Cath Lab Digest - April 2008 - (Page 48)

48 CALENDAR OF EVENTS ♥ September 9-10, 2008 CCI CV Science Review Seminar Location: Los Angeles, CA Website: www.pegasuslectures.com ♥ September 10-13, 2008 New Cardiovascular Horizons Location: New Orleans Sheraton Hotel, New Orleans, LA Website: www.newcvhorizons.com ♥ September 20, 2008 Cath Lab Basics ‘08 with Dr. Morton Kern and Dr. Michael Lim Location: Sheraton Newark Airport Hotel, Newark, NJ Website: www.cathlabdigest.com/ basics2008/ ♥ Start Date: September 22, 2008 Fall Quarter: On-Line RCIS Review Course Spokane Community College Location: On-line (pre-registration required by September 15) Website: www.scc.spokane.edu/?ceonline (or) http://www.rcisreview.com/SCConlineR CISreview.html ♥ October 12-17, 2008 Transcatheter Cardiovascular Therapeutics (TCT 2008) Location: Washington, D.C. Website: www.tct2008.com ♥ October 22 & 23, 2008 The Joint Commission Presents Laboratories: Accreditation Essentials (Beginner: 10/22; Advanced 10/23) Location: Oakbrook Terrace, Illinois Telephone: (877) 223-6866 ♥ October 25, 2008 Cath Lab Basics ‘08 with Dr. Morton Kern and Dr. Michael Lim Location: Saint Louis Marriott West, St. Louis, MO Website: www.cathlabdigest.com/ basics2008/ ♥ December 6, 2008 Cath Lab Basics ‘08 with Dr. Morton Kern and Dr. Michael Lim Location: JW Marriott Houston, Houston, TX Website: www.cathlabdigest.com/basics2008/ ♥ Start Date: January 5, 2009 Winter Quarter: On-Line RCIS Review Course Spokane Community College Location: On-line (pre-registration required by December 29, 2008) Website: www.scc.spokane.edu/?ceonline (or) http://www.rcisreview.com/SCConlineR APRIL 2008 ♥ May 30-June 1, 2008 Cardiovascular Health In Appalachia Location: Glade Springs Resort, Daniels, WV Email: mpatton@st-marys.org ♥ June 5-7, 2008 Prucka (Cardiolab-GE) System workshop, CEU3 21.6 Location: South Austin Hospital, Austin, TX Tel: (866) 892-3408 Website: www.tcainstitute.com ♥ June 6-8, 2008 Transcatheter Valve Therapy Location: Seattle, WA Website: http://www.register-crf.org /tvt08.aspx ♥ June 21, 2008 Fibromuscular Dysplasia Society of America Annual Board Meeting Location: Holiday Inn, Westlake, OH Website: www.fmdsa.org ♥ Start Date: June 25, 2008 Summer Quarter: On-Line RCIS Review Course Spokane Community College Location: On-line (pre-registration required by June 20) Website: www.scc.spokane.edu/?ceonline (or) http://www.rcisreview.com/SCConlineR CISreview.html ♥ July 15-16, 2008 CCI CV Science Review Seminar Location: Tampa, FL Website: www.pegasuslectures.com ♥ July 28-30, 2008 Recent Advances in Invasive and Noninvasive Imaging Location: Loews Miami Beach Hotel, Miami, FL Website: http://www.registercrf.org/imaging08.aspx ♥ August 19-20, 2008 CCI CV Science Review Seminar Location: Atlantic City, NJ Website: www.pegasuslectures.com ♥ August 30-September 3, 2008 European Society of Cardiology (ESC) Congress 2008 Location: Munich, Germany Website: www.escardio.org ♥ September 5-6, 2008 Mechanics of an EP Study, CEU# 13 Location: South Austin Hospital, Austin, TX Tel: (866) 892-3408 Website: www.tcainstitute.com 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 One IV, no Foley? We are a tertiary care hospital seeing 5,000 patients per year for cath. Our lab routinely starts 2 peripheral IVs and places a Foley catheter for all female patients. What is your practice in you lab? We are asking because we are considering a change (to one IV, no Foley). Thank you! Thank you, Kathleen Kearney, NP,C Acute Care Nurse Practitioner Interventional Cardiology Beth Israel Medical Center Boston, MA Email: KKearney@chpnet.org Cc: cathlabdigest@aol.com Thank you! Sue Irwin, RN, Cardiac Interventional Educator St. Lukes Hospital, Maumee, OH Email: susan.irwin@stlukeshospital.com 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 Cross-Training Duties In a cross-trained lab, do RTs and CVTs document equipment only and the RN separately handles the moderate sedation and patient care documentation? Thank you, Diane Cronin, BSN, RN Clinical Educator Invasive Cardiology, Lahey Clinic Email: Diane.M.Cronin@lahey.org Cc: cathlabdigest@aol.com 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)? 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 Response: I am responding to the question that you posed in Cath Lab Digest regarding ambulation times. Here is a link to a study that we completed: http://www.mayoclinicproceedings.c om/inside.asp?AID=4222&UID= It was also presented at TCT in Washington, D.C. a few years ago. Hope that this helps. Let me know if you have any questions. Brent Konz, RN Email: Konz.Brent@mayo.edu 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 Cross Training with Recovery Unit Due to some staffing issues in our cath lab and recovery units, our director of nursing wants crosstraining between the areas. We are a 2-room 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 12-bed 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. CISreview.html http://www.pegasuslectures.com http://www.newcvhorizons.com http://www.tcainstitute.com http://www.cathlabdigest.com/basics2008/ http://www.cathlabdigest.com/basics2008/ http://www.register-crf.org http://www.fmdsa.org http://www.scc.spokane.edu/?ceonline http://www.rcisreview.com/SCConlineRCISreview.html http://www.scc.spokane.edu/?ceonline http://www.rcisreview.com/SCConlineRCISreview.html http://www.tct2008.com http://www.pegasuslectures.com http://www.registercrf.org/imaging08.aspx http://www.registercrf.org/imaging08.aspx http://www.cathlabdigest.com/basics2008/ http://www.cathlabdigest.com/basics2008/ http://www.pegasuslectures.com http://www.cathlabdigest.com/basics2008/ http://www.mayoclinicproceedings.com/inside.asp?AID=4222&UID= http://www.escardio.org http://www.scc.spokane.edu/?ceonline http://www.tcainstitute.com http://www.rcisreview.com/SCConlineRCISreview.html

