Category
Departmental
Category
Surgical and Related Services
Category
Nursing Services

Cardiac Cath Laboratory Policy and Procedure Manual

MCN Healthcare’s Cardiac Cath Laboratory Policy and Procedure Manual helps you simplify the standards and patient safety goals as they apply to Cardiac Cath Lab. This comprehensive manual has over 300 proven policies, procedures and forms that are ready-to-customize to your specific organization. All policies are cross-referenced to the latest Joint Commission and NIAHO standards.

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Table of Contents - TJC, NIAHO standardsCopyrightDisclaimerApproval/Signature SheetIntroduction
SECTION 03 - HUMAN RESOURCES
3001 - Position Description/Performance Evaluation - Cardiac Cath Lab Director3002 - Performance Evaluation - Age-Related Competency - Cardiac Cath Lab Director3003 - Annual Competency Clinical Skills Assessment - Cardiac Cath Lab Director3004 - Position Description/Performance Evaluation - Cardiac Cath Lab Nurse Manager3005 - Performance Evaluation - Age-Related Competency - Cardiac Cath Lab Nurse Manager3006 - Annual Competency Clinical Skills Assessment - Cardiac Cath Lab Nurse Manager3007 - Position Description/Performance Evaluation - Cardiac Cath Lab Registered Nurse3008 - Performance Evaluation - Age-Related Competency - Cardiac Cath Lab Registered Nurse3009 - Annual Competency Clinical Skills Assessment - Cardiac Cath Lab Registered Nurse3010 - Position Description/Performance Evaluation - Cardiac Cath Lab LPN/LVN3011 - Performance Evaluation - Age-Related Competency - Cardiac Cath Lab LPN/LVN3012 - Annual Competency Clinical Skills Assessment - Cardiac Cath Lab LPN/LVN3013 - Position Description/Performance Evaluation - Cardiac Cath Lab Scrub Technician3014 - Performance Evaluation - Age-Related Competency - Cardiac Cath Lab Scrub Technician3015 - Annual Competency Clinical Skills Assessment - Cardiac Cath Lab Scrub Technician3016 - Position Description/Performance Evaluation - Cardiac Cath Lab Chief Certified Cardiovascular Technician3017 - Performance Evaluation - Age-Related Competency - Cardiac Cath Lab Chief Certified Cardiovascular Technician3018 - Annual Competency Clinical Skills Assessment - Cardiac Cath Lab Chief Certified Cardiovascular Technician3019 - Position Description/Performance Evaluation - Cardiac Cath Lab Certified Cardiovascular Technician3020 - Performance Evaluation - Age-Related Competency - Cardiac Cath Lab Certified Cardiovascular Technician3021 - Annual Competency Clinical Skills Assessment - Cardiac Cath Lab Certified Cardiovascular Technician3022 - Position Description/Performance Evaluation - Cardiac Cath Lab Radiology Technologist3023 - Performance Evaluation - Age-Related Competency - Cardiac Cath Lab Radiology Technologist3024 - Annual Competency Clinical Skills Assessment - Cardiac Cath Lab Radiology Technologist3025 - Position Description/Performance Evaluation - Cardiac Cath Lab Secretary3026 - Performance Evaluation - Age-Related Competency - Cardiac Cath Lab Secretary3027 - Annual Competency Skills Assessment - Cardiac Cath Lab Secretary3028 - Position Description/Performance Evaluation - Cardiac Cath Lab Medical Transcriptionist3029 - Annual Competency Skills Assessment - Cardiac Cath Lab Medical Transcriptionist3030 - Annual Competency - Joint Commission National Patient Safety Goals and Universal Protocol3031 - BCLS/ACLS Resuscitation Certification3032 - New Employee Orientation3033 - New Employee Orientation to Cardiac Cath Lab3034 - Orientation Checklist - Cardiac Cath Lab3035 - Staff Education and Training3036 - Education Profiles3037 - Performance Evaluations3038 - Student Role/Preceptorships in the Cardiac Cath Lab3039 - Employee Communication Notebook3040 - Pre-Placement Physicals3041 - Annual Health Screening3042 - On-The-Job (Workers' Compensation) Injured Employee Processing3043 - Return to Work After Illness/Injury Policy3044 - Physician's Certification of Illness Form (Sample)3045 - Attendance and Tardiness3046 - Disciplinary Action3047 - Dress Code3048 - Employee Photo Identification Badge3049 - Employee Requests for Time Off3050 - Harassment, Sexual (Either Sex)3051 - Holiday Policy3052 - Meal Periods and Rest Breaks3053 - Personal Telephone Calls To/From Employees3054 - Sick Leave Policy3055 - Vacation Policy
SECTION 06 - MEDICATION MANAGEMENT
SECTION 08 - PROVISION OF CARE, TREATMENT AND SERVICES
Patient Assessment and Patient Care
