Podcasts about Cath lab

Wellness of Female Interventional Cardiologists in the Cath Lab

Wellness of Interventional Cardiologists in the Cath Lab

In this episode of Sg2 Perspectives, host Jayme Zage, PhD, is joined by Sg2 Senior Director Joshua Aaker, PhD, to explore how health systems can tackle rising cardiovascular (CV) demand amid growing capacity constraints—especially in the cath lab. As transcatheter valve procedures expand and outpatient volumes surge, cath labs are becoming a critical bottleneck for growth and performance. Jayme and Joshua discuss how organizations can use scenario planning tools, data-driven insights and operational alignment to optimize cath lab utilization without defaulting to costly new construction. Tune in to learn how strategy, finance, operations and quality leaders can come together to future-proof CV services.   Sg2 Perspectives Listener Feedback Survey: We would love to hear from you - Please click here   We are always excited to get ideas and feedback from our listeners. You can reach us at sg2perspectives@sg2.com, or visit the Sg2 company page on LinkedIn.  

Explicit. Mawi and Shelly discuss hemorrhoidectomies that go to ECMO, throat pressure that when released resuscitates patients, and septic guts gone wild. Join the hosts for their usual banter and story telling behind the scenes. Shelly loses it on a Mawi story and has to go Explicit. 

This episode I sit down with Vesta Hurlbutt, a cardiac cath lab x-ray tech, functional nutritionist, and host of the Open Heart Healing podcast. This conversation becomes a unique blend of medical insight and personal storytelling, centered around Myocardial Bridges and the power of advocacy—both in the hospital and in life.Vesta offers behind-the-scenes perspective on what happens inside the cath lab, what patients should expect, and why self-advocacy is critical in a system that often overlooks certain heart conditions—especially in women. She also shares how her own healing journey led her to launch Open Heart Healing, a podcast about emotional transformation, self-love, and reclaiming personal power.We'll also explore how their chance connection at a podcast convention turned into a powerful reminder that there are no coincidences—just timely, even serendipitous conversations waiting to happen.IN THIS EPISODE:-What really happens in the cardiac cath lab-How myocardial bridges are identified ( and often dismissed)-The importance of IVUS and other imaging tools-Tips for patients prepping for a heart cath-Vesta's journey from healthcare worker to holistic healing advocateYou can learn more about Vesta:-Host: Open Heart Healing Podcast-Email: vesta@vitalitywithvesta.com-Instagram: @openhearthealingChapter Timestamps(00:00) Myocardial Bridge and Heart Health(13:42) Cardiologists Discuss Heart Bridges(18:39) Advocating for Heart Health Awareness(22:32) Healing Through Holistic Health Perspectives(31:01) Journey to Heart HealthOrder Imperfect Heart: Stories of Myocardial Bridges - Available on Amazon

In this episode, I'm talking with Matt Huston about the IVIVO system - a platform that helps physicians streamline intravascular imaging.

One unstable patient, three departments, and every nurse on alert... Let's break down what really happens during a high-risk STEMI. This episode follows the case of a 62-year old patient from ER to the Cath Lab to the ICU. Nurses Sarah Vance and Caitlyn Nichols help us explore the role of nurses in each stage of care, from stabilizing the patient to placing an Impella device.We cover everything from IV placement and medications to monitoring patients through each phase of care. Learn how to prepare patients for the Cath Lab, manage complications like V-fib and bleeding post-PCI, and support the next team during handoffs. This is a must-listen for nurses involved in cardiac care!Topics discussed in this episode:Case presentation of a 62-year old patientER nurse priorities for STEMI patientsInitial treatment and stabilizationWhy “M.O.N.A.” is an outdated practicePreparing the patient for the Cath Lab teamCath Lab nurse responsibilities and role during PCIHigh-risk PCI vs. standard PCIManaging common complicationsTransitioning from Cath Lab to ICUICU nurse priorities for post-PCI patientsImpella placement and monitoringManaging reperfusion arrhythmiasLong-term care and getting patients off the ImpellaPatient and family educationConnect with Sarah Vance:https://www.instagram.com/iseeu_nurse/Connect with Caitlyn Nichols:https://www.instagram.com/icunursingnotesbycaitlyn/Mentioned in this episode:CONNECT

Sherwin examines the ripple effects of Ascension shutting down the catheterization lab at St. Joseph Hospital. What does this mean for Wisconsin's healthcare landscape and the communities that depend on accessible cardiac care? Join Sherwin as he discusses the broader implications for patients, healthcare workers, and the state's overall health infrastructure.

Since it's Breast Cancer Awareness Month, we are sharing the harrowing story of a Registered Technologist and Cardiac Invasive Specialist who almost lost her life to Breast Cancer after years of exposure to radiation during limb and life-saving procedures in the Cath Lab. In part one of this two-part series, Sheehan L. Raab shared her passion for saving limbs and her journey to diagnosis of breast cancer. This is part two where Raab candidly walks us through her fight to save her own life and what she learned along the way about the real dangers of radiation exposure, gaps in healthcare, and a critical need for an improved healthcare system for people with life-threatening ailments. Even if you didn't listen to part one of this series, tune into this episode because it's a powerful story that will drive home the importance of advocating for yourself or having someone advocate for you at the hospital.

