CCCardiol CroatCardiologia CroaticaCardiol. Croat.1848-543X1848-5448Croatian Cardiac SocietyCC_13(1-2)_4610.15836/ccar2018.46Extended AbstractNursing responsibilities for rotablationRadićKristijanahttps://orcid.org/0000-0002-6098-254X*ŠegoBiljanahttps://orcid.org/0000-0002-3229-9436SlancMirjanaUniversity Hospital Dubrava, Zagreb, CroatiaADDRESS FOR CORRESPONDENCE: Kristijana Radić, Klinička bolnica Dubrava, Avenija Gojka Šuška 6, HR-10000 Zagreb, Croatia. / Phone: +385-99-3535-008 / E-mail: kristijana.radic41@gmail.com022018131-2464604022018100220182018Croatian Cardiac SocietyKeywords: rotablationnurse competency
Rotational atherectomy is used in patients with highly calcified coronary arteries where it is very hard to perform percutaneous transluminal coronary angioplasty (PTCA) procedures. (1, 2) Operating nurses have to know all phases of the procedure, anatomy and physiology, usage of aseptic methods. Importance of the work process in the operating room, high level of professional education, knowing skills of high-quality maintain high quality of health care is a must-have in these procedures.
Rotablation represents an addition to the standard PTCA procedure, it makes treatment of calcified vessels easier and less risky. Nurse is responsible for assembling and material integrity. She needs to cooperate and support the interventional cardiologist, notify and check for ECG changes. Important responsibilities of nurse before rotablation are:
System set-up:
Connect foot pedal to console
Connect air hose to air supply
Connect air supply to console
Open gas tank to pressurize system
Rotablation flushing cocktail: verapamil, nitrates and heparin in saline
Component set-up:
Attach advancer to the console
Attach saline infusion port to IV pressure bag
Open irrigation line
Backload burr catheter into guidewire
Connect wire clip torquer
Pre-procedure system test - DRAW test:
D – Drip = Verify irrigation at distal tip of burr catheter
R – Rotation = set burr speed to desired RPM level and verify Dynaglyde speed
A – Advancement = Confirm advancer knob and burr move freely
W – Wire = Verify brake is holding guidewire while burr is spinning, and wire clip is fixed
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