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Cath Lab RN
Cath Lab RN
Name
First
Last
Email
Phone
Date
Self-Assessment Rating Scale:
No Experience
Theory or observation only during the past 12 months
Limited Experience
Performed less than 12 times within the past 12 months and may need a review
Experienced
Performed at least once per month within the past 12 months and may need minimal assistance
Highly Skilled
Performed on at least a weekly basis over the past 12 months; proficient
General Skills
No Experience
Limited Experience
Experienced
Highly Skilled
Universal Precautions
Care of Patient in Isolation
Care of Patient with Bleeding Precautions
Care of Patient with Neutropenic Precautions
Care of Patient in Restraints
Cardiac Monitoring - Basic
Cardiac Monitoring - Advanced
Interpretation of Arrhythmias
Emergency Medications (ACLS)
Pediatric Cardiac/Respiratory Arrest
Adult Cardiac/Respiratory Arrest
End of Life Care
Crash Carts
Defibrillators
Automated Medication Dispensing Systems
Computerized Documentation
Assessment
No Experience
Limited Experience
Experienced
Highly Skilled
Abnormal Heart Sounds
Murmurs
Peripheral Pulse/Circulation Checks
Use of Doppler
Blood Pressure - Invasive
Blood Pressure – Non-Invasive
Evaluate Chest Pain
Monitoring/Telemetry
No Experience
Limited Experience
Experienced
Highly Skilled
Basic 12 Lead EKG Interpretation
Arrhythmia Interpretation
Lead Placement: 5 Electrodes
Lead Placement: I,II,V-leads
Lead Placement: Lead II and MCL
Set up and Perform 12 Lead EKG
Rhythm Strip Interpretation
Hemodynamic Monitoring
No Experience
Limited Experience
Experienced
Highly Skilled
Biopsy
Handoff Reports
Left Heart Caths
Right Heart Caths
Coronary Intervention
Hematoma Recognition & Mgt
Coronary Atherectomy
IVUS
Intra Aortic Balloon Pump
EP Study
Ablation
Rotablator
FFR
Interpretation of Lab Results
No Experience
Limited Experience
Experienced
Highly Skilled
Cardiac Enzymes
GFR Bun Creatinine
Coagulation Studies
Chemistries
Other - Rate
IV Therapy
No Experience
Limited Experience
Experienced
Highly Skilled
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
Pulmonary
No Experience
Limited Experience
Experienced
Highly Skilled
Assess Lung Sounds
Pulse Oximetry
Set UP Oxygen Delivery Devices
Obtain and Interpret ABG’s
Obtain and Interpret Mixed Venous Gases
Assist with Intubation
Neurological
No Experience
Limited Experience
Experienced
Highly Skilled
Neuro Assessment
Assess Sensory, Motor, Speech Function
Glasgow Coma Scale
Medication
No Experience
Limited Experience
Experienced
Highly Skilled
Contrast Media
Sedation Meds
Reversal Meds
Anticoagulation
Thrombolytics
Lopressor (Metoprolol)
Dilatiazem HCL (Cardizem)
Verapamil (Calan)
Nitrostat (Nitroglycerin)
Adenocard (Adenosine)
Amiodarone (Cardarone)
Corvert (Ibutilide)
Lidocaine
Pronestyl
Atropine
Sodium Nitroprusside (Nipride)
Inocor (Amrinone)
Milrinone (Primacor)
Adrenalin (Epinephrine)
Dobutrex (Dobutamine)
Dopamine Hydrochloride
Sodium Bicarbonate
Furosemide (Lasix)
Insulin
IV Antibiotics
Site Management/Sheaths
No Experience
Limited Experience
Experienced
Highly Skilled
Assist with Removal of: Femoral Arterial Sheath
Assist with Removal of: Femoral Venous Sheath
Assist with Removal of: Brachial Arterial Sheath
Assist with Removal of: Radial Arterial Sheath
Assist with Removal of: Manual Pressure Hold
Assist with Removal of: Hematoma Recognition/Mgmt
Assist with Removal of: Closure Devices
Age
No Experience
Limited Experience
Experienced
Highly Skilled
Peds
Adults
Patient Care
No Experience
Limited Experience
Experienced
Highly Skilled
Application of Sterile Pressure Dressing
Allen Test
Radiation Safety
Maintain Sheaths in Place
Skin Prep and Clipping
Aseptic Technique
Knowledge of Pediatric Cardiac Anomalies
Identify Sudden Change in LOC
Post Procedure/Recorvery
Interventional Procedures/Scrubs
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
Cardiac Catheterization – Adult (R/L)
Cardiac Catheterization – Peds (R/L)
Permanent Pacemaker
Temporary Epicardial/Transthoratic Pacing
Temporary External Pacing
Temporary Transvenous Pacing
Peripheral
Cardiac Interventional Procedures
EP Studies
EP Ablations
Emergency Procedures
No Experience
Limited Experience
Experienced
Highly Skilled
Emergency Cardioversion
Anaphylaxis (Contras Media)
Vasovagal Response
Sepsis/Septic Shock
Cardiac Tamponade
Cardiogenic Shock
Emobolism
Myocardial Infarction
TIA
Aortic Dissection
Cardiac/Respiratory
Emergency Defibrillation
Circulate
No Experience
Limited Experience
Experienced
Highly Skilled
Cardiac Cath – Adult (R/L)
Cardiac Cath – Peds (R/L)
Permanent Pacemaker
Temporary Pacing
AICD Pacemakers / Biventricular Pacer
Angioplasty/PCI
Arrhythmia Ablation
Thromolysis
AngioJey
Rotational Coronary Atherectomy
Pericardiocentesis
Cardiac Biopsy
Pericardiocentesis
Chest Tube Placement
Valvuplasty
IABP
TEE
EP Studies
CAVH
Controlled Cardioversion
Closure of ASD
Closure of VSD
Closure of Patent Foramen Ovale
Tilt Table Testing
Brachytherapy
Intravascular Ultrasound
Interventional Procedures/Monitor
No Experience
Limited Experience
Experienced
Highly Skilled
Cardiac Cath – Adult (R/L)
Cardiac Cath – Peds (R/L)
Permanent Pacemaker
Temporary Pacing
AICD Pacemakers / Biventricular Pacer
Shunt Detection and Calculation
Angioplasty/PCI
Left Ventricular Assist Device
Right Ventricular Assist Device
Ablation
AngioJet
Rotational Coronary Atherectomy
Pericardiocentesis
Angiography
Cardiac Biopsy
Pericardiocentesis
Chest Tube Placement
Valvuplasty
IABP
TEE
EP Studies
CAVH
Controlled Cardioversion
Closure of ASD
Closure of VSD
Closure of Patent Foramen Ovale
Tilt Table Testing
Brachytherapy
Intravascular Ultrasound
FFR
Emergency Procedures
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