897 The Implementation of a Radial Lounge: A Bed to Chair Nursing Led Initiative

Abstract

Trans-Radial access (TRA) for cardiac catheterisation and Percutaneous Coronary Intervention (PCI). Benefits include reduce bleeding complications, reduction in mortality and ischaemic events. In addition, reduction in costs, length of stay and enhanced patient comfort. To evaluate the effectiveness of the implementation of a radial lounge to recover patients post cardiac catheterisation During the implementation phase, low risk were patients were identified during pre-procedure work up of the patient, based on an evidenced based protocol. Intra procedure contraindications were established. If these criteria were met, the patient was recovered in the radial lounge. The primary endpoint feasibility, acceptability, and utilization assessment including reduction of time in recovery, early patient mobilisation, high patient satisfaction via a specifically developed outcomes measure tool. Secondary outcomes included, In-hospital death, 30-day and 12-month mortality, length of hospital stay. The patient experience was also reviewed via qualitative methods. 80 patients have currently been through the radial lounge. The majority of patient were male (70%), mean age was 64. The implantation of the radial lounge demonstrated a (35%) reduction in LOS, and earlier mobilisation. The radial lounge demonstrated high patient satisfaction, with 90% of participants scoring their experience with 10/10. The patient experience was analysed utilising content analysis, with 90% of participants using positive adjectives. There were no readmissions or adverse events The implementation of a radial lounge model of care is a safe and effective method of recovery for patients. It achieves excellent patient reported outcomes and staff satisfaction