8001 - Criteria for Cardiac Cath Lab Outpatients8002 - Conditions of Admission8003 - Outpatient Pre-Admission8004 - Outpatient Pre-Admission Instructions8005 - Outpatient Preprocedure Instructions Form8006 - Patient Identification for Clinical Care and Treatment8007 - Preoperative Tests8008 - History and Physical - Cardiac Cath Lab8009 - Preoperative Nursing Care8010 - Transporting of Patients8011 - Assessment and Reassessment - Cardiac Cath Lab Patient8012 - Skin Assessment8013 - Assessing/Grading of Peripheral Pulses8014 - Care of the Latex Sensitive Patient8015 - Latex Allergy Assessment Form8016 - Latex and Non-Latex Alternatives8017 - Pain Assessment, Reassessment and Management8018 - Pain Assessment in Children8019 - Pain Scale, Admission Pain History8020 - Behavioral-Physiological Pain Scale for Nonverbal or Preverbal Patients8021 - Pain Scale Examples8022 - Anesthesia Assessment8023 - Pre and Post Anesthesia Evaluation Policy8024 - Pre and Post Anesthesia Evaluation Form8025 - Sedation8026 - Sedation Monitoring Form8027 - Cardiac Cath Lab Checklist and Preprocedure Nursing Record8028 - Collection of Health Status Data for Nursing Diagnosis8029 - Formulation of Nursing Diagnosis Derived from Health Status Data8030 - Nursing Diagnosis8031 - Cardiac Cath Lab Plan of Care8032 - Implementation of Cardiac Cath Lab Plan of Care8033 - Evaluation of Cardiac Cath Lab Plan of Care8034 - Revision of Cardiac Cath Lab Plan of Care8035 - Cardiac Cath Lab Nursing Plan of Care Form8036 - Invasive Procedure Site Identification (Outside of the OR)8037 - Invasive/Surgical Procedure Verification/Time Out Checklist8038 - Intraoperative Patient Monitoring8039 - Cardiac Cath Lab Nursing Record Form8040 - Procedure Log/Flow Sheet Policy8041 - Procedure Log/Flow Sheet Form8042 - Patient Recovery - Invasive Procedures8043 - Outpatient Recovery - Non-Invasive Procedures8044 - Cardiac Cath Lab Recovery Record Form8045 - Discharge Criteria - Cardiac Cath Lab Patients8046 - Cardiac Cath Lab Discharge Form8047 - Cardiac Cath Lab Discharge Form - Cardioversions, Tilt Table, Tee8048 - Discharge Criteria from Cardiac Cath Lab to Patient Care Unit8049 - Admission of Cardiac Cath Lab Outpatient to Hospital8050 - Transfer to Operating Room8051 - Transfer of Patients from an Outside Facility8052 - Hand-Off Communication in the Cardiac Cath Lab8053 - Education of Patient and Family8054 - Outpatient Post Catheterization Instructions8055 - Outpatient Post Catheterization Instructions Form8056 - Outpatient Post-Procedure Instructions and Physician's Orders Form8057 - Accountability for Sponges, Sharps and Instruments8058 - ACIST Injection System8059 - Blood Transfusions in the Cardiac Cath Lab8060 - Cardioversion8061 - Cardiopulmonary Resuscitation in the Cardiac Cath Lab8062 - Defibrillation8063 - Catheter and Introducer Removal8064 - Coronary Stent Placement8065 - Draping8066 - Electrophysiology (EPS)8067 - Electrophysiology Study Flow Sheet Form8068 - Endomyocardial Biopsy8069 - Implantable Devices8070 - Insertion of Central Venous Lines and PICC Lines - Bundle8071 - Central Venous Catheter and PICC Line Time Out Checklist8072 - Insertion of Swan-Ganz Catheter8073 - Insertion of Temporary Pacemaker8074 - Maintenance of Temporary Pacemaker8075 - Intra-Aortic Balloon Pump (IABP)8076 - Intravascular Ultrasound8077 - Intravascular Ultrasound Clinical Report Form8078 - Intravenous Therapy8079 - Left Heart Catheterization Procedure8080 - Medrad Injector8081 - Pathology Specimens8082 - Patient Positioning8083 - Percutaneous Balloon Aortic Valvuloplasty (PBAV)8084 - Percutaneous Transluminal Atherectomy - Peripheral (CSI Orbital Atherectomy System)8085 - Percutaneous Transluminal Rotational Atherectomy - Rotablator®8086 - Percutaneous Transluminal Coronary Angioplasty (PTCA) Procedure8087 - Percutaneous Transluminal Mitral Valvuloplasty8088 - Postmortem Care8089 - Pressure Manifold - Set-Up8090 - Pulmonary Angiogram8091 - Pulse Oximeter, CO-Oximeter8092 - Radial Approach for Catheterization8093 - Radiofrequency Catheter Ablation8094 - Removal of Intra-Aortic Balloon Pump Catheter8095 - Reporting of Critical Results of Tests and Diagnostic Procedures8096 - Right Heart Catheterization Procedure8097 - Sheath Removal During Anti-Coagulation8098 - Skin Preparation Protocol8099 - Thermodilution Cardiac Outputs8100 - Tilt Table Testing8101 - Tilt Table Test Form8102 - Transducer Calibration8103 - Transesophageal Echocardiography (TEE)8104 - Transeptal Catheterization8105 - Vagal Reaction Protocol8106 - VasoSeal®8107 - FemoStop® Compression Devices8108 - Wound Dressing