I’m a CST, you did a great job with your sterile technique. Better than some CSTs I know!! This makes me so happy!! Sometimes, we forget how important it is, even when we are going through a small incision. ❤️
Hello madam . I am from Hyderabad- India . I have completed Pg.Diploma ( Cardiovascular Technology) and I want to do Cardiovascular Technologist job there how can I get.please help me madam
i'll be starting work at a cath lab next month and my job will be setting up the table and assisting, so this was great! thanks for the thorough video :)
@@samanthakeihl5155 thanks! just went by the cath lab today to get some documents and had the opportunity to watch an angiography, it was very cool 😄 will be a learning curve though for sure
@@leukocyteofdoom It can definitely be overwhelming. But just take it one day at a time and ask lots of questions! The Cardiac Catheterization Handbook by Morton Kern is an excellent resource for you!
In the cath lab I shadowed in you had 5 min to clean up and reset between patients. The speed of everything gave me anxiety because I felt like I would never learn to move that fast.
It was totally amazing I am also a cath lab technician but ist time I am watching this kind of sterilization and these labels .....ur Dr must be so lucky to have a assistant like u ...I want to work in ur lab atleast few days .... without salary ❤
Thank you! I will try working on one for that! I no longer work in the Cath Lab as I have gone into teaching but I have all the equipment and a mannequin I can demonstrate on! Thanks for the suggestion.
@@muhammadazhar2373 Yes sir,, I actually had C4 -C7 cervical decompression with fusion. Wore the lead vest and skirt way too many years. Man, we’d do 8 to 10 cases every day. Left hearts, PCIs, Completes and leg cases. I don’t regret anything about it. I’m just glad they could somewhat fix me and not be paralyzed. I’m still in Cardiology but just office with patients. Which I love very much. Thank you for replying!! And you take care also!
@@jamjedi1972 thanks God that you realize soon i am also a cath tech and daily we are doing 40 to 45 patients CA +ptca it's very difficult job and our 2 crucial members are suffering with it
@@muhammadazhar2373 Wow yeah thats a lot of cases in a day! It is very stressful and hard work, but i really enjoyed it. And I know you do too. Sorry to hear of others suffering too. People just dont realize the abuse we take helping them lol! Have a good weekend Muhammad! Do something relaxing this weekend! My fellow cath lab brother!!!! Set it up! JL 4 short tip no side holes, 300 sport! Nitro on the back of the table!! Man, I hear that in my sleep lol!!!!
Idk why but i REALLY like the cath lab set up! Much more than any other procedure. I absolutely hate orthopedic survery table setups! But this table feels so soft and nice and friendly i wanna become a cath lab technician to help the cardiologiet with performing this procedurr
I absolutely love this video it’s very informative and helped me build the confidence needed I feel like I can set up a table by myself now!!!!😂🥰😍🤌🏾👏🏾👏🏾👏🏾🙌🏾🙌🏾
Hello Samantha!! I loved your video... I would like you to make some others where you work with the medical team in a procedure such as angioplasty, pacemaker placement, TAVI, etc. I am a nurse from Veracruz, Mexico and I love being in this hemodynamics area. I plan to specialize in this. would you give me some advice?
Thank you Samantha I'm trying to go back to school to better myself. I looking up info on what career is what bc CLT keeps popping up on my indeed. Thanks good info
Outrageously informative. THANKS!!!! Are most cath lab nurses/techs as conscientious? Makes me wonder. And is it true that that the radial lidocaine shot stings like a mofo? I heard it does. I wonder why they don't use a topical before the injection.
I would hope that everyone is conscientious about sterile technique. It is true, the lidocaine injection stings! But it is very temporary (< 15 seconds). A topical solution would numb the skin from feeling the poke of the needle, but would do nothing to prevent the sting feeling.
Thank you! Yes we have 3 lines for our manifold. Proximal is contrast. Mid is Hep Saline with a waste bag attachment and Distal is for pressure monitoring with the transducer.
