What Do You Think?

Can you help your fellow professionals with the following NEW questions?

Young Female Patients Do other cath labs have policies on pre menopausal female patients? We are seeing more and more young women needing cath and EP procedures. Do other labs require urine pregnancy tests pre-procedure or just accept a yes or no to the question, Any chance that you are pregant? Melinda Lyon, RCIS, RDCS, North Shore Medical Center, Salem, MA Email: melindalyon@partners.org Groin Prep I would like to know what other cath labs’ procedure is for prepping the groin area. Do you place a towel between the legs and prep, or do you prep the entire genital area without a towel down the center for patient privacy? Anonymous by request Email: cathlabdigest@aol.com Peer Review Does your cath lab conduct peer reviews? If so, by what method? Anonymous? Face-to-face? Online or on paper? How do you have technologists of different levels evaluate each other? Do the physicians have input on these evaluations? Filiz Demirci, BS, RCIS, Maine Medical Center Cardiac Cath Lab Email: demirf@mmc.org CC: cathlabdigest@aol.com Sheath Removal I am wondering if you have a basic competency available for sheath removal. Our ICU nursing staff will very shortly be expected to pull sheaths and it would be tremendously helpful to have a basic competency to work with if possible. Lynn M. Wright, RN, MA, MSN, Clinical Nurse Specialist Passaic Beth Israel Regional Medical Center Email: lmwright@pbih.org CC: cathlabdigest@aol.com Infection Rates I’m looking for information on cath lab infection rates. If any labs are interested in sharing, please email. Anonymous by request Email: cathlabdigest@aol.com Cervical and Lumbar Damage from Lead Aprons Do you as a cath lab professional suffer from cervical and/or lumbar disc damage? My suspicion is that wearing the lead as often and for as long as we do, that the weight is causing a significant percent of our professionals’ to suffer lifetime damage! Bob Basile Email: bobstero@ptd.net Cc: cathlabdigest@aol.com I have three thoracic discs that are herniated. My physician says they are from some time of compression. Stephanie Olsen, RN St. Mark’s Hospital Murray, Utah Last year I underwent a decompression and internal fixation of C3-C4 herniated disc which ruptured while wearing lead at work. I have been working in a cath lab for six years, full-time. I gradually noticed increasing neck and shoulder pain over the preceding 12 months. However, I did not seek medical help prior to the acute injury. Debbie Webber Warringal Private Hospital Melbourne, Victoria, Australia Email: debbie.webber@affinityhealth.com.au Questions on the Bair Hugger Warming Blanket We recently started using the Bair Hugger® (Arizant Healthcare) underbody warming blanket for our patients in the cath lab. On a few cases, the physicians were concerned that the patient warming system may cause sustained vasodilation. In my search, I have only found information pertaining to the OR environment. Do you have any independent information on forced air warming systems for the cath lab patient? I'm also interested how exactly other cath labs are using this system. Are they just pre-warming the patient? Are they keeping the unit on low throughout the case? What specific cardiac or neurologic contraindications exist for a patient warming system? Ruth Reupold, RN Cath lab staff, French Hospital Email: Ruth.Reupold@chw.edu Cc: cathlabdigest@aol.com