In today's episode of Cardiology Digest, we look at three recent research papers that can impact your clinical practice. They're from NEJM Evidence, the European Heart Journal, and The New England Journal of Medicine. STUDY #1: Today's journey begins with a study examining the interplay between influenza and myocardial infarctions. Could the flu shot be more than just a seasonal precaution?   de Boer, AR, Riezebos-Brilman, A, van Hout, D, et al. 2024. Influenza infection and acute myocardial infarction. NEJM Evid. 7:EVIDoa2300361. (https://doi.org/10.1056/EVIDoa2300361) STUDY #2: Next, we wade into a cath lab debate over fasting protocols. Join us to explore research that flips traditional pre-procedure fasting requirements on their head. Are we on the brink of a new era?  Ferreira, D, Hardy, J, Meere, W, et al. 2024. Fasting vs no fasting prior to catheterisation laboratory procedures: The SCOFF trial. Eur Heart J. Published online. (https://doi.org/10.1093/eurheartj/ehae573) STUDY #3: Finally, we dig into the complexities of anticoagulation in transcatheter aortic-valve replacement patients. This study sheds light on the choice between interrupting or continuing anticoagulation, and has implications for everyday practice. van Ginkel, DJ, Bor, WL, Aarts, HM, et al. 2024. Continuation versus interruption of oral anticoagulation during TAVI. N Engl J Med. Published online. (https://doi.org/10.1056/NEJMoa2407794) Tune in for a captivating discussion that promises to enrich your clinical acumen!  Learn more with Medmastery's courses: Coronary Angiography Essentials (3 CME) Coronary Angiography Essentials Workshop (1 CME) ICD Essentials (4 CME) ICD Essentials Workshop (1 CME) Pacemaker Essentials (5 CME) Pacemaker Essentials Workshop (1 CME) Percutaneous Coronary Intervention Essentials (6 CME) Percutaneous Coronary Intervention Essentials Workshop (6 CME) Get a Basic or Pro account, or, get a Trial account. Show notes: Visit us at  https://www.medmastery.com/podcasts/cardiology-podcast.

Bryan Goldstein, MD, FACC, FSCAI, director of the Cardiac Catheterization Laboratory ("Cath Lab") and Interventional Cardiology Service at UPMC Children's Hospital of Pittsburgh, discusses the intersection of research and precision medicine in interventional cardiology.

CMD in the Cath Lab

Improving Radiation Protection in the Cath Lab

A listener defends colored boxes in guidelines; mysteries of non-culprit coronary lesions during PCI, and of AF ablation; and surrogate markers are the topics John Mandrola, MD, covers in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I. Mystery of What to Do in the Cath Lab after Fixing the Culprit Lesion – The FULL REVASC Trial Complete Revascularization Not Superior to Culprit-Only PCI After MI https://www.medscape.com/viewarticle/complete-revascularization-not-superior-culprit-only-pci-2024a10007ik FULL REVASC Trial https://www.nejm.org/doi/full/10.1056/NEJMoa2314149 FIRE Trial https://www.nejm.org/doi/10.1056/NEJMoa2300468 COMPLETE Trial https://www.nejm.org/doi/full/10.1056/NEJMoa1907775 Cohen Tweet on FULL REVASC https://x.com/djc795/status/1781361606238085532 II. AF Ablation Mysteries New Expert Consensus on Ablation Strategies for AF https://www.medscape.com/viewarticle/new-expert-consensus-ablation-strategies-af-2024a1000851 Bern Study of Remapping https://doi.org/10.1016/j.jacep.2024.02.026 Natural History of SCAF https://doi.org/10.1016/j.jacc.2019.09.050 Liverpool Study: Thermal PV Isolation in Persistent AF https://doi.org/10.1016/j.hrthm.2024.04.061 III. Surrogate Markers JAMA: Surrugate Markers and Clinical Outcomes https://jamanetwork.com/journals/jama/fullarticle/2817850 BP Surrogate Meta-analysis https://doi.org/10.1016/S0140-6736(21)00590-0 JAMA: Nonfatal MI as Surrogate for Mortality https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2785560 You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net

On this week's episode, we welcome Carlee to share her story. Carlee and her husband received a hypoplastic left heart syndrome diagnosis for thier son, James, during Carlee's pregnancy. James passed away at 6 weeks old after being in the CICU, and Carlee has since created the James Doss Memorial Foundation to honor his life while supporting other families who have lost children to congenital heart defects.In this episode you will hear:- Preparing for delivery with a devastating diagnosis- Delivery via cesarean section in a cath lab at the children's hospital - Making heartbreaking decisions as first-time parents- Creating the James Doss Memorial Foundation- Advice for those who are dealing with a CHD (or other) diagnosisIf you have a birth trauma story you would like to share with us, click this link and fill out the form. For more birth trauma content and a community full of love and support, head to my Instagram at @birthtrauma_mama.Learn more about the support and services I offer through The Birth Trauma Mama Therapy & Support Services.

