Cath Lab procedures are intricate and precise.
Your pathway control procedures need to be so too, requiring a delicate balance of energy and accuracy!
The 'Sign In' safety checklist is intended to offer a chance to confirm the initial detail of the patient's procedure.
For example, identity and consent, allergies and access problems. Each checklist can be colour-coded and is fully configurable with your own Trust's questions - and can act as a 'check-and-balance' on paper-based systems.
The second check relates to the point immediately prior to intervention, where a 'Timeout' is taken to re-assess readiness of staff and patient for the procedure.
The third and final checklist for the individual procedure is typically 'Sign Out', which validates the 'wrap-up' exercise of equipment checks and necessary data records.
The morning Briefing is intended to be conducted with the whole Team present, to ensure continuity for the shift's caseload. The principle is that there should be 'no surprises'!
If or when the Team changes, Labyrinth provides the ability to monitor Team readiness with a new questionnaire.
The second element of the Team safety briefings is conducted at the end of the day, to ensure that learning experiences are captured. Any issues requiring attention are also addressed (such as equipment failure).
All these Safety Checklists are fully customisable.
Labyrinth includes the option to include the full 'NATSSIPs' safety checklists, which ensure the highest standards of patient safety.
These checklists are intended to reinforce status and details of both the Team (and their knowledge of the cases that day within the Lab) and the individual Procedure information for the individual patient.
The checklists are completely configurable with the specific questions and responses required by individual Trusts.
The NHS England's NATSSIPs programme covers a wide ranging effort to 'check and balance' the sometimes frenetic energy within Cath Labs, based on the recommended WHO processes to avoid 'Never Events'.
'Sign In', 'Pause' and 'Sign Out' stages are attached to the procedure pathway, to encourage the allocation of time to safety specific activity. The Team checklist 'Briefings' address the broader context of Lab cases and equipment at the start and end of the day.