1. Provides pre-procedural education of patients scheduled for diagnostic and therapeutic invasive cardiac procedures.
1.1 Provides pre-procedural education of patients scheduled for diagnostic and therapeutic invasive cardiac procedures including both immediate pre-procedural education and teaching in advance of procedure according to departmental standards as observed by supervisor.
2. Ensures proper preparation of patient and equipment necessary to perform the designated procedure or procedures.
2.1 Greets patients and documents their arrival within 1-2 minutes.
3. Provides a clean and efficient environment for patients, staff and physicians by maintaining the equipment, inventory, and physical plant.
3.1 Maintains neatness and cleanliness within the department by both daily cleaning of equipment and maintenance of assigned equipment according to the Cath Lab Equipment List as observed by supervisor.
4. Plans and/or implements care for assigned patients.
4.1 Demonstrates knowledge of developmental stages from adolescence to old age and applies development theories/concepts when planning and implementing care for the adult patient as observed by supervisor and as indicated by feedback from staff.
5. Provides essential anatomic information via the collection, interpretation, documentation, and recording of physiologic information in cardiac cath lab.
5.1 Collects appropriate hemodynamic measurements for specific clinical situations as indicated by random review of cases.
6. Understands the fundamentals of the electrocardiogram as used in the cardiac catheterization laboratory.
6.1 Demonstrates knowledge of and identifies equipment utilized in all diagnostic procedures such as catheters and wires as observed by supervisor.
7. Understands the fundamentals of the procedures performed in the EP lab.
7.1 EP: a. Demonstrates proficiency in the operation of C-arm. b. Demonstrates proficiency in the operation of Life-Pak Defibrillator/monitor. c. Identifies indications for EPS, Pacemaker, ICD, Bi vent and Ablation procedures. d. Performs patient prep for each procedure. e. Performs room set up and provides supplies for each procedure. f. Accurately identifies the common position for EP catheters.
8. Demonstrates fundamental knowledge of a cardiac catheterization and the cardiac catheterization laboratory.
8.1 Accurately identifies indications for a cardiac catheterization as indicated by physician feedback and supervisory observation.
9. Demonstrates proficiency in the operation and maintenance of all diagnostic and therapeutic equipment used including electrical safety for each piece of equipment.
9.1 Demonstrates proficiency in the operation of ECG/pressure recorder analyzer with computer interface as indicated by physician feedback and supervisory observation.
10. Demonstrates fundamental knowledge of peripheral catheterization
10.1 Accurately identifies indications for peripheral catheterization and intervention.
11. Demonstrates patient and laboratory personal safety.
11.1 Demonstrates correct radiation protection via proper use of shielding, film badges, distance, lead aprons, thyroid shields and lead glasses as indicated by supervisory observation.
12. Provides essential coronary anatomic information by optimal angiographic data collection.
12.1 Demonstrates knowledge of the coronary anatomy, including the coronary arteries, main branches, and anomalies as observed by supervisor.
13. Performs accurate documentation of events during cardiac catheterization necessary to meet medical legal standards and to assure quality, protecting the patient, physician and staff.
13.1 Writes legibly when making entries in the medical records and includes signature and professional status as indicated by random review of medical records.
14. Demonstrates fundamental knowledge of interventional cardiac catheterization procedures.
14.1 Accurately describes the various interventional strategies performed in the catheterization lab, including simple and complex angioplasty as observed by supervisor.
15. Maintains educational guidelines based on department credentialing matrix and maintains skills and knowledge base to assure competency.
15.1 Maintains educational record along the Credentialing Matrix guidelines as indicated by random review of record.
16. Completes non-therapeutic functions under the direction of MD, PA, APRN, or RN. Remove medication(s) from the pneumatic tube system sent from Pharmacy or Hospital Supply to the unit/patient care area/ procedure room.
16.1 Immediately deliver the medication(s) from the pneumatic tube system to the appropriate Registered Nurse, Physician, Advanced Practice Registered Nurse, Physician Assistant or other appropriate licensed practitioner. 16 .2 As directed by a Registered Nurse, Physician, Nurse Practitioner, Physician Assistant or other appropriate licensed practitioner, remove IV solutions from the patient care area’s clean utility room and immediately deliver to the appropriate licensed practitioner. 16.3 As directed by a Registered Nurse, Physician, Nurse Practitioner, Physician Assistant or other appropriate licensed practitioner, stock IV solutions in the patient care area’s clean utility room. 16 .4
Spec. Procedure Tech. BCLS required.
1-3 years experience. ACLS, TELEMETRY TRAINED, CATH LAB EXPERIENCE PREFERRED