Quality Service and Care Regular clinical and multidisciplinary team meetings are a core component of the Neurointervention Unit to ensure effective service delivery and a high standard of care for all patients.
Endovascular clot retrieval referral form Patients suspected of having an acute ischaemic stroke require multidisciplinary specialised care, which often requires transfer to stroke centres. The initial stages of diagnosis and intervention to restore blood flow to the blocked artery are time critical as endovascular clot retrieval (ECR) needs to be performed as soon as possible for maximum effectiveness. This has led to the development of pathways to allow rapid assessment and minimise delays in commencing early procedural intervention. In 2021, the neurointervention team used organisational data and communication platforms to develop an ECR Referral Form to streamline communication on incoming inter-hospital transfers for ECR. The process for this referral is that the referring centre completes an online survey using the secure database platform, Research Electronic Data Capture (REDCap). The survey data is merged into an email and sent to a secure department Microsoft Teams channel, enabling senior and junior medical staff to access details about the patient’s admission and history prior to their arrival. The timely exchange of critical information has allowed for expedited admission on arrival and this has improved patient outcomes.
Clinical meetings Neurovascular statewide education In 2021, Royal North Shore Neurosurgery and NI Unit developed the first neurovascular education series targeted at registrars and consultants at RNSH, as well as consultants and trainees throughout NSW. The planning and development for this series was undertaken in 2021. The series will invite speakers from Intensive Care Unit (ICU), Haematology, Interventional Neuroradiology (INR), Neurology, and Neurosurgery who have all contributed to a multidisciplinary education program, with some cameo appearances from our graduating fellows and Senior Resident Medical Officer (SRMO). Neurovascular Stroke Multi-Disciplinary Team Clinical consultants and technology upgrade Stroke Multidisciplinary Team (MDT) meeting combined with the Neurology Department. In the MDT meeting, multiple referral hospitals across Sydney (from the Northern Beaches to Nepean) collaborate to review Stroke ECR cases and identify how to improve the quality of patient care. The NI Unit’s vision is to provide multidisciplinary evidence-based stroke care, and has launched a During 2021, the eHealth Unified Conference, Collaboration and Wireless (UCCW) Program supported the NI team by installing new collaboration technology in two rooms at RNSH. These rooms have allowed effective multidisciplinary meetings from a safe distance.
Both rooms are based on the Health Managed Meeting Room standard and were equipped with Microsoft Teams and first-class video conferencing and collaboration solutions. Prior to the installation of these systems, staff had ongoing issues using the standard conferencing technology platforms and equipment, making remote collaboration and meeting attendance difficult. These meetings now have sufficient audio and visual quality to allow for reliable remote attendance which have been a welcomed change in practice.
Neurosurgery nursing staff participating in remote education
Neurovascular MDT remotely collaborating and planning patient care
ECR Referral Form
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Neurointervention Unit Annual Report 2021
Neurointervention Unit Annual Report 2021
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