IMPLEMENTATION OF THE TAVI NURSE FIGURE: SELECTION, EVALUATION, COORDINATION, FOLLOW-UP AND EFFECTIVENESS

• DOI: 10.22533/at.ed.1593892323105

• Palavras-chave: Aortic stenosis, transcatheter aortic valve implantation, Heart Team, TAVI nurse, TAVI coordinator, TAVI program.

• Keywords: Aortic stenosis, transcatheter aortic valve implantation, Heart Team, TAVI nurse, TAVI coordinator, TAVI program.

• Abstract:

  Transcatheter aortic valve implantation, TAVI, is an effective and safe alternative to cardiac surgery for patients with severe aortic stenosis (AS) at surgical risk. The success of the procedure, advances in technology, more than favorable clinical results and a reduction in hospital stay are establishing TAVI as the standard in selected patients.
  The objective of the work is to describe the development of the TAVI nurse role as part of the reorganization of a specific multidisciplinary program for TAVI patients. The TAVI nurse participates in the TAVI program in the education and preparation of the patient before the procedure, ensuring that the patient arrives in the best conditions for the intervention, as well as in the follow-up after discharge, providing continuity in care throughout the process.
  A program that gives importance to quality of life, patient selection, shared decision making, expectations and the patient's experience during the process. The transition towards a minimally invasive TAVI process, together with the implementation of standardized care protocols and early discharge programs, will allow us to minimize the stay, the use of resources and therefore the costs of the process.
  Monitoring the results, both from a clinical point of view and from the patient's own perceived quality of life, will help detect areas for improvement.
  Nursing skills and experiences, maintaining an active role in the process, are ideal to provide leadership within the TAVI program and make it effective and sustainable.
  The nurse understands the clinical and individual needs of each patient and is established in this program as the point of contact for the patient and family. She maintains the focus on promoting the patient's active role and improving their experience by placing them at the center of the process.