Volume 11 - Issue 6 - June, 2003

What Do You Think?

Readers answered the following two questions from the April issue:

1. Paramedic Use

I’m interested to know if cath labs are utilizing paramedics. If so, what duties are they allowed to perform? I’m particularly interested in knowing if any cath lab in Missouri currently uses paramedics.

Dona Hoffman, RN, CCL Coord
St. Mary’s Health Center, St. Louis, MO
Email: Dona_Hoffman@ssmhc.com
Cc: CathLabDigest@aol.com

Recommendations for training paramedics

Due to the shortages of technologists (RTs and RCISs), four EMT-Ps have been hired into our cath l



The Ambulatory Cardiac Care Center at Hahnemann Hospital

To date, there are six independent physician groups participating in the center, with other physicians coming on board. No interventional procedures are performed at our facility. However, should an emergent case arise, it is promptly dealt with by means of an intra-facility transfer agreement with Hahnemann University Hospital. Patients go directly to the HUH Interventional Cardiovascular Laboratory for acute interventions or the Operating Room for emergent CABG. The charge person of the day will contact HUH Admissions to facilitate the transfer process. At this particular point, information



Clinical and Industry News

LuMend Launches New, 50% Smaller CTO Catheter Platform

LuMend Corporation, developing technology for crossing chronic total occlusions (CTOs), has launched its fifth-generation catheter platform, the Frontrunner® X39 CTO Catheter. The Frontrunner X39 is approximately 50% smaller compared to previous generations. The company also reported safety data for blunt micro-dissection, the technology behind the Frontrunner family of catheters.

The Frontrunner X39 Catheter is used to treat CTOs. It has a distal tip size of just .039 with a 30% increase in distal tip opening power compar



Email Discussion Group: Cardiac Call Team Dilemma

RT doesn’t need to pan

My first question is, why four staff? We use one RT/CVT or RN to scrub, one RN circulating, one RT/CVT to monitor, and the MD pans the table.

YOU DO NOT NEED TO HAVE AN RT PANNING THE PATIENT SINCE THE MD HAS A FLUORO SUPERVISOR LICENSE.

You don’t even have to have an RT in the room, IF THE MD IS PANNING and stepping on the fluoro/cine pedal.

Note: I am in California, so your state laws may be different. But this covers Title 22 requirements in my state and also Title 17.

ALL staff can scrub ANY and ALL procedure types. Our call team covers any



Clinical Meetings Calendar

Cardiac Catheterization 2003

This one-day symposium will cover such topics as adjunctive pharmacology in PCI, coated stents and emerging technologies. Attendees will be given opportunities to interact with leading cardiovascular care companies who will be exhibiting. Held in conjunction with the Society of Invasive Cardiovascular Professionals (SICP).

Website: www.cathlabdigest.com
Contact: 800-766-6014

Upcoming locations:
May 17, Philadelphia, PA
May 30, Houston, TX
September 6, Cincinnati, OH

June 26-28

Strategies for Success XII
Location: Atlantis, Para



June is the month of ASOCC.

Not only is ASOCC directed at the education of the cardiac cath professional, but it is also a celebration of the cardiac cath professional community. I look forward to seeing you there.

CLD is pleased to offer the next article in our CME/CEU series. This month, we delve further into the potential applications of drug-eluting stents (DES) with Sirolimus-Eluting Stent for Complex Lesions: Treatment of Saphenous Vein Graft Disease, by Marco Costa and Theodore Bass.

In a dispatch from the European front, we hear from CLD editorial board member Sandy Watson, who shares his experience with D



The Wesley Hospital

What is the size of your cath lab facility and number of staff members?

Our cath lab has two procedural rooms. We use both rooms for cardiac diagnostic and interventional procedures. One room has recently been upgraded to double as an electrophysiology (EP) lab. We also have a four-bay holding area that we use for patient check-in and for pulling sheaths post procedure under monitoring.

Our staff numbers twenty-nine:

Two part-time employed (PTE) and three full-time employed (FTE) radiographers;
One clinical nurse manager (CNM);
19 registered nurses (equaling 18.4 FT



Baptist Heart Institute: Dedicated Cardiac Facility Provides Superior, Yet Cost-Effective, Patient Care

Today, health care facilities must deal with a greater number of patients in a timely and cost-effective way. Reliable systems with integrated information technologies help ensure that physicians provide the best quality patient care while remaining cost effective.

Baptist Memorial Hospital-Memphis, with more than 25,000 surgeries and 120,000 outpatient visits a year, is one of Tennessee’s highest volume hospitals. Opened in 1979, Baptist serves western Tennessee, as well as northeastern Arkansas and northern Mississippi. Our first cath lab was installed in 1985, and the number of cardiac



Heart Center Implementation and Start-Up: The Parma Community General Hospital Experience

They saw this as an opportunity to accelerate the hospital™s growth and support their strategy to remain the only successful independent community hospital in the county. They needed to increase their ability to meet the needs of an elderly community with a high incidence of cardiac disease and to increase revenue to support the bottom line.

Key success factors. The key success factors included administrative, board, community and medical staff support; progressive cardiologists/ cardiovascular surgeons using the latest technology; superior facility design and layout for cardiovasc



10 Minute Interview with...Annie Ruppert, RN, BSN,San Diego, California

Why did you choose to work in the invasive cardiology field?

I find this field to be interesting and forever changing. I graduated from a 3-year diploma nursing school in 1976 and obtained my BSN from Regents College. I have worked at Sharp Hospital since 1978, first in the MICU and CCU and then in the cardiac cath lab. Currently, I do case management and follow all the interventional patients who have percutaneous interventions.

Can you describe your role in your CV lab?

My role is primarily to circulate and take care of the patient’s needs. I do the assessments pr



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