Skills Checklist

Cath Lab Checklist

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WORK SETTING EXPERIENCE

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently

Procedural Cath Lab
Interventional Cath Lab
Interventional Radiology
Pre/Post Setting
EP Lab

GENERAL SKILLS

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Experienced in diagnostic catheterizations
Experienced in interventional catheterizations
Automated Medication Dispensing System, Pyxis, Omnicell, or other
Awareness of HCAHPS

GENERAL SKILLS - PHYSIOLOGIC MONITORING

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Monitoring / recording of LHC/RHC
Monitoring / recording of aortic / mitral valve cases
Monitoring / recording of PCI (Percutaneous Coronary Interventions)
Monitoring / recording valve cases
Monitoring / recording ASD closures
Monitoring / recording of EP / ablation cases
Monitoring / recording of permanent pacemaker insertions
National Patient Safety Goals
Accurate patient identification
Effective communication
Interpretation & communication of lab values
Medication administration
Medication reconciliation
Labeling (medications & specimens)
Anticoagulation therapy
Monitoring conscious sedation
Pain assessment & management
Infection control
Universal precautions
Isolation
Minimize risk for falls
Prevention of pressure ulcers
Use of rapid response teams

GENERAL SKILLS - CIRCULATES

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

LHC/RHC
IABP insertions
FFR (radi wire)
IVUS/volcano
Thrombectomies
Valvuloplasty
ASD closures
Atherectomy
Filter wires
Embolic protection devices
EP/ablations
Permanent pacemaker insertions
Places leads & pads for cardiac mapping
Electronic charting
Time Out Protocol

GENERAL SKILLS - SCRUBS

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

LHC/RHC
IABP insertions
Filter wires
Embolic protection devices
ASD closures
Valvuloplasty
Atherectomy
PCI
EP/ablations
Permanent pacemaker insertions
Maintain temporary pacemaker

GENERAL SKILLS - EQUIPMENT

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Hemochron
ABG analysis machines
Laser
Power injectors

INTERVENTIONAL RADIOLOGY RN EXPERIENCE

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Circulates for interventional procedures
Scrubs for interventional procedures
Angiogram / aortogram
Angioplasty
Vascular stenting
Declotting
Embolization
TIPS
Port placement
Dialysis catheter placement
Retrieval of foreign body
UAE (Uterine Arterial Embolization)
EVLT (Endovascular Laser Therapy)
Vertebro / kyphoplasty
Neuroradiology
Discogram
AAA endograft repair
Carotids
Extremities

AGE-SPECIFIC EXPERIENCE

Rank each of the following sections on a scale of 1 to 3: 1) Limited or no experience 2) Experienced, but may need review or supervision 3) Able to function independently *

Newborn / neonate (birth-30 days)
Infant (31 days-1 year)
Toddler (ages 2-3 years)
Preschool (ages 4-5 years)
School age (ages 6-12 years)
Adolescent (ages 13-21 years)
Young adult (ages 22-39 years)
Adult (ages 40-64 years)
Older adult (ages 65-79 years)
Elderly (ages 80+ years)