Quote from sarahbellum
Any interventional cardiac cath lab nurses out there? If so, do you take call? How often do you have to take call? Do you have to stay at the hospital? How many on your team? Do you "double chart" i.e. does your circulator chart in your hospitals charting system while the recorder charts in the "Mac Lab" or whatever else you use.
I work in a small, urban, diagnostic/interventional lab. I was just curious how other labs have their call schedule. We take call twice a week and have 30 minutes to be at the hospital. We only have three people on our team but I have heard of 4. I think with computer charting 4 call members would be nice. It is too hard to be a circulating RN and double chart in stupid EPIC (the computer charting system we use) We also use Mac Lab to record cases.
It was just 20 years ago and when the hospital I worked for went from a 2 man (1 RN 1 tech) to a 3 man (2 techs 1 RN) call to my urban Cath lab. I was recorder, circulator and nurse. Then when they went to a 3 man I was just circulator and nurse. We too had a 30 min response time. We didn't have computer charting and hand wrote all charting. We were the only cath lab for almost 80 miles. ANYTHING that stuck an artery for including "cut films" (which required film and developing) carotids, aortagrams,artieograms were all done in the cath lab.
ALL balloon work, including peripheral, and "LASER"
was done in the (only) cath lab. Balloon angioplasty was in it's infancy and we disected ALOT of coronary's and did CPR to the OR.
We were called for arteriograms for all traumas, or AAA's. The OR had to be called in for EVERY coronary balloon procedure. They even called us into place Swan's!!! (right heart cath).
ALL our pressures had to manually written and calculated. We had to figure out all the valve gradients ourselves. We had a printer for lab results, and that was it. Our equiptment would run the pressure wave forms as they were "burned on" the paper by a stylus. We then had to transpose the images ourselves to get gradients. Everything had to be mercury calibrated EVERY time. There was no EP lab or studies ....we did "Bundle of HIS" studies and to look for septal defects wer did "dye curves" with O2 Sats.....estimation of the cardiac output from dye dilution curves using Hamilton's method is time consuming when many curves require analysis.
The 2 man call was BRUTAL!!!!!! The tech was sterile as was the MD and I would have to do all the monitoring, wave running, and equiptment/catheter retrivial as well as care for the patient.
We complained loud enough and long enough,as did the MD's and surgeons, and they increased us to 3. we were able to go home but there were busy nights I would just go to sleep on the guerney. It was so bad that I would answer my home phone "WHAT!"
I am trying to remember I think I was on call every third day and "back up call" every third week. I worked my butt off!!!! BUt I loved every minute of it and I learned SOOOOOO much!!! It made me a much better critical care nurse overall.
I can't help you now or know how to guide you........
but I thought I would share a historical prespective........