Cardiac Stress Testing - page 2

In my hospital setting, nurses do not attend cardiac stress tests performed in nuc-med. The cardiac stress meds are administered by the tech with the cardiologist in attendence. This is not what I am... Read More

  1. by   randismom
    My cardio tech and I were doing double charting of VS and Sats. She is tracking EKG, b/p and sats while I administer drugs and has handwritten oxygen sats on the EKG. On my paper, I do my baseline VS, and Discharge numbers, but inbetween, make a comment to refer to the EKG for VS, Oxygen Sats and isotope times.
  2. by   mags73
    So I just started at a hospital where we "help out" with giving the lexiscan and the Cardiologist is across the llllooonnnggggg hall in his office & at times has been doing a heart cath when these patients are being stressed. I have reviewed some of the literature not only state but also oh that big governing body who pays some of the bills medicare & medicaid & if the Cardiologist....... again CARDIOLOGIST has to be in the IMMEDIATE AREA. The 2012 white paper states that RN's DO NOT FALL UNDER PROVIDERS who can SUPERVISE stress tests!!! Especially with a chemical! No hospital policy can trump that! We are NOT able to immediately provide a cardiac intervention if patient becomes unstable. Read the literature its sooo ridiculous but the bottom line is if you give lexiscan & there's not a MD you are opening yourself up not only for negligence but insurance fraud. Clearly states the MD has to be there
  3. by   Av03
    Hello everyone. I know this topic started a few years back, but here's my input. I am a nuclear medicine technologist and I received my BSN in January. In Texas, where I studied and worked as a nuclear medicine technologist, we (NMT) infused all pharmacological stress agents with a Cardiologist monitoring the EKG at small cardiology clinics. Same with the hospitals. I now live in San Diego, and in CA, only RN's can infused the chemical agents. As a NMT in CA, I was one of the first people to be trained to use Lexiscan. If Lexiscan came out before the use of Adenosine, people would comment on how great Lexiscan is compared to adenosine.

    Anyhow, as I mentioned before, I am a New Grad RN. Just started my first job as a part time med nurse at a SNF. They have also been training me to do Charge as well. The facility just offered me a full time position there last week. A couple days back, they offered me a different position as a business development specialist at a sister facility they are getting ready to launch. Now, I have a great opportunity to get an RN position at a large cardiology clinic doing stress testing. I think with my Nuc Med background, the cardiology clinic will be a better fit for me. At least it will give me experience to get onto a tele floor at a hospital.