A Cath Lab Whistleblower came out just last week in an interview with Dr. Philip McMillan (see below) to admit that he has been pulling "white fibrous clots" out of LIVING PEOPLE for the past two years!And THANK YOU to our sponsors at Connecta Mobile!For TOTAL phone security and privacy check out Connecta!Visit www.Phone123.com/JoyCall us:941-246-2156 Support the showPlease support our AMAZING Sponsors: To shop for emergency medical and Ivermectin kits please go to https://www.twc.health/pages/shannonjoy-prepkitAnd make sure you use the SHANNONJOY promo code for an additional 10% off. https://qpgoatsoap.com/ USE PROMOCODE "JOY"Shell Shock CBD www.shellshockcbd.com Promo Code SHANNONJOY for 10% off

Register for my free weight loss summit: https://bit.ly/chefaj2024 PRE-ORDER MY NEW BOOK SWEET INDULGENCE!!! https://www.amazon.com/Chef-AJs-Sweet-Indulgence-Guilt-Free/dp/1570674248 or https://www.barnesandnoble.com/w/book/1144514092?ean=9781570674242 Save Your Receipt! We will be offering bonuses for pre-orders ASAP. GET MY FREE INSTANT POT COOKBOOK: https://www.chefaj.com/instant-pot-download ------------------------------------------------------------------------------------ MY LATEST BESTSELLING BOOK: https://www.amazon.com/dp/1570674086?tag=onamzchefajsh-20&linkCode=ssc&creativeASIN=1570674086&asc_item-id=amzn1.ideas.1GNPDCAG4A86S ----------------------------------------------------------------------------------- Disclaimer: This podcast does not provide medical advice. The content of this podcast is provided for informational or educational purposes only. It is not intended to be a substitute for informed medical advice or care. You should not use this information to diagnose or treat any health issue without consulting your doctor. Always seek medical advice before making any lifestyle changes. Welcome to Heart 2 Heart: Conversations to Heal a Broken Heart with Dr. Columbus Batiste. Dr. Columbus Batiste is a board-certified Interventional Cardiologist who has been an active lifestyle and whole food plant-based advocate for over a decade. His dedication to the science of lifestyle has led him to participate in multiple research studies and review articles which have confirmed the benefit of a plant-based diet. To bring the science to his patient's bedside, Dr. Batiste crafted a unique program in which he gave bi-monthly lectures and a monthly cooking class entitled: CATH lab. The CATH lab is a procedural room where Interventional Cardiologists bring patients to provide treatment to open vessels and stop heart attacks while they are occurring. Dr. Batiste re-purposed the Cath lab name into Cooking Alternative To Health (CATH) a series of cooking classes, that provided attendees information on how to maintain flavor and combine foods to restore blood flow and alleviate symptoms with the power of nutrition. Dr. Batiste has additionally explored the science regarding the relationship between mental health and relationships in heart disease. Dr. Batiste anticipates the release of his first book entitled SELFISH A Cure For A Stressed and Broken Heart in April 2024. In honor of Heart Awareness Month, Dr Batiste interviews Paul and Tamara Berry in this episode. Paul shares his story regarding heart disease allowing a glimpse into symptoms, the emotions, and the treatments. Please take time to WATCH, LIKE, & SHARE. Don't forget to pre-order your copy of SELFISH available April 2024 Dr. Batiste website www.DrBatiste.com Dr. Batiste on Instagram: https://www.instagram.com/healthyheartdoc/ Dr. Batiste on Facebook: https://www.facebook.com/HealthyHeartDoc Dr. Batiste on YouTube: https://www.youtube.com/@healthyheartdoc To pre-order your copy of SELFish and receive a free e-book click on the link: https://drbatiste.com/product/selfish/

This presentation was delivered by Panka Jain as part of the Critical Care Update Workshop at CODA22, which took place in Melbourne in September 2022. For more information about the CODA Project go to: https://codachange.org/ 

If you want to be a member of our Good Vibe Tribe email us at morningshow@mix1041.com

Mitral Valve Repair and Replacement in the Cath Lab – The Future is Now Guest: Mayra Guerrero, M.D. Hosts: Sharonne N. Hayes, M.D. To describe transcatheter mitral intervention options available in contemporary practice including repair or replacement, the evaluation process and when to refer a patient.   Topics Discussed: Types of percutaneous transcatheter interventions available for mitral stenosis and/or regurgitation  Patients who should be considered for transcatheter mitral valve repair versus mitral valve replacement Recovery time for transcatheter repair or replacement Whether patients need to receive long term anticoagulation after TMVR How long does ht process of evaluation take for a patient to undergo TMVR? When to refer a patient for Transcatheter mitral repair or replacement Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.

