March 2007 Society of Invasive Cardiovascular Professionals (SICP) News

The Society of Invasive Cardiovascular Professionals (SICP) maintains that all invasive cardiovascular professionals, with or without formal cardiovascular academic training, should demonstrate knowledge and competence through education and certification in advanced cardiac life support (ACLS/ECC) and the achievement of the invasive cardiovascular credential RCIS (Registered Cardiovascular Invasive Specialist). The credential RCIS, offered by Cardiovascular Credentialing International (CCI), has been recognized as the cardiac catheterization laboratory credential of choice by the American College of Cardiology (ACC) and by the Society of Cardiac Angiographers and Interventionalists (SCA&I). The certification offered by the International Board of Heart Rhythm Examiners (IBHRE, formerly NASPExAM) is recognized by the Heart Rhythm Society for the specialties of cardiac pacing and electrophysiology. Ideally, all non-physicians employed in the cardiac catheterization laboratory should hold the RCIS credential. Non-physicians employed in the electrophyisiology laboratory should hold either the RCIS or IBHRE credential. There are three primary roles of the cardiovascular invasive specialist: hemodynamic monitoring/documenting, circulator, and scrub assistant. Minimal optimal staffing for diagnostic and therapeutic cardiovascular procedures allows for staff to assume these individual roles. For diagnostic or therapeutic procedures staffed by only one physician, at least three non-physician personnel should be present. When there is more than one physician scrubbed for the procedure, a minimum of two non-physician personnel are required for monitoring/documentation and circulating for the procedure. For unstable patients, or complex therapeutic procedures involving multiple technologies, additional staffing may be required. On-call staffing for emergency cardiovascular procedures must meet the same minimal staffing levels as those required for scheduled procedures. It is important to have in place a mechanism that verifies clinical competencies of all personnel performing or assisting with procedures. Clinical competencies should be reviewed at least annually. 2/96, revised 12/2006 SICP Professional Standards Committee References 1. Pepine C, Allen H, Bashore T, et al. ACC/AHA Guidelines for Cardiac Catheterization and Cardiac Catheterization Laboratories. JACC November 1991;18(5):1149-1182. 2. Raykin T, Bauman W, Kennedy W, et al. Guidelines for Percutaneous Transluminal Coronary Angioplasty. JACC December 1993;22(7):2033-2054. PRESIDENT’S MESSAGE The Chapter Networking Group meets regularly via conference call. If you are considering organizing a chapter and have questions, or if you already have organized a chapter and can give advice, etc., please join us. Calls are every other month, the third Wednesday of the month at 7pm Central time. Please send your contact info to Nicole Shore at director@sicp.com. We will include you in our mailing list. Our schedule is: March 21 May 16 July 18 September 19 November 14 (earlier due to the Thanksgiving holiday) Feel free to contact me any time with questions. Lynne Jones, RN, RCIS, FSICP SICP President ljones (at) tomballhospital. org CHAPTER NEWS The Emerald Coast Chapter had an RCIS Review Course on February 3, 2007 with Patricia Thomas as the speaker. We had an excellent attendance with 39 cardiovascular professionals attending in Pensacola, Florida. The Emerald Coast Chapter would like to thank the generous vendors who made this event possible: Brian Small from Possis Medical; Misty, Russ, Mark, Shelby, and Charlie from St. Jude Medical; Natalie from Cook; Mark, Ashley, John, and Austin from Abbott Vascular; Missy from Cordis Corporation; Alisa from Arrow International. Thanks also to Sacred Heart Hospital and Baptist Hospital for their generous support of these events and to our speaker, Patricia Thomas. Please watch your e-mail for information or contact angierrmark@aol.com regarding future Emerald Coast Chapter events. Angie Bowles, RN, CCRN Emerald Coast Chapter Chair, 2007 angierrmark (at) aol. com On January 16, 2007, the newly-chartered SICP’s Greater Cincinnati/ Northern Kentucky chapter had their first official meeting. An excellent showing of 35 cardiovascular professionals from the area attended as Jennifer Lukes, RN, of The Ohio Heart and Vascular Center, gave an in-service on non-ST elevation myocardial infarction and unstable angina. The meeting was held at Maggiano’s and was sponsored by Eli Lilly/ReoPro. Our next meeting is scheduled for March 20th. For more information about the GCNK chapter, please contact Molly Newsom at cincysicp (at) yahoo. com. The Indiana SICP chapter is experiencing tremendous growth. Each meeting keeps getting better and better, and attendance is increasing by the dozen. Our