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!
I want to learn about this job what what are the stuff you need to learn and what math do I need to know if am going to collage to take please am interested in this career
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.
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
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!!!!
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
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 ❤
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.
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?
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?
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!
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 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!!!!😂🥰😍🤌🏾👏🏾👏🏾👏🏾🙌🏾🙌🏾
Nice video. Love the set up for the procedure. However, I am a CST and the gowning & gloving portion is my only gripe. The sterile "closed" gloving technique was not correctly done. Your fingers are not supposed to go past the blue impervious portion of the sleeves. The white cuffs are pervious and your fingers will contaminate the glove's packaging, the gloves themselves, and anything else you touch on that back table. You should never gown yourself off of the sterile field. Open your gown and gloves on a separate flat surface.
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.
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.
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
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)
No form of cohesion but in prayer I talked to Buddha that's a mental order this disassociation with setrophenia, but I got my bachelor's degree from UNF and I read the whole American psychology of association book. We don't have the technology and the advancement like America we are unable to find anything in her chemical compound test and we don't have the device like America could use so sorry we will have to transfer all the cases to America.
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 🙂
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. ❤️
Thanks so much!
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 just had this done. To the folks that work in these you are all life savers.
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 :)
Have the best time and learn lots! It's such an amazing career!
@@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!
I want to learn about this job what what are the stuff you need to learn and what math do I need to know if am going to collage to take please am interested in this career
AWESOME!!! Pls do more videos i LOVE them i learn so much from this video wish we can see the next steps etc
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.
how were you able to shadow a cath lab? im intrested in working as tech in the cath lab in the future but I want to see the job first hand.
Best table setup video out there!! Thank you 🙏
Thanks so much!
This was very cool to see 👍I will have this done in a few weeks 🙏❤🤗
Beautiful video. Your enfasize on infection control is great. I work in a heart hospital and this is very important
U r sooo sweet ...becoz u always reply to everyone comments and that's make u so sweet...am also a Nurse ..take care
Thank you, a great video!! I just excepted a position as a Cath Lab Tech, this was very helpful.
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 have had 3 of these and the Cath Lab staff are awesome!
Thank you for sharing!👍👍👍it worhty watching at least ten times
Very thorough and detailed explanations! Can you make a video on how to prime the manifold and preping the patient. Thank you
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.
@@samanthakeihl5155 yes please do!
@@samanthakeihl5155please do make such a video looking so forwwrd to it
Man, brings back memories lol. I miss the cath lab,,, but I can no longer wear the lead anymore. Excellent video, thank you!
I think you are suffering lower back pain or some thing like that sooo sad but dnt worry and take care of your self
@@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!!!!
@@jamjedi1972 what other jobs can a catch lab tech do if we can’t work in the lab anymore?
Super awesome trainer!!! Thank you!!
very effective presentation, Thank you !
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
If you're interested in being a Cardiovascular Tech....look to see if there are any CVT programs at any of the colleges in your area!
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 ❤
But can do only free tym or stable pt I think in emergency they will not follow
Wow
That was very helpful
Thank you for the tremendous effort
Awesome thank you, can you make more videos?
Thank you 🙏🏻 so much! Very informative. 😊
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.
Hmmm, good point. Thanks! @@samanthakeihl5155
God Blesses Medical professionals and staff..
Mam I'm cath lab technician
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?
This is awesome! I’m debating between going icu or cath lab route, could you make more videos on cath lab in general?? :) what you like, dislike etc?
Are you a nurse?
Hi Samantha! Great video. May i ask if you have any protocol to prepare a patient in a superficial femoral artery angioplasty?
Love your channel! Brings back so many good, yet stressful as hell sometimes memories! I’m sure you know exactly what I mean!! New sub also!
I know exactly what you mean! The good memories definitely outweigh the stressful ones!!!!!
@@samanthakeihl5155 ha ha ha! So true, we had fun but definitely battle damaged lol!
Wow great job!! 😊
Very nice done! Thank u for sharing
Love this, thank you ☺️
I have my associates in cardiovascular technology what should I get my bachelors in so I can advance my career?
Depends on your ultimate career goal. My BS is in Healthcare Administration with a concentration in Patient Safety and Quality
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?
The beeessstt table setup, everything is organized.
you've got 3 lines right!
line for contrast
line for pressure
3rd line ?
thank you !!!
