Cath Lab

Cardiac Cath Lab/Interventional Radiology/EP Lab Skills Checklist

Answer Key:

1. No Experience 2. Limited Experience 3. Experienced 4. Very Experienced

Age Specific

	1	2	3	4
Newborn/Neonatal (up to 30 days)
Infant (30 days to 1 year)
Toddler (1 to 3 years)
Preschooler (3 to 5 years)
School Age (5 to 12 years)
Adolescents (12 to 18 years)
Young Adults (18 to 39 years)
Middle Adults (40 to 64 years)
Older Adults (65 & up)

Work Setting

	1	2	3	4
Procedural Cath Lab
Interventional Cath Lab
EP Lab
Interventional Radiology
Pre-Procedural Setting
Post-Procedural Setting
Charge Experience

Prepare

	1	2	3	4
AICD Placement
Aortography
Cardiac Biopsy
Cardia Implant Closure Device
Cardiac Stent Placement
Diagnostic Cardiac Catheterization
Directional Coronary Atherectomy
IABP Placement/Removel
Internal Mammary Angiography
Laser Assisted Procedures
Percutaneous Transluminal Coronary Angioplasty
Pericardiocentesis
Permanent Pacemaker Placement
Pulmonary Angiography
Rotational Coronary Atherectomy
Saphenous Vein Graft Angiography
Valvuloplasty
Ventricular Assist Device Insertion

Assist

	1	2	3	4
AICD Placement
Aortography
Cardiac Biopsy
Cardia Implant Closure Device
Cardiac Stent Placement
Diagnostic Cardiac Catheterization
Directional Coronary Atherectomy
IABP Placement/Removel
Internal Mammary Angiography
Laser Assisted Procedures
Percutaneous Transluminal Coronary Angioplasty
Pericardiocentesis
Permanent Pacemaker Placement
Pulmonary Angiography
Rotational Coronary Atherectomy
Saphenous Vein Graft Angiography
Valvuloplasty
Ventricular Assist Device Insertion

Prepare

	1	2	3	4
Cerebral Angiogram
Lower Extremity Angiogram
Upper Extremity Angiogram
Ultrasound Guided Biopsy
CT Scan Guided Biopsy
Liver Biopsy & Embolization
Line Placement - Broviac
Line Placement - Groshong
Line Placement - Hickman
Line Placement - PICC
Line Placement - PortaCath
Uterine Fibroid Embolization
Temp Hemodialysis Shunt Placement
Perm Hemodialysis Shunt Placement
AV Fistula/Shunt Declotting
Vertebroplasty
Lumbar Puncture
Myelogram

Assist

	1	2	3	4
Cerebral Angiogram
Lower Extremity Angiogram
Upper Extremity Angiogram
Ultrasound Guided Biopsy
CT Scan Guided Biopsy
Liver Biopsy & Embolization
Line Placement - Broviac
Line Placement - Groshong
Line Placement - Hickman
Line Placement - PICC
Line Placement - PortaCath
Uterine Fibroid Embolization
Temp Hemodialysis Shunt Placement
Perm Hemodialysis Shunt Placement
AV Fistula/Shunt Declotting
Vertebroplasty
Lumbar Puncture
Myelogram

Prepare

	1	2	3	4
Electrophysiology Evaluation
Baseline Measurements
Cardiac Ablation
Cardiac Mapping
Cardioversion
Conduction Study
Internal Cardioverter Defibrillator Implant
Tilt Table Study

Assist

	1	2	3	4
Electrophysiology Evaluation
Baseline Measurements
Cardiac Ablation
Cardiac Mapping
Cardioversion
Conduction Study
Internal Cardioverter Defibrillator Implant
Tilt Table Study

	1	2	3	4
Calculate mcg/min & mcg/kg/min
Titrating Vasoactive Drugs
Use IV infusion pump to calculate drug doses
Administer IV dopamine
Administer IV nitroglycerine
Administer IV dobutamine (Dobutrex)
Administer IV lidocaine
Administer IV diltiazem (Cardizem)
Administer IV epinephrine
Administer IV atropine
Administer IV heparin
Administer IV benzodiazepines (Valium, Versed, Ativan)
Administer IV propofol (Diprivan)
Administer IV neuromuscular blocking agents (Pavulon, Norcuron)
Administer IV narcotics (morphine, fentanyl)
Isuprel
Procainamide
Esmolol
Adenosine
Amiodarone
Antibiotics
Analgesics

Cardiovascular

	1	2	3	4
Assessment of Heart Sounds
Interpret Basic Arrhythmias
Emergency Defibrillation
Controlled Cardioversion
CVP monitoring via water manometer
Radial art lines
Interpretation of enzymes
Interpretation of coags
Thrombolytic studies
Electrophysiological studies
Cardiac rehab-patient teaching

Neurological

	1	2	3	4
Assessment of LOC
Seizure precautions
Treating hypo/hyperthermia
Treating emphysema
Status asthmaticus
Treating ARDS
Post thoracotomy
Sedation monitoring
Alzheimer's
Overdoses
Vertebroplasty

Pulmonary

	1	2	3	4
Assessment of breath sounds
Assessment of breathing patterns
Pulse oximetry
Oropharyngeal suctioning
Tracheostomy suctioning
Sputum specimen collection via suctioning
Establishing an airway
Interpretation of ABG's
Ambuing techniques
Assist with intubation & extubation
Assist with pulmonary edema
Assist with pulmonary embolization
Assist with chest tubes

Gastrointestinal

	1	2	3	4
Bowel sound assessment
Angioplasty
Chemoembolization
Cholecystostomy
Embolization
ERCP
Esophageal Stent Placement
Gastrojejunostomy
Gastrostomy Tube Placement
Liver Ablation
Pericentesis
Percutaneous Hepatic Angiography
TIPS

Genitourinary

	1	2	3	4
Adrenal Angiography
Angiography of female GU system
Embolization
Nephrostomy
Percutaneous Stone Extraction
Renal Angiography
Venous Sampling
Tropical Hemostasis (D-Stat, Chito-Seal, Syvek Patch)
Vascular Closure Systems (Perclose, Starclose)
External Compression Devices (C-Clamps, Sandbags)
Physiologic Monitoring/recording
Sheath Removal & monitoring
Isolation Precautions
Infection Prevention

General Skills

	1	2	3	4
IV Insertion
Phlebotomy
Admin. of blood/blood products
Central lines
Use of infusion pumps
PCA Pumps
Titration of drips
National patient safety goals/core measures
Conscious Sedation
Narcotic Analgesia
Sterile Dressing Changes

I attest that this checklist represents a true reflection of my experience to the best of my knowledge. By electronically signing this form I give my permission for it to be shared with facilities as a way to assess my skill level and be considered for employment opportunities.

Digital Signature*

Phone Number*

Area CodePhone Number

Date*

Date

Cath Lab Procedures

IR Procedures

EP Lab Procedures

Medications

Skills/Assessments