Cath Lab/Cardiac Cath Lab Skills Checklist • Page 1

CATH LAB/CARDIAC LAB SKILLS CHECKLIST

This profile is for use by Registered Nurses with more than one year of experience in their discipline and specialty.

Please enter your full legal name as it appears on your Social Security Card:

First Name: ______________________________________________ Last Name: _____________________________________________

Social Security Number: _________________________ Date Completed: _______________ Email: _________________________

Please check the boxes below for each group for which you have provided age appropriate care:

A. Newborn/Neonate (birth-30days) F. Adolescents (12-18 years)

B. Infant (30 days-1 year) G. Young adults (18-39 years)
C. Toddler (1-3 years) H. Middle adults (39-64 years)
D. Preschooler (3-5 years) I. Older adults (64+)
E. School age children (5-12 years)

Please indicate your level of experience:

A. Theory, no practice B. Intermittent C. One-Two Years Current Experience
D. Two plus years of experience; can function independently

A. Assessment 3. Suctioning
1. Neurological A B C D a. Oral A B C D
2. Respiratory A B C D b. Nasopharangeal A B C D
3. Gastrointestinal A B C D c. Tracheal A B C D
4. Genitourinary A B C D
5. Integumentary A B C D D. Cardiovascular
6. Vital Signs A B C D 1. Assessment of Pulse
7. Pain Scale A B C D a. Apical A B C D
8. Psychosocial A B C D b. Carotid A B C D
9. Patient/Family Teaching A B C D c. Femoral A B C D
d. Pedal A B C D
B. Cardiac Assessment e. Radial A B C D
1. Evaluate Chest Pain A B C D 2. Procedures
2. ECG Interpretation A B C D a. Resting EKG A B C D
3. Peripheral Pulses A B C D b. Pulse Oximetry A B C D
4. Arterial Pressure A B C D c. Stress Test EKG A B C D
5. Left Ventricular Pressure A B C D d. Cariolite/Thallium Scans A B C D
6. LVEDP A B C D e. Echocardiogram A B C D
7. Ejection Fraction A B C D f. Stress Echocardiogram A B C D
8. RA, RV, PA, PCW Pressure A B C D g. TEE A B C D
9. Pre/Intra/Post Procedures A B C D 3. Code Procedures
a. Call a Code A B C D
C. Respiratory Procedures/Equipment b. Perform CPR/Defibrillation A B C D
1. Blood Gases A B C D c. Administer Code Medications A B C D
2. Oxygen Administration d. Nurse Responsibilities A B C D
a. Cannula A B C D e. Documentation of Code A B C D
b. Mask A B C D f. Replenish Crash Cart A B C D
c. BVM A B C D 4. No Code Orders
d. C-Pap A B C D a. DNR A B C D
e. Bi-Pap A B C D b. DNR CC A B C D
f. Mechanical Ventilators A B C D c. DNR CC Arrest A B C D
g. Tracheotomy Tube A B C D
h. Venturi Oxygen Mask A B C D

8892 Beckett Road • West Chester, Ohio 45069 • Phone: 866-301-4045 • Fax: 866-850-4048 • www.advantagern.com
Cath Lab/Cardiac Cath Lab Skills Checklist • Page 2

E. Lab Values (Significance) I. Procedures

1. BUN A B C D 1. Use of Hemachron A B C D
2. Creatinine A B C D 2. Use of Oxyxom 3000 A B C D
3. Hgh/Hct A B C D 3. Use of Med Rad Injector A B C D
4. Potassium A B C D 4. Preparation of Patient for:
5. Sodium/Choride A B C D a. PTCA A B C D
6. Glucose A B C D b. Stents A B C D
7. Digoxin A B C D c. IABP A B C D
8. Cardiac Enzymes A B C D d. Heart Cath A B C D
9. ABG’s A B C D e. Procedural Consent
10. PT/INR A B C D Forms/Permits A B C D
11. Cholesterol Levels A B C D f. Documentation A B C D
12. PT/PTT A B C D
13. Interpreting Lab Values A B C D J. Specimen Collection
14. Platelet A B C D 1. Cath UA
a. Male A B C D
F. IV Therapy b. Female A B C D
1. Administration of Meds/Fluids A B C D 2. Foley Catheter Insertion
2. Prevention of Air Embolus A B C D a. Male A B C D
3. Volumetric Pump A B C D b. Female A B C D
4. Administration via KVO Rate A B C D 3. Collect Specimens A B C D
5. Titrate Cardiace Medications A B C D 4. Documentation A B C D
6. Blood Administration A B C D
a. Filter A B C D K. Safety
7. Port-a-Cath A 1. Standard Precautions A B C D
B C D
8. Dialysis Shunt A 2. Sterile Precautions A B C D
B C D
9. Monitor 3. Implementation
a. IV Patency A B C D Respiratory Isolation A B C D
b. Condition of Site A B C D 4. Reverse Isolation A B C D
5. Care/Repair Electrical Equipment A B C D
G. IV Sites
1. Monitor A B C D L. Heart Monitor
2. Flush A B C D 1. Application of Electrodes A B C D
3. Peripheral Insertion A B C D 2. Interpret/Correct Response:
4. Heparin Locks A B C D a. Sinus Rhythm A B C D
5. Central Lines A B C D b. Atrial Fib A B C D
a. Use of Filter A B C D c. Atrial Flutter A B C D
6. Arterial Lines Setup A B C D d. Tachycardia A B C D
7. Port-a-Cath A B C D e. Bradycardia A B C D
8. Dialysis Shunt A B C D f. Supra-Ventricular Tachycardia A B C D
g. Venticular Tachycardia A B C D
H. Medications h. Venticular Fibrillation A B C D
1. Administration i. Juntional Rhythms A B C D
a. PO A B C D j. Asystole A B C D
b. IM/Sub Q A B C D
c. IV A B C D M. Heart Blocks
d. Inhalation A B C D 1. Interpret/Correct Response:
e. Ordering/Obtaining A B C D a. 1st Degree A B C D
f. Charging A B C D b. 2nd Degree Type 1 A B C D
g. Crediting A B C D c. 2nd Degree Type 2 A B C D
h. Documentation A B C D d. 3rd Degree A B C D
i. Pre-ops A B C D e. Transcutaneous Pacing A B C D
j. Counting A B C D
k. Wastage A B C D

