Roles and Responsibilities of Cath Lab Flashcards
What specific demographic information is typically recorded about the patient?
A) Age and gender
B) Address and phone number
C) Medical history
D) All of the above
D) All of the above
How is the date, time, and type of procedure accurately documented?
A) By using a manual log only
B) Through a digital recording system
C) By verbal confirmation only
D) Both A and B
B) Through a digital recording system
Why is it important to record the attending and referring physicians?
A) For billing purposes
B) For continuity of care
C) To meet regulatory requirements
D) All of the above
D) All of the above
What is the significance of hemodynamic data during the procedure?
A) It helps in billing
B) It monitors patient stability
C) It is not particularly important
D) It’s only relevant post-procedure
B) It monitors patient stability
How are medications administered during the procedure documented?
A) Only if there are complications
B) Using a verbal report afterward
C) Through a formal logging process
D) No documentation is needed
C) Through a formal logging process
How are unexpected events documented during a procedure?
A) In a separate report later
B) As they occur in real time
C) Only if they lead to complications
D) They are not documented
B) As they occur in real time
What should be documented if a complication arises?
A) Just the complication itself
B) The intervention taken and the outcome
C) Nothing, as it’s already recorded
D) Only the follow-up actions
B) The intervention taken and the outcome
What key elements are included in the progress forms completed by physicians?
A) Only vital signs
B) Findings and outcomes of the procedure
C) Patient demographics only
D) Personal notes from the physician
B) Findings and outcomes of the procedure
How does the inventory control system benefit billing?
A) By eliminating the need for documentation
B) By using barcodes for easy tracking
C) By simplifying patient care
D) It has no impact on billing
B) By using barcodes for easy tracking
Why is monitoring vital signs critical at specific moments?
A) To ensure accurate billing
B) To manage medication administration
C) To detect any changes in patient status
D) It’s not particularly important
C) To detect any changes in patient status
What measures ensure handwritten logs are legible and accurate?
A) No special measures are taken
B) Standardized handwriting guidelines
C) Regular audits of logs
D) Both B and C
D) Both B and C
How does technology enhance documentation in the cath lab?
A) By replacing all human effort
B) By improving accuracy and efficiency
C) By making it more complex
D) It does not enhance documentation
B) By improving accuracy and efficiency
What kind of training do recorders receive?
A) None, they learn on the job
B) Specialized training on documentation
C) General medical training only
D) Training is optional
B) Specialized training on documentation
How does thorough documentation affect future patient care?
A) It has no effect
B) It can lead to better follow-up treatments
C) It complicates the care process
D) It is primarily for legal reasons
B) It can lead to better follow-up treatments
What is an example of how documentation has impacted patient outcomes?
A) It has not impacted outcomes
B) It helps in identifying best practices
C) It can lead to increased complications
D) It mainly assists with billing issues
B) It helps in identifying best practices
What is the primary role of the scrub assistant during the procedure?
A) To monitor vital signs
B) To assist the attending physician at the sterile trolley and procedure table
C) To handle billing and inventory
D) To prepare patient discharge documents
B) To assist the attending physician at the sterile trolley and procedure table
What personal protective equipment (PPE) must the scrub assistant wear?
A) Only gloves
B) Lead apron, surgical gown, and gloves
C) Surgical mask only
D) None, as they are not in direct contact
B) Lead apron, surgical gown, and gloves
What is the first task the scrub assistant performs in preparation for the procedure?
A) Set up the contrast medium
B) Prep the patient’s access sites with an antiseptic solution
C) Organize the sterile instrumentation table
D) Assist the physician
B) Prep the patient’s access sites with an antiseptic solution
Which of the following is NOT typically a responsibility of the scrub assistant?
A) Preparing diagnostic catheters and guidewires
B) Administering general anesthesia
C) Organizing the sterile instrumentation table
D) Assisting with catheter and wire exchanges
B) Administering general anesthesia
Which of the following tasks might some scrub assistants be allowed to perform?
A) Manipulate the fluoroscopic gantry
B) Obtain vascular access
C) Inject medications through catheters
D) All of the above
D) All of the above
What should the scrub assistant do to maintain proper sterile technique?
A) Touch non-sterile items freely
B) Follow guidelines for gowning and gloving
C) Leave the sterile field unattended
D) Only wear gloves
B) Follow guidelines for gowning and gloving
Why is it important for the scrub assistant to understand surgical techniques?
A) To assist in billing
B) To enhance communication with the physician
C) To ensure patient safety and effective assistance
D) It is not particularly important
C) To ensure patient safety and effective assistance
What should the scrub assistant do before the procedure starts?
