What Do You Think?
One IV, no Foley?
We are a tertiary care hospital seeing 5,000 patients per year for cath. Our lab routinely starts 2 peripheral IVs and places a Foley catheter for all female patients. What is your practice in you lab?
We are asking because we are considering a change (to one IV, no Foley).
Thank you!
Thank you,
Kathleen Kearney, NP,C Acute Care Nurse Practitioner Interventional Cardiology Beth Israel Medical Center Boston, MA
Email: KKearney@chpnet.org
Cc: cathlabdigest@aol.com
Cross-Training Duties
In a cross-trained lab, do RTs and CVTs document equipment only and the RN separately handles the moderate sedation and patient care documentation?
Thank you,
Diane Cronin, BSN, RN Clinical Educator Invasive Cardiology, Lahey
Clinic Email: Diane.M.Cronin@lahey.org Cc: cathlabdigest@aol.com
Manual Pressure
I work in the cath lab. My main job is to hold manual pressure on all post cath patients. I am trying to find out how many cath labs use manual pressure compared to closure devices. Do any other cath labs have one person that is responsible for holding pressure? Thank you!
Tim Boylan
Email: hematomas69@verizon.net
Cc: cathlabdigest@aol.com
Cross Training with Recovery Unit
Due to some staffing issues in our cath lab and recovery units, our director of nursing wants cross-training between the areas. We are a 2-room cath lab that also does electrophysiology studies as well as pacer and ICD implants. In the lab, we have 3 full-time (FT) RNs, 1 part-time (PT) RN, 3 FT RTs and 1 PT RT. The 12-bed recovery area has 5 FT RNs and 3 PT RNs. Does anyone cross-train with their recovery area?
Our cath lab RNs do cover recovery for lunches and breaks. I am concerned about the constant changes within the lab and keeping the recovery staff up to date.
Thank you!
Sue Irwin, RN, Cardiac Interventional Educator St. Lukes Hospital, Maumee, OH
Email: susan.irwin@stlukeshospital.com Cc: cathlabdigest@aol.com
Staffing with Case Fluctuation
I am doing some research into how to handle staffing when the census/# of cases fluctuates in the cath lab. Any suggestions about how to keep employees’ schedules relatively stable when the case load bounces around so much?
Lois Roorda, RN Human Resources Business Partner Banner Heart Hospital
Email: Lois.Roorda@bannerhealth.com Cc: cathlabdigest@aol.com
Normal Caths & Standard Ambulation Times
How does your institution handle the following items?
1) Do you track normal cardiac cath numbers? If so, how? If yes, what is the criteria in place that defines a normal cardiac cath (i.e., no blockages greater than 15% in any major artery greater than 2mm diameter)?
2) What are the standard ambulation times after a diagnostic cath using 5 or 6 Fr sheaths, when the patient has not received heparin. How long do you keep patients on bedrest after hemostasis is achieved? (Manual holds only, no devices used for closure.) For those responding to this question, do you know of any studies or articles/research that supports this ambulation time?
Thank you!
Annie Ruppert
Email: Annie.Ruppert@sharp.com Cc: cathlabdigest@aol.com
Response: I am responding to the question that you posed in Cath Lab Digest regarding ambulation times. Here is a link to a study that we completed:
https://www.mayoclinicproceedings.com/inside.asp?AID=4222&UID=
It was also presented at TCT in Washington, D.C. a few years ago. Hope that this helps. Let me know if you have any questions. Brent Konz, RN Email: Konz.Brent@mayo.edu
