Version May 2024
| 1. Interventional cardiologists establish a working relationship with cardiac surgeons at the receiving facility |
| 2. Cardiac surgeon must have privileges at the referring facility to allow review of treatment options as time allows |
| 3. Cardiac surgeon and receiving hospital agree to provide cardiac surgical backup for urgent cases at all hours and for elective cases at mutually agreed hours |
| 4. Surgeon and receiving facility ensure that patients will be accepted based on medical condition, capacity of surgeon to provide services at the time of request, and availability of resources. If this cannot be ensured before the start of an elective procedure, the case should not be done at this time. |
| 5. Interventional cardiologists must review with surgeons the immediate needs and status of any patient transferred for urgent surgery |
| 6. Hospital administrations from both facilities endorse transfer agreement |
| 7. Transferring and receiving facilities establish a rigorous protocol for rapid transfer of patients, including the proper personnel with appropriate experience |
| 8. A transport provider is available to begin transport within 20 min of the request and provide vehicle/helicopter with necessary life-sustaining equipment, including IABP and monitoring capability |
| 9. Transferring physician obtains consent for surgery from patient or appropriate surrogate |
| 10. Initial informed consent for PCI discloses that the procedure is being done without on-site surgical backup and acknowledges the possibility of risks related to transfer. The consent process should include the risk of urgent surgery (approximately 0.3 percent) and state that a written plan for transfer exists. |
| 11. As part of the local continuous quality improvement program, a regular review of all patients transferred for emergency surgery with the outcome of surgery and identification of any improvement opportunities |
آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟
