Cardiac Catherization Lab Skills Checklist Name* First Last Email* Phone*Proficiency: 1 = Minimal Experience 2 = Limited Experience 3 = Competent 4 = Highly SkilledCardiovascularAngina*1234Acute MI*1234Congestive Heart Failure*1234Cardiac Tamponade*1234Cardiogenic Shock*1234Aneurysm*1234Pulmonary Edema*1234Pulmonary Embolism*1234Cerebrovascular Accident (CVA)*1234Permanent Pacemaker*1234Temporary Pacemaker*1234Automatic Implanted Defibrillator*1234Intra-aortic Balloon Pump (IABP)*1234Arterial Lines*1234Central Venous Catheter*1234Pulmonary Artery Catheter*1234External Pacemaker*1234Assessment of Heart Sounds*1234Assessment of Cardiac Rhythm*1234Placement / Use of Cardiac Monitor*1234Identify Life Threatening Dysrhythmias*1234Perform 12-lead EKG*1234Basic 12-lead Interpretation*1234Assist with Code*1234Defibrillation / Cardioversion*1234Automatic External Defib (AED)*1234Cardiac Arrest / CPR*1234RespiratoryAssessment of Breath Sounds*1234Administer O2 (NC, Mask)*1234Ventilate with Ambu-bag*1234Assist with Intubation*1234Care of Intubated Patient*1234Suctioning (NP, OP, ETT, Trach)*1234Pulse Oximetry (O2 Sat)*1234Draw Blood From Arterial Line*1234Interpret Arterial Blood Gases*1234Assess Resp Complications*1234IV Therapy / ProceduresStarting PIV's*1234PICC Lines-Care and Maintenance*1234Central Venous Lines-Care and Maintenance*1234Invasive Hemodynamic Monitoring*1234Blood Draw from PICC / CVL*1234Administration of Blood / Blood Products*1234Packed Red Blood Cells*1234Platelets*1234IV Infusion Pumps*1234Blood / Fluid Warmers*1234Medications & AdministrationInsert Peripheral IV / Heplock*1234Infusion Pump*1234Syringe Pump*1234Blood / Blood Products Admin*1234Conscious Sedation Medications*1234Conscious Sedation Reversal Meds*1234Epinephrine*1234Atropine*1234Lidocaine*1234Bicarbonate*1234TPA / Thrombolytics*1234Dopamine*1234Nipride*1234Nitroglycerin*1234Inocor*1234Dobutamine*1234Insulin*1234Pronestyl*1234Invasive Cardo InterventionsKnowledge of Cardiac System*1234Setup for Procedure / Aseptic Tech*1234Indications and Contraindications*1234Risks and Complications*1234Preparation and Premedication*1234Radiation Safety / Environment*1234Scrubbing for Cardiac Procedures*1234Circulating Cardiac Procedures*1234Monitoring Cardiac Procedures*1234Disposable (Needles, Sheaths...)*1234Non-disposable (Needles, Sheaths...)*1234Right Heart Angiography*1234Left Heart Angiography*1234Percut TranslumCoronary Angio (PTCA)*1234TransEsophogeal Echo (TEE)*1234Electrophysiology Studies (EPS)*1234Radio Frequency Ablation (RFA)*1234Implantable Cardioverter Defib (ICD)*1234Stent Placement*1234Septal Defects*1234Balloon Dilatation Valves & Vessel*1234Post Cath Patient Instruction*1234Hemodynamic MeasurementsCentral Venous Pressure*1234Arterial Pressure (MAP)*1234PA Pressure*1234PCW Pressure*1234Cardiac Output*1234SVO2*1234Intervene PA Catheter Problems*1234Obtain ABG*1234Obtain Mixed Venous Gases*1234Other Cardiac Cath Data*1234NeurologyNeuro Assessment / Vital Signs*1234Glasgow Coma Scale*1234Identify Neuro Complications*1234Pain Management*1234OtherIsolation / Universal Precautions*1234Advance Directives*1234Postmortem Care*1234Pre-operative Care / Preparation*1234Knowledge of Serum Lab Values*1234Latex Allergy*1234Age Specific CompetencyNewborn / Neonate (Birth to 30 days)*1234Infant (1 month to 1 year)*1234Toddler (1 year to 3 years)*1234Preschooler (3 years to 5 years)*1234School Age Child (5 years to 12 years)*1234Adolescents (12 years to 18 years)*1234Young Adults (18 years to 39 years)*1234Middle Adults (39 years to 64 years)*1234Older Adults (64 years to 79 years)*1234Elderly Adults (Over 79+ years)*1234