Cath Lab Digest - November 2007 - (Page 12)

12 SPOTLIGHT continued from page 1 NOVEMBER 2007 Henry Ford Heart and Vascular Institute What is the size of your cath lab facility and number of staff members? The Henry Ford Heart and Vascular Institute boasts one of the nation’s largest cardiology groups. Our cath lab consists of three lab suites supported by 38 staff members. Our cath lab consists of 1 Siemens swing lab (Malvern, PA), 1 Siemens Angiostar, dedicated to our peripheral program, a Siemens Axiom Artis single suite, and a shared Philips lab (Bothell, WA) that is utilized for coronary and electrophysiology procedures. In the fall of 2005, the completion of a new wing brought three additional electrophysiology suites and new state-of-the-art equipment featuring computerized magnetic navigation and control technology dedicated to our electrophysiology program. Our holding and recovery area consists of twelve beds, including two private isolation rooms. Our cath/electrophysiology lab team is staffed by 42 full-time employees (FTEs) with the following credentials: • 26 registered nurses (RNs) • 1 registered cardiovascular invasive specialist (RCIS) • 7 cardiovascular technologists (CVTs) • 1 nurse practitioner (NP) • 1 nurse coordinator • 2 cardiac research RNs • 1 materials management coordinator • 7 administrative support staff • 1 transporter • 2 full-time environmental specialists. We have a balanced mix of highly experienced nurses and technologists. All our nurses and technologists are advanced cardiac life support (ACLS) certified. The average length of time staff members have been employed in this department is 9 years. We have a total of 225 years of experience in our cath lab, with our longest employed staff member at 20 years. What type of procedures are performed at your facility? We provide various cardiac and peripheral interventions, including adult diagnostic studies, percutaneous transluminal coronary angioplasty (PTCA), coronary stenting, intra aortic balloon pump (IABP) insertions, coronary rotoblator atherectomy, coronary AngioJet (Possis Medical Inc., Minneapolis, MN), excimer laser, use of fractional flow reserve (FFR) and coronary flow reserve (CFR) technologies, septal closure procedures for atrial septal defect (ASD) and patent foramen ovale (PFO), intracardiac ultrasound (ICE), intravascular ultrasound (IVUS), extraction thrombectomy, peripheral atherectomy, stenting, cryoplasty and coil embolizations. We utilize a variety of embolic protection devices, including FilterWire (Boston Scientific, Maple Grove, MN), Spider (ev3, Plymouth, MN) and Proxis (St. Jude Medical, Minnetonka, MN). Electrophysiology (EP) studies, ablations and device implantations are also performed in our dedicated suites under cardiology services and are supported by dedicated staff. Annually, we perform over 6200 procedures, approximately 120 procedures each week, which breaks down as follows: • 65-70 coronary diagnostic and interventional cases per week; • Over 250 peripheral vascular cases annually; • Approximately 1200 EP procedures performed annually. Heart transplantation is an everyday miracle at Henry Ford Hospital. We have placed more than 370 new hearts in patients from all over the midwestern United States, with survival rates significantly higher than national norms. As a result, our cath lab performs over 400 cardiac biopsies annually. Does your cath lab perform primary angioplasty with surgical backup onsite? We perform primary angioplasty 24 hours per day, 7 days per week. We have surgical backup on-site 24/7, with the OR team available within 30 minutes for emergencies during off shifts and weekends. On occasion, high-risk procedures are discussed on an individual basis with a cardiothoracic surgeon prior to intervention and an OR suite is open and available if needed immediately. Members of the EP team. Left to right: Carol King RN, Nick Bulka CVT, Thomas Mann RN, Andrea Jasper RN, Joanne Moltrassie RN. Administrative staff. Left to right: Andrea Butler, Theresa Gray and Anne Ducharme, RN. What procedures do you perform on an outpatient basis? We perform diagnostic right and left cardiac catheterizations, cardiac biopsy and diagnostic peripheral procedures on an outpatient basis. What percentage of your patients is female? Forty-one percent of our patients are female. What percentage of your diagnostic cath patients go on to have an interventional procedure? Anywhere from 25-30 percent of our diagnostic cases become interventions. Who manages your lab? We have one manager and two assistant managers under the medical directors of the cath and EP labs: • Daniel Cutcher, RN, Manager, Cardiac Catheterization/Electrophysio logy Laboratories; • Patti Renaud, RN, Assistant Manager, Cardiac Catheterization Laboratory; • Edward Muxlow RN, Assistant Manager, Electrophysiology Lab; • Aaron Kugelmass, MD, Director, Cardiac Cath Lab, Associate Chief Cardiovascular Medicine • Claudio Schuger, MD, Director, Electrophysiology Laboratory. The cath lab is designed as part of the cardiology department, managed by: • W. Douglas Weaver, MD, Division Head of Cardiovascular Medicine, Co-Director, Heart & Vascular Institute at Henry Ford Hospital, President, American College of Cardiology • Kevin Yee, Administrator of Cardiology Do you have cross-training? Who scrubs, who circulates and who monitors?

Table of Contents Feed for the Digital Edition of Cath Lab Digest - November 2007

Henry Ford Heart and Vascular Institute Treating Patients with Complex Vascular Disease with a Multi-Disciplinary Approach Improving Patient Compliance with Antiplatelet Medications Clinical Editor’s Corner Cath Lab Nurse/Tech Vascular Access and Closure Using the StarClose® Device The Clinical and Economic Impact of Measuring Fractional Flow Reserve FFR and Choosing an Optimal Revascularization Strategy Finally! The New Registered Cardiac Electrophysiology Specialist (RCES) Credential Use of a Mobile Lab to ‘Test the Waters’ at a Rural Hospital Remembering a Cardiac Cath Lab History ACVP• Membership Page What Do You Think? The Ten-Minute Interview with… Ernie Livingston, RN, BSN SICP* Chapter Updates Who’s in Charge? Working to Eliminate Bottlenecks: Florida Hospital’s Cardiac Cath Lab Achieves Greater Efficiency and Higher Satisfaction Preserving Left Ventricular Function during Percutaneous Coronary Intervention Ask the Clinical Instructor: A Q&A Column for Those New to the Cath Lab Making the Most of Your First Impression: Interviewing Tips and Techniques CEU Education Center Clinical & Industry News Meetings Calendar

Cath Lab Digest - November 2007

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