[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-262320-105":53,"doc-detail-262320-en":118},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":111,"head_meta":113,"extra_data":115,"updated_unix":117},105,"en","chapter-7-roles-and-responsibilities-of-the-cath-lab-team","Chapter 7 - Roles and Responsibilities of the Cath Lab Team","","Chapter 7 defines the roles and responsibilities of the non-physician cath lab team in an invasive cardiovascular laboratory (ICVL), emphasizing a multidisciplinary, fast-paced environment where staffing varies by institution. It explains three core functions—scrub assistant, circulator, and monitor/recorder—and the need for cross-training and role understanding across specialties. It details monitor/recorder documentation requirements, patient safety expectations, preprocedure teamwork practices, and key moments needing vigilant observation during catheterization and contrast administration.",{"@graph":63,"@context":110},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":11,"@type":70,"position":76},"https://docshare.wps.com/template/presentations/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/chapter-7-roles-and-responsibilities-of-the-cath-lab-team/262320/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/chapter-7-roles-and-responsibilities-of-the-cath-lab-team/262320.png","ImageObject",442,249,{"name":88,"@type":89},"Aria Callaghan","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-31","2026-09-14",true,{"@type":98,"interactionType":99,"userInteractionCount":40},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104],{"name":105,"@type":106,"acceptedAnswer":107},"Why is close observation of the patient critical during ICVL procedures?","Question",{"text":108,"@type":109},"Close observation supports safety during key procedure moments, such as vascular access (risk of vasovagal reaction), catheter or guidewire manipulation (possible trauma or plaque disruption), contrast injections (ECG and hemodynamic changes, bradycardia/dysrhythmias/blocks), and high-volume contrast boluses (arrhythmia risk).","Answer","https://schema.org",{"og:url":78,"og:type":112,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":114,"canonical":78},"index,follow",{"doc_id":116,"site_id":56},262320,1791726022,{"code":4,"msg":5,"data":119},{"doc_id":116,"user_id":120,"nickname":88,"user_avatar":121,"doc_module":9,"category_id":8,"category_name":11,"doc_title":59,"doc_description":61,"doc_content":122,"file_id":123,"file_url":124,"file_type":125,"file_size":126,"view_count":40,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":20,"language":127,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":128,"faqs":129,"seo_title":130,"seo_description":61,"update_tm":131,"read_time":47,"preview_page_count":4},962084926284,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","CHAPTER 7  \nRoles and Responsibilities of the Cath Lab Team  \nSandy Watson, BSN, RN  \nKenneth A. Gorski, BSN, RN, RCIS  \nLEARNING OBJECTIVES  \n• Determine the primary team roles of the invasive cardiovascular laboratory (ICVL) team.  \n• Describe the tasks required to set up a cath lab for a patient’s arrival.  \n• Understand how to prep a patient’s access site.  \n•Appreciate the wide range of tasks that the members of a cath lab team must perform during an endovascular procedure.  \n• Understand how to care for a patient during a diagnostic or interventional procedure.  \n© hywards/Shutterstock.  \nOverview  \nIn this chapter, we will outline the general roles of non-physician staff involved in patient care during procedures in an invasive cardiovascular laboratory (ICVL) . The ICVL is a fast-paced, continually evolving medical environment composed of a multi-disciplinary team with unique skill sets. Thenon-physician staffing mix varies between different institutions and areas of the world, but members of the team may include registered nurses, cardiovascular technologists/technicians, radiologic technologists, emergency medical technicians/paramedics, respiratory therapists, nurse practitioners, physician assistants, nurse anesthetists, and others.  \nRegardless of their clinical training, all ICVL support staff members should be certified in basic life support (BLS), advanced cardiac life support (ACLS), and pediatric advanced life support (PALS), if pediatric cardiac studies are performed. All members of the team (cardiologists, nurses, technologists, and advanced-level practitioners) must understand the roles of the other members of the team.  \nThere are three broad roles undertaken by staff in every ICVL: scrub assistant, circulator, and monitor/recorder. Ideally, all team members should be fully cross-trained to perform the primary functions of each of these three roles. Professional licensure, local laws, and institutional guidelines may restrict the scope of practice or duties that various team members may carry out.  \n97  \n98 Chapter 7 Roles and Responsibilities of the Cath Lab Team  \nEach team member plays a vital role in the safety and well-being of the patient. Everyone should feel comfortable making suggestions, asking questions, and voicing concerns if they do not agree with, or understand, any aspect of a procedure.  \nAll team members, including physicians, need to be active participants in preprocedure huddles, time-outs, and all phases of the procedure as suggested by the Joint Commission and other accrediting organizations. Ultimately, the responsibility of the procedural outcome lies with the attending physician.  \nMonitor/Recorder  \nThe monitor documents all pertinent data from the procedure in the cath lab computer database (Figure 7.1) . This should include, but is not limited to the following:  \n• Patient demographic information  \n• Date, time, and type of procedure  \n• Attending and referring physicians, fellows, recorder, and patient  \n• All hemodynamic data  \n• All medications administered (this information must also be documented on the appropriate medication sheets)  \n• Any changes in patient status  \n• All catheters and other equipment used  \n• Angiographic views  \n• Preliminary impression of the diagnostic procedure • Complications  \n• IV infusion volume  \n• Contrast dose administered to the patient  \n• Fluoroscopy time/cumulative patient exposure (if available) for the procedure  \n• Disposition of the patient  \nFigure 7.1 ICVL team member working in the monitor role.  \nCourtesy of Jay Ryan Opalia.  \nAll events that occur during a catheterization procedure are documented in the procedure log. The recorder, whether a nurse or technologist, is responsible for accurate, comprehensive documentation of the proceedings; handwritten logs must be legible. Any event that may directly affect the present or future care of the patient must be documented. Examples include bleeding or hematoma at the access site, cha","cbCaifWC8JImqEh5","https://ap.wps.com/l/cbCaifWC8JImqEh5","pdf",412221,"English","# Learning Objectives\n# Roles in the Cath Lab Team\n## Core Staff Roles: Scrub Assistant, Circulator, Monitor/Recorder\n## Cross-Training and Practice Constraints\n# Preprocedure Team Participation\n# Monitor/Recorder Responsibilities\n## Required Documentation in the Cath Lab Database\n## Procedure Log and Progress Note Documentation\n## Monitoring Key Physiologic Events During the Procedure","[{\"question\":\"Why is close observation of the patient critical during ICVL procedures?\",\"answer\":\"Close observation supports safety during key procedure moments, such as vascular access (risk of vasovagal reaction), catheter or guidewire manipulation (possible trauma or plaque disruption), contrast injections (ECG and hemodynamic changes, bradycardia/dysrhythmias/blocks), and high-volume contrast boluses (arrhythmia risk).\"}]","Chapter 7 - Roles and Responsibilities of the Cath Lab Team | PDF",1789361220]