Volume 17 - Issue 5 - May, 2009

The Ten-Minute Interview with… AnnMarie Russart, BS, AASCardiovascular Technology, RCIS

Upon graduating from the cardiovascular technology program at Milwaukee Area Technical College (MATC) in Milwaukee, WI in 2002, I began my cath lab career working in the Heart and Vascular Center at SwedishAmerican Hospital in Rockford, IL. I had the great fortune to work with excellent physicians and staff, and I was given the opportunity to gain invaluable experience working with all aspects of the vascular system, including electrophysiology (EP). I took those experiences and many fond memories with me last year when my wonderful, supportive husband and I moved back to Wisconsin. I currentl



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!

Medications & Sterile Field

What is the practice of placing medications on the sterile field. Specifically we are looking into the aspect of pouring meds into med cups, which are labeled, or is the common practice to draw the medications from the vials via needle?

Email: Scott.Brunton002@chw.edu
Cc: cathlabdigest@aol.com

Staffing Formula

Do you have a matrix or formula for cath labs that can ca



Ask the Clinical Instructor: A Q&A column for those new to the cath lab

“We had a patient that came to the cath lab with a non-ST-elevation MI. The patient had been in the ICU overnight before coming to the cath lab. The physician stated that the troponin levels were rising. I’m not really sure what that meant.”

— Anonymous email

The physician was talking about the cardiac biomarkers that indicate the likelihood that the patient has experienced a myocardial infarction of some degree. It can make sense when you understand where these come from.

During a myocardial infarction, cardiac cells die due to lack of blood flow caused by the o



The State of the Stent: Drug-eluting stents in the U.S.

A commentary from Boston Scientific Corporation

After two years of intense debate in the interventional cardiology community, drug-eluting stents (DES) saw more and more positive clinical data and began the process of restoring confidence in 2008. The following commentary by Jeff Mirviss, Vice President Interventional Cardiology Marketing at Boston Scientific, Maple Grove, Minnesota, provides a snapshot of the state of the DES industry, which saw the introduction of two new stents, focused on the treatment of small vessels and continued to evaluate safety issues with effective clin



LUMENAMI.com is Launched: The center for STEMI education



HMP Communications, publisher of numerous interventional cardiology resources online and in print, has created a website focusing specifically on ST-elevation myocardial infarction (STEMI), based on its successful February 2009 LUMEN meeting. LUMEN showcased presentations from clinicians on the cutting-edge of STEMI care, from EMS to ED to the cardiac cath lab.

Lumenami.com offers free downloads of faculty slides from the LUMEN meeting, including:

• Door 2 Balloon Times: Clinical Relevance & Pragmatic Methods of Reducing D2B Times (Brahmajee Nallamothu, MD)

• Technical Pearl



Stimulating Medical Simulation

My interventional cardiology recertification is due this year. To fulfill my American Board of Internal Medicine (ABIM) requirements of training, practice and didactic material, I need 100 self-evaluation points obtained from practice improvement modules or interventional cardiology simulations. At the American College of Cardiology (ACC) meeting this past March in Orlando, Florida, the Medical Simulation Corporation* offered cardiac cath simulations to help physicians acquire this 20-point unit.

For those who have never worked on a cath simulator, I wanted to provide some background and sh



Education Center

CEUs offered by NACCME, LLC and Cath Lab Digest

FREE! Available on www.naccme.com
All following FREE activities are sponsored by the North American Center for Continuing Medical Education (NACCME).

• Tips and Tricks for Prevention of Contrast Induced Nephropathy: A Case-Based Approach
Supported by an educational grant from Bracco Diagnostics.

• Diagnosing Coronary Artery Disease: Advanced Cardiovascular Imaging Solutions

- Module 1: Volume Echocardiography and Knowledge-Based Workflow
Available at www.naccme.com/program/n-531-1/

- Module 2: Calcium Scoring and Car



May 2009 Society of Invasive Cardiovascular Professionals (SICP) News


SICP Chapter Spotlight: North Carolina Chapter

By Michelle Eggleston with contributions from Chris Jolly

The SICP has several established and developing chapters across the country. Chapters offer networking opportunities and grassroots advocacy opportunities for current issues in the invasive cardiovascular profession. They also offer a great way to keep members up-to-date on ongoing membership developments. Belonging to a chapter is an excellent way to become more involved in your professional society, advocating and promoting the invasive cardiovascular professio



Johnson City Medical Center: Center for Cardiovascular Health

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

Johnson City Medical Center’s Center for Cardiovascular Health has a total of six cath labs, with one dedicated to electrophysiology (EP) procedures. There is a 32-bed holding room and the 34-member staff includes 25 registered nurses (RNs), with the remaining bulk of the staff being cath lab technologists. Each lab is staffed with one RN and two technologists. The RNs are specialty-trained for the cath lab and the technologists are certified as registered cardiac invasive specialists (RCISs).

Located in the heart of the sou



Clinical and Industry News


Action Products, Inc. Recognized in Imaging Study

In a newly published research poster, Action® OR overlays were found to successfully manage patient positional pain during interventional CT procedures lasting 45 minutes or longer, without impacting image quality. The poster abstract, titled, “Improving Patient Care by Managing Positional Pain During Interventional Computerized Tomography (CT) Procedures,” focused on non-pharmacological solutions for positional pain reported by patients during long procedures. Typical CT scans require patients to lie on a concave, hard s



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