Cardiac Catherization Lab Skills Checklist

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

Proficiency:

Cardiovascular

Respiratory

IV Therapy / Procedures

Medications & Administration

Invasive Cardo Interventions

Hemodynamic Measurements

Neurology

Other

Age Specific Competency