Post-cardiac Device Implantation Movement and Mobilisation Advice Survey

2. What is your role there? Please choose one.

• Arrhythmia nurse
• Cardiac physiologst
• Implanting cardiologist
• Non-implanting cardiologist
• Ward nursing staff

3. Who has formal responsibility for giving post device implantation mobilisation advice to patients at your institution? Please tick any that apply.

• Arrhythmia nurse
• Cardiac physiologist
• Implanting cardiologist
• Non-implanting cardiologist
• Ward nursing staff
• Other - please write in Please enter an 'other' value for this selection.

4. Which of the following best describes your source of advice on the topic? Please tick any that apply.

• Historical or current medical opinion at my hospital
• Local protocol or information leaflet
• Local audit data
• Manufacturers\' guidelines
• National information leaflet
• Published research
• Other - please write in Please enter an 'other' value for this selection.

5. Which of the following best describes how the majority of patients leave the operating table after their procedure at your institution? Please choose one.

• They are transferred by the team (e.g. PAT slide onto bed)
• They transfer independently with restricted arm movement
• They transfer independently without restricted arm movement

6. Immediately after implantation until discharge from hospital, what would you advise is necessary for each of the following? If you recommend any other specific 'acute' restrictions, please fill in the additional boxes provided. 

Space Cell	Not necessary	For <2h	For 2-4h	For 4-6h	For 6-12h	>12h or until discharge
Bed rest	Bed rest: Not necessary	Bed rest: For	Bed rest: For 2-4h	Bed rest: For 4-6h	Bed rest: For 6-12h	Bed rest: >12h or until discharge
Complete restriction of arm movement on the affected side	Complete restriction of arm movement on the affected side : Not necessary	Complete restriction of arm movement on the affected side : For	Complete restriction of arm movement on the affected side : For 2-4h	Complete restriction of arm movement on the affected side : For 4-6h	Complete restriction of arm movement on the affected side : For 6-12h	Complete restriction of arm movement on the affected side : >12h or until discharge
Limited restriction of arm movement (e.g. no stretching)	Limited restriction of arm movement (e.g. no stretching): Not necessary	Limited restriction of arm movement (e.g. no stretching): For	Limited restriction of arm movement (e.g. no stretching): For 2-4h	Limited restriction of arm movement (e.g. no stretching): For 4-6h	Limited restriction of arm movement (e.g. no stretching): For 6-12h	Limited restriction of arm movement (e.g. no stretching): >12h or until discharge
Avoid using arms to support pushing body up the bed	Avoid using arms to support pushing body up the bed: Not necessary	Avoid using arms to support pushing body up the bed: For	Avoid using arms to support pushing body up the bed: For 2-4h	Avoid using arms to support pushing body up the bed: For 4-6h	Avoid using arms to support pushing body up the bed: For 6-12h	Avoid using arms to support pushing body up the bed: >12h or until discharge
Avoid lying or sleeping on the affected side	Avoid lying or sleeping on the affected side: Not necessary	Avoid lying or sleeping on the affected side: For	Avoid lying or sleeping on the affected side: For 2-4h	Avoid lying or sleeping on the affected side: For 4-6h	Avoid lying or sleeping on the affected side: For 6-12h	Avoid lying or sleeping on the affected side: >12h or until discharge
Enter another option	Other: Not necessary	Other: For	Other: For 2-4h	Other: For 4-6h	Other: For 6-12h	Other: >12h or until discharge
Enter another option	Other: Not necessary	Other: For	Other: For 2-4h	Other: For 4-6h	Other: For 6-12h	Other: >12h or until discharge

7. After discharge from hospital until the first PPM/ICD/CRT clinic follow up, what would you advise is necessary for each of the following? If you recommend any other general restrictions (specific activities will be covered in question 9), please fill in the additional boxes provided.

