Volume 10 - Issue 10 - October, 2002
A New Twist in Cath Lab Management: Job Sharing
- Thu, 6/19/08 - 2:00pm
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We agreed, as we were both part time, and thought the extra cash would be nice. I had expertise with the equipment side, including networked systems and the cath database. Denise knew the supplies and purchasing side inside out. Between the two of us, there was over 20 years of cath lab experience. After working on this project for a couple of months, we began taking ownership, and the thought of turning it over to someone else was not very appetizing. After much discussion, we put together a proposal to job-share the position. Our first proposal was turned down flat, with the reason given tha
The Ten-Minute Interview with Charles C. Barbiere, RN, CCRN, RCIS, CCT, CRT, EMT, FSICP
- Thu, 6/19/08 - 2:00pm
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Why did you choose to work in the invasive cardiology field?
I was employed as a staff nurse in the MICU and was approached in 1987 by the Medical Director of the Cath Lab. He asked if I would be interested in transferring to the cath lab and helping develop the new angioplasty program. I have always had an interest in the technical aspects of health care and after observing several cases, made the decision to transfer. I have never regretted the decision; indeed, it has facilitated my career and professional interest over the years. I started in health care in the pre-hospital arena
Geisinger School of Cardiovascular Technology
- Thu, 6/19/08 - 2:00pm
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Why and how did you become an educator?
After many years of being a clinical preceptor and classroom instructor, I became the Director in February of 2001. I enjoy teaching because I can share my experiences from my career and teach the students the knowledge they need to be great CVT techs.
How long has your program been in operation?
Our program is CAAHEP-accredited and we are into our 11th class. Our program is a one-year program with the first four months in didactic work and the remaining 8 months in clinical hands-on work.
Describe your program syllabus,
The Wisconsin Heart Hospital Design Responds to Changes in Healthcare
- Thu, 6/19/08 - 2:00pm
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One new heart center, The Wisconsin Heart Hospital, is bringing together new design options in a physical setting that will provide both total care and convenience for inpatients and outpatients. Facility completion is projected for January 2004.
The center’s core physicians wanted a heart hospital that integrated the rapidly changing and less-invasive treatment options for heart disease patients. The heart center design will meet these objectives by placing patient spaces in locations of optimum convenience, creating a calm environment. The design will be enhanced by high-quality finishe
Clinical and Industry News
- Thu, 6/19/08 - 2:00pm
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Low-Molecular-Weight Heparin Preferable Anticoagulation Therapy For Procedure To Re-Establish Heart Rhythm
Using the low-molecular-weight heparin drug enoxaparin (Clexane®/Lovenox®) to prevent blood coagulation while performing cardioversion of atrial fibrillation to re-establish a normal heart rhythm is preferred to conventional antithrombotic drugs. Enoxaparin is more reliable and easier to use while performing effectively and safely, according to the multicenter Anticoagulation in Cardioversion Using Enoxaparin (ACE) trial data presented at the European Society of Cardiology (E
What Do You Think?
- Thu, 6/19/08 - 2:00pm
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In the June 2002 issue of Cath Lab Digest, there was a table outlining the states and who cross-trains where according to your Email Discussion Group. In Oregon, you stated that only RNs give drugs. Is there a precedence that anyone knows of? I work in a large cath lab (4000 procedures annually) where the RTs give all the IV narcotics and drugs, and the RNs scrub. I’ve been in touch with both respective boards in the state and neither knows if this is right or wrong. I’ve always wondered how RTs could give IV narcotics, but this is how we’ve always done it. Any help you can give w
Responsibility & Opportunity.
- Thu, 6/19/08 - 2:00pm
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Once we brought our authors together for the October issue, we were happily surprised by how these two themes resounded throughout their work.
Our authors this month share the results of their experiences after they took ownership of a problem and, utilizing their own ingenuity, filled a need in the cath lab. In our articles this month, this means managing your patients’ pain, addressing cardiovascular staff shortages with long-term thinking, and rearranging a management position to suit your own needs, while at the same time providing results of value to your facility.
Marsha Holton,
Short and Long-Term Strategies to Address Cardiovascular Staff Shortages
- Thu, 6/19/08 - 2:00pm
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There has been an overabundance of studies on the healthcare staff shortage and its causes. Current trends in staff shortages are shown in Figures 1 and 2.
There are many other factors contributing to the cardiovascular staff shortage, including:
Aging of the population;
Aging of the workforce the average age of nurses is currently 44 years, with only 10% of the workforce under the age of 30;
A competitive hiring environment (e.g., wages, benefits, hours, etc.);
Increased opportunities outside of the hospital setting;
Managed care influences;
Financia
Strategies for Pain Management in the Cath Lab
- Thu, 6/19/08 - 2:00pm
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Are you ready for a non-data driven lecture? I think it is important to take a look at the topic of pain management from a different perspective, and review how we take care of our patients. You do need the hard data; I am not downplaying its importance. You need to be able to understand that doctors make decisions with their patients’ best interests in mind, rather than basing these decisions on which vendors bring the best bagels. The point I am making is that pain management in the cath
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