Introduction of a nurse led stent removal service using the single use ISIRIS in a tertiary referral stone unit and the effect on patient waiting times.
BAUS ePoster online library. Wiseman O. 06/24/19; 259457; P1-12
Oliver Wiseman
Oliver Wiseman
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JJ stenting represents one of the most significant causes for patient discomfort and dissatisfaction following ureteroscopy. The 'Isiris α' (Coloplast) is a single use stent removal system with integrated grasper. We examine the feasibility and impact on waiting times of a nurse led stent removal service using this system.
Patients and Method
A specialist stone nurse undertook training in flexible cystoscopy approved by The British Association of Urological Surgeons (BAUS).
Prospective data collection, undertaken from April to October 2018, showed that 94 stent removals were booked to the nurse led service (Gp A). In comparison data between July and December 2016 showed 54 stent removals completed by a doctor in the endoscopy department (Gp B). The delays in stent removal compared to the 'ideal' stent removal date (plus or minus 3 days) were compared between the two pathways.
87 stent removals were undertaken in Gp A.
74 of 87 patients in Gp A had their stent removed on time, compared to 16 of 54 patients in Gp B (p<0.0001, Fischer's exact test).
Only 3% patients in Gp A had a delay of stent removal more than 21 days, but in Gp B this was 22%.
This study has shown that it is possible to introduce a nurse led stent removal service using the ISIRIS system, and this has led to a reduction in delays of stent removal. This is likely to translate into significant quality of life improvements for patients.
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