HYBRID CATH LAB

PLANNING HYBRID CATH LAB

1. BONA DEA INTERNATIONAL HOSPITAL HYBRID CATH LAB Next Level of Interventional Excellence Presented BY NISSAR ABDUL LATHEEF RN Head of Crardio vascular Lab Bona Dea International Hospital Baku AZERBAIJAN

2. Concept of Hybrid Cath Lab THE RATIONALE FOR THE HYBRID ROOM IS TO OVERCOME THE LIMITATIONS OF THE SEPARATE SUITES Cath labs have high-quality fluoroscopy equipment, but generally rooms too small for surgery Lacking the sterile requirements and equipment needed for open surgical procedures. ORs have lower quality mobile C-arms not suitable for complex interventional procedures. THE HYBRID CATH LAB PROVIDES THE BEST OF BOTH WORLDS.

3. Why we Choose Hybrid Cath Lab not Hybrid OR Hybrid suit is the part of Interventional cardiology and Cath Lab because. Technical facilities Here we are using common console room for both Labs, which will help space utilization. Hardware availability. Interventional hardware's need more specific storage units, quantity, verity which can also used for normal interventional procedures, Data Processing and transferring. Cath Lab suit has its own Data Processing systems and integrations.

4. Scope Hybrid Cath Lab Hybrid cardiac Procedures MIDCAB ( minimally invasive direct coronary artery bypass surgery ) Transcatheter aortic valve implantations (TAVI) Mitral valve repair Thoracic endovascular aortic repair (TEVAR) Surgery for rhythm disturbances Interventional/Surgical complications

5. Radiation Zoning Its easy to maintain Radiation safety, when hybrid is the part of cath lab, Common Lead wall, X-ray protective equipment's, Common radiation safety protocols, Supporting Department Cath lab suit always near to Cardiac ICU, and recovery areas which will help sudden transfer of patients

6. Before We Start…….. Following areas need to be checked and arranged in order to develop a smooth Process. TEAM Hybrid team includes Surgeons, Anesthetist, Interventionalist , Surgical Scrub Nurse, Cath Lab Scrub nurse, Radiographer, Perfusionist. Its most important to develop a cross training program. Both specialty staff need to be posted each other department observe and participate surgical and intervention procedures, Hybrid team should be aware of Both Cath lab and surgical policy and protocols. Basic knowledge about Biomedical equipment and inventories needed to provide.

7. 2 Supporting Department Biomedical Department need to trained and oriented about safe transfer of Equipment’s to Cath lab complex. House keeping department and Porters need to be trained safe transfer of the patients, House keeping staff need to trained a bout Surgical suit sterilization cleaning protocols. All team members need to undergo radiation safety training Above mentioned process need to be monitored under hospital approved Policy and Protocols.

8. Procedure Package and billing Emergency hybrid procedure always start with Simple low cost procedure. So sudden shift to Hybrid procedure can change treatment cost dramatically. Well established billing department need to communicate between Surgeon and Patient/dependent to avoid Financial related issues Special packages, Procedure costing need to be set

9. When we start…… Each supporting team members should aware about his role and responsibility . Its also important to developed common standardized communication. Commonly accepted medical terminology, abbreviations should be used. WHO Surgical and interventional safety Checking need to be practiced

10. Ready to Launch….? A multi-disciplinary merger of medical professionals who have specific role and responsibilities. Clearly, a team approach is required for the successful implementation of the hybrid lab. Considering BDIH scope of service, availability of Equipment's, Materials and manpower need to checked. Based on above concept and information, A set of approved Policies, Protocols, Procedural pathways and Training program need to be developed and implemented

11. THANK YOU