02
Dec

Sina Hospital catlab ward Introduction

This section presents clients with the most complete and best diagnostic and therapeutic measures of heart disease in a short period of time, with the presence of highly qualified and experienced physicians and practitioners.

Right and left heart catheterization (adult and young)

– Angiography and angioplasty for coronary, central and peripheral arteries (kidneys, peripheral arteries …)

– Angiography and angioplasty of the carotid and vertebral arteries

– Closure of atrial wall defects – ventricular

– Treatment of descending aortic aneurysm with stent graft

Mitral valve valve and pulmonary artery valve

Electrophysiological studies to determine productive foci

EPS – Heart Rhythm Disorders and Causes of Cardiac Blocks

– Radiofrequency ablation to treat system disorders

Permanent CRT and ICD – embedding single-cavity pacemakers – double-cavity-three-cavity and

– Provision of temporary pacemaker

Emergency angioplasty in acute myocardial infarction

– Closure of venous and arterial fistulas

The patient will be referred to a post-coat or CCU unit based on the diagnosis of a physician, following diagnostic and therapeutic procedures.

Section introduction:

The angiographic technique commonly used in imaging and diagnosing blood vessel diseases in the heart and brain is the most commonly used XRay angiography technique.

In the past, angiography was used to pathologically diagnose blood vessels, but cardiologists are now using very subtle invasive surgeries in the circulatory system, especially the arteries, to make angiography a process that provides the most accurate information possible. Provides the surgeon with the information based on this information. The physician can treat certain diseases without the need for open surgery. Provides immunity to the patient.

 

Angiography ward position in hospital

The angiography unit of the Sina hospital is located on the first floor of the hospital, adjacent to the CCU, ICU OH and cardiac surgery rooms. If urgent surgery is needed during angiography due to its proximity to the operating room, this is quickly done. Get it.

Names of doctors

Gentlemen: Dr.  Zafarghandi, Dr. farshimehr, Dr. karbalii , Dr. shakori rad, Dr.

Latin CV                        Farsi CV

Section entries

There are 3 entrance doors for entry into the angiography section. The first door is for entry and exit clients, and the second door is for entry and exit personnel, and the third door has an electronic eye and the larger one is for entry and exit patients.

It should be noted that at the beginning there are two doors to the red line law section. Personnel are also required to change shoes and clothing before entering the ward.



Angiography Room

Patients are transferred to the angiography room after being evaluated and given the necessary training by the nursing experts. This room is equipped with Angio bed and C.ARM which are in the middle of the room. To the right of the room are various shelves and cupboards for catheters, guiding, guides, stents, and balloons of varying sizes. On the left side of the room there is a trawl code, a portable suction machine, a perfuser, an EPS and an injector.

Technical room

The angiography room opens to the technical room with a large metal door. This room is a space where angiographic hyperks have radiators, which have three separate UPS power supply cooled by two split devices. It should be noted that the cooling gloves are on for 24 hours.

Control room

This room overlooks the angiography room The angiography room is visible through a lead glass inside the control room. This room also has a recovery room. Two LIVE and Reference monitors are available for viewing angiography and two ECGs and patient pressure in the control room. In this room, the patient’s CD is radiographed by the radiologist / technician upon completion of the procedure and the patient’s name and characteristics are checked by the expert and after being assured that the patient will be referred to the secretary for delivery.

Infection control in angiography

There is a red line in the angiography section and any movement of unemployed people is prohibited.
Doctors and staff are required to change shoes and clothing before entering the ward.
Hand washing in angiography

Hand washing alone is the most important way to prevent hospital infections. In the angiography section, you can wash your hands with soap and water or hand rub with alcohol. Hand washing is performed in accordance with hospital policy.

No reuse of disposable appliances

All disposable equipment and utensils will be safely disposed of and disposed of in yellow bags after use. This is part of the guidelines in the angiography section. Prior to collecting used equipment, all sharp objects must be removed and dumped into a safety box.

    Wash disinfecting tools and sets

They should be washed and disinfected after using the necessary sterilizable sets and tools. Patients should be provided with the necessary training to do so.

Radiation safety

All radiotherapy units in the department are quality controlled by the respective companies annually. The devices have quality control certification. It should be noted that these companies are licensed by the Atomic Energy Agency with legal authorization. A valid radiation license is renewed every three years and is available. Lead shielding is available for staff and patients including lead vests, lead overalls, lead glasses, lead gloves and lead necklaces and personnel are required to wear them.

Implementation brochures of the Radiation Protection Act and the rules for working with radiation are also available at the Diagnostic Radiation Centers for the study of personnel.


How to accept:

At this stage, accurate identification of the patient is absolutely necessary to avoid possible confusion. According to the hospital policy, this identification is performed with 2 identifiers. (Introduced by the patient himself, through the case, through the bracelet)

We accept the following when accepting

Patient record check (doctor’s instruction)
IV line check, patient NPO, catheterization and puncture check (groin or radial artery placement) in terms of limb shape and pulse
Control of any artificial and ornamental devices and their exit
Investigation and control of the medication they received for angiography and angioplasty. Such as polarix, aspirin, heparin, colexan, warfarin
Investigation of any allergies and drug treatment
Getting a history of key illnesses, allergies to contrast drugs, diabetes
Check and control routine tests including FBS, BUN, Cr, INR, PT, PTT, TG
Heart disease (HIV, ABG), MI, CVA angiography, angioplasty)

The patient is then briefly explained about the procedure and how to perform the catheterization. Patient education is also important at this stage. After giving the necessary training, the relevant leaflets are signed by the patient and placed in the patient’s file.


Patient Transfer:

Transfer to angiography room and patient preparation

The patient is transported to the angiographic bed by trowel and is immediately monitored for ECG. We set our head for the patient. The site (the groin or the patient’s hand) is nipped and squeezed by the nurse.

Transferring the patient to recovery

After completion of the work, the patient will be transferred to recovery if the patient has undergone catheterization only.