Cath Lab 101 Hard Copy

This is a hard copy of the CEU product.  This book is intended for use as a training aide for new Cath Lab employees. 

Table of Contents:

 Overview.. 7

Cath Lab Staffing. 7

The Cath Team.. 7

Cath Lab Staffing. 8

Description of Roles. 8

Scrub. 8

Monitor. 8

Circulator. 9

Extra. 9

Description of Procedures. 10

Right Heart Cath. 10

Left Heart Cath. 11

Balloon Angioplasty and Stent Insertion (Coronary Intervention) 12

Atherectomy and Thrombectomy. 12

Support Procedures. 13

Electrophysiology Studies and Implants. 15

Procedural Supplies. 17

Diagnostic Supplies. 17

Needles. 17

Sheaths. 18

Microaccess Kit 18

Introducer sheaths. 19

Peel-away sheaths. 19

Guidewires. 20

Construction. 20

Stiff 21

Diameter/length. 21

Diagnostic Catheters. 22

Interventional Supplies. 23

Distal Protection Devices. 23

Balloon inflation devices. 24

Dilation Balloons/Stents. 26

Atherectomy device. 30

Thrombectomy Devices. 30

Closure Devices. 31

Monitor. 33

Pre-procedure. 33

Labs. 33

Patient Information. 34

Physician Signature. 34

Consents. 35

Patient Prep. 35

Intra-procedure. 35

TIME OUT. 35

Patient Sedation. 36

Local Anesthesia. 37

Right Heart Cath. 37

Left Heart Cath. 42

Intervention. 43

Notes: 45

Workflow.. 59

Intervention. 60

Scrub. 62

Sterile Technique. 62

DRAPING:  Femoral 64

DRAPING:   Radial 64

DRAPING: Internal Jugular. 64

Right Heart Cath. 65

Equipment 65

Procedure. 65

Left Heart Cath. 67

Place equipment onto the table. 67

Start of Case. 68

Intervention. 71

Other techniques. 74

Peripheral Procedures. 78

Digital Subtraction Angiography. 79

Intervention. 79

Circulator. 80

Procedure Medications. 81

Diazepam (Valium) 81

Midazolam (Versed) 81

Fentanyl 81

Morphine Sulfate. 81

Meperidine (Demerol) 82

Diphenhydramine (Benadryl) 82

Zofran. 82

Brevital 82

Diprivan. 82

NTG.. 82

Metoprolol (or other beta blockers) 82

Hydralazine. 82

Sedation. 83

Pain Control 83

Symptoms. 83

Anticoagulants. 83

Emergency Medications. 84

Equipment 84

Diagnostic catheters. 85

Diagnostic Wires. 85

Guide Catheters. 86

Interventional Guide Wires. 86

Imaging. 87

Image Intensifier. 87

Flat Panel Detector 88

Elements of Image Production. 89

Dynamic Range. 89

Signal to Noise Ratio. 89

Magnification. 90

Brightness Gain (II Only) 90

Other Elements. 91

Viewing and recording. 91

Digital Subtraction Angiography. 92

Post Processing. 92

Archival. 93

Images. 94

Radiation Protection. 97

Dose Limits. 98

ALARA.. 98

Reporting. 99

The Big Three. 99

Best Practices. 101

Appendix I:  Pearls of Wisdom.. 103

Appendix II:  GLOSSARY. 105

Appendix III:  CATH LAB REFERENCE. 113

 This reference has been tested with both RNs and techs, and found to be extremely useful by both new members and seasoned cath lab staff.  They can be ordered online and will be shipped USPS with delivery 7 - 10 working days for delivery.  Please contact us at cvireducation@hotmail.com with any questions.