Cardiac Catheterization Laboratory/Interventional Radiology RN
Skills Checklist
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First Name
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Last Name
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Social Security number
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Date
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Email
Please indicate your level of experience (0, 1, 2, or 3)
0 = Theory, no practice 1 = Limited 2 = Confident
3 = Very Confident
A. GENERAL
Admit patient to pre-procedure holding
Complete assessments, obtain family history & risk factors
Start peripheral IV
Complete pre-procedure checklist
Transport pre-procedure patient to the Lab.
Transport post-procedure patient to in-hospital units
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B. CARDIOVASCULAR
Assess heart sounds and peripheral pulses
Interpret arrhythmias
Assist with arterial line insertion
Provide care to the patient with an arterial line
Draw blood samples from arterial line
Interpret arterial line waveform/pressures
Remove arterial line
Assist with S/G insertion
Provide care to the patient with S/G
Provide care to the patient with SvO2 S/G catheter
Interpret PA waveforms/pressures
Remove S/G catheter
Assist with central line insertion
Draw blood samples from central line
Remove central line
Set up and run 12 Lead ECG
Provide care for the post-procedure patient
Provide care for the patient with an IABP
Provide care for the patient in shock
Perform CPR
Perform defibrillation
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Cath Lab/IR RN Skills Checklist Page 1 of 3
Participate as a team member in resuscitation
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C. PULMONARY
Assess lung sounds
Set up oxygen devices
Obtain pulse oximetry reading
Interpret ABG
Use Ambu bag
Assist with intubation
Assist with chest tube insertion
Provide care for the patient with mechanical ventilation
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D. NEUROLOGICAL
Identify sudden change in level of consciousness
Assess sensory, motor, speech
Assess reflexes (Babinski, gag)
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F. MEDICATOINS
Titrate vasoactive drugs
Calculate mcg/min and mcg/kg/min
Use IV infusion pump to calculate drug doses
Administer IV dopamine
Administer IV nitroglycerine
Administer IV dobutamine (Dobutrex)
Administer IV milrinone (Primacor)
Administer IV metoprolol (Lopressor)
Administer IV lidocaine
Administer IV amiodarone (Cordarone)
Administer IV adenosine
Administer IV diltiazem (Cardizem)
Administer IV esmolol (Brevibloc)
Administer IV verapamil
Administer IV ibutilide
Administer IV atropine
Administer IV thrombolytics (TPA, streptokinase)
Administer IV heparin
Administer IV GP llb/llla inhibitors (ReoPro, Aggrastat,
Integrilin)
Administer IV benzodiazepines (Valium, Versed, Ativan)
Administer IV propofol (Diprivan)
Administer IV neuromuscular blocking agents (Pavulon,
Norcuron)
Administer IV narcotics (morphine, fentanyl)
Administer IV antibiotics (vancomycin, gentamycin, Ancef)
Administer IV Lasix
Cath Lab/IR RN Skills Checklist Page 2 of 3
G. PAIN/WOUND MANAGEMENT
Assess pain level/tolerance
Care of patient with anesthesia/analgesia
Care of patient with IV conscious sedation
Care of patient with narcotic analgesia
Care of patient with patient controlled analgesia (PCA pump)
Assess surgical wound status with/without drain(s)
Care of patient with sterile dressing changes
Care of patient with FemoStop device
Assessment of VasoSeal, AngioSeal, PerClose success
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Age specific practice criteria
Please check the box corresponding to each age group for which you have expertise in
providing age-appropriate nursing care.
Pediatric (1-18years)
Adolescents (12 - 18 years)
Adult (19 - 65 years)
Older adults (Older than 65years)
A. EXPERIENCE WITH AGE GROUPS
1. Calculate body weight to verify correct dosing of medication
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2. Assess immunization status for pediatric, and adolescent
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3. Set age-appropriate short-term and long-term goals in care
planning
4. Provide age-appropriate education, considering possible
vision and hearing impairment for Older than 65years.
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Certification: (mo/day/yr)
ACLS Completion Date: ____/____/____
BCLS Completion Date: ____/____/____
Other (specify): __________________________ Completion Date: ____/____/____
Cath Lab/IR RN Skills Checklist Page 3 of 3