Impella

Daniels single access Impella (WIP)

*Trust me on this...

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