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NAME__________________________POSITION ____________ UNIT ___________
EVALUATOR___________________ POSITION ____________ UNIT ____________
PULMONARY ARTERY & CARDIAC OUTPUT MONITORING PROCEDURES CHECKLIST
| Critical Performance Elements |
Yes | No |
| COMPETENCY STATEMENT: Provides nursing care for the patient requiring pulmonary artery pressure monitoring and cardiac output determinations. | ||
| 1. Identifies the indications for PA monitoring. | ||
| 2. Assembles necessary equipment for insertion of a PA line. | ||
| 3. Assists physician with the insertion procedure. | ||
| 4. Ensures that a stat chest x-ray is performed and interpreted after catheter insertion. | ||
| 5. Positions the patient supine or with head of bed elevated to measure PA pressures. Places the air-fluid interface of the transducer system at the phlebostatic axis. | ||
| 6. Levels and zeros the transducer to atmospheric pressure at least every 4 hours and with position changes. | ||
| 7. States the proper usage of each catheter lumen. | ||
| 8. Identifies the appropriate right atrial (CVP) and PA waveforms and their values. | ||
| 9. Identifies the pulmonary capillary wedge (PCW) waveform and obtains a PCWP as ordered, using a maximum of 1.5 cc of air to inflate the balloon. | ||
| 10. Measures all pressures at end of expiration. | ||
| 11. Obtains cardiac outputs/indices as ordered and evaluates the systemic vascular resistance (SVR) with each cardiac output. | ||
| 12. Notes measurement trends, states the potential causes of abnormal readings, and correlates the information to the patient’s condition. | ||
| 13. Identifies inappropriate waveforms and troubleshoots as necessary. | ||
| 14. Changes the IV and flush solutions, tubing, and dressing IAW Infection Control Manual. Inspects for signs of infection. | ||
| 15. Obtains mixed venous blood sample. (verbalized) | ||
| 16. Prepares for removal of pulmonary artery catheter. | ||
| 17. Documents all pertinent information |
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This page last updated 07/25/10
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