Cardiac Cath Lab RN Skills Checklist

Please rate your experience / frequency within the last year

0 = No Experience / Observed Only
1 = Limited Experience / Rarely Done (<6 times/year)
2 = May Need Some Review / Occasionally Done (1 – 2 times/month)
3 = Experienced / Frequently Done (daily or weekly)

Full Name(Required)

Email(Required)

Send to(Required)

Date(Required)

MM slash DD slash YYYY

AGE OF PATIENTS CARED FOR

Newborn/ Neonate (birth to 30 days)(Required)

Infant (31 days to 12 months)(Required)

Toddler/Preschool (13 months to 5 years)(Required)

School Age Child/adolescent (6 years to 18 years)(Required)

Young Adults Middle Adult (19 years to 64 years)(Required)

Older Adults/Elderly (65+ years)(Required)

GENERAL SKILLS

Care of Patient in Restraints(Required)

Automated Med Dispensing Systems

Accudose

Metro

Omnicell

Promanager Rx

Pyxis

N/A

Other Automated Med Dispensing Systems:

Electronic Documentation

Allscripts

Care360

Cerner

eCLinicalWorks

EPIC

MACLAB

McKesson

Meditech

PACS

Soarian

N/A

MEDICATION ADMINISTRATION

Moderate/Conscious Sedation(Required)

Sedation Reversal Agents(Required)

Antibiotics IM/IV(Required)

Contrast Medium(Required)

Antiemetics(Required)

Narcotic Pain Medications(Required)

PRE-PROCEDURE

Allen Test(Required)

Doppler(Required)

EKG lead/pad placement(Required)

Blood Pressure Invasive and NonInvasive(Required)

HEMODYNAMIC MONITORING

Art Line(Required)

Swan Ganz(Required)

Waveform Assessment(Required)

CARE AND MAINTENANCE OF

Arterial Line(Required)

Swan Ganz(Required)

IABP(Required)

Sheath/Removal of Sheath(Required)

MEDICATIONS

Calculate mcg/min and mcg/kg/min(Required)

Diprovan (Propofol)(Required)

Esmolol (Brevibloc)(Required)

Lopressor (Metoprolol)(Required)

Diltiazem HCL (Cardizem)(Required)

Digoxin (Lanoxin)(Required)

Nitroglycerin (SL,IV,IC)(Required)

Adenocard (Adenosine)(Required)

Amiodarone (Cordarone)(Required)

Corvert (Ibutilide)(Required)

Dobutrex (Dobutamine)(Required)

Dopamine Hydrochloride(Required)

Aggrastat (Tirofiban)(Required)

Integrilin (Eptifibatide)(Required)

ReoPro (Abciximab)(Required)

TPA (Alteplase)/Strepotkinase(Required)

Heparin(Required)

CARDIOVASCULAR

Hematoma Recognition/Management(Required)

Radial, brachial, femoral, pedal pulse checks(Required)

Assessment of heart sounds(Required)

General labwork/cardiac enzyme interpretation(Required)

ABG Interpretation(Required)

Coagulation Interpretation(Required)

PULMONARY

Set up Oxygen Delivery Devices(Cannula, NRBM, Ambu)(Required)

Assist with Intubation(Required)

Suction equipment (oral,NP, In line)(Required)

Assessment of breath sounds(Required)

NEUROLOGICAL

Identify Sudden Change in LOC(Required)

Assess Sensory, Motor, Speech Function,Gag reflex(Required)

Glasgow Coma Scale(Required)

PROCEDURES DIAGNOSTIC AND INTERVENTIONAL

Panning Table(Required)

Moving Image Intensifier, Knowledge of views( RAO, LAO, cranial, caudal)(Required)

Scrub Diagnostic Procedures(Required)

Circulate Diagnostic Procedures(Required)

Scrub Interventional Procedures(Required)

Circulate Interventional Procedures(Required)

Monitoring/Recording cases(Required)

Cardiac Catheterization - Adult (R/L)(Required)

Cardiac Catheterization - Pediatric (R/L)(Required)

Shunt Detection and Calculation(Required)

Angioplasty/PCI/Stent(Required)

Ventricular Assistive Devices(Required)

Coronary Atherectomy(Required)

Pericardiocentesis(Required)

Transluminal Extraction Catheter(Required)

PercuSurge Procedure(Required)

Thrombolysis/Thrombectomy(Required)

AngioJet(Required)

Cardiac Biopsy(Required)

Pericardial Tap(Required)

Valvuloplasty(Required)

Intra Aortic Balloon Pump (IABP) insertion and set up(Required)

Continuous Arteriovenous Hemofiltration (CAVH)(Required)

Cardioversion(Required)

Brachytherapy(Required)

FFR (radiwire)(Required)

IVUS/Volcano(Required)

Embolic Protection Devices(Required)

PACEMAKERS

Permanent Pacemaker/AICD(Required)

Temporary Epicardial/Transthoracic Pacing(Required)

Temporary External /transvenous pacing(Required)

CARE OF PATIENT DURING EMERGENCY PROCEDURES

Emergency Defibrillation/ Cardioversion(Required)

Anaphylaxis(Required)

Vasovagal Response(Required)

Pneumothorax(Required)

Cardiogenic Shock(Required)

Embolism(Required)

Myocardial Infarction(Required)

EQUIPMENT/SUPPLIES

(Hemochron)ACT Machine(Required)

Power Injectors(Required)

Manual Pressure Hold(Required)

Femostop/ C-Clamp(Required)

VasoSeal, Angioseal, PerClose(Required)