Duties:
Demonstrates understanding of Cardiac, Vascular, Respiratory, and Renal, physiology and pathology. Assists with orientation and training of Cath Lab staff. Responsible for special projects and may include sitting in on relevant committees. Adheres to the principles of medical ethics as applied to the role of the Cardiac Cath Lab Tech II. Demonstrates thorough understanding of ECG and related medical terminology. Recognizes ECG waveform morphology, wave patterns and their significance, including lethal arrhythmias. Recognize and interpret ECG changes occurring in heart chamber enlargement and myocardial infarctions and is able to respond appropriately. (ACLS) List and describe the most common cardiac pathologies, including symptoms and treatments. Demonstrate an understanding of all of the Cardiac medications (Generic & Trade names) and the pharmacokinetics actions related to cardiac and vascular functions and properly documents the medications including indications for administration and dosages. Recognizes and alerts physicians to abnormalities with clinical laboratory values for Arterial Blood Gases, electrolytes, hemoglobin, BUN and creatinine. Demonstrates knowledge of cardiopulmonary resuscitation and is able to perform all components as a Cardiac Cath Lab Tech II for a patient undergoing a full cardiac arrest. Monitors a diagnostic cardiac catheter procedure. Intervenes appropriately during and after a lethal arrhythmia using ACLS standards if warranted. Identities coronary anatomy in cine angiographic projections. Identify cardiac pressure waveforms and informs Interventional Cardiologist when applicable. Calculates basic hemodynamic parameters using the recording computer. Records catheterization events in the database computer.17. Understands the necessary supplies required, can provide them and set up a table to perform a diagnostic cardiac catheterization. Describes the fundamental steps in a diagnostic heart catheterization and monitors a patient safely during the procedure. Performs cardiac outputs, O2 saturations and ACT (Activated Clotting Time) measurements. Monitors a percutaneous intervention and can differentiate between a PTCA, directional and mechanical rotation atherectomy. Full understanding of all extraction devices such as angiojet, rotoblator and laser revascularization devices. Ability to explain the indication and potential complications of thrombolytic therapy for Acute MI. Identify the benefits of supplementing angiographic imaging with intravascular ultrasound and Doppler velocimetry technologies. Describe the indications for electrophysiologic testing, permanent pacemaker implant, and therapeutic ablation of dysrhythmias and implantable cardioverter defibrillators. Ability to identify the main components of our Cath. Lab fluoroscopy system and gain the ability to utilize all of the necessary components to ensure that the Physician has the appropriate visibility to perform the procedure.
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