A) Discuss the procedure with the patient
B) Set up and organize the sterile instrumentation table
C) Leave the room to prepare
D) Only prepare the contrast medium
B) Set up and organize the sterile instrumentation table
Which of the following medications might a scrub assistant be able to inject?
A) Aspirin
B) Nitroglycerin and heparin
C) Antibiotics
D) Only local anesthetics
B) Nitroglycerin and heparin
What is the purpose of draping the patient appropriately?
A) To keep the patient warm
B) To maintain a sterile field and ensure patient privacy
C) To prepare the patient for discharge
D) To facilitate easier access for the physician
B) To maintain a sterile field and ensure patient privacy
What is the primary role of the circulator during the procedure?
A) To assist with sterile instrumentation
B) To assist the flow of the procedure from outside the sterile field
C) To monitor the patient’s vital signs exclusively
D) To administer anesthesia
B) To assist the flow of the procedure from outside the sterile field
What personal protective equipment (PPE) does the circulator wear?
A) Only gloves
B) Lead apron and additional PPE as required
C) Surgical gown only
D) No PPE is necessary
B) Lead apron and additional PPE as required
Which of the following tasks is NOT the responsibility of the circulator?
A) Opening sterile equipment for the scrub staff
B) Directly assessing the patient
C) Performing catheter placements
D) Administering procedural sedation
C) Performing catheter placements
What is one of the first tasks the circulator performs before the patient arrives?
A) Attaching ECG electrodes
B) Preparing the procedure room
C) Administering medications
D) Cannulating the patient
B) Preparing the procedure room
Once the patient arrives, what does the circulator do?
A) Assist other team members to transfer the patient to the procedure table
B) Start the procedure immediately
C) Leave the room for preparation
D) Conduct a patient interview
A) Assist other team members to transfer the patient to the procedure table
If the patient has not been cannulated, what action does the circulator take?
A) Administer medications through an existing line
B) Insert a peripheral IV line
C) Wait for the physician to do it
D) Use an intraosseous line
B) Insert a peripheral IV line
What must the circulator do regarding the patient’s vital signs before the procedure?
A) Ignore them until after the procedure
B) Attach ECG electrodes and a noninvasive blood pressure cuff
C) Only monitor heart rate
D) Measure blood pressure with a manual cuff only
B) Attach ECG electrodes and a noninvasive blood pressure cuff
Why is the circulator’s role crucial in the cath lab?
A) They are solely responsible for patient sedation
B) They ensure that the sterile field is maintained
C) They help facilitate the overall flow and organization of the procedure
D) They focus on post-procedure care
C) They help facilitate the overall flow and organization of the procedure
What kind of medications can the circulator administer?
A) Only analgesics
B) Procedural sedation and other medications as required
C) Any medication prescribed by the physician
D) No medications can be administered
B) Procedural sedation and other medications as required
How does the circulator support the scrub staff?
A) By remaining outside the room
B) By providing logistical support and opening sterile equipment
C) By assisting with patient care directly
D) By taking notes during the procedure
B) By providing logistical support and opening sterile equipment
What is the first step in preparing for a procedure in the cath lab?
A) Review the procedure schedule
B) Switch on and warm up imaging and recording systems
C) Check patient allergy history
D) Clean the procedure table
B) Switch on and warm up imaging and recording systems
What should be checked regarding the printer before the first patient arrives?
A) The ink levels
B) The digital printer paper supply
C) The printer’s connection to the computer
D) The printer’s maintenance history
B) The digital printer paper supply
Who is responsible for performing quality assurance procedures for imaging and equipment?
A) The attending physician
B) Appropriate personnel
C) The scrub assistant
D) The circulator only
B) Appropriate personnel
What should be reviewed prior to the first scheduled case?
A) The patient’s medical history
B) Stock levels of supplies
C) Emergency protocols
D) Staff schedules
B) Stock levels of supplies
How should high-risk patients be managed before the procedure?
A) By notifying the attending physician
B) By identifying them to facilitate higher care levels if needed
C) By skipping the procedure
D) By administering general anesthesia
B) By identifying them to facilitate higher care levels if needed
What pre-procedural preparation should be done for patients with contrast medium allergies?
A) No special preparation is required
B) They should receive pre-procedural medication or hydration
C) They should be monitored more closely during the procedure
D) They should be rescheduled
B) They should receive pre-procedural medication or hydration
How should the procedure table be prepared?
A) Cleaned only at the end of the day
B) Cleaned and prepped according to protocol
C) Covered with a blanket
D) Disinfected once a week
B) Cleaned and prepped according to protocol
What is a critical piece of equipment that must be tested and left on during procedures?
