Therapeutic Research

Abstract

In September 2016, we started an arrhythmia therapy device team（device team） with the aim of improving the medical quality for the patients implanted Cardiac Implantable Electronic Devices（CIEDs patient）. We considered the roles and operation procedures of device nurses in the device team. First, we prepared Standard Operation Procedure（SOP） and SOP sheets. The SOP sheets are a check sheet for members of the device team to quickly share patient information and cooperate（Fig. 1）. The objective of device nurses is to prevent mental and physical exhaustion of patients and to provide the best therapy options. So, we decided the device nurse’s role is to support patients to understand and accept the necessity of devices, and to coach them to live without anxiety. These nursing require the mental characteristics of CIEDs patients and expertise of the device. Continued nursing can be done from before implantation to after discharging, and understanding and peace of mind of CIED patients are improving. Team activities have been smoothly carried out according to SOP. The problems of CIEDs are various and it is possible to respond more safely and quickly by sharing roles in the device teams. Mental nursing can support anxiety reduction in patients with CIEDs, leading to the maintenance or improvement of QOL. As medical quality is regarded as important, team medical care plays a major role in CIED patients.