Prytime Study - REBOA Case Documentation

Prytime Study  - REBOA Case Documentation
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Storyboard Description

This storyboard provides an outline for an instructional video, intended to aid study staff with documentation of critical study data points during the REBOA procedure in the OR.

Storyboard Text

  • Narrator: The surgeon will call if successful AO has been achieved. The research assistant will record Yes or No and if Yes, will document the time.
  • "Successful AO has been achieved."
  • Narrator: The research assistant will document the type of balloon AO device used. This can be done prior to the OR procedure, or immediately afterwards. This should be the REBOA catheter. Be sure to document the catalog number and lot number found on the kit packaging.
  • Narrator: The research assistant will directly observe OR staff open the REBOA kit and immediately document the time.
  • Balloon OA device
  • Narrator: The research assistant will directly observe when the REBOA catheter is through the sheath and document the time.
  • Narrator: The surgeon will call out when the femoral arterial line is in place within the vessel. The research assistant will immediately document the time. (Question: how is this recorded if the ER-REBOA line is used?)
  • Narrator: The surgeon will call out when the femoral arterial line is in place within the vessel. The research assistant will immediately document the time. (Question: how is this recorded if the ER-REBOA line is used?)
  • "The femoral arterial line is now in place"
  • Narrator: The research assistant will directly observe and document the patient's vital signs prior to balloon inflation.
  • Vital Signs
  • Narrator: The surgeon will call out when the balloon is inflated and the amount of saline used. The research assistant will document the time of inflation, and the amount of saline.
  • "The balloon has been initially inflated with 8 cc of saline."
  • I've added another 3 cc of saline. Final inflation amount is 11 cc of saline.
  • Narrator: The surgeon will call out if the balloon is partially deflated. The research assistant will document the time of partial balloon deflation, and the patient's vital signs. This step may occur more than once.
  • Vital Signs
  • "The balloon has been partially deflated."
  • Narrator: The surgeon will call if successful AO has been achieved. The research assistant will record Yes or No and if Yes, will document the time.
  • "Successful AO has been achieved."
  • Narrator: The surgeon will call out if the balloon has been intentionally repositioned from the initial Zone. The research assistant will document that the balloon has been moved, and the patient's vital signs.
  • Vital Signs
  • "The balloon has been repositioned."
  • Narrator: The research assistant will directly observe OR staff open the REBOA kit and immediately document the time.
  • Narrator: The surgeon will call out the final catheter length. The research assistant will document the length. The length markings are printed on the REBOA catheter shaft in CM.
  • "The final catheter length is 46 cm."
  • Narrator: The research assistant will directly observe and document the time of sheath removal and whether or not doppler imaging was performed after removal.
  • Narrator: If ER-REBOA, the 7 French sheath is used. Select this option for both initial and final catheter size.
  • Narrator: The research assistant will document the type of balloon AO device used. This can be done prior to the OR procedure, or immediately afterwards.
  • Narrator: The research assistant will directly observe OR staff open the REBOA kit and immediately document the time.
  • Narrator: The research assistant will directly observe and document if there was a conversion to an open AO procedure.
  • Balloon OA device
  • Narrator: At the end of the case, the research assistant will query the surgeon about whether or not there were any complications of AO insertion, and any complications related to the device used. All complications will be documented.
  • 
  • Narrator: The surgeon will call out if the balloon has migrated from the initial Zone. The research assistant will document that the balloon has migrated, and the patient's vital signs.
  • Vital Signs
  • "The balloon has migrated from the initial Zone."
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