Invasive Vascular Procedures
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1 Invasive Vascular Procedures Presentation guide DC = Statement of the competence for a particular domain E = Elements of the competence for a specific statement of competence P = Performance criteria for competency; associated with a specific element of the competence Domain of competence DC.13 Perform invasive vascular procedures on patients in a E13.1 Perform vascular access through IV P P P P P P P Describe purpose, sites and techniques for vascular access through IV Identify complications and corrective action associated with IV procedures Compare types of equipment set-ups and accessories commonly utilized Prepare equipment and patient per hospital protocol in a Perform vascular access through IV in patients per hospital protocol in a Assess and monitor equipment function and patient and take corrective action in the advent of complications in a Document procedures and related information in patient s chart per hospital protocol in a E13.2 Assist with vascular access through central lines/pulmonary artery catheter P P P P P P Compare indications, sites and techniques for central line cannulation and pulmonary artery catheterization Identify normal values and perform calculations related to pulmonary artery catheterization Prepare the set-up equipment and patients for central line / PA line cannulation per hospital protocol in a Prepare the set-up equipment and patients for pulmonary artery catheterization per hospital protocol in a Assist with central line cannulation and pulmonary artery catheterization in patients per hospital protocol in a Monitor and interpret central venous pressure measurements in patients in a and apply corrective action in the advent of complications 2011 RT-NCP Companion Document English Version 60
2 P P Monitor and interpret pulmonary artery catheterization values and calculations in patients in a and apply corrective action in the advent of complications Document procedures and related data in patient s chart per hospital protocol in a E13.3 Use indwelling catheters to collect arterial samples P P P P P P P Describe the methods for obtaining arterial line samples from indwelling catheters, including calibration Describe complications and corrective action associated with arterial line sampling form indwelling catheters Prepare the equipment and patient for arterial line sampling from an indwelling catheter per hospital protocol in a Collect arterial blood samples from indwelling catheters in patients per hospital protocol in a Monitor patient and indwelling catheter for possible complications and take corrective action in a Assure effective transfer of blood samples to lab for analysis Document procedure and relevant data in patient s chart per hospital protocol in a E13.4 Use indwelling catheters to collect venous samples (e.g., central line) P P P P P P Describe the methods for obtaining venous blood samples from indwelling catheters, including calibration Describe complications and corrective action associated with venous blood sampling form indwelling catheters Prepare the equipment and patient for venous blood sampling from an indwelling catheter per hospital protocol in a Collect venous blood samples from indwelling catheters in patients per hospital protocol in a Monitor patient and indwelling catheter for possible complications and take corrective action in a E13.5 Perform insertion of arterial lines P P P P P P Describe indications, sites and methods for insertion of arterial lines Compare relative and absolute contraindications and corrective action per insertion of arterial lines Identify equipment and accessories required for arterial line insertions Describe procedures for insertion of arterial lines Identify pre-procedural recommendations, patient position and assessment of coagulation profile and platelets Prepare set-up and patient per hospital protocol in a 2011 RT-NCP Companion Document English Version 61
3 P P P Insert arterial lines in patients per hospital protocol in a Monitor post-procedure set-up and patient in a and take corrective action in the advent of complications Document procedure and relevant data in patient s chart in a E13.6 Assist with insertion of arterial lines P P P P Prepare set-up and patient per hospital protocol in a Assist during the insertion of arterial lines in patients per hospital protocol in a Monitor post-procedure set-up and patient in a and take corrective action in the advent of complications Document procedure and relevant data in patient s chart in a E13.7 Perform capillary puncture P P P P P Describe indications and methods for obtaining blood samples from capillary punctures Describe complications and corrective action associated with capillary puncture Prepare the equipment, accessories and patient for capillary puncture per hospital protocol in a Perform capillary puncture per hospital protocol in a E13.8 Perform blood gas analysis P P P P P P P Describe the basic components of standard blood analysis instruments Compare the application and principles of operation of the electrodes Summarize the procedure used to perform sample analyze, including handling of samples Perform blood gas analysis procedure according to hospital protocol in a Document and report results of analysis per hospital protocol in a clinical Describe regular maintenance of blood gas analyzers Describe quality control of blood gas analysis E13.9 Perform radial artery puncture P P P Describe the procedure for performing a radial artery puncture, including Identify the hazards and complications and corrective action related to radial artery puncture Prepare the equipment and material for radial artery puncture per hospital protocol in a 2011 RT-NCP Companion Document English Version 62
4 P P P Prepare patient for radial artery puncture in a Perform radial artery puncture on patients per hospital protocol in a clinical E13.10 Perform brachial artery puncture P Describe the procedure for performing a brachial artery puncture, including P Identify the hazards and complications and corrective action related to brachial artery puncture P Prepare the equipment and material for brachial artery puncture per hospital protocol in a P Prepare patient for brachial artery puncture in a P Perform brachial artery puncture on patients per hospital protocol in a P E13.11 Perform femoral artery puncture P Describe the procedure for performing a femoral artery puncture, including P Identify the hazards and complications and corrective action related to femoral artery puncture P Prepare the equipment and material for femoral artery puncture per hospital protocol in a P Prepare patient for femoral artery puncture in a P Perform femoral artery puncture on patients per hospital protocol in a P E13.12 Interpret blood gas analysis and co-oximetry results P Explain the role of the lungs with respect to acid-base balance P Explain the role of the kidneys with respect to acid-base balance P Identify for adults, children and neonates the normal sea level values for blood gas components and co-oximetry P Describe the various concepts of acid-base balance and its regulation in the body P Explain the composition and action of the chemicals buffers P Compare acid-base disturbances including mixed disturbances with respect to clinical manifestations and management 2011 RT-NCP Companion Document English Version 63
5 P Interpret acid-base status in patients in a P Explain the concept of oxygenation in relation to the respiratory and cardiovascular systems P Explain external respiration in relation to ventilation- perfusion matching, deadspace, shunting and diffusion P Describe the relationship of oxygen transport and internal respiration P Describe the oxyhemoglobin relationship with oxygenation P Evaluate oxygenation status from blood gas values in patients in a P Describe the mechanisms of hypoxemia P Assess for signs and symptoms of hypoxemia and hypercarbia, including compensated status, in patients in a E13.13 Interpret blood electrolytes and metabolites P Compare extracellular and intracellular fluid compartments P Explain the basic principles of body fluid balance P Describe basic concepts of fluid deficit including clinical manifestations and management P Describe basic concepts of fluid overload including clinical manifestations and management P Identify normal plasma electrolyte values and their respective functions P Describe regulation of cation levels in the body P Describe concepts of electrolytes imbalance including clinical manifestations and management P Explain the basic physiological interactions between electrolyte imbalance and acid-base balance P Describe basic regulations of albumen, glucose and lactate P Interpret blood electrolytes and metabolites results in patients in a clinical 2011 RT-NCP Companion Document English Version 64
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