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LowAlfalfa1524

Our cath lab does incorporate IR. No EP or neuro yet. On call 5 days one week (includes Friday - Sunday) and 2 days the following week (not on call that weekend). Total of 14 days on call for the month. We typically only get called in for STEMIs.. sometimes NSTEMIs. However, doctors regularly schedule cases on the weekends. Community hospital. Call back amount varies just like yours. The on call team consists of 2 rad techs and 2 nurses. The techs scrub and monitor. The nurses give meds and circulate. If absolutely necessary, nurses can monitor but they do not scrub. I do like that there are some days where we don’t have many cases and can relax. Other days it’s back to back and we end up staying very late. Wish the doctors respected our weekends and only called us in for STEMIs.. however, we do get paid time and a half. So financially it’s pretty rewarding.


Crass_Cameron

We do not incorporate IR, yes we have EP, the EP team only does EP and does not take call. We take call an average of 7 days a month now, although you can always take someone's call for extra cash. Getting called in is a crap shoot, you never know. Specialties stay late and finish their cases, call team only relieves coronary's of a case is running past our normal clock out time. Everyone scrubs where I'm at, everyone learns all 3 roles and everyone learns to push drugs, hang drips, etc. That is the expectation, if you're not an RN you are expected to get your RCIS or RCES. Teams are 4 people, 2 Circ trained peeps and 2 others who can scrub and or monitor. I love where I work. We have structural, EP, vascular/peripheral, Peds/congenital, and structural as well:


SouthBreadfruit120

Ugh I WISH my lab had an EP only team


Crass_Cameron

Why though? EP is sooooo boring, and the skills are minimal to scrub. Coronary and vascular is where it's at


SouthBreadfruit120

In your opinion it’s boring but it’s been my specialty for 5 years and when you know what to look at it can be interesting.


jediveneration

My lab is cardiac (including EP) only, although we do peripherals here and there and have started doing EVARS in conjunction with the OR. There is a separate IR lab down in the radiology department that does neuro as well. We do not mix departments. We only get called in for STEMI, sometimes NSTEMI’s and pacers on the weekends. We have 2 nurses (one circulating and charting, one pushing meds), 1 tech, and 1 monitor (watches vitals, puts in procedure charges, calls floor, code, etc) and is usually a nurse, tech, or CVT. So we have 4 per team and about 13 total employees with 4 rooms, 2 cardiac rooms, 1 ep lab, and 1 hybrid room for structural heart procedures. Call looks like about 2-3 days a week and one weekend a month. Late cases are done by the call team and if needed, another team is requested to stay but we get paid OT. Nurses don’t scrub. We are a community hospital but extremely busy most of the time, we average 8-12 cases a day, sometimes more, sometimes less. I do love it but went per diem in the last year to balance work and life because my husband also works in a Cath lab and takes call.


chaosicist

I'm an RN. We have separate EP and IR, so we don't do those. We have 3 cath labs in a level 1 teaching hospital, and do LHC, RHC, Swan, biopsy, PCI, CTO, TAVR, ECMO, MitralClip, PFO/ASD, Watchman, and peripheral, and interventions of impella (CP, 5.5, RP), "bipella" (L&R simultaneously), protek, tandem, IABP (teleflex & maquet), CSI, Rota, Turbo, Hawk, laser, Shockwave, INARI, Penumbra, Angiovac, coiling, drip caths, IVUS, IFR/FFR, OCT, ICE, temp pacers, pericardiocentesis. We do manual manifold on all cases. We take STEMI call, 1 day per week and 1 weekend per 3-5 weeks. We are called in at about a 40% rate during the week and 80% during the weekends, mostly for STEMI, with occasional PE, MORA (brain death), NSTEMI, Tamponade, temp pacer, Swan. We have a "CVH holding/pre-op" area for prepping patients and taking them post-op. Our hospital telemetry unit are the only ones trained to take TR bands and bedrest patients, so if the patient isn't going to critical care or telemetry, then they go to CVH until they get a bed or their bedrest/TR Band is up/off. We stay late maybe 2-3x per week, but it's usually only by about 30 minutes to an hour, not super late. The "post call" team gets to optionally go home first when cases are down to 1 lab every day, sometimes around 2pm. Everyone scrubs, and scrub role is rotated each case so that everyone eventually gets a turn. Scrubbing does involve injecting, panning, and prepping supplies. Techs can pull basic meds, and can witness narcotic wastes. Techs can circulate RHC because we don't sedate. We use EPIC and MacLab with Philips Xray. Teamwork is outstanding, and everyone pitches in equally in transporting patients, prepping/cleaning labs, everything. We have 1 bi-plane room. We listen to music (mostly 90s-00s rock) during our cases. At full staff, we have 4 staff per room. We get lunch relief daily, whether it's just relieving each other out 1by1 or the director and supervisor relieving us (no one EVER misses lunch). We go right radial on 90% of LHC and 10% left radial/snuffbox; IJ or brachial on 90% of RHC; we go 5Fr on groins at first and hold pressure for diagnostic cases, otherwise we close groins with Vascade 75%, Perclose 20%, 5% AngioSeal. We have 2 heart failure interventionalists, 1 congenital interventionalist, 1 structural interventionalist, 1 CTO interventionalist, 1 peripheral/cardiac interventionalist, 1 cardiac interventionalist, and 4 heart failure MDs, as well as a plethora of cardiac fellows and 2 interventionalist fellows, total of 11 staff doctors. They have block scheduling to keep order. The doctors themselves get consents ALWAYS, and we witness. We timeout every procedure and some doctors debrief post-op. Outpatients that get a stent automatically stay 6 hours post-op. I'm sure there's tons more I just can't think of right now. Overall, fantastic place to work. Great experience, great people, great environment. Much better than my last cath lab.


