Cath Lab Digest - February 2008 - (Page 62)

62 DISCUSSION GROUP FEBRUARY 2008 Email: tleonard@notes.cc.sunysb.edu Cc: cathlabdigest@aol.com Medication Errors I was wondering if anyone knows of any studies on medication errors in the cath lab and statistics involving the errors (i.e., nurses vs. techs, intervention vs. diagnostic). I was wondering who commits the most errors and during what situations the errors are committed. I feel this would help the lab where I work with calling attention to some areas where we may not always look (not that we have many errors at all). We have a lot of relatively young staff and we may be looking at crosstraining techs to give medications down the road. If you have heard of any studies or know of where I may be able to find this information, I would greatly appreciate it. Thank you, Mark Baker, MICP, RCIS Email: cathtech99@yahoo.com Cc: cathlabdigest@aol.com What is your department’s policy/ practice, and what level of the ACT is deemed safe for patients? Thank you! Mike LeGal, RN, BSN, CCRN Cardiovascular Lab Kaiser Sunnyside Hospital and Medical Center Clackamas, OR Email: Michael.R.Legal@kp.org Cc: cathlabdigest@aol.com CEUS Education Center CEUs offered by HMP Communications and Cath Lab Digest FREE! Available on www.naccme.com All following FREE activities are sponsored by the North American Center for Continuing Medical Education (NACCME). Check out both the “cardiovascular” and “vascular” CEU options. Screening Criteria We are a small rural hospital with one diagnostic cath lab and two cardiologists. We have been unable to locate any up-to-date screening criteria (the most recent American College of Cardiology guidelines are dated 2001). What criteria would you recommend that we follow to screen our patients (inpatients and outpatients)? We do not offer bypass or interventional procedures. The closest facility is 30 minutes away. Thank you for your help. Cheryl J. Harrell, RN and Lori A. McMahon, RN Provena United Samaritans Medical Center Email: Cheryl.Harrell@provena.org Cc: cathlabdigest@aol.com • NEW! UPCOMING WEBCAST on March 10th & 12th! Contrast Media Use in High-Risk Patients: The latest data Supported by an educational grant from Bracco Diagnostics Inc. • NEW! Pharmacoinvasive Management of Acute Coronary Syndrome: Incorporating the 2007 ACC/AHA Guidelines. The CATH (Cardiac Catheterization and Antithrombotic Therapy in the Hospital) Clinical Consensus Panel Report - III Supported by an educational grant from Sanofi-Aventis. • NEW! Recent Advances in Cardiac PET and CT Angiography for the Management of Patients with Coronary Artery Disease Supported by an educational grant from Bracco Diagnostics Inc. • Infection Prevention for Minimally Invasive Interventions Supported by an educational grant from Enturia. • Access Site and Groin Management Supported by an educational grant from St. Jude Medical. • An Evidence-Based Approach to CIN in Angiography: Defining Best Practices Supported by an educational grant from Bracco Diagnostics. • AntiPlatelet Strategies in the DES Era Supported by an educational grant from Bristol-Myers Squibb/Sanofi Pharmaceuticals. • Achieving Optimal Outcomes in Carotid Stenting: Lessons from Clinical Trials Supported by an educational grant from Abbott Vascular. • CT Angiography: Current & Future Trends in Cardiac Imaging Supported by an educational grant from Bracco Diagnostics Inc. Expires February 25, 2008 • Achieving Successful Hemostasis: Prevent RSI Through Mechanical Compression Supported by an educational grant from RADI Medical Systems, Inc. Expires March 11, 2008 • Anticoagulation Techniques for Peripheral Vascular Interventions Supported by an educational grant from The Medicines Company. • Evidence-Based Groin Management: Putting CONTROL Back Into the Nurse/Tech’s Hands Supported by an educational grant from The Medicines Company. ACT Check Prior to Sheath Pull Our cath lab is currently reviewing and writing policies and procedures. We are currently reviewing standards for pulling arterial sheaths when heparin has been given as a bolus prior to a diagnostic procedure or during a peripheral intervention. Currently, there is no practice in place to check an ACT unless the physician orders it. Our Policy and Procedure Committee wants to implement a policy for checking an ACT prior to pulling the sheath. RCIS Mandatory? We are thinking of making it mandatory for our staff to be RCIScertified. Are there labs that have done this? What has been your process to implement this change? Anonymous Email: cathlabdigest@aol.com Upcoming Meetings and Events …continued from page 58 ♥ April 7-10, 2008 Concepts in Contemporary Cardiovascular Medicine Location: Hilton Americas Houston, TX Website: www.ccmcme.com/ccc2008 ♥ April 14-15, 2008 SICP's Signature RCIS Review Course Location: Greater Cincinnati/Northern Kentucky Chapter, Cincinnati, OH Website: www.sicp.com ♥ April 16-18, 2008 Arteriosclerosis, Thrombosis, and Vascular Biology Annual Conference 2008 Location: Omni Hotel at CNN Center, Atlanta, GA Website: www.americanheart.org/ presenter.jhtml?identifier=3047906 ♥ April 30-May 2, 2008 Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke Conference 2008 Location: Hyatt Regency Baltimore, Baltimore, MD Website: www.americanheart.org/ presenter.jhtml?identifier=3049494 ♥ May 13-16, 2008 EuroPCR with 2-Day Nurse and Technician Programme Location: Barcelona, Spain Website: www.europcronline.com ♥ May 15-17, 2008 ACCF/SCCT Coronary CTA Practicum Location: American College of Cardiology Heart House, Washington, D.C. Website: www.acc.org/education/ programs/brochures/ctapracticum.htm Cath Lab Digest University An innovative, online, continuing education series For cath lab professionals – BY cath lab professionals. 6 programs for $50! Programs: • • • • • • Clinical Review of Carotid Artery Stenting Coding and Reimbursement Update Medical Management of ACS and Thrombosis (Coming soon!) Systematic Approach to Improving Door-to-Intervention Times Endovascular Advancements in the Treatment of Critical Limb Ischemia (CLI) CTA for Detection of Vulnerable Plaque (Coming soon!) Find it online at: www.naccme.com/cldu/ Supported by an educational grant from Boston Scientific and Schering-Plough. http://www.naccme.com http://www.ccmcme.com/ccc2008 http://www.americanheart.org/presenter.jhtml?identifier=3049494 http://www.americanheart.org/presenter.jhtml?identifier=3049494 http://www.sicp.com http://www.europcronline.com http://www.naccme.com/cldu/ http://www.americanheart.org/presenter.jhtml?identifier=3047906 http://www.acc.org/education/programs/brochures/ctapracticum.htm http://www.americanheart.org/presenter.jhtml?identifier=3047906 http://www.acc.org/education/programs/brochures/ctapracticum.htm

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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