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       #Post#: 309--------------------------------------------------
       Major challenges faced during the implementation of cardiology s
       ervice?
       By: Rob Date: August 20, 2015, 6:59 am
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       What are the major challenges faced during the implementation of
       cardiology service?
       #Post#: 310--------------------------------------------------
       Re: Major challenges faced during the implementation of cardiolo
       gy service?
       By: admini5 Date: August 20, 2015, 6:59 am
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       In order to develop and facilitate the cardiologists
       incorporating seven day working into their job plans and taking
       part in the CoW rota, it was necessary to remove them from the
       acute medical rota. This was negotiated through discussion and
       assurances that the cardiology team would review all new cardiac
       referrals throughout the trust within 24 hours.
       The development of the CPAU required additional resources and
       funding was secured, in part, through the South Central
       Cardiovascular Network and PPCI business case. This enabled the
       updating of the monitoring system and the provision of an
       additional four WTE band five staff nurses. The increase in
       staff numbers was required as the number of CCU beds increased,
       which led to an increase in workload for existing staff.
       The changes also had an impact on junior doctors as the amount
       of cardiology decreased for those not on a cardiology rotation.
       In order to be able to carry out ETTs outside of the normal
       working hours, the senior cardiac physiologist agreed what the
       guidelines were and provided training for a nurse led ETT.
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