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Author Topic: Major challenges faced during the implementation of cardiology service?  (Read 96 times)

Rob

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What are the major challenges faced during the implementation of cardiology service?

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Laxmikant Tyagi

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In order to develop and facilitate the cardiologists incorporating seven day working into their job plans and taking part in the CoW rota, it was necessary to remove them from the acute medical rota. This was negotiated through discussion and assurances that the cardiology team would review all new cardiac referrals throughout the trust within 24 hours.

The development of the CPAU required additional resources and funding was secured, in part, through the South Central Cardiovascular Network and PPCI business case. This enabled the updating of the monitoring system and the provision of an additional four WTE band five staff nurses. The increase in staff numbers was required as the number of CCU beds increased, which led to an increase in workload for existing staff.

The changes also had an impact on junior doctors as the amount of cardiology decreased for those not on a cardiology rotation. In order to be able to carry out ETTs outside of the normal working hours, the senior cardiac physiologist agreed what the guidelines were and provided training for a nurse led ETT.
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