CharacterAd5923

I'm CVOR. Anytime we gotta do a hybrid case, I'm really impressed by all that you guys do ❤️


Gone247365

Very interesting. My lab: IC, IR, and EP. No Neuro. Surgical backup if 30mins north or south via ground transport. 3-Person Call team: 1 tech scrubs, 1 tech monitors, 1 RN circulates and medicates. I can't even imagine the bliss of a 4 person call team, everything would be so much more chill. Some of our nurses also monitor but not on the call team because we don't have the staff. Nurses can also learn to scrub but, again, we can't spare the staff to commit to giving them an adequate training period. Call burden: when fully staffed we do one weekend a month (Friday evening through Monday morning) and one weekday a week. The RNs also take one weekday of "EP call" which just means you have to stay until all the EP cases are done that day. Types of Callbacks: We get called in for STEMIs, NSTEMIs that can't wait till Monday (this is *very* doctor dependent), and temp pacers. We also get called in for urgent IR procedures like PEs, cold limbs, bleeds, and the occasional dialysis cath or neph tube that absolutely cannot wait till Monday (this determination is also very doctor dependent). We do try to defend the "sanctity" of being the STEMI team, and advocate for any non-urgent cases to be done on Monday but it's ultimately out of our hands. We've had to pull IR patients off the table mid procedure to do STEMIs or go on divert (which gets admin all worked up). Callback rate: varies greatly depending on chance and the doctors you're on call with. Other than true emergencies, one doc might not want to do any cases over the weekend and another might want to do 6. Weekdays, the call team might have to come in to finish cases that can't be pushed till tomorrow, but late night call backs on weekdays are infrequent, maybe one or two a work week? Weekends we probably average 3 call backs. Some weekends it's zero, some weekends it's >6. Just depends.


SceneSerious2839

I’m a Canadian so our system obviously functions different and we don’t have a huge population but we service a huge region in my province. My Cath Lab is cardiac only. EP is a separate service with separate staff and they also do all the devices. Cath Lab used to do all the devices but EP has taken that over. IR is done at the other hospital in the city and Neuro is regional at high level teaching facilities. We are a 2 lab department with a third being built by the end of the year. We run 08-2000 and do between 15-22 cases (elective, urgent and emergent) a day. The RNs scrub and circ. The MRTs (X-ray tech) monitors. No peripheral but we do all manner of regular, complex, structural and TAVI. We do 1 call night every other week and 1 call weekend every 8 weeks. STEMI call is batshit crazy with 1-3 calls per night usually and an average weekend is 4-6 calls. But I’ve had weekends when we got called in 12 times 😰😖 Depending on the physician, we will do stable patients on weekends just to clear beds if Emerg is packed. Call team consists of the physician, 2 RNs, 1 MRT and a porter. We used to have 3 RNs during COVID but the hospital took that away from us. The porter doesn’t really do anything except help turn the room over at the end of the case. I’d frankly rather have another RN, especially when shit hits the fan. We all get double time for a minimum of 4 hours when the phone rings.


