| Sumario: | MHA, UT Southwestern Medical Center, Dallas, TX Significance & Background: Genitourinary prostate cancer patients require SpaceOAR/fiducial placement as part of radiation therapy. Evaluating this process can help reduce discomfort and allow physicians to assess patient pain tolerance, supporting decisions on whether minimal, moderate, or general anesthesia is appropriate for the procedure. Purpose: This project aimed to improve patient satisfaction by implementing pre- and post-procedure surveys for SpaceOAR/fiducial placement. The goal was to ensure patients feel well-informed, supported, and less anxious throughout the process. Interventions: * RN assesses the patient's sedation needs (minimal vs. moderate) during consultation. * RN schedules the procedure and provides prep and day-of instructions. * On the procedure day, RN orients and preps the patient. * APP or MD obtains procedure consent. * GU physicians observe each other during one procedure to ensure consistency. * The Medical Director observes each physician once for quality assurance. * RN conducts a post-procedure call to complete a follow-up survey and assessment. Results: The pre-procedure survey assessed preparation, pain tolerance, and understanding of bowel prep. The post-procedure survey evaluated clarity of instructions, comfort with provider communication, and adequacy of pain management. Preparation & Understanding: 13 of 15 patients felt well-prepared. However, 3 reported unclear bowel prep instructions, and 1 felt they didn't have the opportunity to ask questions. Pain Tolerance: 7 patients reported high pain tolerance; 1 reported low. Communication & Support: 13 patients said RN instructions helped with post-procedure expectations. 10 reported clear, step- by-step communication from the APP/MD, 4 strongly agreed that the MD provided adequate pain control, 1 patient didn't understand the physician's language, and 1 felt they lacked opportunities to ask questions. Conclusion: Patients generally felt prepared and supported. However, gaps remain in bowel prep education, provider communication, and opportunities for patient questions. Discussion: This project identified areas for improvement in SpaceOAR preparation and care. While most patients felt heard and supported, enhancing communication to match patient learning levels remains a priority. Future efforts should assess: * Need for improved patient education * Provider communication training or reassessing sedation protocols * Expanding survey participation to further improve the patient experience
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