Cath Lab Digest - November 2007 - (Page 30)

30 DISCUSSION GROUP NOVEMBER 2007 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 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 Email: tleonard@ notes.cc.sunysb.edu Cc: cathlabdigest@aol.com 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 and Lori A. McMahon, RN Provena United Samaritans Medical Center Email: Cheryl.Harrell@provena.org Cc: cathlabdigest@aol.com 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 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 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. 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, Oregon Email: Michael.R.Legal@kp.org Cc: cathlabdigest@aol.com Re: Question Gauging Interest in a Cardiology Physician Extender Program I have 6 years of experience in the cath lab as a scrub tech doing diagnostic and interventional caths, a BS degree and RCIS. I am looking to extend my knowledge base. I am excited to hear this program is being developed and am very interested in finding out more information. I have looked into P.A. programs, but love cardiac enough that I do not want to leave this field. Please let me know when this program might start and where it is based. Thank you! K. Sitton Program Update: Many discussions have been undertaken regarding the avenues of how this program might be developed. Several educators in the U.S. have expressed a sincere interest in the undertaking. The goal is pre and post management of patients; performing at least diagnostic procedures under the direct supervision of the physician-incharge, and the intention is to offer a program that is 85% online, with 15% of the program requiring all students to be on campus for formal classes at least twice a semester. In addition, the intention is to offer a program that has a reasonable cost, since most candidates would have full-time positions, take call, and have families. Keep reading Cath Lab Digest over the next year for further details as the facts are presented. Thank you, Anonymous by request Email: cathlabdigest@aol.com 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 “Cc” cathlabdigest@aol.com to have your response published in the next issue of Cath Lab Digest. New questions are welcome. http://www.cathlabdigest.com/cld/enews.cfm http://www.cathlabdigest.com/cld/enews.cfm

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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