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Discussion

New to the cath lab

After the stress of over 1 year on a med-surg/tele floor oftentimes riddled with high acuity patients I am moving on to the cath lab! I am very excited about this transition but also nervous as I have minimal knowledge/experience with this area of nursing. ANY tips/knowledge/resources (online or books) would be greatly appreciated! :) :)

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Cath lab can be a wonderful 'learning lab' with the right staff & physicians. It can also be unbelievably stressful if you are not supported.

I once worked as an educator in a very large Critical Care Unit (multi-specialty) that included a special procedure room where we inserted our own IABPs, Pacemakers, etc. I had to design an advanced training program for the CCU nurses that included training in assisting physicians with percutaneous technique. Luckily, I also supported Cath Lab, so I could rotate my nurses through there....

Based on my own experience, I would advise you to dig deep into cardiovascular anatomy & physiology. You need ACLS certification. You'll need to learn aeseptic technique. Each doc has her own preferences as to how the room is set up... we had some challenges with left-handed docs - LOL. But -- one of the hardest skills to learn was controlling that danged wire!!! Work with the veteran nurses to learn their tips and tricks for keeping that sucker under control. The most 'challenging' aspect of Cath lab? Those lead aprons -- even with the best shoes in the world, your back and legs will let you know if a case goes too long.

Congrats on your job transition - hope you have fun

Check out The Cardiac Catheterization Handbook by Morton J. Kern. It is a great resource for starting off in the cath lab.

  • Author

Thank you!

Fortunately I was able to shadow for a few hours in our lab before I accepted the position & all of the docs & staff seem very positive & helpful. I will be working with 2 CV techs during cases so I will not have to handle the wire typically, I won't even scrub in! Just doing meds & monitoring the patient.

I have registered for ACLS & started reading my book along with reviewing cardiac anatomy & physiology, thanks for the tip!

Thanks again for your helpful comments!

  • Author
Check out The Cardiac Catheterization Handbook by Morton J. Kern. It is a great resource for starting off in the cath lab.

I have downloaded a sample of this book on my kindle and it is very helpful! I plan to purchase it, thanks for the recommendation!

Congratulations. Cath lab is a great place to work. I worked there for 10 years! Experience is priceless. Always be open minded to the different cases and docs that come along. So much to learn. You will get very good at CPR and ACLS. My advice is to always pay attention to that patient and his/her vitals don't let gossip and spectators distract your focus. Good luck you're gonna have a blast!

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