Cath Lab/Special Procedures Tech

Cath Lab/Special Procedures Tech Skills Checklist

Answer Key:

1. No Experience

2. Limited Experience

3. Experienced

4. Very Experienced

General Skills

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Universal Precautions
Care of the Patient in Isolation
Care of the Patient with Neutropenic or Bleeding Precautions
Care of the 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
Computerized Documentation

Assessment

Rows	1	2	3	4
Auscultation (Rate, Rhythm, Volume)
Abnormal Heart Sounds
Murmurs
Peripheral Pulse/Circulation Checks
Use of Doppler
Blood Pressure - Invasive
Blood Pressure - Non-Invasive
Evaluate Chest Pain

Monitoring/Telemetry

Rows	1	2	3	4
Lead Placement
Basic 12 Lead EKG Interpretation
Arrhythmia Interpretation
Lead Placement: 5 Electrodes
Lead Placement: I, III, V-Leads
Lead Placement: Lead II and MCL
Set up and Perform 12 Lead EKG
Rhythm Strip Interpretation

Hemodynamic Monitoring

Rows	1	2	3	4
A-Line/Radial
Cardiac Index
Cardiac Output
CVP Monitoring
During Sheath Removal
MAP
RA and RV Pressures
PAP/Swan-Ganz
PCW Pressure
PVR
SVO2
SVR
Ejection Fraction
LVEDP
Troubleshoot PA Catheter Problems

Interpretation of Lab Results

Rows	1	2	3	4
Cardiac Enzymes
Isoenzymes
Coagulation Studies
Chemistries

IV Therapy

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Central Line (Hickman, Broviac, etc)
Arterial Line
Swan-Ganz Catheter
Central Line
Arterial Line
Swan-Ganz Catheter
Evaulate Waveform/Pressures from:
Arterial Line
Swan-Ganz Catheter (PA)

Pulmonary

Rows	1	2	3	4
Assess Lung Sounds
Pulse Oximetry
Set Up Oxygen Delivery Devices
Obtain and Interpret ABG's
Obtain and Interpret Mixed Venous Gases
Use Ambu Bag
Assist with Chest Tube Insertion
Assist with Intubation

Neurological

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Neuro Assessment
Identify Sudden Change in LOC
Assess Sensory, Motor, Speech Function
Glasgow Coma Scale
Assess for Gag Reflex

Knowledge of the Following Medications

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Contrast Media
Ativan (Lorazepam)
Valium (Diazepam)
Versed (Midazolam)
Fentanyl
Morphine
Diprovan (Propofol)
Pancuronium (Pavulon)
Rocuronium (Zemuron)
Vecuronium (Norcuron)
Narcan (Naloxone)
Romazicon (Flumazenil)
Esmolol (Brevibloc)
Lopressor (Metoprolol)
Dilatiazem HCL (Cardizem)
Verapamil (Calan)
Digoxin (Lanoxin)
Nitrostat (Nitroglycerin)
Adenocard (Adenosine)
Amiodarone (Cordarone)
Bretylium
Corvert (Ibutilide)
Lidocaine
Pronestyl (Procainamide)
Atropine
Sodium Nitroprusside (Nipride)
Inocor (Amrinone)
Milrinone (Primacor)
Adrenalin (Epinephrine)
Dobutrex (Dobutamine)
Dopamine Hydrochloride
Aggrastat (Tirofiban)
Aspirin
Integrilin (Eptifibatide)
Plavix (Clopidogrel)
ReoPro (Abciximab)
Retavase (Reteplase)
Streptase (Streptokinase)
TPA (Alteplase)
Heparin
Sodium Bicarbonate
Furosemide (Lasix)
Insulin
IV Antibiotics

Site Management/Sheaths

Rows	1	2	3	4
Femoral Arterial Sheath
Femoral Venous Sheath
Brachial Arterial Sheath
Radial Arterial Sheath
Manual Pressure Hold

Closure Devices

Rows	1	2	3	4
C-Clamp
FemoStop Device
VasoSeal
AngioSeal
PerClose
Hematoma Recognition/Management

Patient Care

Rows	1	2	3	4
Application of Sterile Pressure Dressing
Allen Test
Laser
Radiation Safety
Maintain Sheaths in Place
Skin Preparation and Shave
Aseptic Technique
Disposable Needles, Sheaths, Etc.
Non-Disposable Needles, Sheaths
ACT Machine
Hemochron
Power Injectors
Radial Hemoband
Assemble Equipment for Interventional Procedures
Prepare Interventional Equipment
Maintain Coronary Wire Position
Troubleshoot Equipment Issues
Knowledge of Pediatric Cardiac Anomolies

