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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.
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