in reality, it is a very difficult task to find and train inexperienced staff to work in the cardiac cath lab. first, try to find someone who is familiar with the general process of the cardiac cath lab. also, find out their motivation for wanting to come to the cardiac cath lab. another tool we use is to invite hospital candidates to observe in the cardiac cath lab for a couple of cases. if you need to teach it in the lab, be prepared for a long orientation and frustrated staff who needs to teach it to them. this is a very useful tool to get your staff’s input on the candidates. your staff is able to give a true depiction of the lab.
one way to find good staff is to let your current staff do some recruiting in the hospital. i have found that emergency room registered nurses (rns) usually are a good fit in the cath lab. they have all the knowledge needed to be a good cath lab rn. it is also extremely important to have a very structured orientation with weekly goals. remember to include in your weekly goals an understanding of hemodynamics, coronary anatomy, and sterile technique. whether it is a rn or a tech in training, it is important to get your physicians’ feedback during the training process. some people are just not meant to work in the cardiac cath lab. if they consistently fail to meet goals, then you must make the difficult decision to end the training.
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