Volume 12 - Issue 9 - September, 2004

Charlotte Regional Medical Center

What type of procedures are performed at your facility?

At Charlotte Regional Medical Center, we perform diagnostic and interventional procedures, including EP studies, tilt table studies, cardioversions, ablations, automatic implantable cardioverter defibrillator (AICD) and pacer implants, PTCA, stents, Rotoblator® (Boston Scientific Corporation, Maple Grove, MN), intra-aortic balloon pump (IABP), brachytherapy, FilterWire (Boston Scientific), AngioJet® (Possis Medical, Inc., Minneapolis, MN) and intravascular ultrasound (IVUS). Our lab performs an estimated 3,000 cases per year w

Vascular Access Site Hemostasis: "An Endovascular Surgeon's Perspective"Manual Compression May Not Be Benign Part 1

When endovascular techniques came about almost two decades ago, I was just finishing my training, and I knew I wanted to be involved, so I went to the cath lab. I still spend a great deal of time there, and have for more than 15 years. There is a soft spot in my heart for the cath lab professional. Surgeons know how important it is to have a good surgical tech, and when I went into the cath lab, I wasn’t trained only by cardiologists, but by several very good and seasoned cath lab technologists, including Chris Hebert and Gary Chaisson, who have over 40 years of experience combined. They act

Verification of Correct Patient, Procedure, and Site at Govenor Juan F. Luis Hospital and Medical Center: The Failure Mode and E

One of the new National Patient Safety Goals per the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Standards is verifying the correct patient, procedure, and procedure site when performing an invasive procedure. With extensive research of this standard, we discovered that not only is the standard required within an operating suite, but also a cardiovascular and/or catheterization suite, and any other department where a patient under goes an invasive procedure. While preparing for our most recent survey (June 2004) by the Joint Commission, the Governor Juan F. Luis Hospi

Single Operator Deployment of Vasoseal ES®: The Experience of Skaggs Community Health Center

Vascular sealing devices have made their way into most cath labs in North America. Technology and development in this arena continues to improve and expand the horizons of hemostasis management. Patient comfort, efficiency, and cost-effectiveness are just a few of the reasons for the development of these devices. Although the techniques and equipment used vary among the different devices, the goal is the same: rapid hemostasis.

The Skaggs Community Health Center cath lab opened in June of 1999. We are a one-unit diagnostic and interventional cath lab, with 2 RNs and 3 technologists, and

Cath Lab Digest Email Discussion Group

Question 1: Defibrillation by non-nursing staff?

How does your hospital policy on defibrillation address non-nursing personnel in the cath lab? Are your rad techs or resp therapists allowed to defibrillate if they are ACLS certified? Is that a department policy or covered under a hospital policy?

Question 2: Emergency cases after hours?

Other than an acute MIs, what are considered emergency cases after normal operating hours? Do you have specific criteria, and do your interventionalists follow them?

Group Members Respond to…

Question 1: Defibrillation by n