Cath Lab Digest - February 2008 - (Page 60)

60 DISCUSSION GROUP FEBRUARY 2008 What Do You Think? Multiple new and ongoing questions from readers. Your responses are welcome! Answer or pose a question at cathlabdigest@aol.com. New Questions Manual Pressure I work in the cath lab. My main job is to hold manual pressure on all post cath patients. I am trying to find out how many cath labs use manual pressure compared to closure devices. Do any other cath labs have one person that is responsible for holding pressure? Thank you! Tim Boylan Email: hematomas69@verizon.net Cc: cathlabdigest@aol.com Advanced-Level Physician Specialists 1. Are readers interested in attending an educational symposium presenting high-quality advanced board review programs for advanced level physician specialists who work within radiology-based or cardiology-based medical imaging departments? The advanced level physician specialists would include nurse practitioners, physician assistants, radiology practitioner assistants, radiologist assistants, radiologic technologists who work in cardiovascular settings and have a desire to take the advanced ARRT examinations for Vascular Interventional studies (VI) and Cardiac Interventional studies (CI), cardiovascular technologists who are Registered Cardiovascular Invasive Specialists (RCISs) and other boardcertified allied health professionals, who work in invasive and interventional cardiology settings, hold the CCI RCIS credential and /or have a desire to take the CCI RCIS exam or the new CCI EP Examination. The program would also be open to students and graduates who have to take board examinations that deal with medical imaging, patient assessment, pathophysiology, medical and surgical disease processes, etc. 2. How many readers who meet the descriptions listed above would be interested in helping develop a societal organization that would be in alliance with international certification credentialing organizations and would offer certification processes for an Advanced Level Cardiology Physician Specialist or an Advanced Level Radiology Physician Specialist? We have the opportunity to develop the largest board review course that has ever been offered for those who have professional desires to function at advanced levels, especially in cardiac cath labs as well as radiology settings. Our goal is to offer a program which will not only satisfy the needs of advanced level physician specialists, but will establish unity amongst our valuable peers, the nurse practitioners and physician assistants. Those who have an interest, please contact the persons listed below as soon as possible. We need to have as much information from our readers no later then February 29, 2008 at midnight. Jeff Davis, RCIS, RRT, Director, Cardiovascular Technology Program, Edison College, Ft. Myers, FL Email: jdavis@edison.edu Chuck Williams, BS, RPA-RA, RT(CV)(CI), RCIS, FSICP Email: codywms@msn.com 2) What are the standard ambulation times after a diagnostic cath using 5 or 6 Fr sheaths, when the patient has not received heparin. How long do you keep patients on bedrest after hemostasis is achieved? (Manual holds only, no devices used for closure.) For those responding to this question, do you know of any studies or articles/research that supports this ambulation time? Thank you! Annie Ruppert Email: Annie.Ruppert@sharp.com Cc: cathlabdigest@aol.com International Society of Advanced Level Medical Imaging Physician Specialists Board of Directors to Begin Would current physician extenders (nurse practitioners, physician assistants, RPAs, RRAs) who work in cardiology and radiology cardiovascular settings and have an interest in serving as an officer on the International Society of Advanced Level Medical Imaging Physician Specialists Board of Directors, please send their name and contact information to cathlabdigest@aol.com. Plans are to have this organization that will focus on continuing education needs for advanced level allied health professionals functioning on May 1, 2008. Data on Pre/Post Beds per CCL I am looking for data or research that supports the number of pre/post beds per cath lab. Are there any guidelines on recommendations ratios? Thanks for your help. Kind regards, Melissa A. Muller Cardiovascular Service Line Administrator Bronson Methodist Hospital Kalamazoo, MI Email: mullerm@bronsonhg.org Cc: cathlabdigest@aol.com Cross Training with Recovery Unit Due to some staffing issues in our cath lab and recovery units, our director of nursing wants cross-training between the areas. We are a 2room cath lab that also does electrophysiology studies as well as pacer and ICD implants. In the lab, we have 3 full-time (FT) RNs, 1 part-time (PT) RN, 3 FT RTs and 1 PT RT. The 12bed recovery area has 5 FT RNs and 3 PT RNs. Does anyone cross-train with their recovery area? Our cath lab RNs do cover recovery for lunches and breaks. I am concerned about the constant changes within the lab and keeping the recovery staff up to date. Thank you! Sue Irwin, RN, Cardiac Interventional Educator St. Lukes Hospital, Maumee, OH Email: susan.irwin@stlukeshospital.com Cc: cathlabdigest@aol.com Ambulation, T&S Questions 1. Does anyone ambulate patients to the lab (elective outpatients only)? Do they have criteria to assist with the decision to wheel or walk? 2. Do other labs require a type and screen on all patients pre-procedure? Is there a specific subset of criteria to meet for T&S requirements? Thank you! Terry Leonard, Unit Educator, Invasive Cardiology, Stony Brook Univer. Medical Center Normal Caths & Standard Ambulation Times How does your institution handle the following items? 1) Do you track normal cardiac cath numbers? If so, how? If yes, what is the criteria in place that defines a normal cardiac cath (i.e., no blockages greater than 15% in any major artery greater than 2mm diameter)? Questions Answered No. of Peripheral IVs How many peripheral IVs are inserted prior to catheterization procedures? We have always placed two, but some in our lab feel it is not necessary, and others feel it is. We were hoping to get some feedback from other hospitals. Thank you! Jena Canavan, RN, CCRN Invasive Cardiology Educator Email: jcanavan@notes.cc.sunysb.edu Cc: cathlabdigest@aol.com It is standard practice to have 2 peripheral IVs for all patients having a cardiac cath with possible PCI. Patients scheduled for only a cardiac cath may have 1 peripheral line. Jim Sekerak, RN Community Health Partners, Lorain, Ohio Manager, Cardiovascular Services Email: James.Sekerak@health-partners.org Cc: cathlabdigest@aol.com Staffing with Case Fluctuation I am doing some research into how to handle staffing when the census/# of cases fluctuates in the cath lab. Any suggestions about how to keep employees’ schedules relatively stable when the case load bounces around so much? Lois Roorda, RN Human Resources Business Partner Banner Heart Hospital Email: Lois.Roorda@bannerhealth.com Cc: cathlabdigest@aol.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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