317 - Planning and Implementation of Neurosurgical Robot System
Description: ProblemIn our Pediatric OR, one of our Neurosurgeons advocated for the purchase and implementation of a Neurosurgical navigation robot. Previously, we had inserted depth electrodes with a frame using the SEEG method. Due to the accuracy of this robot, the Neurosurgical team recommended it for treatment of epilepsy in our pediatric population. MethodImplementation of this new surgical system required coordination of multiple groups. In order to use the new robotic system, a circular imaging device is also required for specific imaging. Purchase of the imaging system was completed prior to the robot system. Extensive testing, training and sign-offs from Radiology staff and the State of Tennessee had to be coordinated and completed. Once the requisite requirements were completed for the robot, we were ready to begin training. Realizing the sheer number of people that needed to be involved for these cases, I decided that a run-through with all the key stakeholders would be essential to the knowledge for the nursing staff and success of the upcoming cases. After coordination of key stakeholders, we completed a practice case with the following present: Neurosurgery attending, Neurosurgery NP with previous robot experience, robot representative, imaging representatives, Radiology technologist, Nursing leadership, OR nursing staff including circulators and scrub technologists.We walked step by step through the case flow and discussed instrumentation, supplies, implants, equipment, room orientation, positioning, imaging process, as well as tips and safety concerns for both of the new systems. This process took well over an hour. Everyone voiced an understanding and were prepared for the first case.