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.
3rd line fr hep flush during procedure ..it’s use only in PTCA
@@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!
Do you scrub in when you do this..
Please make videos on how to do angiography and it's whole procedure
I have a Simbionix simulator....I will see what I can do!
Madam why you didn't use the 3-way mani fold ??
Thank you very much for this video!
Very helpful, thanks!
What is RCIS ? Can someone enlighten me here?😊
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
@@samanthakeihl5155 so do you mean only those RCIS ones can assist interventionist in scrubbing with procedures?
@@lharbyarden5071 It depends on the state you live in and the hospital you work for. Each state/organization has it's own rules and policies
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!!!!😂🥰😍🤌🏾👏🏾👏🏾👏🏾🙌🏾🙌🏾
Thanks for sharing. Very practical
Name of this kit
GOOD job
Nice video. Love the set up for the procedure. However, I am a CST and the gowning & gloving portion is my only gripe. The sterile "closed" gloving technique was not correctly done. Your fingers are not supposed to go past the blue impervious portion of the sleeves. The white cuffs are pervious and your fingers will contaminate the glove's packaging, the gloves themselves, and anything else you touch on that back table.
You should never gown yourself off of the sterile field. Open your gown and gloves on a separate flat surface.
Wow, so very interesting
Great video! How or what review did you use to prepare for your rcis?
The Glowacki and Somers RCIS Review Course is INCREDBLE!!!
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.
Thank you so much for the reply! I'm so excited to work in critical care and then cath lab.@@samanthakeihl5155
Any vaccancies in you lab for scrub 🤔
Yes there are. Here in Wisconsin 👌
This was so helpful
I’m from bangladesh 🇧🇩 ❤
Hi, I am cathlab technologist how to get job in abroad what is the process
Explain full details
U won't wear lead apron for procidure? But nice arengment and also expensive set up
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
Lovely introduction to procedure
Nice one samantha except that you forgot the key step of putting on the lead apron before you wore your gown
This was just table set up! After finishing setting up the table I would break scrub while we wait for the patient!
Why are there two pots of nitrates?
Thank you all for this video 🙏
Good nice sister
How do you mix the contrast? Or do you hang a bottle neat?
We just hang a bottle!
@@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.
Iam RN working in cathlab, can I take the RCIS ?
check out cci-online.org/CCI/Certifications/RCIS.aspx to read the qualification requirements!
7:18😌smooth
Are uh a cathlab technician or a nurse?????
I am a Cardiovascular Technologist with an A.A.S in Cardiovascular Technology and the Registered Cardiovascular Invasive Specialist (RCIS) credential
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
Sweet!!! Miss ya! 👌
MISS YOU TOO!!!!
I'm assuming that's a hybrid room.
It's not!
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'm paranoid of dropping stuff 😂
i guess labels aren't universal. yellow is nitro and blue is for lido in our lab. lol.
❤🎉❤🎉❤🎉❤🎉❤🎉❤🎉❤🎉❤🎉❤🎉❤🎉Amazing ❤🎉❤🎉🎉❤🎉❤too much perfect 🎉❤🎉❤🎉❤🎉❤🎉❤🎉❤🎉❤🎉❤🎉❤🎉❤
🙏😘❤❤❤❤❤❤❤❤❤❤❤❤
❤❤❤
Cath lab ke uses ke bare me batao
No form of cohesion but in prayer I talked to Buddha that's a mental order this disassociation with setrophenia, but I got my bachelor's degree from UNF and I read the whole American psychology of association book. We don't have the technology and the advancement like America we are unable to find anything in her chemical compound test and we don't have the device like America could use so sorry we will have to transfer all the cases to America.
Tnx mam
😅❤
U forgot wear your lead aprone before wearing your gown 😅
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.
@@samanthakeihl5155 👏👏tq for replaying
@@samanthakeihl5155 i am from India.can i get a job in your country as cathlab technologist
Tell that lady next to you to stop touching her hair, neck and holding packs against her body
Nice job. Except we can’t have nail polish of any kind and any ring jewelry! That compromises sterility!
🤦🏻♂️
Resterilized towels, Three-way valve system instead of a contrast material pump system…in the 21st century…
We used GE Innova 3100 IQ until the year of 2011. It had great picture quality.
Why does this require a degree? Seems so ridiculously simple.
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 🙂