164 - Innovation of Navigational Robots for Spine Surgery
Description: Advancing technology and the demand to promote a more minimally invasive approach to surgical procedures can be obtained through navigational robotic surgery. Robotic spine surgery is capable of assisting the surgeon to improve accuracy of screw placement in spinal surgery and provides a minimally invasive approach. Thereby, reducing complications and risk, along with overall improvement in patient outcomes.As part of our top research and teaching medical center, it was an important step to seek out advancement for our spine program and provide the addition of navigation spine robots. Two of our surgeons have successfully completed spine fusion surgery with the assistance of a robot. The team included input from our surgeons, nursing leadership, and spine resource nurses. In addition, it was important to include support from our executive leadership, sterile processing department, supply management, marketing and radiology teams.Preparation and planning included an initial implementation meeting in order to assign tasks to individuals to be completed within 30 days. This is when we were expected to perform the first navigated robotic case. From a nursing level, we were asked to be the “champions” of the new robot addition to our spine team. Nurses started by attending training sessions with our surgeons. The following needed to be considered: storage of the robotics, understanding a work flow, draping/maintaining, emergency procedures, and proper scheduling for billing. We were also responsible for creating the doctor preference cards and educating other staff members. Providing a safe and efficient environment for the patient and staff took priority with consideration to all other aspects of the process.After attending off-site training, it was time to bring the information back to the facility and other staff members. Prior to the first scheduled case, we held a trial run attended by the surgeon, champions, radiology and the anticipated nursing team. The trial helped nursing to determine the best layout of the room to accommodate the robot. The nursing staff was able to become comfortable with the different instrumentation and ask the clinical specialist questions. With proper planning and preparation, two L4-L5 transforaminal lumbar fusions were performed the following day.The nursing staff was able to anticipate next steps, along with troubleshooting strategies as needed. Nurses’ involvement with robotic surgery was crucial to the success of this innovation. The first two cases finished in their allotted scheduled time and there were no issues to report. Through research, communication, and consistent follow-through from the perioperative nurse, the implementation of the robot was a success.
Co-Authors: Ashley Bode, Shirley Henderson, Dawn Brue