If you want to be a member of our Good Vibe Tribe email us at morningshow@mix1041.com

Speaker: Brian Schuler, MD System Director, Clinical Cardiac Electrophysiology WellSpan Health, York, PA Disclosures: Speaker and Consultant: Canon Medical, USA Speaker, Consultant, and Medical Advisory Board: Boston Scientific Objectives: •Demonstrate the utility of the CT-Angio Suite for EP/cath procedures. •Review data strongly suggesting CT-guided LAAO is the gold standard of PDL prevention. •Review data demonstrating CT-Angio Suite is a fee-for-service and value-based care champion.

Speaker: Glen Henry, MD; Medical Director, Cath Lab, Georgia Heart Institute Sanjay Lall, MD, MBA, FACC; Cardiologist; Georgia Heart Institute Speakers have no disclosures Objectives: • Discuss the burden and impact of hypertension. • Discuss the definition and diagnostic evaluation of hypertension. • Discuss the treatment of hypertension.

Hey, everyone! On this episode of NOON, I'm thrilled to introduce you to a friend of mine Brett, an accomplished professional with a diverse and impactful journey. Brett's path has taken him through various healthcare roles, from nursing in the ER to the Cath Lab, and even into teaching. Currently working as a flight nurse, he is dedicated to serving and helping his community in new ways. Join us for this engaging and insightful discussion as Brett unfolds his journey, offers valuable insights from his varied roles in medicine, and emphasizes the significance of preventative care. This is an episode you won't want to miss on NOON! Don't forget to like, follow, and turn on notifications so that you don't miss this or any other episode of Nine One One Nonsense! FB Page: https://m.facebook.com/groups/nineoneonenonsense/?ref=share Content Warning: This episode contains discussions about death, including graphic and potentially triggering details. Listener discretion is advised. The episode also covers sensitive topics and may not be suitable for all audiences. If you or someone you know is struggling with suicidal thoughts or mental health issues, please seek help immediately. You can contact the Suicide & Crisis Lifeline by dialing 988 from anywhere in the US. --- Support this podcast: https://podcasters.spotify.com/pod/show/samspursuit/support

On this month's EM Quick Hits podcast David Carr on differential diagnosis of normal unenhanced CT renal colic, Leeor Sommer on recognition and management of perichondritis and auricular abscess, Suzanne Schuh on IV magnesium sulphate for pediatric asthma, Jess McLaren on Occlusion MI ECG interpretation requiring cath lab activation and Justin Morgenstern on update on steroids for pneumonia... The post EM Quick Hits 50 Normal Unenhanced CT Renal Colic DDx, Perichondritis, Magnesium in Pediatric Asthma, Steroids for Pneumonia, OMI Cath Lab Activation appeared first on Emergency Medicine Cases.

On this episode guest host Michael Lawerre (MS, RRA, RPA, RT (VI)(SVIR)) comes on to share with us how his pathway through X-ray, CT, IR and Cath Lab have all aided in his pathway through the Radiologist Assistant (RA). Mr. Lowerre shares on tips for those considering the IR/Cath Lab route and what that role looks like for those wanting to pursue that avenue. We also go through some of our struggles and share on raising awareness on the profession. Episode Timeline: (0:37) Intro (1:41) Getting into the profession and progression of advanced modalities. (3:34) Training through the RA program, teaching, and applying yourself. (7:33) Value as a team and educating others in the IR, Cath Lab, and RA roles. (11:10) Learning, learning difficulties, and providing an answer as more than "I don't know". (16:34) Advice for those considering the IR, Cath Lab, and RA roles. (20:48) Asking for help and finding support in our roles. (23:05) Current job market for the RA and making your own opportunities. (25:44) RA hardships, being the voice along side the societies, and strengthen our bonds as radiology professinonals. (34:09) Advice on how to further advocate for the RA profession and receiving recognition for the value in these roles. (37:25) Being a "Plug and Play" professional and supporting future opportunities for the RA community. (39:17) Leading by example, earning respect, and advantages of diagnostic imaging procedures. (42:23) Closing Thank you Mr. Lowerre for coming on and sharing your perspective with us! Learning comes through conversation and we enjoyed the time we spent with you recording this episode. Let us know if you want to come on and share the open mic with us, email us at www.collaborationra.com!

Dr. Ryan Madder, Section Chief of Interventional Cardiology & Medical Director of the Cardiac Cath Lab at Spectrum Health Butterworth Hospital in Grand Rapids, MI joins the podcast to discuss his work in telerobotic surgery, how it could close gaps in access to care, the opportunities and risks of physicians adopting telerobotic surgery, and advice he has for surgeons who are on the fence about it.

Dr. Ryan Madder, Section Chief of Interventional Cardiology & Medical Director of the Cardiac Cath Lab at Spectrum Health Butterworth Hospital in Grand Rapids, MI joins the podcast to discuss his work in telerobotic surgery, how it could close gaps in access to care, the opportunities and risks of physicians adopting telerobotic surgery, and advice he has for surgeons who are on the fence about it.

Dr. Ryan Madder, Section Chief of Interventional Cardiology & Medical Director of the Cardiac Cath Lab at Spectrum Health Butterworth Hospital in Grand Rapids, MI joins the podcast to discuss his work in telerobotic surgery, how it could close gaps in access to care, the opportunities and risks of physicians adopting telerobotic surgery, and advice he has for surgeons who are on the fence about it.

