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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.

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Interventional Radiology: moving on from the troublesome teens

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  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

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