Space Cell	Not necessary	For <1w	For 1w	For 2w	For 4w	For 6w	Until 1st pacing f/u appt
Keep the arm in a sling	Keep the arm in a sling: Not necessary	Keep the arm in a sling: For	Keep the arm in a sling: For 1w	Keep the arm in a sling: For 2w	Keep the arm in a sling: For 4w	Keep the arm in a sling: For 6w	Keep the arm in a sling: Until 1st pacing f/u appt
Avoid using the arm at all	Avoid using the arm at all: Not necessary	Avoid using the arm at all: For	Avoid using the arm at all: For 1w	Avoid using the arm at all: For 2w	Avoid using the arm at all: For 4w	Avoid using the arm at all: For 6w	Avoid using the arm at all: Until 1st pacing f/u appt
Avoid raising the arm above your head	Avoid raising the arm above your head: Not necessary	Avoid raising the arm above your head: For	Avoid raising the arm above your head: For 1w	Avoid raising the arm above your head: For 2w	Avoid raising the arm above your head: For 4w	Avoid raising the arm above your head: For 6w	Avoid raising the arm above your head: Until 1st pacing f/u appt
Avoid lifting anything at all	Avoid lifting anything at all: Not necessary	Avoid lifting anything at all: For	Avoid lifting anything at all: For 1w	Avoid lifting anything at all: For 2w	Avoid lifting anything at all: For 4w	Avoid lifting anything at all: For 6w	Avoid lifting anything at all: Until 1st pacing f/u appt
Avoid lifting heavy weights	Avoid lifting heavy weights: Not necessary	Avoid lifting heavy weights: For	Avoid lifting heavy weights: For 1w	Avoid lifting heavy weights: For 2w	Avoid lifting heavy weights: For 4w	Avoid lifting heavy weights: For 6w	Avoid lifting heavy weights: Until 1st pacing f/u appt
Enter another option	Other: Not necessary	Other: For	Other: For 1w	Other: For 2w	Other: For 4w	Other: For 6w	Other: Until 1st pacing f/u appt
Enter another option	Other: Not necessary	Other: For	Other: For 1w	Other: For 2w	Other: For 4w	Other: For 6w	Other: Until 1st pacing f/u appt

8. If specifically asked by patients, what would you advise them about the length of time they should avoid the following activities after device implantation? If there are other specific activities you are regularly asked about please add them in the additional boxes.

