Impella: Difference between revisions
From Bay Area Structural Heart Wiki
(Created page with "==Daniels single access Impella (WIP)== ===Equipment=== *16F Dryseal *8fr guide *6fr Shuttle 90cm ==Hybrid OR Impella via Subclavian conduit== ===Equipment=== *Pack* *JR4 *...") |
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| Line 2: | Line 2: | ||
===Equipment=== | ===Equipment=== | ||
*16F Dryseal | *16F Dryseal | ||
*8fr guide | *8fr guide | ||
| Line 9: | Line 10: | ||
===Equipment=== | ===Equipment=== | ||
*Pack* | *Pack* | ||
*JR4 | *JR4 | ||
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===Procedure=== | ===Procedure=== | ||
*Enter an order for CCL in EPIC | *Enter an order for CCL in EPIC | ||
*Open x-ray and McKesson using entered order. | *Open x-ray and McKesson using entered order. | ||
| Line 32: | Line 35: | ||
*Tuck surgical drapes under mattress to expose controls. | *Tuck surgical drapes under mattress to expose controls. | ||
*Ask OR for 1 pack Ray-Tec sponges for wipes. | *Ask OR for 1 pack Ray-Tec sponges for wipes. | ||
*Do the thing | *Do the thing (Insert 5.0 Impella) | ||
*Remove the other thing | *Remove the other thing (ECMO / Balloon pump / Impella) | ||
*Statlock is for the chest/abdomen loop of the Impella similar to Leave in swan. | *Statlock is for the chest/abdomen loop of the Impella similar to Leave in swan. | ||
*Document times and doses in McKesson - Write down for book. | *Document times and doses in McKesson - Write down for book. | ||
*Save 2 stickers | *Save 2 stickers | ||
Revision as of 15:47, 2 October 2019
Daniels single access Impella (WIP)
Equipment
- 16F Dryseal
- 8fr guide
- 6fr Shuttle 90cm
Hybrid OR Impella via Subclavian conduit
Equipment
- Pack*
- JR4
- Angled Pigtail
- .025 exchange for BP removal
- Perclose
- .035 exchange
- 6-8.5 statlock
- 18” cover for foot pedal*
- 500ml bag heparinized saline
- *Trust me on this...
Procedure
- Enter an order for CCL in EPIC
- Open x-ray and McKesson using entered order.
- Procedure in McKesson is “(33990)INSERT VAD ARTERY ACCESS”
- Free-Text note that McKesson is open for billing and equipment only, not procedural charting. See Anesthesia and OR nurses notes.
- Put input 4in1 B on V-integration 2 for TTE on the fluoro screen.
- Open and cut femoral drape across entire width at the level of the femoral fenestrations.
- Place over legs after surgical draping using remaining adhesive area to secure.
- Put OR light camera in place to see the surgical site to monitor progress from control room.
- Tuck surgical drapes under mattress to expose controls.
- Ask OR for 1 pack Ray-Tec sponges for wipes.
- Do the thing (Insert 5.0 Impella)
- Remove the other thing (ECMO / Balloon pump / Impella)
- Statlock is for the chest/abdomen loop of the Impella similar to Leave in swan.
- Document times and doses in McKesson - Write down for book.
- Save 2 stickers
- Close x-ray and archive to EMIM_CATH
- Capture charges for McKesson
- Generate and sign McKesson, then print device list in CCL.
- Sticker goes in room 6 book for tracking, second sticker is for device list
- Bill device list in Epic