Join Nico Salgado on the Small Axe Podcast as he sits down with real estate investor Savannah Arroyo to discuss her journey in the industry. Starting as a nurse, Savannah transitioned to real estate to provide resources for healthcare professionals. She shares her experiences in single-family homes and multifamily syndications, emphasizing the importance of education and networking. Savannah's investment markets include Atlanta and Oregon, and she reveals her strategies for raising capital through social media and referrals. Tune in to learn about her partnership with her husband, their investment approach, and the key factors that contribute to their success.  Here's a breakdown of what to expect in this episode: From Nurse to Real Estate: Savannah's Journey  Education and Networking: The Keys to Success  Raising Capital and Building Trust: Strategies for Success  Partnership Dynamics and Investment Strategy  Navigating the Real Estate Market: Lessons and Insights  And so much more! About Savannah Arroyo: Savannah started her nursing career in 2014 – working in a variety of clinical settings including: Oncology, Med/Surg/Tele, PreOp/PACU, Ortho, Cath Lab, Specials, GI Lab, Non-Invasive Cardiology.  After receiving her master's degree in Nursing Leadership and Administration – Savannah spent much of her nursing career climbing the corporate ladder within the healthcare system, operating large departments and medical practices. Check Savannah Arroyo on... Website: https://networthnurse.co/ Website: https://investhealth.com/ LinkedIn: https://www.linkedin.com/in/savannah-arroyo/ Instagram: https://www.instagram.com/thenetworthnurse/?hl=en Facebook: https://www.facebook.com/profile.php?id=100063703982493 Twitter: https://twitter.com/networthnurse Connect with Nico Salgado! Website: www.smallaxecommunities.com Facebook: https://www.facebook.com/nicosalgado456, Podcast: https://podcasts.apple.com/us/podcast/small-axe-podcast/id1528971543 LinkedIn: https://www.linkedin.com/in/nicosalgado456/ Spotify: https://open.spotify.com/show/6edqbvXc6JCXuSg2lbSJeD YouTube: https://www.youtube.com/@nicosalgado1753 Amazon: https://www.amazon.com/-/es/dp/B08K4T9YTH

About Us: Business owners, Chamber directors, industry leaders, Main Street Directors, school and hospital leaders discuss what's happening in North MS with station owner, Melinda Marsalis. Interviews are recorded in Ripley, MS at Sun Bear Studio, broadcast every Tuesday at 11 am on The Shark 102.3 FM Radio and added here to help you stay informed.   If you would like to be considered for an interview, you can call or email Melinda.  The Shark 102.3 FM Radio Station and Sun Bear Studio, located in Ripley, MS, are owned by Chris and Melinda Marsalis.  Chris and Melinda have a passion for community development and love all of the amazing things that are going on in North Mississippi.  This Week:  In this episode, Melinda talks with Jim Hobson, CEO of Magnolia Regional Health Center in Corinth, MS. Great things are happening at MRHC including a newly updated Cath Lab; a top-notch Cardio team including Dr. Nathan Smith, a Cardiovascular Thoracic Surgeon who utilizes robotic surgery techniques; and the addition of Dr. David Williams to the Women's Services Staff.www.jc.media662-837-1023theshark1023@gmail.com

On this episode of We Talk Health, Kyle McGuire comes in to talk about the new Cath Lab at Jackson Madison County General Hospital. Kyle talks about the new upgrades that come with the cath lab renovation, as well as talks about having a heart cath. What exactly is a heart cath? What will a patient go through when having one? All of these questions and more will be answered. Tune in to learn! Hosts: Will KwasigorhSocial Media Coordinator Kyle McGuire, BSN, RNDirector of Invasive Cardiology 

After suffering a stroke and dissecting three of the four arteries that supply blood flow to her brain, Pam Mace was diagnosed with Fibromuscular Dysplasia (FMD). There was no patient organization at the time, and Pam quickly learned there was a lack of knowledge and understanding of FMD. She applied her nursing knowledge and skills to raise awareness of FMD and to promote education. FMDSA was incorporated in 2003, and after volunteering with the organization for six years, she gave up her clinical nursing career to serve as the Executive Director of FMDSA. Pam successfully led the campaign to get FMD recognized as a rare disease, cause of stroke and aneurysms. Pam is personally responsible for bringing FMD experts around the world together and for helping to facilitate and support patient groups worldwide. In addition, Pam serves on the Steering and Publications Committees for the United States Registry for Fibromuscular Dysplasia. Pam has more than 20 years of experience working as a registered nurse, primarily in the emergency and trauma departments. She also has experience working in the Cath Lab, on a Critical Care Transport Team and in the Intensive and Coronary Care Units. Working with her advisory boards, Pam and her team transformed FMDSA from a "kitchen table" organization to the highly respected, global organization that it is today. They have built a network of volunteers, physicians, researchers, and rare disease resources worldwide. For the last 14 years, she has planned and coordinated the FMDSA annual meetings, which has included working with researchers to facilitate saliva collections, blood draws, and quality of life studies to further the research of FMD.