Care of a Patient With History of

Rows	1	2	3	4
Angina
Abdominal Aortic Aneurysm Repair
Abdominal Aortic Bypass
Aneurysm
Cardiomyopathy
Congestive Heart Failure
Femoral-Popliteal Bypass
Heart Transplant
Immediate Post Op Open Heart Surgery
Endocarditis
Myocardial Contusion
Pericarditis
Post Acute MI
Post AICD Insertion
Post Atherectomy
Post CABG
Post Intracoronary Stent Replacement
Post Percutaneous Balloon Valvuloplasty
Post Rotoblator
Post Valve Replacement
Post Angioplasty

Scrub Interventional Procedures/Assist with

Rows	1	2	3	4
Cardiac Catheterization - Adult (R/L)
Cardiac Catheterization - Pediatric (R/L)
Permanent Pacemaker
Temporary Epicardial/Transthoracic Pacing
Temporary External Pacing
Temporary External Pacing
Temporary Transvenous Pacing
Pacemaker Pockets/Suturing
AICD Pacemakers
Shunt Detection and Calculation
Angioplasty/PCI
Cutting Balloon Angioplasty
Left Ventricular Assist Device
Right Ventricular Assist Device
Arrhythmia Ablation>
Debulking
Stent Placement
Jostent Stent
PercuSurge Procedure
Thromolysis
AngioJet
Directional Coronary Atherectomy
Rotational Coronary Atherectomy
Pericardiocentesis
Transluminal Extraction Catheter
Aortography
Internal Mammary Angiography
Pulmonary Angiography
Sapnenous Vein Graft Angiography
Cardiac Biopsy
Pericardial Tap
Valvuloplasty
Intra Aortic Balloon Pump (IABP)
Percutaneous Transluminary Coronary Angioplasty (PTCA)
TransEsophogeal Ecocardiogram (TEE)
Radio Frequency Ablation
Electrophysiology Studies (EPS)
Balloon Dilatation - Valves
Balloon Dilatation - Vessels
Continuous Arteriovenous Hemofiltration (CAVH)
Controlled Cardioversion
Closure of ASD
Closure of VSD
Closure of Patent Foramen Ovale
Tilt Table Testing
Brachytherapy
Intravascular Ultrasound

Scrub Emergency Procedures

Rows	1	2	3	4
Emergency Cardioversion
Anaphylaxis (Contras Media)
Vasovagal Response
Sepsis/Septic Shock
Hemothorax
Pneumothorax
Cardiac Tamponade
Cardiogenic Shock
Embolism
Myocardial Infarction
TIA
Aortic Dissection
Cardiac/Respiratory Arrest
Emergency Defibrillation

Circulate Interventional Procedures/Assist with

Rows	1	2	3	4
Cardiac Catheterization - Adult (R/L)
Cardiac Catheterization - Pediatric (R/L)
Permanent Pacemaker
Temporary Epicardial/Transthoracic Pacing
Temporary External Pacing
Temporary External Pacing
Temporary Transvenous Pacing
Pacemaker POckets/Suturing
AICD Pacemakers
Shunt Detection and Calculation
Angioplasty/PCI
Cutting Balloon Angioplasty
Left Ventricular Assist Device
Right Ventricular Assist Device
Arrhythmia Ablation>
Debulking
Stent Placement
Jostent Stent
PercuSurge Procedure
Thromolysis
AngioJet
Directional Coronary Atherectomy
Rotational Coronary Atherectomy
Pericardiocentesis
Transluminal Extraction Catheter
Aortography
Internal Mammary Angiography
Pulmonary Angiography
Sapnenous Vein Graft Angiography
Cardiac Biopsy
Pericardial Tap
Valvuloplasty
Intra Aortic Balloon Pump (IABP)
Percutaneous Transluminary Coronary Angioplasty (PTCA)
TransEsophogeal Ecocardiogram (TEE)
Radio Frequency Ablation
Electrophysiology Studies (EPS)
Balloon Dilatation - Valves
Balloon Dilatation - Vessels
Continuous Arteriovenous Hemofiltration (CAVH)
Controlled Cardioversion
Closure of ASD
Closure of VSD
Closure of Patent Foramen Ovale
Tilt Table Testing
Brachytherapy
Intravascular Ultrasound

Circulate Emergency Procedures

Rows	1	2	3	4
Emergency Cardioversion
Anaphylaxis (Contras Media)
Vasovagal Response
Sepsis/Septic Shock
Hemothorax
Pneumothorax
Cardiac Tamponade
Cardiogenic Shock
Embolism
Mycardial Infarction
TIA
Aortic Dissection
Cardiac/Respiratory Arrest
Emergency Defibrillation

Age Specific

Rows	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)

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.

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