@@samanthakeihl5155 Ours was prox pressure/transducer, mid contrast and distal was waste / hep saline lol. Man, I worked that damn manifold like a piano! My hands are paying for it now lol. For the LV we used the medrad and a separate line ( we had a 4 bar, so one more extra stopcock connection.) Unless bad kidneys we hand injected to shoot the LV. Good times, I really miss it!
Re the medications being distributed: Are you not suppose to see & confirm that the name of the medication is the correct meds being dispensed before its poured/distributed? Or as long as you label and place on the table is plenty?
Yes, I will wear lead for the procedure. This was just the table set up prior to the patient entering the room....no radiation being emitted by the C-Arm at this time
@@samanthakeihl5155 Yep no mixing needed! Lol. Only mixing I ever did was for the endoflater , not sure if that’s spelled right. That was 50 dye and 50 hep saline. That was for the balloons/ stent placement.
Is the job of the Cath Lab Nurse to set up the table, and then assist (hand off what is requested, or hands on assist with the procedure? Monitor pt?) nursing student here trying to decide how similar it is to OR vs CVICU
Most labs will hire either a Cardiovascular Technologist with the RCIS credential or a Radiologic Technologist to perform in the scrub role. In MOST labs, the nurse's responsibility is to monitor the patient and provide sedation and other medications.
RCIS is a Registered Cardiovascular Invasive Specialist. We have a specialized training to work along side Cardiologists performing invasive cardiac procedures in the Cardiac Cath Lab. 'RCIS" is the nationally recognized credential that we earn
I don’t like your heparinized saline labels the same color as your Lidocaine label. I know both doctor and scrub person is minding what syringe they pick up but it’s just one more potential error that one can make. We have red labels for lidocaine, Orange labels for heparinized saline, and green labels for contrast, and yellow labels for nitroglycerin. Otherwise, great job in setting them up
May not have been clear on the video. But the lidocaine and hep saline sticker colors ARE different. Lidocaine is yellow and hep saline is green. Additionally, I always put the hep saline stickers on the syringe in a different orientation than any of the medication stickers. (Hep saline always horizontal around the top / medications vertically up the side)
I am a student and i completed my degree in cardiovascular technology and now i am in my internship period..... Can uh please describe this A. A. S and what will be the oppurtunities after getting rcis?
@@poojapreeth8461 A.A.S is Associates in Applied Science. The RCIS credential will allow you to work in the Cath Lab along side the Cardiologist. Most hospitals have a "ladder" that you can climb and a credential such as RCIS is required to advance to the next level and typically comes with a pay raise too!
@@samanthakeihl5155 ok thank you so much......... If you don't mind can uh plz tell me the salary before and after getting rcis... Are we ( cardiovascular technicians ) are allowed to do the puncture and all in the lab??
@@poojapreeth8461 those kinds of things vary from hospital to hospital and state to state. But its certainly in our scope of practice. pay varies as well. Heres the 2021 wage survey results: springboardhealthcare.com/wp-content/uploads/2022/02/2021-Springboard-Wage-Survey.pdf
No I didn’t. Our workflow allows for 10-15 minutes between setting up the table and the patient entering the room. Which means I have plenty of time to break scrub after table set up. I wait until the last minute to put lead on.
There's more to the CVT role than just setting up a table. A skilled CVT has an expert level of understanding of cardiac anatomy, physic principles as it relates to IVUS, iFR, FFR (just to name a few), hemodynamics, pharmacology, EKG analysis, care and management of cardiogenic shock as well as thorough knowledge of all the supplies and equipment in the room.
As a Cath lab tech of 3 plus years, I can assure you it’s not ridiculously simple, especially when you have a patient having a heart attack on your table and you have 15 balloons, 10 wires, 3 microcatheters, and a plethora of other supplies on your table and the doctor is screaming at you demanding 1 specific things in the mix of it all, and everything looks similar and don’t forget everything’s most likely covered in blood and harder to identify and every second counts and can be the difference between life and death 🙂