In Episode 54 of The Healthcare Leadership Experience Jim Cagliostro is joined by Rex Hartman, Travel Nurse specializing in ICU, IR, Cath Lab, and Vascular Access, to discuss the reality of life as a Travel Nurse and the impact of the nursing shortage.     Episode Introduction     The shortage of nurses in healthcare was exacerbated by Covid.  In this episode, Jim Cagliostro, VIE's Clinical Operations Performance Improvement Expert, interviewed Rex Hartman, to explore the factors that fueled his decisions to become a Travel Nurse. The conversation was wide and varied, covering topics including the impact of an aging nursing population on healthcare, why nursing is no longer a priority for young people, and the benefits and risks to hospitals of hiring traveling staff.     Show Topics     Working in ICU through Covid-19  The decision to become a Travel Nurse  The retiring Baby Boomer generation affects the nursing shortage  Why young people are turning away from nursing as a career option  How hospitals benefit from Travel Nurses  The health systems providing their own in-house travel staff  Potential risks of hiring traveling nurses    Main Topics  06:24 Working in ICU through COVID-19     Rex shared the reality of working in ICU during a pandemic.     ‘'When COVID-19 hit, about a month in in South Florida, when we started seeing cases, out of nowhere, my hospital administration came to me and said, "Oh, by the way, starting tomorrow, you're going back full-time to the ICU to take full assignments." That was just a little bit of a shock. It would be as if anyone working in a clinical area all of a sudden said, "You're going back to another clinical area without any forewarning or discussion." ……For about a month and a half, ICU was full. Everyone was freaking out a little bit. If we can all remember back those two years ago, the PPE shortage and all the other types of mask shortages where we started re-wearing PPE and everything like that, we clinically started to do things that we knew were no-nos and boo-boos, but a lot of things happened across the nation where infectious disease protocols that had been set up and established for over that decade that I've been in healthcare, well, now we're re-wearing and sanitizing our PPE because there's a shortage, and I can't help but wonder how much of that created other issues for our population.''      07:45 The decision to become a Travel Nurse  Rex said that variety and compensation were two key factors in his decision to become a Travel Nurse.     ‘'And from that period of time, if you're working in full-time ICU or somewhere in the hospital, even if you're in ancillary services, you're in surgical services, departments are getting shut down. Workflow is being stopped. And then you hear the travelers coming in by the droves. You see them, and they're like, "Hey, where are you from?" Maybe you've never met... I had never really met or worked with travel nurses until they came to the ICU. And they started to tell me, "This is what I do. This is how I work. This is how I structure my entire life." And man, if that didn't sound, first of all, a whole lot more interesting, as far as the variety of labor you can get into, the different clinical areas you can travel to and different hospitals, different regions if you're into that, but also we can't underscore enough: there was crazy amounts of money being thrown around for travel nurses in 2020. And I'm not saying that I'm not a loyal person to my community, but if you want to pay me to do the same job about four or five times more, I'm hard-pressed to say no, especially if I know I'm not breaking any laws to get it.''      11:39 The retiring Baby Boomer generation affects the nursing shortage  Rex commented that the large numbers of nurses retiring will hit the healthcare sector hard in two ways.    ‘'A couple of additional factors that you didn't mention is that we have an aged nurse population, and this isn't just in nursing. This actually spans, I think, almost every major industry in the nation right now. As the Baby Boomer generation retires, multiple people have not only noted, but shown, that the birth rate in most industrialized countries are declining. So there's an immediate discrepancy between the consumers of healthcare and the providers of healthcare, and that's going to be fully realized when most of the Baby Boomers reach that 75-85 age window. And a lot of them are still working right now, but they're in their last few years, and many of them preemptively retired due to COVID. So we had a huge retirement and we have a coming retirement of all of these Baby Boomer aged nurses who were the primary teachers of people like myself, experienced seasoned nurses. They were a career nurse. They were there 30 years, or plus, even, some might say. And that can't be overstated, that when you have such a high proportion of your employees in that age category, ready to move on, it's going to hit really hard. And not only that; they're immediately turning the coin and they're going to be consumer of healthcare. So they're retiring and immediately, within the next five, ten years, they're going to be needing some type of nursing or healthcare situation.''      13:07 Why young people are turning away from nursing as a career option  Rex said social media and other industries mean that talented people can make money easily without considering nursing.   ‘'Beyond that, and this is just going back to 2016: when I entered nursing, the state of social media and opportunities for income, or let's say not even social media, but opportunities for, let's say, influencer-category income were little to none. That has actually changed. If you're a young person coming out of high school, looking at college or tech school or whatever across the panel, you actually stand a pretty good chance to find a way to earn money without going to nursing school or going to get any type of college degree, if you wanted to directly go into business. Or if you wanted to try to support yourself on YouTube by customizing trucks, to give an example, there's such a higher level of stratification in the last six to eight years of how people can earn money, and the problem is... I'll use it for an example. If I had the opportunity to work for Walmart now, what the hospital was paying for a PCA, I would have worked at Walmart, but the hospital was paying more. And I think this is one of the factors that comes into the shortage. The shortage that's coming up is because there are other industries that young people can get into that can outpace both growth and income than nursing income. It's good in a way, because you have a portion of people who won't chase the money, but then it's bad in a way, because it's hard to get new talent: people who might be really good nurses, but now they're somewhere else.''    16:39 How hospitals benefit from Travel Nurses  Rex commented that Travel Nurses bring significant experience to a position, but prices are beginning to fall.      ‘' Where the traveler comes in, they've been there, they've done that, hopefully, and they will just pop right into the situation as an experienced person, and with very little updating, be able to function, maybe while you bring someone else, a new hire, up to speed for three months. A typical traveler contract is 13 weeks, which is three months in change. That's the ideal situation in which a hospital system uses a traveler. Where we're at now, people have left the industry, they're retiring, and healthcare needs are in general growing. So where we're at now, we have this limbo where there's thousands.... I think every major agency advertises that there's 18,000 to 21,000 open spots in the country. And while that doesn't sound like that many as far as a profession, remember there are very few people who are willing to travel as a nurse. We're grounded. We have families. Not everyone's willing like I am to pick up the family and hop over the country for three months. So because of that, you run into a price war. And with COVID, when there was federal money pouring in to assist with COVID emergency stuff, it wasn't that big of a deal for hospitals. But now that that's gone, the hospitals are eating the bill. So prices are coming down, which they have to, but now we're working into, how do I meet my continual short-staffing need with experienced people?''    18:20 The health systems providing their own in-house travel staff  Rex highlighted the healthcare organizations investing in their own agencies to provide traveling staff.    ‘'There's HCA, which is also known as HealthTrust, and I know of a couple other examples, which I can't necessarily completely demonstrate this, but many people are buying agencies. By people, I mean hospital systems are buying agencies to staff themselves, and they are paying the people who are agency workers a higher wage, like a traveler would make. And they will even sometimes contract them at a higher rate than their normal staff, but not such a high rate as maybe an outside traveler would make. And they will use these staffing agencies to shore up their semi-long-term needs, if I can make that a term.  So it's a tactic that people are employing, and there are many people who are travelers like myself, that hospitals, they no longer really heavily enforce that radius rule. If you're not familiar with that, it's rules that facilities set that you can't travel within a certain distance, but what they will say... They need the staff members, right? They will say, "Well, we'll give a local person a slightly lower rate than we would give an away person." So I don't know if that's discouraging enough to get people to come back to work full-time, but those are a couple tactics that hospitals are using to try to shore up their semi-long-term needs for experienced staffing.''       25:28 Potential risks of hiring traveling nurses   Rex highlighted potential risks hospitals face when working with Travel Nurses  ‘'You asked me, have I seen anything that's a risk or liability? Absolutely, and most of it was actually during 2020 and 2021 when I was working in ICU more as a traveler versus procedural work. ... You have to judge them based on who they are, how they do what they do. But I, coming into the situation, have this very moral and personal burden to do my best for every person I possibly can. Not everyone's like that, and many people are potentially accidentally overdosing their patients or maybe not assessing them correctly. And then before the hospital system could ever catch wise, their two-to-four-week contract is already up. They've made their thousands and they're off to the wind. Does this introduce liability? Yes, it definitely does. And how do hospitals vet that? Well, there's legislation being kicked around in various states about capping pay for travelers, which I don't think is the right way. But I think, let's say for the compact licensed nurses, adopting educational standards or standards of practice beyond state lines might be the answer: that people have some type of overseeing standard of practice or authority. ‘'      Connect with Jim Cagliostro on LinkedIn  Check out VIE Healthcare Consulting    You'll Also Hear:    The effect of the staffing shortage that's grown since Covid. 92% of respondents to a survey carried out in September 2021 said the pandemic depleted nursing numbers, 66% are considering leaving altogether due to Covid-19.    Rex's career experience, via Patient Care Associate to ICU during the pandemic, and his transition to a full-time Travel Nurse. ‘'I enjoy taking care of people so that's why I've stayed in healthcare.''    A change in family life: How working as a Travel Nurse gives Rex more flexibility and family time, ‘'I was working four days a week, 10-hour shifts, and then picking up another fifth day every single week and then picking up additional on-call time to make up for all the income.''    Why the nursing shortage isn't just about numbers, it's about finding the right type of people, and why continually raising salaries isn't a viable long-term solution to the shortage, ‘'….then everybody's healthcare price goes up coupled in with that.''  .   The benefits and disadvantages of a career as a Travel Nurse, ‘'I'm perfectly okay accepting the fact that I'm not going to get X, Y, Z health benefits, retirement benefit from the employer, because I'm getting the money. And I'm trying to do what's responsible: pay off my debts, save up money, invest money for the future.''      What To Do Next:    Subscribe to The Cost Advantage for Healthcare Leaders and receive a special report on 15 Effective Cost Savings Strategies.  Learn more about the simple 3 step process to work with us.  If you are interested in learning more, the quickest way to get your questions answered is to speak with one of our margin improvement experts. Schedule a call with our team here.               

