Folder View

This document provides guidance on the use of Abiomed Impella device to health professionals involved in care of selected patients undergoing protected high-risk percutaneous coronary intervention (PCI) or presenting with cardiogenic shock in the setting of acute myocardial infarction.Key Words:Impella, high-risk PCI, cardiogenic shock, myocardial infarction.

This document provides guidance for any professional involved in the clinical management of patients, presenting to either secondary or primary care NHS care providers in Cornwall, with chest pain due to suspected or proven acute coronary syndrome.

Mobile guideline summary tot he full clinical guideline; Algorithm for the Rule-Out and Rule-In of N-STEMI Clinical Guideline.Keywords: Cardiology, emergency department, NSTEMI.

Clinical guidance for the algorithm for the rule-out and rule-in of N-STEMI.Keywords:Cardiology, emergency department, NSTEMI.

Policy on when antithrombotic agents should be held in advance of pacing procedures.Keywords: logy, Cardiac Cath Lab, Haematoma, Pacemaker, Device, PPM, ICD, Anticoagulation, Antiplatelet, Antithrombotic.

The aim of this document is to outline the standards of care that must be delivered to each individual patient undergoing surgical procedures in the CCL.Keywords: CCL Surgical Practice Standards.

Guidelines for the necessary considerations prior to implantation of an MRI compatible CIED.Keywords:Cardiac Electronic Implantable Device CIED

Cardiology specialty agreed guidance on temporary or programmed deactivation of complex cardiac device therapies for patients who have their complex device care and management delivered by RCHT.

This document describes the governance process of Cardiac Radiology Reporting by new Consultants. Keywords: Cardiology, cardiac, governance, Cardiology, radiology IR(ME)R17, Clinical Imaging CI.QMS.PPG.24.

This document provides guidance for any professional involved in the clinical management of patients presenting with suspected or proven cardiac tamponade.Keywords: Cardiac tamponade and Pericardiocentesis

This document provides context and guidance to health professionals involved in the transfer of cardiac in-patients at the Royal Cornwall Hospital NHS Trust to a tertiary centre for cardiac surgery / intervention.

Standard operating procedure for chest pain nurses, outlining the inpatient and outpatient service, and role of the team.

This document sets out the framework for a dedicated unit at Royal Cornwall Hospitals NHS Trust designed for patients who are medically optimised for discharge but remain in hospital awaiting community services, care packages, placements, or other discharge arrangements. The SOP defines the purpose of the DRU, admission and exclusion criteria, patient transfer processes, multidisciplinary team responsibilities, escalation procedures, and standards of care. It aims to reduce delayed discharges, stranded patients and excess bed days, improve patient flow across the Trust, minimise hospital-associated deconditioning, promote independence and rehabilitation, and support the Home First model of care.Keywords: Medically Optimised for Discharge (MOFD) Discharge ready, Pathway 1.

This guideline provides information on the management of radial artery, femoral artery and pacemaker site haematomas following a procedure in the Cardiac Catheter Lab. This applies to those patients being cared for in hospital, both elective and inpatients.Keywords: Cardiology, Cath Lab, Haematoma, Pacemaker, Radial, Femoral, TR Band, Femostop, Safeguard, Angiogram, Device.

Pathway for initial clinical management of patients admitted to RCHT with a Ventricular Assist Device in situ.

This document provides context and guidance to health professionals involved in the management of patients presenting in secondary or primary NHS care with life-threatening bradycardia, requiring therapeutic interventions until the time of implantation of permanent pacemaker.

LocSSIP Guideline for Cardiac Catheter Lab Procedures.Keywords: Cardiac, Catheter, Labs, LocSSIP.

This guideline applies to ST elevation MI / Non-ST elevation MI / Unstable angina / NSTEMI. This document provides guidance for any professional involved in the clinical management of patients, presenting to either secondary or primary care NHS care providers in Cornwall, with chest pain due to suspected or proven acute coronary syndrome.

Guidance on the management of anticoagulation in interventional cardiology, and to safely manage the discontinuation of anticoagulation medications. The aim is to minimize the risk of thromboembolic complications that may occur from the cessation of some of these medications.

Mobile guideline summary to the full clinical guideline; Algorithm for the Rule-Out and Rule-In of N-STEMI Clinical Guideline.Keywords: Cardiology, emergency department, NSTEMI.

Deployment of Angio Seal vascular closure device

This guideline outlines the role of the registered nurse in removal of arterial femoral sheaths. This should only be carried out by staff who can demonstrate competency within this area of practice.Keywords: Arterial sheath removal, femoral, angiography.