Volume 10 - Issue 2 - February, 2002
February 2002: The Latest News In Invasive Cardiology
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New Research Points to Key Role of Imaging Test in Reducing Higher Cardiac Event Rates and Improving Outcomes in Patients with Diabetes
The results of a new study show that a noninvasive imaging technique, called stress myocardial perfusion imaging (MPI), can help to more accurately detect crucial warning signs of future cardiac events in patients with diabetes. The results of the study show that stress MPI is more accurate in predicting future cardiac events than clinical assessment alone.
These findings suggest that the information provided by a stress MPI test may result in earlier
Cath Laughs:The Twelve Days of Christmas (In the Providence Cardiac Catheterization Lab)
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Sung to The 12 Days of Christmas
On the first* day of Christmas, the cath lab gave to me¦
A hematoma to my right knee!
2 Versed
300 Joules
4 Plavix
5 Golden Stents!
6 neo rinses
a 7 French swan
8 mucked up wires
9 beats of v-tach
10 schedule changes
11 bags of fluid
12 months of rehab
*Followed by the second, third, fourth, and so on.
February 2002
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What do cross-training and being a team have in common? Can you honestly be a team without being cross-trained?
These two terms elicit feelings of both consternation and pride. The question is: who’s justified in feeling proud?
1. Cross-training: Some labs may say they are cross-trained, but still have only RNs administer medication because of state-mandated regulations. Some labs cross-train their entire staff to each and every role but do not encourage the Registered Cardiovascular Invasive Specialist (RCIS) credential, one specific to the cath lab. Finally, some profession
Being a Team in the Cath Lab
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Definitions:
Team\ tem \ n 1: two or more draft animals harnessed to the same vehicle or implement (OK, we all work in healthcare; please disregard THIS definition, especially anyone who is an administrator!) 2: two or more individuals associated in work or activity (that’s better)
vb 1: to join forces to work toward completing a common goal (now we’re talking)
The management team of the Department of Cardiovascular Medicine at The Cleveland Clinic recently attended a four-hour developmental retreat/seminar. The seminar leader was Christine Holt
Pinnacle Health Hospital
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What is the size of your cath lab facility and number
of staff members?
Pinnacle Health System is a 700-bed hospital. We currently have 2 EP labs and 5 cardiac cath labs. One cath lab can also be used for specialty peripheral procedures.
We have approximately 60 staff members. Cath lab staff are comprised of 50% RNs and 50% techs. Our Cardiac Processing Unit (pre/post care) staff members are made up of 70% RNs and 30% non-RNs. EP staff are 75% RN and 25% technical.
What type of procedures does your facility perform, and how many per week?
We perform approximately 150 pro
Agents for the Relief of Pain and Anxiety in the Cath Lab
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Patients come to us with an understandable apprehension about having a cardiac cath or EP study performed on them. They see the X-ray equipment, sterile table, hats and masks, and it reminds them of something out of a Frankenstein movie.
Yet the procedure is so routine to us that we may sometimes overlook their perception and go about our business. The fact is, we make the difference between whether a patient has a positive experience or a miserable one. One secret to making sure their experience is pleasant, beyond our reassuring manner, is located under lock and key in the controlled sub
Cath Lab Digest Email Discussion Group
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LAST MONTH’s QUESTION:
If you have two or more cath labs running:
1. Are you running 8, 10, or 12-hour shifts?
2. Start time of first case in each room.
3. Length of time slots, i.e., 90 min-120 min.
4. Are all diagnostic caths possible interventions in the same setting, or do patients return to their room with sheath in until later in the day?
5. RN to CVT ratio to start each room.
6. Can all staff scrub on all types of cases?
7. If you stagger shifts, when does the second
shift arrive?
8. How many staff on call?
9. RN to CVT ratio on call?
10. Number of s
The Diversification Debate, Or What is the Significance of Institutional Cultures?
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The appropriateness of staffing a cardiac cath lab with diversified specialties is an issue that has been debated and continues to be widely so. A diversified team, made up of various credentials but united through the Registered Cardiovascular Invasive Specialist (RCIS) credential and thus, fully cross-trained, is a good idea for cath labs that respect a wide knowledge base. However, it has been increasingly difficult to create a culture of mutual respect as cath lab teams become more diversified in facilities without professional integration (i.e., cross-training and/or mandating achievement
SICP Member Interview: Marsha Holton, BS, CCRN, RCIS, FSICP, Takoma Park, Maryland
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Marsha Holton, BS, CCRN, RCIS, FSICP, is the staff educator in the cardiac cath lab at Washington Adventist Hospital, and the Project Director for Educational Corners, an exciting project that will bring to the labs an on-site, computer-based, web-supported orientation and continuing education ergonomically structured workstation.
She is currently on the SICP Board, part of the SICP/HMP Communications Regional Speakers Bureau, and on the Editorial Board of Cath Lab Digest (CLD) and Diagnostic Imaging and Review.
Why did you choose to work in the invasive cardiol
Can Nurses Safely Perform Diagnostic Angiography?
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Nurses, radiologic technologists, and radiographers have increasingly been performing tasks that were previously done exclusively by physicians. This month’s [HealthStream’s] Journal Alert asks whether nurses can safely perform diagnostic angiography.
To study this, angiography was performed by a nurse in 68 patients. The nurse was trained for the procedure by a vascular radiologist. Subjects were referred for diagnostic angiography of the legs (31 patients), renal arteries (29 patients), or abdominal aorta (8 patients) and were excluded if they were obese, had poorly palpable f
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