Achievements and Updates in Transplant Activations and Protocols
Explore the progress made since training day 1, including completion of transplant activations dashboard, improvements in local pathways, discussions on clinic operations, and the introduction of new protocols like the Fast-Track Clinic. Exciting developments in patient work-up processes and ongoing measurement of outcomes showcase a commitment to enhancing transplant practices.
Uploaded on | 0 Views
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
KQuIP KQuIP update (2) update (2) Heather Atkins, Karen Steer, Lizzie Boult Dr Richard Powell Dr Lynsey Webb
What have we achieved since training day 1? What have we achieved since training day 1? Dashboard completed for all transplant activations since May 2019
What have we achieved since training day 1? What have we achieved since training day 1?
What have we achieved since training day 1? What have we achieved since training day 1? Improved our local pathway and communications to transplant centres Discussion with the wider MDT in Exeter some reservations about a true one stop clinic Note donor focused Need reflection time Different system not multiple transplant centres and processes
Our work up Our work up Cardiac testing Low clearance Unfit to proceed > 50yrs or comorbidities extra tests Specialist opinion Referred to specialist nurse: Bloods ECG CxR PD Fit to proceed Identified as potential transplant recipient Refer transplant centre <50yrs with limited comorbidities HD Up to 8 weeks Transplant
Our new protocol (1) Our new protocol (1) FAST TRACK CLINIC
Our new protocol (2) Our new protocol (2)
Our new protocol (3) Our new protocol (3) PDSA Will measure outcome by auditing the patients worked up 6 months before the introduction of the clinic, and for 6 months after Number of visits Total time for work-up Patient experience
What have we achieved since training day 1? What have we achieved since training day 1? Monthly transplant review meeting Data analyst extracts all patients with eGFR <20 on proton Flags those with no transplant status Electronic notes review If still unclear, consultant is emailed and asked to review at next OPA
What have we achieved since training day 1? What have we achieved since training day 1? Monthly transplant review meeting Data analyst extracts all patients with eGFR <20 on proton Flags those with no transplant status Electronic notes review If still unclear, consultant is emailed and asked to review at next OPA Most patients discussion happened but just not recorded Supports need for a simple, unified process opportunities with EPIC
What have we achieved since training day 1? What have we achieved since training day 1? Business case for increased staffing Successfully secured funding (and recruited) another Band 6 (0.8WTE) LKD nurse to help improve the service and speed of work-up
Wider involvement Wider involvement Monthly transplant review meeting (Transplant team, consultant, SpR) Presentation/teaching session to whole department including clinical lead, specialist nurses and dialysis staff Trust QI lead Lead nurse for quality in Medicine MyCare team (pathway redesign and documentation changes)
Nearly done. Nearly done . In process of setting up a low clearance transplant clinic (eGFR <20) Focus on relisting if appropriate Better management of CKD than in routine transplant clinic Single clinician, once per month Patient education session and social event for potential transplant recipients (afternoon tea!) Monthly nurse meeting to review progress of potential LKDs and transplant listed patients
