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Cath Lab Tech

Information

Name *

Last 4 digits of SSN *

Phone *

Email *

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Age of Patients Cared For

Pediatrics *

Adults *

Circulating Role (PAV)

Airway Maintenance *

Arm Cases *

Biopsy *

Co-Ox Setup Q.C., Run Sample *

Defibrillator Setup/Use *

Intra Aortic Balloon Pump *

Power Injector Setup/Use *

Left Heart Catheterization *

Right Heart Catheterization *

PTCA/Stents/Balloons *

Radiation Protection *

Atherectomy *

Permanent Pacemaker *

Temporary Pacemaker *

Setting Threshold of Pacemakers *

Rotablator *

Sphygmomanometer Monitoring *

Transducer Setup/Calibration *

Run Angiojet Machine *

IVUS *

Hemodynamic Monitoring

Biopsy *

Handoff Reports *

Left Heart Catheterizations *

Right Heart Catheterizations *

Coronary Intervention *

Hematoma Recognition & Management *

Coronary Atherectomy *

IVUS *

Intra Aortic Balloon Pump *

EP Study *

Ablation *

Rotablator *

FFR *

Cath Lab/Angio/Specials (Equipment)

Philips *

Siemens *

Toshiba *

GE *

Siemens Artis Zeego *

Shimadzu *

Cannon Alphenix *

Electronic Documentation *

Hemodynamic Monitoring Equipment

GE MacLab Marquette *

Mennen *

Merge Cardio/Camtronics VERICIS *

McKesson *

Philips Xper IM/WITT *

Siemens Sensis *

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