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SELVA
NURSES ON THE FRONTLINE IN CATH LAB
How to reduce risk and reduce infection and ready for disaster
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Risk in cath lab…..
Preventable
Can be minimized
But not eliminated
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What matters?
Personnel Safety
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6 INTERNATIONAL Patient Safety Goals
GOAL 1
Identify patients correctly
Goal 2
Improve effective communication
Goal 3
Improve the safety of high- alert medications
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Cont. IPSGGoal 4
Ensure correct-site, correct-procedure, correct –patient surgery
Goal 5
Reduce the risk of healthcare-associated infections
Goal 6
Reduce the risk of patient harm from falls
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1. Identify patients correctly
� Use at least two ways to identify a patient for
procedure :- wrist tag
- checklist
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2. Improve effective
communication
� Help prevent errors in your care so …………..
Speak UP� Bio-hazard notification
� Team work
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3.Improve the safety of high-
alert medications
� Remove the concentrated electrolytes e.g. Potassium Chloride from the crash cart
� To segregate the LOOK-ALIKE and SOUND-ALIKE drugs in the lab
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4. Ensure Correct-site,Correct-
Procedure,Correct-Patient Surgery
� Use a checklist, including a TIME OUT , just before starting the
procedure to ensure the right patient, procedure and site.
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5.Reduce the risk of healthcare-
associated infections� CDC guidelines, APHIC and OSHA standards
have revised policy. Staff must:
- Wear hair covers when in the lab
- Wear masks during set up trolley and procedure
- During PPM, all staff in the room wear a mask and a hat. The door to the room is kept closed.
BUT……………….
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I have never seen an infection from a cath procedure!
� Wearing masks during set up trolley and for pacer procedure is a good idea but a bit of an overkill for a cath.
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Infection control procedures
including
� Aseptic technique
� Routine and terminal cleaning everyday
� Sharps handling and disposal
� Handling of sterile items
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6.Reduce the risk of patient harm
from falls
� Patient transport:
� - recovery
� - lab
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Others……….� Don’t underestimate radiation hazard
� Baseline FBP, T4, Hep B antigen and antibody
� Patient education
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THANK YOU