Program
Early recovery after TAVI (ERT) clinical pathway: A pilot initiative
May 24, 2024 from 12:10pm MST to 12:40pm MST
Transcatheter Aortic Valve Implantation (TAVI) has evolved to a highly predictable and relatively low-risk procedure. Increasing volumes of TAVI referrals coupled with the limited resources in staffing and catheterization room availability has posed challenges to timely access to care. With limited availability of anaesthesia resources to support TAVI procedures in the Vancouver program, we strategized to streamline TAVI care whist maintaining the safest care for patients. Since catheterization lab nurses are critically trained and well versed in administering sedation for other complex procedures, there role could be further extended to their full scope of practice within the TAVI procedure. We developed the Early Recovery after TAVI (ERT) clinical pathway initiative to evaluate the feasibility and safety of TAVI with physician led, nurse supported sedation with anaesthesiologist on-call.
This presentation will describe the ERT pathway, development of the criteria for safe patient selection and the pre-, peri-, and post-procedural nursing care protocols. Utilizing quality improvement methodology of PDSA (Plan-Do-Study-Act) cycles, we evaluated changes iteratively with multiple stakeholders including all participating patients.
Speakers / Panelists
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Early recovery after TAVI (ERT) clinical pathway: A pilot initiative
May 24, 2024 from 12:10pm MST to 12:40pm MST -
Early recovery after TAVI (ERT) clinical pathway: A pilot initiative
May 24, 2024 from 12:10pm MST to 12:40pm MST -
Early recovery after TAVI (ERT) clinical pathway: A pilot initiative
May 24, 2024 from 12:10pm MST to 12:40pm MST
Ashleigh Brabbins
RN, BSN
Ashleigh Brabbins
Ashleigh Brabbins
RN, BSN
Ashleigh Brabbins is a Registered Nurse in the Cardiac Cath Lab at Vancouver General Hospital. She has worked for Cardiac Sciences since 2017 having completed her Critical Care Nursing Specialty at the British Columbia Institute of Technology. Most recently, she has been in a role as Clinical Resource Nurse for the Cath Lab focusing on staff training and skill development. She has a passion for education and safety with a special interest in Transcatheter Aortic Valve Implantation procedures. Prior to cardiovascular nursing, Ashleigh worked in the Burns, Trauma and High Acuity unit, where her interest in ongoing education and innovation began.
Danielle Robitaille
RN
Danielle Robitaille
Danielle Robitaille
RN
Danielle Robitaille graduated with her nursing degree from the University of Ottawa. She started her career at Vancouver General Hospital in 2005, and has worked on the Acute Spine Unit, Cardiac Cath Lab, and Intensive Care Unit. She has been privileged to be Clinical Nurse Educator in the Cardiac Cath Lab since 2019 and has enjoyed the ability to support staff development and patient safety in this role
Erin Tang
MSc.N, RN, CCN(C)
Erin Tang
Erin Tang
MSc.N, RN, CCN(C)
Erin Tang is a Clinical Nurse Specialist for Transcatheter Heart Valves and Acute Coronary Syndrome programs at St. Paul’s Hospital in Vancouver B.C. She has worked in a variety of clinical settings within the world of cardiac surgery and cardiology for over the past 20 years. She started her career as a cardiothoracic surgery nurse at the University of Washington Medical Center and then returned to Canada to work in the Cardiac Surgery Intensive care unit at Vancouver General Hospital (VGH) upon completing the critical care program at the British Columbia Institute of Technology. After developing a passion for adult learning theories as a patient and nurse educator for the VGH cardiac clinics in heart failure and atrial fibrillation, Erin pursued completing her Masters in Nursing at the University of British Columbia. Her special interests include participating and providing clinical leadership in patient education, quality improvement, knowledge translation, and system change initiatives. When not at work, she is busy keeping up with her two energetic children who are a constant reminder to keep life balanced and ‘fun’ as much as possible.