Space Cell	No restriction	Avoid For 1w	For 2w	For 4w	For 6w	Until 1st f/u appt	For at least 6m	Permanently avoid
Any exercise at all	Any exercise at all: No restriction	Any exercise at all: Avoid For 1w	Any exercise at all: For 2w	Any exercise at all: For 4w	Any exercise at all: For 6w	Any exercise at all: Until 1st f/u appt	Any exercise at all: For at least 6m	Any exercise at all: Permanently avoid
Any strenuous exercise	Any strenuous exercise: No restriction	Any strenuous exercise: Avoid For 1w	Any strenuous exercise: For 2w	Any strenuous exercise: For 4w	Any strenuous exercise: For 6w	Any strenuous exercise: Until 1st f/u appt	Any strenuous exercise: For at least 6m	Any strenuous exercise: Permanently avoid
Any contact sports	Any contact sports: No restriction	Any contact sports: Avoid For 1w	Any contact sports: For 2w	Any contact sports: For 4w	Any contact sports: For 6w	Any contact sports: Until 1st f/u appt	Any contact sports: For at least 6m	Any contact sports: Permanently avoid
Brushing or styling hair	Brushing or styling hair: No restriction	Brushing or styling hair: Avoid For 1w	Brushing or styling hair: For 2w	Brushing or styling hair: For 4w	Brushing or styling hair: For 6w	Brushing or styling hair: Until 1st f/u appt	Brushing or styling hair: For at least 6m	Brushing or styling hair: Permanently avoid
Carrying shopping bags	Carrying shopping bags: No restriction	Carrying shopping bags: Avoid For 1w	Carrying shopping bags: For 2w	Carrying shopping bags: For 4w	Carrying shopping bags: For 6w	Carrying shopping bags: Until 1st f/u appt	Carrying shopping bags: For at least 6m	Carrying shopping bags: Permanently avoid
Cycling	Cycling: No restriction	Cycling: Avoid For 1w	Cycling: For 2w	Cycling: For 4w	Cycling: For 6w	Cycling: Until 1st f/u appt	Cycling: For at least 6m	Cycling: Permanently avoid
Football	Football: No restriction	Football: Avoid For 1w	Football: For 2w	Football: For 4w	Football: For 6w	Football: Until 1st f/u appt	Football: For at least 6m	Football: Permanently avoid
Gardening	Gardening: No restriction	Gardening: Avoid For 1w	Gardening: For 2w	Gardening: For 4w	Gardening: For 6w	Gardening: Until 1st f/u appt	Gardening: For at least 6m	Gardening: Permanently avoid
Going on holiday	Going on holiday: No restriction	Going on holiday: Avoid For 1w	Going on holiday: For 2w	Going on holiday: For 4w	Going on holiday: For 6w	Going on holiday: Until 1st f/u appt	Going on holiday: For at least 6m	Going on holiday: Permanently avoid
Golf	Golf: No restriction	Golf: Avoid For 1w	Golf: For 2w	Golf: For 4w	Golf: For 6w	Golf: Until 1st f/u appt	Golf: For at least 6m	Golf: Permanently avoid
Lifting things from a high shelf	Lifting things from a high shelf: No restriction	Lifting things from a high shelf: Avoid For 1w	Lifting things from a high shelf: For 2w	Lifting things from a high shelf: For 4w	Lifting things from a high shelf: For 6w	Lifting things from a high shelf: Until 1st f/u appt	Lifting things from a high shelf: For at least 6m	Lifting things from a high shelf: Permanently avoid
Racquet sports	Racquet sports: No restriction	Racquet sports: Avoid For 1w	Racquet sports: For 2w	Racquet sports: For 4w	Racquet sports: For 6w	Racquet sports: Until 1st f/u appt	Racquet sports: For at least 6m	Racquet sports: Permanently avoid
Rowing machine	Rowing machine: No restriction	Rowing machine: Avoid For 1w	Rowing machine: For 2w	Rowing machine: For 4w	Rowing machine: For 6w	Rowing machine: Until 1st f/u appt	Rowing machine: For at least 6m	Rowing machine: Permanently avoid
Running	Running: No restriction	Running: Avoid For 1w	Running: For 2w	Running: For 4w	Running: For 6w	Running: Until 1st f/u appt	Running: For at least 6m	Running: Permanently avoid
Sex	Sex: No restriction	Sex: Avoid For 1w	Sex: For 2w	Sex: For 4w	Sex: For 6w	Sex: Until 1st f/u appt	Sex: For at least 6m	Sex: Permanently avoid
Shooting	Shooting: No restriction	Shooting: Avoid For 1w	Shooting: For 2w	Shooting: For 4w	Shooting: For 6w	Shooting: Until 1st f/u appt	Shooting: For at least 6m	Shooting: Permanently avoid
Snooker	Snooker: No restriction	Snooker: Avoid For 1w	Snooker: For 2w	Snooker: For 4w	Snooker: For 6w	Snooker: Until 1st f/u appt	Snooker: For at least 6m	Snooker: Permanently avoid
Taking a flight	Taking a flight: No restriction	Taking a flight: Avoid For 1w	Taking a flight: For 2w	Taking a flight: For 4w	Taking a flight: For 6w	Taking a flight: Until 1st f/u appt	Taking a flight: For at least 6m	Taking a flight: Permanently avoid
Welding	Welding: No restriction	Welding: Avoid For 1w	Welding: For 2w	Welding: For 4w	Welding: For 6w	Welding: Until 1st f/u appt	Welding: For at least 6m	Welding: Permanently avoid
Enter another option	Other: No restriction	Other: Avoid For 1w	Other: For 2w	Other: For 4w	Other: For 6w	Other: Until 1st f/u appt	Other: For at least 6m	Other: Permanently avoid
Enter another option	Other: No restriction	Other: Avoid For 1w	Other: For 2w	Other: For 4w	Other: For 6w	Other: Until 1st f/u appt	Other: For at least 6m	Other: Permanently avoid
Enter another option	Other: No restriction	Other: Avoid For 1w	Other: For 2w	Other: For 4w	Other: For 6w	Other: Until 1st f/u appt	Other: For at least 6m	Other: Permanently avoid
Enter another option	Other: No restriction	Other: Avoid For 1w	Other: For 2w	Other: For 4w	Other: For 6w	Other: Until 1st f/u appt	Other: For at least 6m	Other: Permanently avoid

9. Does your institution provide any written advice information for patients post device implantation? If so, we would be very grateful if a copy could be uploaded or sent to us. Please choose any that apply.

• No - We do not provide any written information
• Yes - I will upload it for you below
• Yes - I will email it to cardiologyresearch@pbh-tr.nhs.uk
• Yes - I will post it to Cardiology Research Team, Peterborough City Hospital, Bretton Gate, Peterborough, PE3 9GZ
• Yes - I\'m afraid I\'m unable to provide our written information at this time

11. Does your insititution perform device implantation as a day case? Please choose one.

• Yes - More than 50% of cases
• Yes - Less than 50% of cases
• No - All stay in hospital overnight