8892 Beckett Road • West Chester, Ohio 45069 • Phone: 866-301-4045 • Fax: 866-850-4048 • www.advantagern.com
Cath Lab/Cardiac Cath Lab Skills Checklist • Page 3

N. Specific Medication Administration P. Scub

1. Adenosine A B C D 1. Catheterization of Left Heart A B C D
2. Amiodarone A B C D 2. Catheterization of Right Heart A B C D
3. Atropine A B C D 3. Catheterization of Left
4. Benzodiazepines A B C D and Right Heart A B C D
5. Diltiazem A B C D 4. PTCA A B C D
6. Dobutamine A B C D 5. PTCRZA A B C D
7. Dopamine A B C D 6. Stent Implantation A B C D
8. Epinephrine A B C D 7. IVUS A B C D
9. Esmolol A B C D 8. Directional Coronary Arthrectomy A B C D
10. Ibutilide A B C D 9. Rotational Coronary Arthrectomy A B C D
11. Inocor A B C D 10. Intra Aortic Balloon Pump A B C D
12. Lasix A B C D 11. Temporary Epicardial/
13. Lidocaine A B C D Transthoracic Pacemaker A B C D
14. Metoprolol A B C D 12. Permanent Pacemaker A B C D
15. Milrinone A B C D 13. Temporary External Pacing A B C D
16. Narcan A B C D 14. Temporary Transvenous A B C D
17. Narcotics A B C D 15. EP Study A B C D
18. Nitroglycerine A B C D 16. Ablation A B C D
19. Nitroprusside A B C D 17. ICD A B C D
20. Procainamide A B C D 18. Cardioversion A B C D
21. Procardia A B C D
22. Profofol A B C D Q. Circulating
23. ReoPro A B C D 1. Catheterization of Left Heart A B C D
24. Romazicon A B C D 2. Catheterization of Right Heart A B C D
25. Thrombolytics 3. Catheterrization of Left
a. Aggrastat A B C D and Right Heart A B C D
b. Heparin A B C D 4. PTCA A B C D
c. Integrilin A B C D 5. PTCRZA A B C D
d. TPA A B C D 6. Stent Implantation A B C D
e. Strepokinase A B C D 7. IVUS A B C D
26. Vasotec A B C D 8. Directional Coronary Arthrectomy A B C D
27. Verapamil A B C D 9. Rotational Coronary Arthrectomy A B C D
10. Intra Aortic Balloon Pump A B C D
O. Site Management 11. Temporary Epicardial/
Removal of: Transthoracic Pacemaker A B C D
1. Femoral Arterial Sheath A B C D 12. Permanent Pacemaker A B C D
2. Femoral Venous Sheath A B C D 13. Temporary External Pacing A B C D
3. Brachial Arterial Sheath A B C D 14. Temporary Transvenous A B C D
4. Radial Arterial Sheath A B C D 15. EP Study A B C D
Use of: 16. Ablation A B C D
5. Direct Pressure A B C D 17. ICD A B C D
6. C-Clamp A B C D 18. Cardioversion A B C D
7. Femostop A B C D
Closure Devices: R. Other Skills
8. Assessment of VasoSeal A B C D 1. PTA of Carotids A B C D
9. Assessment of AngioSeal A B C D 2. PTA of Renals A B C D
10. Assessment of PerClose A B C D 3. PTA of SFA A B C D
11. Hematoma Recognition
and Management A B C D

The information I have given is true and accurate to the best of my knowledge. I hereby authorize Advantage RN
to release this Cath Lab/Cardiac Cath Lab Skills Checklist to facilities of Advantage RN in relation to consideration
of my employment with those facilities.

Name_______________________________________________________ Date______________________________________________

Signature____________________________________________________

8892 Beckett Road • West Chester, Ohio 45069 • Phone: 866-301-4045 • Fax: 866-850-4048 • www.advantagern.com