Talk Description
446Q - Research Paper
Abstract
Aim:
To provide improved wait time for PDC insertion by re-introducing insertion via Interventional Radiology (IR) alongside the surgical pathway.
Method:
Patient review for PDC insertion was included in the established, Vascular Access Nurse (VAN) led, Dialysis Access Clinic. Home Dialysis Nurses worked with the VAN coordinating patient referral and review for PDC insertion. Interventional Radiology (IR) and Surgical (Urology) were invited to participate in this Dialysis Access Clinic with the aim to streamline patient pathway for PDC insertions.
Results:
IR was successfully integrated into the Dialysis Access Clinic and IR PDC insertions recommenced in March 2023. Median time for referral to insertion via IR in 2023 was 31.5 days. IR insertion has since become the predominant pathway for referrals. The Surgical unit declined to participate in the Dialysis Access Clinic but remain an option for referral, one patient was referred in 2023 for surgical insertion.
Conclusion:
Inclusion of IR to the Dialysis Access Clinic has improved timely access to PDC insertion for our patient group. It has also provided an opportunity to build interdepartmental relationships with a view to continue to audit and improve patient outcome and experience for PDC insertion.
Abstract
Aim:
To provide improved wait time for PDC insertion by re-introducing insertion via Interventional Radiology (IR) alongside the surgical pathway.
Method:
Patient review for PDC insertion was included in the established, Vascular Access Nurse (VAN) led, Dialysis Access Clinic. Home Dialysis Nurses worked with the VAN coordinating patient referral and review for PDC insertion. Interventional Radiology (IR) and Surgical (Urology) were invited to participate in this Dialysis Access Clinic with the aim to streamline patient pathway for PDC insertions.
Results:
IR was successfully integrated into the Dialysis Access Clinic and IR PDC insertions recommenced in March 2023. Median time for referral to insertion via IR in 2023 was 31.5 days. IR insertion has since become the predominant pathway for referrals. The Surgical unit declined to participate in the Dialysis Access Clinic but remain an option for referral, one patient was referred in 2023 for surgical insertion.
Conclusion:
Inclusion of IR to the Dialysis Access Clinic has improved timely access to PDC insertion for our patient group. It has also provided an opportunity to build interdepartmental relationships with a view to continue to audit and improve patient outcome and experience for PDC insertion.