hard work is paying off! I must give special thanks to our board members: Sandy Mahoney, co-chair, Jayme Scherer, secretary and Kris Vance, treasurer. The January 13th meeting could not have been better. A special thanks to Mechelle Peck, who arranged the meeting room, breakfast and CEUs for the nurses. This was the first meeting where we arranged CEUs through ASRT. A special thank you to Jim Porter, RT(R) for his involvement. The first speaker of the day was Dr. Michael Elliott, who gave us a thorough understanding of the application and limitations of coronary CTA. His presentation kept the audience’s attention and sparked a great Q & A session. We then learned about the use of nitric oxide (NO) as Dr. Kalya explained its role in pulmonary hypertension. Not all attendees have experienced the use of NO for reduction of right heart pressures in their lab, so learning about its relevance and the related hemodynamic changes was definitely a growth factor. Dr. Rita Coram provided us a great hemodynamic view and it was interesting to see how well the audience had paid attention as evidenced by the quickness in answering the same questions they hesitated to answer at the beginning. We definitely learned a thing or two regarding hemodynamics as related to the cath lab. Mechelle Peck, RN, BSN, RCIS, shared with us the results of her research project she did for her advanced nurse practice degree on using warmed lidocaine to decrease pain and discomfort associated with numbing the access site. And like all previous presentations, the audience had great questions and received satisfactory answers. Bringing cath lab professionals together has been my vision for a few years now, and seeing the enthusiasm and the enjoyment of people attending their first meeting is worth all the hard work and perseverance. There were times that I wanted to give up, leave it behind and never look back, but it was exactly those times that I knew I had to go on. I have some more special thanks to people who have encouraged me to hang in there: Jim Wade for the initial inspiration, Debbie Burkhard for being my friend and advisor, Dr. Breall for all the support, Mary Baker, our Administrative Director, who authorizes any support I need, my loving husband Ken, who is our photographer and believes in me. Vendors have been an extremely important factor in making my dream reality, and I would like to thank the following companies: Abbott Vascular, Boston Scientific, Datascope, Genentech and MIR (Morris Innovative Research). Martine Kinman RN, RCIS, CCT MKinman (at) clarian. org The Oregon Chapter of the Society of Invasive Cardiovascular Professionals held their monthly meeting on January 18, 2007. Thirty cath lab professionals from McKenzie-Willamette Medical Center, Oregon Cardiology Diagnostic Center, and Oregon Heart and Vascular Institute attended the educational evening. Chapter Treasurer Bruce Allen, RCIS was awarded SICP Fellowship. Bruce has worked tirelessly to support the mission of the SICP since becoming a member. Bruce has been instrumental in developing the Oregon Chapter of the SICP serving as both Treasurer and Secretary. A dedicated cardiovascular professional, Bruce has trained countless numbers of nurses and technologists in the technical aspects of invasive cardiovascular procedures, always upholding the highest of standards. Bruce is considered by his peers to be a gold standard in the Northwest. He is a member of the cath lab team at the Oregon Heart and Vascular Institute. Dr. John Gundry of Oregon Cardiology presented a case review on coronary artery dissection. Case reviews will be conducted at each meeting as they are both interesting and offer excellent insight to the unique cases we encounter in the cath lab. Wendell Witt, RN presented the first of a two-part series on pharmacology. Going beyond the basics of medications used in the cath lab, Wendell introduced us to the Oregon State Board of Nursing position with regard to nurses delegating medication tasks to technologists, and JCAHO information on medication management in the cath lab environment. Wendell will present the second series on pharmacology at April’s chapter meeting. Chapter Education Chair James Lewis presented the upcoming quarter’s education plan. On February 15th, we recognized Cardiovascular Professionals Week and our education topic was atrial fibrillation, presented by electrophysiologist Dr. James McClelland of Oregon Cardiology. On March 15th, Dr. Michael Menen of Oregon Cardiology will present on fetal circulation and congenital defects. Finishing out the quarter, Wendell Witt will present the Pharmacology II, and Mark Houston of the Oregon Heart and Vascular Institute will present on echocardiography. The Oregon Chapter can be contacted through Todd Chitwood at: tchitwood (at) oregoncardiology. com

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