1 / 26

Interventional Radiology: moving on from the troublesome teens

Interventional Radiology: moving on from the troublesome teens. Iain Robertson President British Society of Interventional Radiology Consultant Interventional Radiologist Greater Glasgow & Clyde Health Board Email: bsiriain@gmail.com. History of IR. 1991. 1966. 1972. 2010. 1987.

makoto
Download Presentation

Interventional Radiology: moving on from the troublesome teens

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Interventional Radiology: moving on from the troublesome teens Iain Robertson President British Society of Interventional Radiology Consultant Interventional Radiologist Greater Glasgow & Clyde Health Board Email: bsiriain@gmail.com

  2. History of IR 1991 1966 1972 2010 1987

  3. UK Interventional Radiology • Founded 1988 • 633 members • 490 members • 140 junior members • 2 associate members

  4. Identity &Responsibility

  5. Vital, clinical service of proven effectiveness • National Imaging Board Report • NICE/ MHRA/ DOH • RCR • Chief Medical Officers

  6. What is an Interventional Radiologist?

  7. Internal Identity

  8. External Identity • Subspecialist accreditation • Defined curriculum • Defined training pathway • 3 years core • 3 years IR • Defined assessment

  9. Dependability(Responsibility)

  10. How do we know a good quality IR service?

  11. Vital means dependable 24/7 Clinical means patient focused Proven effectiveness means data driven

  12. RAG status • Core 24/7 services • England only just now • Map revision March 2012

  13. Key Steps • Define the scope of services • Define staff involvement • Procedures manual • Unify equipment • Embobags

  14. Scope of services

  15. Key Steps: Scope of service • Range of procedures appropriate for sites • Understand what is done in hours • Understand what you aim to do out of hours • Set a defined target: hemorrhage control for most of us • Define sites that will participate and how

  16. Radiology Teams Make new friends Upskill new friends as reqd Set the bar • EVAR Primary operator: 4 • TIPPS Primary operator: 5 • Embolization: 9 • Nephrostomy around 15 1:6 is the minimum target

  17. Hard Facts If you won’t do it OOH – you don’t do it in hours!

  18. Nurses • Need nurse leadership • Longer negotiation • Cross-city service • Staff rotation for training • Reduce variability -Protocols • Develop a manual

  19. Procedures manual • Defines service • Referral process & responsibilities • Site specific info • Protocols • Equipment lists

  20. Unify equipment stock • Everyone uses the same • Supports the nurses/ radiographers • Provides resilience • Saved the hospital 150K • Responsible control

  21. Embobags • “Portable” consumables • 2 embo bags • Catheters • Embolics • Contrast • Needles • Everything……….

  22. www.bsir-qi.com

More Related