Cath Lab nurses- mask or no mask? - page 2

by sauconyrunner

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I was asked by the cath lab manager to find some CDC guidelines for covering hair and masking in the Cardiac Cath Lab. I said, sure, no problem...then I started looking. Seems there is a lot of disagreement and variation in... Read More


  1. 0
    Quote from sauconyrunner
    I was asked by the cath lab manager to find some CDC guidelines for covering hair and masking in the Cardiac Cath Lab. I said, sure, no problem...then I started looking.

    Seems there is a lot of disagreement and variation in Cath labs.
    Can anyone tell me if there is some sort of RECENT guidelines for Cath lab attire? I've never worked in the Cath Lab, but I am surprised that I couldn't really just pull up some sort of agreed upon standards. Have I missed something? THank you!
    I can't give you standard guidelines but here is a good site. HeartSite.com located at http://www.heartsite.com/html/cardiac_cath.html has a wonderful simulated cath lab with photos. If you go through all the sections, you may acquire a good understanding of the lab, the process, prodedure, etc.
  2. 0
    Quote from sweet_wild_rose
    as an or nurse, i can say that i'm appalled by the "sterile technique" utilized by our cath lab. they set up their table wearing only mask and sterile gloves (what keeps their untucked shirt from getting against the table?), the only people wearing masks in the room are the person at the table and the cardiologist. the most shocking thing though, is what was said by some of the rcis folks who came to the or to observe: "we don't really do sterile procedures. it's just clean." are you fing kidding me?!? you're shoving wires and stents into the heart and coronary arteries and it doesn't need to be sterile? let's just say that when our hybrid or, currently under construction, opens, they are in for a rude awakening about sterile technique. what they do will not be allowed on combination procedures.

    in a different case but kind of similar, we used to treat our cystoscopies as "clean" procedures. no mask or gown required, just gloves. that no longer happens because of the uti numbers following cystoscopies.
    i have to wonder how much of this change from sterile procedures to clean has to do with hospitals wanting to cut costs and just rolling the dice when it comes to infections. i've been working as an rn for 27y, and i can't believe how many procedures that were once sterile are now clean. with all the superbugs out there, you'd think we would be extra vigilant.
  3. 0
    Thanks all. I did pull finally all the data for maximum sterile field for Central line insertions. It's amazing to me that this is in question these days. It took me a long time to find any articles as all the studies seem to have been done back in like 1993.

    I was surprised too that a PICC nurse had to wear a mask and such but not in the Cath lab?


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