<p> GOOD SHEPHERD MEDICAL CENTER PROCEDURE</p><p>Division: Clinical Effective Date: Page 1 of 2 1/00 Department: Date/Historical File: VP/Committee Approval: Cardiac Cath Lab 5/13 Ron Short, VP 6/2010 Subject: Duties of Cath Lab Personnel </p><p>Purpose: To establish guidelines of duties to be performed by Cath Lab staff in a timely and orderly manner to ensure optimal patient care and safety.</p><p>Supportive Data: 1. Specific roles of Monitor, Scrub, X-ray/Pan, Circulator. 2. Performed by RN and RT. 3. Medication administration and assessment by RN’s only. 4. Pain will be assessed pre, every 5 minutes during procedure and post procedure.</p><p>Steps Keypoints</p><p>MONITORING</p><p>1. Responsible for documentation of Cath procedure and recording hemodynamic pressures.</p><p>Pre cath assessment Includes LOC & pain status, Aldrete score, understanding of procedure, pertinent HX, IV sites/IVF’s, VS’s, Lab, pulses, respiratory status, appropriate permits, and allergies.</p><p>Intra cath assessment Vital signs for conscious Sedation, aldrete scoring, hemodynamics, equipment used, patient response to procedures.</p><p>Post cath assessment Alderete scoring if applicable; pain status;Achievement of SUBJECT: Duties of Cath Lab Personnel Page 2 of 2</p><p> groin hemostastis Patient teaching, transfer of patient to floor, report to receiving nurse. </p><p>SCRUB</p><p>1. Responsible for assisting the MD RN or RT during the procedure.</p><p>Pre cath Place sterile towels on drape; assist with connection of pressure lines to transducers; ensure system is free of air bubbles, cover image intensifier and shield, connect to injector; prepare equipment for use.</p><p>Intra cath Assist with use of equipment (i.e. guide wires, catheters, balloons, stents, etc).</p><p>Assist w/ watching patient’s hemodynamics.</p><p>Post cath Assist with or perform groin hemostasis; secure groin site post procedure; patient teaching; transfer of patient to stretcher.</p><p>CIRCULATE</p><p>1. Attends to patients needs Assess patients comfort status, hemodynamics, and respiratory status.</p><p>2. Administers medications as ordered by RN’s only physicians</p><p>3. Obtains necessary equipment</p><p>Revised by: Missie Pirtle, RN, CCRN, RCIS Director of Cardiology Services 6/8/10 Reviewed by: Dancel Maxwell, RN, MPA, Director of Clinical Patient Access SUBJECT: Duties of Cath Lab Personnel Page 3 of 2</p><p>5/13</p>