Cardiac Cath Recovery Orientation Guidelines Note to Preceptor: Employees should be assessed by you to determine their prior experience with patient care at St. Elizabeth Medical Center. Many new hires have completed their role transition at SEMC and taken full patient loads. Guidelines should be amended as needed based upon the employee’s prior experience and progression. Week 1 Orientation to unit 1.Location of supplies 2.Location of clean and dirty utility rooms 3.Location of emergency equipment 4.Location and use of ACT machine, Pyxis and Accuchek machine. 5.Openeing and closing unit 6. Lounge and locker room, locker Introduction to all procedures admitted and recovered in CCR 1.Observe various procedures 2.Review educational materials Introduction to staff 1. Cath Lab staff 2. Special Procedures staff 3. CCR staff ie nurses,Certified Nursing Assistant,Clerical Coordinaotr Time clock and time record log 1. Demonstrate clocking in and out 2. Review time sheet location and purpose Introduction to voice mail, central scheduling module, schedule log, assignment sheet Introduced to & understands radiation protection and safety equipment 1. BSI 2. Lead Aprons 3. Needless system 4. EP Lab Attire Orient to tube system 1.Security code receiving 2. How to send secure items Schedule request book 1.Understanding self scheduling 2.Mininal requirements per shift, day of week, on-call and vacations Admit and prep routine cath lab and specials patient with preceptor DateCompleted/Initials 1.Admission paperwork 2.IV Therapy Principles and Procedures 3.Patient / Family Education 4.Assessment (Witt) 5.History and Physical 6.Labs Abnormal/Critical 7. Care-plan Medication over-view 1.Pyxis 2.MAR 3.Understanding allergy precautions 4.Pre-op medications 5. Documentation of meds Develop a working knowledge of pre-procedure computerized documentation 1.Pre-op checklist 2.Assessment 3.ID page 4.vitals Orientation to report system 1. Cath Lab to CCR 2. CCR to receiving unit (SBAR) 3. Lunch coverage 4. turning care over Verify use of HPF, Groupwise, Pyxis Connect, and Medstar Orient to Minimal Lift equipment per checklist 1.Introduction to Smart Coaches 2.Demonstration of maxislide use Equipment as available per RN checklist 1. Zoll 2. Precision one 3. C Clamp 4. Femstop Schedule 1. Cath Lab and Recovery (Witt, Central scheduling Week 2 Reinforce Week 1 objectives Assessment and recovery of routine catheterization patient with supervision 1.vitals/ hemodynamics 2. Puncture site assessment and care Date Completed 3. Leg and peripheral pulses 4. pain assessment and documentation Appropriate use of computerized documentation of recovery patient 1. Assessment 2. Education 3. Plan of care 4. Report 5. Discharge instruction 6. Knowledge of Conscious Sedation and use of reversal agents 1. LOC 2. Vitals 3. Discharge criteria Understands the appropriate discharge criteria from CCR Able to discharge or transfer patient giving appropriate education &/or report Take physician orders Equipment as available per RN checklist (propaq, witt, lifepak, zoll) Exposure to the use of defibrillator pads and closure devices Demonstrates proper cleaning of equipment Week 3 Date Completed Be able to admit and recover patients Be able to start IV’s per St. Elizabeth Policy and Procedure Uses critical thinking skills in prioritization of patient care Developing an understanding of cardiac rhythm on monitor Week 4 Transfers to and from other units/facilities Able to determine cardiac rhythms as evidenced by passing EKG classes Able to pull sheaths, application of manual & mechanical compression and closure devices. Able to respond to complications from pulling sheath Introduction to intra- aortic balloon pumps, ventilators, defib-implant Date Completed supporter, ultrasound stethoscope and transducers Knowledge of all procedures admitted and recovered in CCR along with Appropriate care of each patient type Able to open and close CCR Understanding of emergency drugs, 2B3A agents, angiomax and Bicarb infusions Equipment as available per RN checklist * Orientee should accompany patients to procedures when possible Nursing Division Information Magnet Nursing Administration Philosophy and Objectives Professional Practice Model for Nursing Model Of Shared Leadership Organizational Chart (Chain of Command) Patient Satisfaction HIPPA/Confidentiality Witnessing for Patients Ethics Employee Incident Report/Blood Exposure Confidential Report of Occurrence Patient Care Safety Standards Nutritional Services Mandatory In-service Day (MID) Continuing Education Report Suspected Abuse Initials Signature Title Date Date:_______________________ Associate Signature:__________________________ Date: _______________________ Manager Signature:___________________________