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

Cath Lab Digest - April 2008 Kaiser San Rafael Medical Center Orbital Atherectomy: A New Treatment for Complex Peripheral Arterial Disease Ask the Clinical Instructor: A Q&A Column for Those New to the Cath Lab Contents Clinical Editor’s Corner CEU Education Center The Missing Link in STEMI Interventions — Thrombus Aspiration during Primary Percutaneous Coronary Intervention Predicting Stent Thrombosis Using A Clinical Risk Score Use of a New Guidewire: The Tigerwire Should I Stay or Should I Go? Weighing Options for New Opportunities Navigating Tortuous Coronary Sinus Anatomy Using a Bipolar Lead The National Society of Radiology Practitioner Assistants (NSRPA) Holds 9th Annual Educational Conference For Medical Imaging Physician Extenders and Mid-Level Healthcare Providers Cath Lab & Beyond: A Meeting Update The Ten-Minute Interview with… Dale Hansen RT, CVT Sometimes, You Just Know Twin Circumflex Arteries: A Rare Coronary Artery Anomaly What Do You Think? Meetings Calendar News from the American College of Cardiology (ACC) Scientific Session and the Society of Cardiovascular Angiography & Interventions (SCAI) Annual Scientific Sessions in Partnership with the ACC i2 Summit Clinical & Industry News Cath Laughs Classifieds Advertisers Index

Cath Lab Digest - April 2008

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