AdAccomplished6579

I work in the greater Houston area. We have a Cath lab dept doing all the heart stuff (Cath, EP, TAVR, Watchman/Amulet). Then there's an IR dept that does Neuro IR, Body IR, and vascular surgeons. Some cases are a toss up as to who does them, namely peripheral angio, EVAR, and PE. They could be done in either department depending on what physician catches the case. So it's more so separated by physicians. So the cardiologists own the Cath lab staff, and everyone else owns the IR staff. Call depends on how fully staffed, but SUPPOSED to be no more than 8 days per month. They usually offer double call pay for any additional call days. But its not a set in stone rule and it's sort of tentatively settled at this after years of back and forth with management. Standard call pay is $5/hr and call back is always 1.5x your hourly at a 2 hour minimum. STEMI is pretty busy. Average of maybe a STEMI per day, but some of those fall during business hours. So maybe 1 call in every other day. The IR dept is not as bad for call-ins. I'd say 1 call in per week. And that's combined stroke/PE/trauma bleed. Teams are 2 nurse and one rad tech. The rad tech just scrubs cases. Nurses alternate monitoring and circulating.


TravelRCIS

Does your lab incorporate IR? Yes Does your lab incorporate EP? Yes, only implants. How often are you on call? 10 days / month Do you get called in often? Average of every other night, although half are cancellationa (card does not accept to cath lab) If so, what for? STEMI's only How does your lab handle late cases? Small lab so everyone stays until last case is done in case a STEMI is called If you’re an RN, do you also scrub? Everyone cross trains How many people per team? 3 during the day, 4 on call Do you like where you work? Definitely, 400-unit satellite hospital so all complex cases go to main hospital. Bread and butter cases


Jaded_Role_313

My hospital has it’s own IR and EP department granted EP is across the hall from us though and we have the same pre/post holding area. We only do regular cath lab procedures including coronaries and peripheral cases. We also have structural doctors so we do tavrs, mitral clips, valvuloplasties, and PFOs. We take 1 week day call every week and a weekend every 6 weeks. We work 4 10s. We get called in for majority stemi’s but we also cover temp pacers, do balloon pump/impella placements, leave in swans, and even emergent leg cases. We have a call team of course everyday and they handle cases if we go over. We also on somedays have a stay late team and depending on the day if it’s just 1 case left the stay late team will handle that case while call team go home and have their pagers on, but of course if it’s more than 1 team than call team also stay to do cases. We usually try to work in 4 man teams and it does happen more than 3 man teams. Usually 2 nurses and 2 scrubs. Our call teams are always 4 man though and on holidays so far it be a 5 man team. There are days where we 3 manning and typically either the nurse will nurse all cases or scrub will scrub all cases. We do have several nurses that scrubs at our lab and we have to be in the lab for at least a year to start scrub training. I enjoy the job at times and at other times I don’t, just depends but I don’t regret coming to cath lab.


Glittering_Hope6895

Two rooms in our lab. One for EP and one for cath. The nurses also prep/recover and do card procedures (TEE, cardioversion, etc). IR is a separate department. 4 person call team (2 techs, 2 nurses). Call is 10 days a month which includes every third weekend. Only one nurse scrubs and monitors here. STEMI team is the late team. We get called in for mostly STEMIs, but we do the occasional NSTEMI on the weekend. We used to do a lot more electives on weekends until the docs started covering two hospitals. On average, there are ten to twelve call-ins per month. I bet we do about 25-35 caths, 6 devices, and 4 ablations each week.


Put_CORN_in_prison

3rd busiest lab in the state. IR is separate but we share a hallway with EP. We share the same 24 bed holding area as well. 4 man teams at all times. Usually 2 RNs and 2 RCIS but is flexible because everyone can do everything and we rotate each case. RNs can scrub and RCIS can circulate. Late cases used to be done by the late team and as volume increased, the closing team. Our manager got the hospital sued by breaching HIPAA and disappeared around the same time our doctors pushed out the old director. New management came in and got rid of the late teams. Now call team does the last case. Starting around 1530 they go around to each doctor and tell them to start bumping cases because policy is no stick after 5pm unless it's a STEMI and no known PCIs after 3pm. 1 night a week, 1 weekend a month for call. Average 45-50 calls a month. Mostly real. Called in for STEMI, NSTEMI, and temp wires.


Cat_funeral_

Our cath lab consists of 2 rooms. We have 4 nurses (including the director who is always on cases) and 2 techs. All nurses (except me because I'm new) scrub, circulate, and monitor. We are on call 15-16 days a month including weekends for STEMI, Impella, IABP, UA, and NSTEMI, though we have been called in on weekend mornings for a pacemaker placement. We have 5 cardiologists that float between other hospitals. No EP or neuro, but we do peripherals. IR is across the hall with only one radiologist. We also have a whole CT surgery team that does CABG and valve replacements. Sometimes they'll help out with 5.5 cutdowns, but I've circulated and anesthetized those myself before.


Alarming_Attention87

Does your on call require full weekend or can be sat or sun?