CARDIAC CATH LAB TECHNOLOGIST Skillsheet

AGE OF PATIENTS CARED FOR
Newborn/Neonate (Birth-30 Days)
                             
Infant (1 Month to 1 Year)
                             
Adolescents (12 years to 18 Years)
                             
Young Adults (18 Years to 39 Years)
                             
Older Adults (64 Years to 79 Years)
                             
Elderly Adults (over 79+ years)
                             
Toddler (1 Year to 3 Years)
                             
Preschooler (3 Years to 5 Years)
                             
School Age Child (5 Years to 12 Years)
                             
Middle Adults (39 Years to 64 Years)
                             
ASSESSMENT
Blood Pressure - Invasive
                             
Blood Pressure - Non-Invasive
                             
Auscultation (Rate, Rhythm, Volume)
                             
Abnormal Heart Sounds
                             
Murmors
                             
Peripheral Pulse/Circulation Checks
                             
Use of Doppler
                             
Evaluate Chest Pain
                             
CARE OF THE PATIENT WITH A HISTORY OF:
Cardiomyopathy
                             
Congestive Heart Failure
                             
Femoral-Popliteal Bypass
                             
Heart Transplant
                             
Endocarditis
                             
Pericarditis
                             
Post CABG
                             
Post Rotoblator
                             
Post Valve Replacement
                             
Post Angioplasty
                             
Abdominal Aortic Aneurysm Repair
                             
Abdominal Aortic Bypass
                             
Aneurysm
                             
Immediate Post-Op Open Heart Surgery
                             
Myocardial Contusion
                             
Post Acute MI
                             
Post AICID Insertion
                             
Post Atherectomy
                             
Post Intracoronary Stent Replacement
                             
Post Percutaneous Ballooon Valvuloplasty
                             
Angina
                             
EMERGENCY PROCEDURES
Cardiac/Respiratory Arrest
                             
Emergency Difibrillation
                             
Emergency Cardioversion
                             
Sepsis/Septic Shock
                             
Hemothorax
                             
Pneumothorax
                             
Cardiac Tamponade
                             
Cardiogenic Shock
                             
Embolism
                             
Anaphylaxis (Contrast Media)
                             
Vasovagal Response
                             
Embolism
                             
Mycardial Infaraction
                             
TIA
                             
Aortic Dissection
                             
GENERAL SKILLS
Computerized Documentation
                             
Universal Precautions
                             
Care of the Patient in Isolation
                             
Care of the Patient with Neutropenic or Bleeding Precautions
                             
Care of the Patient in Restraints
                             
Cardiac Monitoring-Basic
                             
Cardiac Monitoring-Advanced
                             
Interpretation of Arrhythmias
                             
Emergency Medications (ACLS)
                             
Pediatric Cardiac/Respiratory Assist
                             
Adult Cardiac/Respiratory Arrest
                             
End of Life Care
                             
Crash Carts
                             
Defibrillatorts
                             
HEMODYNAMIC MONITORING
Cardiac Index
                             
CVP Monitoring
                             
RA and RV Pressures
                             
Ejection Fraction
                             
LVEDP
                             
Troubleshoot PA Catheter Problems
                             
A-Line/Radial
                             
Cardiac Output
                             
During Sheath Removal
                             
MAP
                             
PAP/Swan-Ganz
                             
PCW Pressure
                             
PVR
                             
SVO2
                             
SVR
                             
INTERPRETATION OF LAB RESULTS
Cardiac Enzymes
                             
Coagulation Studies
                             
Chemistries
                             
Isoenzymes
                             
INTERVENTIONAL PROCEDURES/ASSIST WITH:
Cardiac Catheterization - Adult (R/L)
                             
Cardiac Catheterization - Pediatric (R/L)
                             
Temporary Epicardial/Transthoracic Pacing
                             
Temporary External Pacing
                             
Temporary Transvenous Pacing
                             
AICD Pacemakers
                             
Shunt Detection and Calculation
                             
Permanent Pacemaker
                             
Pacemaker Pockets/Suturing
                             
Left Ventricular Assist Device
                             
Debulking
                             
Stent Placement
                             
Rotational Coronary Atherectomy
                             
Pericardiocentesis
                             
Internal Mammary Angiography
                             
Cardiac Biopsy
                             
Pericardial Tap
                             
Valvuloplasty
                             
Intra Aortic Balloon Pump (IABP)
                             
Percutaneous Transluminary Coronary Angioplasty (PTCA)
                             
Radio Frequency Ablation (RFA)
                             
Electrophysiology Studies (EPS)
                             
Balloon Dilatation - Valves
                             
Balloon Dilatation - Vessels
                             
Continuous Arteriovenous Hemofiltratation (CAVH)
                             
Controlled Cardioversion
                             
Closure of ASD
                             
Closure of VSD
                             
Angioplasty/PCI
                             
Cutting Ballooon Angioplasty
                             
Right Ventricular Assist Device
                             
Arrhythmia Ablation
                             
Jostent Stent
                             
PercSurge Procedure
                             
Thrombolysis
                             
AngioJet
                             
Directional Coronary Atherectomy
                             
Transluminal Extraction Catheter
                             
Aortography
                             
Pulmonary Angiography
                             
Sapnenous Vein Graft Angiography
                             
TransEsophogeal Echocardiogram (TEE)
                             
Closure of Patient Foramen Ovale
                             
Tilt Table Testing
                             
Brachytherapy
                             
Intravascular Ultrasound
                             
IV THERAPY
Assist with Insertion of: Central Line (Hickman, Broviac, etc.)
                             
