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The Impact of PPCI on the CCL at JCUH

2007-2008 Preparation. Business case approval sought for each phase of the roll-out.2004 Middlesbrough2006 N Yorks2008 (Jan) NT

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The Impact of PPCI on the CCL at JCUH

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    1. The Impact of PPCI on the CCL at JCUH Amelia Bonner Manager

    2. 2007-2008 Preparation Business case approval sought for each phase of the roll-out. 2004 Middlesbrough 2006 N Yorks 2008 (Jan) NT & H 2008 (May) CDD CCL capacity planning Analysis of out-of-hours activity Workforce preparation

    3. CCL capacity planning Slowly diminishing referrals for diagnostic angiography Increased complexity of DGH device referrals Continued reduction of DGH ACS/devices waiting times Temporary facilities commissioned

    4. ACS referral to treatment

    5. Pacing referral to treatment

    6. Analysis of out-of-hours activity 05/06-06/07 call-outs - 24% increase duration of call-outs - 28% increase number of patients treated - 13% increase

    7. Number of on call episodes

    8. Working time on call

    9. Number of patients treated

    10. PPCI per month 2003-2009

    11. Workforce preparation Local agreement for paid compensatory rest periods Compressed weeks for majority of staff Increased operating hours Daytime activity scheduling changes All staff required to participate in on call All new staff to undertake ILS Additional nursing support OOH

    12. Success of CCU nurse rotation Competency based training and orientation plan Prompt assessment of patients Effective patient flow from out-of-hospital location Additional support for the acutely ill patient Greater use of critical care skills Improved continuity of care Improvement in door to balloon times OOH

    13. NIAP Door-to-Balloon times

    14. Directorate wide implications

    15. Workforce developments Catheter Lab Coordinator role Patient Journey Audit On-call modified cardiac arrest team Assistant Practitioners in Cath Lab Anaesthetic nurse/ODP on call ODP appointments CCL staff ward experience Graduate Certificate in specialist CCL Practice

    16. Any questions?

    17. Number of episodes on call

    18. Out-of-hours working

    19. Number of patients

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