Post procedure monitoring

[tvccrn, ASN, RN]

We are working on revamping our outpatient cardiac center and are running into a few problems with the staff in there. We currently bring in the outpatients to this area to prep for the procedure. They leave there to go tot the room and come back there only if there is no intervention. If we do a PTCA they are sent to our cardiac floor for overnight observation. Also, we have recently started doing ASD/PFO closure procedures on adults and those are sent upstairs also.

Questions:

Does anyone monitor their post-intervention patients for a period of time in an outpatient area then the patients goes home from there?

If we are doing a ASD/PFO closure and the patient is scheduled for a defib generator replacement, what is the concern with having the patient monitored inan outpatient setting instead of going upstairs for 2 hours only to be brought back down?

Are the pacemakers/defibs kept overnight if they are only replacements and not initial placements?

Any answers as to what your facility does would be greatly appreciated.

TVCCRN

[WOLFE, BSN, RN]

In my facility pacer/defibs initial and replacement are sent to tele floor for 24 hrs and then pacer rep in the am to ensure working properly before md d/c's pt...hope this is helpful.

[CathRNCA]

We are working on revamping our outpatient cardiac center and are running into a few problems with the staff in there. We currently bring in the outpatients to this area to prep for the procedure. They leave there to go tot the room and come back there only if there is no intervention. If we do a PTCA they are sent to our cardiac floor for overnight observation. Also, we have recently started doing ASD/PFO closure procedures on adults and those are sent upstairs also.

Questions:

Does anyone monitor their post-intervention patients for a period of time in an outpatient area then the patients goes home from there?

If we are doing a ASD/PFO closure and the patient is scheduled for a defib generator replacement, what is the concern with having the patient monitored inan outpatient setting instead of going upstairs for 2 hours only to be brought back down?

Are the pacemakers/defibs kept overnight if they are only replacements and not initial placements?

Any answers as to what your facility does would be greatly appreciated.

TVCCRN

All of our intervention (PTCA) :) patients stay overnight.

Do not do ASD/PFO yet.

All new device implants and upgrades (single to dual/ dual to bivent etc)stay overnight. Changeouts stay approx 4 hrs. We have 16 bed diagnostic pre/post unit.

Hope this helps.

[tvccrn, ASN, RN]

Thank you both for the replies. I am collecting these and hoping to show some of the things that we now keep overnight would do as well in an extended OPCC stay and then discharged to home.