WatchmanEPmisc
last updated 11/16/23 zr/ac
While the Cath Lab's Watchman Page provides the majority of what you need, this page has some additional info.
---workflow change 4/1/24---
2 x RFV access. Please make sure to separate the wires by 10mm
8F RFV ---> pre close Perclose ----> 16F 33cm Dryseal sheath ---> advance 230cm Baylis Versa Cross through 16F
10F 30cm Check-Flo for Philips VeriSight Pro ICE Catheter. Locate a catheter, ICE display connection cable+adapter (DP-DVI), and the cardboard box in the watchman cart for noninvasive prior to case
RN:
-Large bottle of visipaque + contrast spike
-3x 500cc bags of normal saline with 5000 units of heparin per bag (2 for table, 1 for transducer)
-1x 1L bag of saline with 2000 units of heparin, premade in pyxis (manifold saline - on 1L pressure bag)
-Lido w/ Epi
-Check with PACU for pre-op - NS 500cc bolus, 4 chewable aspirins, precedex
-Labs day of: PT-INR, Type & Screen
-Labs within 30 days: CBC, BMP, EKG
-Tell Anesthesia - Ancef + General Anesthesia
-Tell PACU - shave groins + subxiphoid
Pull list
--temporary/new 4/1/24: --
--16f dryseal, 10f 30cm checkflo--
--0.0 silk + needle driver
-6fr Straight Pig
-Contrast Spike (ref 90400039)
-3 Port Manifold (ref 63160612)
-Long Versacross kit (230cm) (ref VXSK0032)
-Perclose
-3cc syringe for ACT
-EP Pack
-Micropuncture
-8F pinnacle (just for dilator)
-Ultrasound Cover
-Pressure Transducer w/Tubing
-RadPad
-Rampart Cover
-Light Handle Cover
-The CCL Watchman Page mentions use of a 150 J Cordis - but Dr. Woods has been loading the 5fr pigtail over the 230cm versacross pigtailwire directly as of 4/2023.
-exofin on standby
-Ioban
-Ground pad, defib, dots, sp02, bp cuff