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ANZSVS Conference 2024

SAVE-ING the Day – Establishing the Surveillance After Vascular and Endovascular Surgery Nurse-Led Program to Improve Outpatient Clinical Services and Service Delivery

Verbal Presentation
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Verbal Presentation

11:45 am

18 October 2024

Conference Hall 3

DIVERSITY

Disciplines

Nursing

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Presentation Description

Institution: Flinders Medical Centre - SA, Australia

Introduction: The Surveillance After Vascular and Endovascular Surgery (SAVES) Program is a South Australian nurse-led telephone-based surveillance program established to facilitate surveillance investigations and follow-up using evidence-based protocols. The aim of the surveillance program is to improve efficiency, safety and quality of care for vascular patients treated through the Flinders Medical Centre, South Australia. Methodology: A Level 2 Registered Nurse was appointed full-time in January 2023 to establish the program. The hospital’s evidence-based surveillance protocol was updated, expanded and endorsed by the Vascular clinicians. A database was created to collect and audit demographical data, vascular diagnoses, imaging results, interventions and quality assurance information. Patients were enrolled into the surveillance program following retrospective and prospective consultant and surveillance clinic attendance, review of upcoming surveillance imaging bookings and daily review of verified imaging reports. Key Components: Two full-day and two-half day clinics run weekly allowing for over 40 telephone appointment bookings. Outcomes: Over 800 patients are under the protocol-based nurse-led service. On average 130 patient telephone consults occur per month via the surveillance clinic in addition to 45 case reviews to follow-up clinical discussions with Consultants. Significance/Implications: The nurse-led surveillance program manages approximately 80% of patients requiring ongoing surveillance follow-up and alleviates an average of 55 clinic hours per month of medical staff time allowing for additional clinical support in concurrent wound clinics, ward duties and reduced outpatient clinic appointment workload. Conclusion: The implementation of the nurse-led program has significantly reduced outpatient workload for medical staff in addition to providing more comprehensive surveillance care and coordination for Flinders Medical Centre vascular patients.

Speakers

Authors

Authors

Mr Jeff Bull - , Dr Philip Puckridge - , Associate Professor Chris Delaney - , Mr Frank Guerriero -

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