Vascular Surgery Safety and Quality Assurance Protocols

1. Pre-operative Safety Measures

Patient Assessment

• Complete vascular assessment documentation
• Review of imaging studies
• Medication reconciliation
• Anticoagulation management protocol
• Risk stratification scoring

Equipment Verification

• Endovascular suite checklist
• Imaging system verification
• Emergency equipment accessibility
• Sterile instrument count

2. Intraoperative Protocol

Time-Out Procedure

• Patient identity verification
• Procedure site marking
• Planned procedure confirmation
• Team member introductions
• Critical equipment confirmation

Radiation Safety

• ALARA principles implementation
• Radiation exposure monitoring
• Protective equipment verification
• Dose documentation requirements

3. Post-operative Care

Recovery Monitoring

• Vital signs protocol
• Neurovascular assessment schedule
• Access site monitoring
• Early mobilization guidelines

Documentation Requirements

• Operative notes completion
• Post-procedure orders
• Discharge planning
• Follow-up scheduling

4. Emergency Protocols

Code Response

• Emergency team activation
• Role assignments
• Communication chain
• Documentation requirements

Critical Event Management

• Bleeding control protocol
• Thrombosis management
• Contrast reaction response
• Equipment failure procedure

5. Quality Metrics

Outcome Tracking

• 30-day mortality rates
• Complication rates
• Readmission tracking
• Patient satisfaction scores

Performance Review

• Monthly case reviews
• Peer review process
• Quality improvement initiatives
• Staff competency assessments