The document outlines the scheduling procedure for cardiac catheterizations and percutaneous coronary interventions at a hospital cardiac cath lab. It details who is involved in scheduling, how patients are scheduled as inpatients or outpatients, and the steps staff take to schedule elective or emergent procedures, including obtaining patient information, scheduling times, and notifying relevant departments. The goal is to efficiently direct patients through the scheduling process while anticipating needs to reduce risk and improve outcomes.
The document outlines the scheduling procedure for cardiac catheterizations and percutaneous coronary interventions at a hospital cardiac cath lab. It details who is involved in scheduling, how patients are scheduled as inpatients or outpatients, and the steps staff take to schedule elective or emergent procedures, including obtaining patient information, scheduling times, and notifying relevant departments. The goal is to efficiently direct patients through the scheduling process while anticipating needs to reduce risk and improve outcomes.
John Dempsey Hospital-Department of Nursing The University of Connecticut Health Center
PROCEDURE/PROTOCOL FOR: Scheduling procedures in Cardiac Cath Lab: Cardiac
Catheterizations and Percutaneous Coronary Interventions
PURPOSE: 1. To outline personnel and duties involved in
scheduling procedures in the Cath Lab.
2. To delineate steps in scheduling elective or emergent
procedures in the Cath Lab.
3. To assure that any patient undergoing a cardiac
procedure at JDH will be assessed for pre-procedure risk and will be directed to the appropriate level of care.
POLICY: 1. Patients will be scheduled as:
a. Outpatients (discharged on day of procedure)
b. Inpatients (currently in JDH)
c. Transferred from another facility, either as
outpatient or inpatient admission
2. All procedures are scheduled by a physician after
appropriate patient examination and testing is done.
3. All procedures are scheduled through the Cardiac Cath
scheduling number, x 2828 or the Cath Lab charge person.
4. All patients who are admitted through AACU or are
transferred in stable condition to the Cath Lab or Cardiac Step-Down Unit will have the interventional cardiologist as attending physician unless otherwise ordered.
5. All patients post-Percutaneous Intervention are
admitted or transferred to the Cardiac Step-Down Unit.
6. Patients who are unstable medically or with an acute
MI will be admitted to ICU post-procedure. Procedure/Protocol Page 2 of 3 Cardiac Cath Lab - Unit Practice Manual John Dempsey Hospital-Department of Nursing The University of Connecticut Health Center
PROCEDURE/PROTOCOL FOR: Scheduling procedures in Cardiac Cath Lab: Cardiac
Catheterizations and Percutaneous Coronary Interventions
PROCEDURE: Scheduling of Cardiac Catheterization with Angiography
and/or Percutaneous Intervention (PTCA/stenting)
ACTIONS POINTS OF EMPHASIS
1. Preadmission testing for procedure,
including blood tests and EKG, must be done within 30 days prior to procedure unless clinically indicated. Testing is to be arranged through scheduling MD’s office or the Cath Lab scheduling secretary.
a. Outpatient pre-procedure orders,
bloodwork, consents, H&P and other pertinent test results should be available to Cath Lab scheduling secretary on the day before the procedure so that a chart can be made and sent to AACU.
b. Old medical records will be obtained
by Cath Lab secretary and will accompany chart.
c. Transfers and inpatients need the
above information accompanying them to the Cath Lab.
2. Cath Lab scheduling secretary will obtain
patient name, insurance precertification, DOB, address, SSN, insurance information, attending MD, interventional cardiologist, diagnosis and procedure to be done, and will repeat this information to admitting bed control.
3. Cath Lab scheduling will schedule date and
time of procedure in 1 ½ hr intervals, Monday through Friday, starting at 7:30 a.m. with last case scheduled at 3:00 p.m. Emergency or urgent add-on cases will be scheduled through the Cath Lab charge person on a case by case basis. Procedure/Protocol Page 3 of 3 Cardiac Cath Lab - Unit Practice Manual John Dempsey Hospital-Department of Nursing The University of Connecticut Health Center
PROCEDURE/PROTOCOL FOR: Scheduling procedures in Cardiac Cath Lab: Cardiac
Catheterizations and Percutaneous Coronary Interventions
ACTIONS POINTS OF EMPHASIS
4. Patient information, date, time TOO,
procedure and MA will be called to: AACU, Cardiac Step-Down or ICU, Cath Lab, Cardiology Attending if needed, OR scheduling and cardiac surgeon’s office.
5. All scheduling information will be placed
in Cath Lab schedule and Cath lab scheduling database.
DESIRED OUTCOME: Patient needs will be anticipated to reduce risk and to
improve outcomes with a successful Cath Lab procedure. Patients scheduled of Cardiac Cath procedures at JDH will be directed promptly and efficiently through the scheduling registration process.