Assist with Insertion of: Arterial Line
                             
Assist with Insertion of: Swan-Ganz Catheter
                             
Assist with Care and Maintenance of: Central Line
                             
Assist with Care and Maintenance of: Arterial Line
                             
Assist with Care and Maintenance of: Swan-Ganz Catheter
                             
Evaluate Waveform/Pressures from: Arterial Line
                             
Evaluate Waveform/Pressures from: Swan-Ganz Catheter (PA)
                             
KNOWLEDGE OF THE FOLLOWING MEDICATIONS
Contrast Media
                             
Valium (Diazepam)
                             
Fentanyl
                             
Morphine
                             
Diprovan (Propofol)
                             
Pancuronium (Pavulon)
                             
Rocuronium (Zemuron)
                             
Narcan (Naloxone)
                             
Romazicon (Flumazenil)
                             
Esmoldol (Brevibloc)
                             
Lopressor (Metoprolol)
                             
Dilatiazem HCL (Cardizem)
                             
Verapamil (Calan)
                             
Nitrostat (Nitroglycerin)
                             
Amiodarone (Cordarone)
                             
Corvert (Ibutilide)
                             
Lidocaine
                             
Pronestyl (Procainamide)
                             
Dopamine Hydrochloride
                             
Aggrastat (Tirofiban)
                             
Aspirin
                             
Plavix (Clopidogrel)
                             
ReoPro (Abciximab)
                             
Retavase (Reteplase)
                             
Streptase (Streptokinase)
                             
TPA (Alteplase)
                             
Sodium Bicarbonate
                             
Furosemide (Lasix)
                             
Ativan (Lorazepam)
                             
Versed (Midazolam)
                             
Vecuronium (Norcuron)
                             
Digoxin (Lanoxin)
                             
Adenocard (Adenosine)
                             
Bretylium
                             
Integrilin (Eptifibatide)
                             
Heparin
                             
Insulin
                             
IV Antibiotics
                             
MONITORING/TELEMETRY
Lead Placement
                             
Lead Placement: I, III, V-Leads
                             
Basic 12 Lead EKG Interpretation
                             
Lead Placement: 5 Electrodes
                             
Set up and Perofrm 12 Lead EKG
                             
Rhythm Strip Interpretation
                             
NEUROLOGICAL
Neuro Assessment
                             
Assess Sensory, Motor and Speech Function
                             
Glasgow Coma Scale
                             
Identify Sudden Change in LOC
                             
Assess for Gag Reflex
                             
PATIENT CARE
Laser
                             
Skin Preperation and Shave
                             
Disposable Needsles, Sheaths, Etc.
                             
Radial Hemoband
                             
Maintain Coronary Wire Position while Assisting Physician w/Equipment Exchange
                             
Application of Sterile Pressure Dressing
                             
Allen Test
                             
Radiation Safety
                             
Maintain Sheaths in Place
                             
Aseptic Technique
                             
Hemochron
                             
Non-Disposable Needles, Sheaths, Etc.
                             
ACT Machine
                             
Power Injections
                             
Assesmble Equipment for Interventional Procedures
                             
Prepare Interventional Equipment Per Manufacturer Recommendations
                             
Troubleshoot Equipment Issues
                             
Knowledge of Pedatric Cardiac Anomolies
                             
PULMONARY
Pulse Oximetry
                             
Use of Ambu Bag
                             
Assist with Intubation
                             
Assess Lung Sounds
                             
Set Up Oxygen Delivery Devices
                             
Obtain and Interpret ABGs
                             
Obtain and Interpret Mixed Venous Gases
                             
Assist with Chest Tube Insertion
                             
SITE MANAGEMENT/SHEATHS
Assist with the Removal of: Femoral Arterial Sheath
                             
Hemotoma Recognition and Management
                             
Assist with the Removal of: Femoral Venous Sheath
                             
Closure Devices: VasoSeal
                             
Assist with the Removal of: Femoral Arterial Shealth
                             
Assist with the Removal of: Brachial Arterial Sheath
                             
Assist with the Removal of: Radial Arterial Sheath
                             
Manual Pressure Hold
                             
Closure Devices: C-Clamp
                             
Closure Devices: FemoStop Device
                             
Closure Devices: PreClose
                             
Closure Devices: AngioSeal
                             

 

SUPPLEMENTAL  
 

Experience with Cardiac/Cath Lab Monitors

ACLS Current?

Yes No

IABP Certification?

Yes No