Cath Lab Digest - February 2008 - (Page 26)

26 SPOTLIGHT FEBRUARY 2008 Control room. Left to right: Mickey LaFave RN and Michael Sullivan RCIS. John Traxler RT and Kim Heath CVT. Bay Regional Medical Center, South Tower Entrance Left to right: Willa Rousseau RN, BSN, Cath Lab Director, Susan Stoffel RN, RCIS, Supervisor/Educator and Scott Fylling, RCIS, Cath Lab Manager. We have two labs within the radiology department, which is located adjacent to the emergency department. The other two labs (soon to be three, after our newest lab opens in March) are located on the second floor between surgery, the critical care unit, cardiac and neuro testing, and our new 28-bed cardiovascular care unit. What do you consider unique or innovative about your cath lab and staff? We offer integration of all the areas needed and used by cardiology. It cuts down the wait times for both the patients and the physicians we serve. Any invasive or non-invasive procedure can be done within a central area of the hospital. Plans for 2009 include the relocation of the electrophysiology lab to the second floor, along with the replacement of an older lab. Also, all staff is ACLScertified and cross-trained in multiple, if not all, modalities with the department. Staff is also encouraged to partake in hospital improvement groups from safety to satisfaction, and everything in-between. We believe in shared leadership and have implemented a unit-based team for recommendation on department improvements and/or daily operational functions. These could range from schedule to ordering, to daily concerns. Is there a recent problem or challenge your cath lab faces? Yes, we find balancing the workflow of the new areas to be challenging, including but not limited to the addition of a transesophageal echo (TEE), TEE/cardioversion patient population, along with the occasional cardiac consult. In past years, we only recovered therapeutic procedures. Today, we admit and discharge from the same area for all outpatients. The scheduled inpatients are admitted in CVCU, recovered, then transferred to the floor for the remainder of their stay. The Society of Invasive Cardiovascular Professionals (SICP) has added two questions to our spotlight: 1. Do you require your clinical staff members to take the registry exam for the RCIS? Only those hired as CVT. We give them two years to take and pass the exam. We supply everything needed to successfully pass the registry. At present, we have hired five CVTs and all have passed the RCIS exam. 2. Are your team members involved in any professional organizations that support the invasive cardiology service line, such as SICP, ACVP, or regional organizations? We have staff members involved with the American College of Cardiology and the American Heart Association. ■ Gloria Gaines, secretary. patient/physician satisfaction. The day chosen is normally a Sunday and we allow six patients to be done on a firstcome, first-serve basis. What trends do you see emerging in the practice of invasive cardiology? We are seeing peripheral procedures increase in the lab every year. Do you do radial or brachial punctures? Yes, but less than 5% of the time. Where are you located in relation to the OR, ED, and radiology department? Acknowledgments: Thank you to Michelle Frasik and Bay Regional Center Marketing for taking the photographs accompanying this article. Authors Scott Fylling and Willa Rousseau can be contacted at karen.didonato@abbott.com.

Table of Contents Feed for the Digital Edition of Cath Lab Digest - February 2008

Cath Lab Digest - February 2008 Bay Regional Medical Center ENDEAVOR IV: A Zotarolimus-Eluting Stent Versus a Paclitaxel-Eluting Stent in a Randomized Clinical Trial A 3D CT Vessel “Roadmap” Over Live Fluoroscopy for Chronic Total Occlusions Contents Clinical Editor’s Corner An Evaluation of Cath Lab Turnaround Time Commentary: An Evaluation of Cath Lab Turnaround Time Excerpts from Chapter 19. STEMI Interventions – Future Perspectives The Potential Clinical Utility of Intravascular Ultrasound Guidance in Patients Undergoing Percutaneous Coronary Intervention With Drug-Eluting Stents The Ten-Minute Interview with…Debbie Charlton, RN The Society of Invasive Cardiovascular Professionals (SICP) at Transcatheter Cardiovascular Therapeutics (TCT) 2007 The Cath Lab is a Business: Do You Have the Knowledge to Stay Afloat? Incidence and Predictors of Vascular Complications after Invasive Coronary Procedures: A Prospective Analysis Ask the Clinical Instructor: A Q&A Column for those New to the Cath Lab Volunteer Survey SICP* Section Meetings Calendar What Do You Think? CEU Education Center Clinical & Industry News Classifieds Advertisers Index

Cath Lab Digest - February 2008

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