melissa worked a couple of years in Home Health care in Arkansas and then it was back to CCU in North Carolina. After 6 years in the US she decided it was time to come back to Canada. In 2000 she was recruited to the CCU at St. Michael’s Hospital where she first became involved with the CCCN and presenting at conferences. Melissa was grassroots during start up of the Code STEMI program as well as several other quality initiatives during her time there. For the past 14 years Melissa has been the Resource Nurse in the CCU at Brampton Civic Hospital and mostly recently the Interim Clinical Services Manager for the cardiology ward. Melissa loves sharing her knowledge with emerging cardiac nurses.