Cardiac Cath Recovery Orientation Guidelines

Cardiac Cath Recovery Orientation Guidelines

Note to Preceptor:

Employees should be assessed by you to determine their prior experience with patient care at St. Elizabeth Medical Center. Many new hires have completed their role transition at SEMC and taken full patient loads. Guidelines should be amended as needed based upon the employee’s prior experience and progression.

Week 1 / DateCompleted/Initials
Orientation to unit
1.Location of supplies
2.Location of clean and dirty utility rooms
3.Location of emergency equipment
4.Location and use of ACT machine, Pyxis and Accuchek machine.
5.Openeing and closing unit
6. Lounge and locker room,locker
Introduction to all procedures admitted and recovered in CCR
1.Observe various procedures
2.Review educational materials
Introduction to staff

1. Cath Lab staff
2. Special Procedures staff
3. CCR staff ie nurses,Certified Nursing Assistant,Clerical Coordinaotr

Time clock and time record log

1. Demonstrate clocking in and out
2. Review time sheet location and purpose

Introduction to voice mail, central scheduling module, schedule log, assignment sheet
Introduced to & understands radiation protection and safety equipment

1. BSI
2. Lead Aprons
3. Needless system
4. EP Lab Attire

Orient to tube system
1.Security code receiving
2. How to send secure items
Schedule request book
1.Understanding self scheduling
2.Mininal requirements per shift, day of week, on-call and vacations
Admit and prep routine cath lab and specials patient with preceptor
1.Admission paperwork
2.IV Therapy Principles and Procedures
3.Patient / Family Education
4.Assessment (Witt)
5.History and Physical
6.Labs Abnormal/Critical
7. Care-plan
Medication over-view
1.Pyxis
2.MAR
3.Understanding allergy precautions
4.Pre-op medications
5. Documentation of meds
Develop a working knowledge of pre-procedure computerized documentation
1.Pre-op checklist
2.Assessment
3.ID page
4.vitals
Orientation to report system

1. Cath Lab to CCR
2. CCR to receiving unit (SBAR)
3. Lunch coverage
4. turning care over

Verify use of HPF, Groupwise, Pyxis Connect, and Medstar
Orient to Minimal Lift equipment per checklist
1.Introduction to Smart Coaches
2.Demonstration of maxislide use
Equipment as available per RN checklist

1. Zoll
2. Precision one
3. C Clamp
4. Femstop

Schedule
1. Cath Lab and Recovery (Witt, Central scheduling
Week 2 / Date Completed
Reinforce Week 1 objectives
Assessment and recovery of routine catheterization patient with supervision
1.vitals/ hemodynamics
2. Puncture site assessment and care

1. Leg and peripheral pulses
2. pain assessment and documentation

Appropriate use of computerized documentation of recovery patient

1. Assessment
2. Education
3. Plan of care
4. Report
5. Discharge instruction

Knowledge of Conscious Sedation and use of reversal agents

1. LOC
2. Vitals
3. Discharge criteria

Understands the appropriate discharge criteria from CCR
Able to discharge or transfer patient giving appropriate education &/or report
Take physician orders
Equipment as available per RN checklist (propaq, witt, lifepak, zoll)
Exposure to the use of defibrillator pads and closure devices
Demonstrates proper cleaning of equipment
Week 3 / Date Completed
Be able to admit and recover patients
Be able to start IV’s per St. Elizabeth Policy and Procedure
Uses critical thinking skills in prioritization of patient care
Developing an understanding of cardiac rhythm on monitor
Week 4 / Date Completed
Transfers to and from other units/facilities
Able to determine cardiac rhythms as evidenced by passing EKG classes
Able to pull sheaths, application of manual & mechanical compression and closure devices. Able to respond to complications from pulling sheath
Introduction to intra- aortic balloon pumps, ventilators, defib-implant
supporter, ultrasound stethoscope and transducers
Knowledge of all procedures admitted and recovered in CCR along with
Appropriate care of each patient type
Able to open and close CCR
Understanding of emergency drugs, 2B3A agents, angiomax and Bicarb infusions
Equipment as available per RN checklist

* Orientee should accompany patients to procedures when possible

Nursing Division Information

Magnet
Nursing Administration Philosophy and Objectives
Professional Practice Model for Nursing
Model Of Shared Leadership
Organizational Chart (Chain of Command)
Patient Satisfaction
HIPPA/Confidentiality
Witnessing for Patients
Ethics
Employee Incident Report/Blood Exposure
Confidential Report of Occurrence
Patient Care Safety Standards
Nutritional Services
Mandatory In-service Day (MID)
Continuing Education
Report Suspected Abuse
Initials / Signature / Title / Date

Date:______Associate Signature:______

Date: ______Manager Signature:______