Basic Structure, Function & Human Resources in a Cath lab

1. Cardiac Catheterisation Lab

2. Presented By : Dr Altaf K. Faiyaz

3. “ Coronary Artery Disease is currently one of the leading causes of premature death in both developing as well as developed countries “

12. Conduct Patient Preparation Informed Consent from patient/guardian Strictness of Sterile Techniques Special Clothing For workers Hepatitis B vaccination for Employees Following SOP Adequate post-procedural Holding area, proper nursing care and monitoring

16. Other Important Facilities 5. Patient Holding Room ( preferably equipped with ECG monitors ) 6. Patient Recovery Room 7. Technician’s Work Room 8. Dark room for 35mm film ( if necessary ) 9. Chemistry Lab ( for blood gas analysis ) or Electrophysiology Labs 10. Scrub Facilities 11. Storage space for case carts 12. Alcove for wheelchairs & stretchers 13. Soiled Utility Room 14. Toilets

17. Model of a 2-lab Cardiac Catheterisation Setup

18. Suggested Lab Requirements 30 Pharmacy Space 30 Staff Toilet 30 Patient Toilet 70 Staff Dressing Room 70 Patient Dressing Room 100 Catheter & Other Storage Room 120 Recovery Room 120 Patient Preparation Room >120 Holding Room 30 Scrub facility 100-120 Equipment Room 150-200 Control Room 500-600 Procedure Room Suggested Minimum Size (sq. ft.) Use

19. Suggested Lab Requirements Library 120 Conference Room 70 Offices ( space per office) 20 Janitorial space 70 Soiled Utility 70 Darkroom Processing ( or Computer Management) 70 Archival Area 70 Film viewing Area 70 Reception Area 70 Staff Lounge 20 Blood Gas Analysis

25. Precious Human Resource # Chief Cardiologist # Assistant Angiographer # Laboratory Director # Cardiovascular Trainee # Nursing Personnel - Scrub Nurse Float/Circulating Nurse # Technical Staff – Radiation Technologist Radiation Physicist Lab Technologist Dark Room Technician Computer Technician Monitoring Technician # Non-Technical Staff – Medical Transcriber Clerks, Aides

26. Precious Human Resource The department staff is responsible for procuring necessary supplies as well as preparing the room and the patient before the procedure and for monitoring patient’s recovery. Important Qualification and Experience are of prime importance while recruiting personnel for the cardiac catheterisation laboratory All members of catheterisation team must complete a basic course in CPR

28. Administrative Issues Utilization levels Lab performance Evaluation Quality Assurance

33. Think About ….. Fluctuation of Patient load on a day to day basis Long Break-Even Point Market Competition