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Catheterization Lab Report

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My clinical two observation began at 2:30 PM in the catheterization lab. Upon my arrival they were just finishing a radial heart catheterization with stenting. As they transported the patient to ICU the staff was preparing for an emergency catheterization. It was hectic in the operating room; there were two nurses suiting up in led suits, and a surgical technician was organizing instruments and equipment on the table. In addition, there was nurse Erin controlling the X-ray imaging from behind the glass wall. Once the patient was wheeled into the operating room he was disoriented and confused. He had recently suffered a CVA (cerebrovascular accident) and was suspected to have suffered a stroke before his admission into Deaconess. He was also Hypoxic, which means regions of his body had been deprived of oxygen. The nurses then began to restrain the patient’s legs and arms, but due to the patient’s confusion a nurse had to verbally calm the him down. Following that, the patient was given lidocaine to numb him. …show more content…

The patient was disoriented and did not know where he was, so he was deemed mentally unstable to consent to the operation. This halted any progression on the catheterization until the nurses could contact his health care representative. Once they contacted his health care representative they were still unable to obtain consent because his health care representative was not present on the patient’s advance directive. The doctor was then forced to perform the procedure on “Dictation,” which is emergency consent given by the

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