A) The contrast medium injector
B) The defibrillator
C) The imaging system
D) The patient monitoring system
B) The defibrillator
What should scrub assistants do before entering the procedure room?
A) Change into street clothes
B) Wash their hands for 3-5 minutes in surgical scrub solution
C) Review patient charts
D) Discuss the procedure with the physician
B) Wash their hands for 3-5 minutes in surgical scrub solution
When donning a gown, how should scrub assistants do it?
A) By touching the outside of the gown
B) By picking up the gown by the inside of the collar
C) By using both hands to pick it up from the floor
D) By tying it before putting it on
B) By picking up the gown by the inside of the collar
What should scrub assistants avoid doing once they are gowned and gloved?
A) Touching sterile equipment
B) Going below their waist or outside the sterile field
C) Assisting the physician
D) Handling non-sterile items
B) Going below their waist or outside the sterile field
What is the correct procedure for tying a disposable gown?
A) Tie it alone without assistance
B) Hand off the tie holder to the circulator and tie it up
C) Do not tie it at all
D) Ask a nurse to tie it
B) Hand off the tie holder to the circulator and tie it up
Procedural tray
What is the first step in preparing for a procedure?
A) Monitor blood pressure
B) Don gown and gloves
C) Puncture the artery
D) Assist the physician with equipment
B) Don gown and gloves
What should the scrub assistant do after the physician removes the wire? A) Discard the wire
B) Wipe the wire with saline and loop it
C) Pass the wire to the nurse
D) Measure the wire’s length
B) Wipe the wire with saline and loop it
Which of the following is NOT continuously monitored during the procedure?
A) Blood pressure
B) Patient’s comfort level
C) ECG
D) Oxygen saturation
B) Patient’s comfort level
How should the contrast medium syringe be prepared?
A) Filled with saline
B) Completely free of air
C) Attached to the ECG monitor
D) Preheated
B) Completely free of air
During a left heart procedure, what must be checked immediately?
A) Patient comfort
B) Blood pressure tracing and digitized values
C) ECG rhythm changes
D) Heparinized saline availability
B) Blood pressure tracing and digitized values
What should be done to minimize the risk of air bubbles during the contrast injection?
A) Use a larger syringe
B) Create a wet-to-wet connection
C) Inject quickly
D) Keep the syringe upright
B) create a wet-to-wet connection
What should be done periodically with heparinized saline?
A) Monitor oxygen saturation
B) Flush catheters and clean the working area
C) Check the ECG
D) Discuss the procedure with the patient
B) Flush catheters and clean the working area
How can the physician ensure the patient’s comfort during the procedure?
A) Ask about discomfort and general comfort questions
B) Ignore the patient to maintain focus
C) Use sedatives exclusively
D) Avoid conversation
A) ask about discomfort and general comfort questions
What is the primary purpose of using heparinized saline during the procedure?
A) To improve patient comfort
B) To prevent clot formation
C) To enhance contrast visibility
D) To flush out air bubbles
B) To prevent clot formation
Which observation is essential to monitor during the procedure?
A) Patient’s dietary preferences
B) Contrast medium volume
C) Hospital staff availability
D) Surgical tool inventory
B) Contrast medium volume
When should the physician begin the contrast media injection?
A) Before the procedure starts
B) Immediately after patient prep
C) Shortly after filming has begun
D) When the patient is asleep
C) Shortly after filming has begun
Why is it important to verify the contrast volume and injection rate?
A) To ensure patient satisfaction
B) To prevent equipment malfunction
C) To minimize risks and optimize imaging
D) To comply with hospital policy
C) To minimize risks and optimize imaging
What action should be taken if a significant change in ECG is observed?
A) Ignore it
B) Document it only
C) Treat as needed
D) Change the patient’s position
C) Treat as needed
How often should the patient be asked about their comfort during the procedure?
A) Only at the beginning
B) Continuously throughout
C) Once every hour
D) At the end of the procedure
B) Continuously throughout
What should be done with the catheter before the contrast injection?
A) Disconnect it from the patient
B) Ensure it is flushed with heparinized saline
C) Keep it dry
D) Replace it with a new one
B) Ensure it is flushed with heparinized saline
What position should the head of the power injector syringe be in?
A) Upward
B) Horizontal
C) Downward
D) Angled
C) Downward
What is one of the responsibilities of all members of the ICVL staff?
A) Administer sedatives
B) Monitor patient status continuously
C) Prepare surgical instruments
D) Document the procedure details
B) Monitor patient status continuously
How should the physician communicate with the patient during the procedure?
A) Only when necessary
B) Occasionally, to reassure them
C) Not at all, to maintain focus
D) Only after the procedure is complete
B) Occasionally, to reassure them
