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Hong Kong Eye Hospital QA Forum 2012

Hong Kong Eye Hospital QA Forum 2012. Guide Books On Laser and Ultrasound Bio-Microscopic (UBM) Procedure RN Lee Pui Yuk Ada CMU/DSC. Presentation Outline:. Background of the QA initiative Aims & Objectives

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Hong Kong Eye Hospital QA Forum 2012

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  1. Hong Kong Eye HospitalQA Forum 2012 Guide Books On Laser and Ultrasound Bio-Microscopic (UBM) Procedure RN Lee Pui Yuk Ada CMU/DSC

  2. Presentation Outline: • Background of the QA initiative • Aims & Objectives • Developing Process • Content of Guide Books • Outcome • Way Ahead

  3. Background of existing practice in CMU Laser procedure • Weekday assisted by ECA of DSC UBM procedure • Weekday assisted by ECA of DSC

  4. ECA on leave or not A/V Laser • Assisted by CMU nurse UBM • Assisted by CMU nurse

  5. Reasons for production of guide book • New laser and UBM machines • New nurses join CMU • Existing nurses have limited exposure to those procedures • Increase number of non scheduled laser and UBM procedures • Lack of quick reference on machines operation in case of non schedule service

  6. Cont’d • Guide book cannot substitute a proper training. It acts as a supplementary information so as to refresh staff’s memories.

  7. Non Scheduled Laser Cases in CMU

  8. UBM Cases in CMU

  9. Aim To provide a quick reference for CMU nurses on laser and UBM procedure

  10. Objectives • To enhance staff competency in assisting ophthalmic laser and UBM procedures • To ensure patient safety • To provide high quality and efficient service

  11. Developing Process

  12. Procedure Book On Ophthalmic Laser Before Laser Procedure

  13. During Laser Procedure

  14. After Laser Procedure +/-

  15. Guide Book On UBM Procedure Two different preparations of the P60 UBM machine: (1) Steps for UBM with eye cap & membrane membrane plastic ring Membrane ring applicator Eye cap

  16. Water to marked level Water for injection Probe without transducer Probe with transducer Eye cap with water

  17. turn on this wall power

  18. (2) Steps for UBM with eye cup

  19. Turn on this wall power Eye cup Water for injection

  20. (C) During the procedure : • Ensure patient’s identification • Assist patient to lie on bed comfortably covering with blanket • Apply Gutt. Novain to patient’s examined eye before the procedure • Prepare dim light environment • Monitor patient’s condition throughout the procedure (D) After care : • Apply Gutt. Tobrex to patient’s examined eye after the procedure • Ensure proper documentation on the UBM record book • File the UBM result into the patient’s OPD record • Check the integrity and exact number of the items used e.g. eyecup, eye cap, plastic rings and transducer. Sign the inventory book. • Disinfect the used items by immersing them into Cidex OPA for 12 minutes • Immerse the used items in water for irrigation for 1 minute x 3 times after disinfection • Dry the used items by gauzes then keep them in the designated drawer • Discard the membrane each time for individual patient

  21. Feedback From Staff • User friendly • Concise, informative • Refresh their memories • Provide quick guide in case of ad hoc procedure

  22. Effect On Clinical Service • Smooth Service • Shorten preparation time • Effective & Efficient

  23. Outcome • Staff competency in ophthalmic laser and UBM procedure is ensured. • Patient safety is maintained. • Efficiency of the service is enhanced

  24. Way Ahead • Production of guide books for other procedures in future.

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