Between Seasons 4 and 5, we're going to be throwing back to some exciting interviews from Season 1! What do the OR and the Cath Lab have in common? Should Perioperative Leadership have oversight of the Cath Lab? Do we train Cath Lab nurses and techs the same as OR staff? We'll tackle all of these questions and many more on today's episode of First Case, where we speak with Katie Roy, RN, MSN, CNOR, an experienced senior nurse leader of Perioperative Services and Cardiac and Interventional Vascular Labs in Arizona, California, and Hawaii. Hear how she uses her experience as an OR nurse to bring best practice to the Cath Lab and find out how following surgical standards is improving patient care in this setting.    Love our show? You can subscribe on: Apple Podcasts - https://zcu.io/qnVu iHeart Radio - https://zcu.io/5qkg Spotify - https://zcu.io/JkqK Stitcher - https://zcu.io/j76G #FirstCase #Podcast #OperatingRoom #OR #CathLab #Education #BestPractice #Surgical 

This week we review a recent work from Naples, Italy on the use of the GORE Cardioform ASD device to close large atrial septal defects in small children. Are there anatomical 'rules' to help predict who might be a candidate for transcatheter closure? What about this device makes it potentially safer for this indication? Should we be worried about wireframe fractures? We discuss this and other issues related to this topic with the first author of this week's work, interventional cardiologist, Professor Giuseppe Santoro of the University of Naples, Italy. DOI: 10.1111/jocs.16786

I remember starting nursing school with ZERO healthcare experience, and watching my classmates coast through the material, already having a solid base of knowledge. I felt totally behind and overwhelmed trying to catch up. I also felt this same overwhelm when I transitioned into the Cath Lab with ZERO cardiac experience. Back to square one. If that resonates with you in any way, then this episode is for you. We chat about how to adjust if you have no experience, why it could actually help you in the long run, and a few tips to help you overcome the challenge. Trust me, you've got this! Follow along and join the Nursing Co-op community on Instagram @ashley_nursingcoop and on Facebook in The Nursing Co-op Huddle! We would love to see you there! As always, message me with any feedback, comments, or questions on Instagram, or shoot me an email at thenursingcoop@gmail.com. Happy Nursing!

In this episode, we are joined by Dr. George Adams, Director, Cardiovascular and Peripheral Vascular Research, Rex Hospital; Associate Professor, Cardiology, UNC School of Medicine. Here, he discusses fiber and lint contamination in the Cath Lab, the related risks, the importance of minimizing cotton-based components and his hospitals adoption of the Swiper medical-grade foam wiper or Guide-Klip anchoring device.This podcast is sponsored by Cardinal Health.

In episode #95, we talked about how to prepare your patient for going to the Cath Lab, this week, we discuss the important questions you should be asking when they come back to you! We chat about precautions, what to watch for as they recover, closure devices, and discharge information. You will be receiving and recovering these patients like a CHAMP!Follow along and join the Nursing Co-op community on Instagram @ashley_nursingcoop and on Facebook in The Nursing Co-op Huddle! We would love to see you there! As always, message me with any feedback, comments, or questions on Instagram, or shoot me an email at thenursingcoop@gmail.com. Happy Nursing!

Bryan Goldstein, MD, FACC, FSCAI, director of the Cardiac Catheterization Laboratory ("Cath Lab") and Interventional Cardiology Service at UPMC Children's Hospital of Pittsburgh, discusses the intersection of research and precision medicine in interventional cardiology.

This is one for the books! This week we chat with Steph Kamataris, the owner of Shift Change RN!! This conversation was such a blast, and honestly, SO relatable. We discussed everything from building a business to occupational health nursing. There is something in this one for ANYONE. A little background: Steph Kamataris is a nurse entrepreneur who owns Shift Change RN, a business that helps nurses and nursing students succeed at the bedside.  Steph started her healthcare journey in 2015 as a cardiac tech and began her nursing career in the Cardiac ICU.  She transitioned to the Cath Lab and continues to work there alongside her occupational health job.  She has a Master's degree in Public Health and is certified in critical care.  Steph has appeared on multiple podcasts and has been invited to speak to numerous nursing groups.Connect with Steph!!Instagram: @shiftchange.rnwebsite: www.shiftchangern.comFollow along and join the Nursing Co-op community on Instagram @ashley_nursingcoop and on Facebook in The Nursing Co-op Huddle! We would love to see you there! As always, message me with any feedback, comments, or questions on Instagram, or shoot me an email at thenursingcoop@gmail.com. Happy Nursing!(side note, sorry for the change in sound quality, my microphone wasn't working! Still juicy though!)

Is your patient headed off the unit for a procedure? I don't know about you, but field trips were always so stressful! There is so much to consider and prepare for, orders to complete, and people to notify. I used to have a checklist just to try and remember it all. On today's episode, we chat about a few key things to remember if your patient has a procedure scheduled (especially if its to the Cath Lab)! I promise, if you do these things, it will make your patient's experience smoother, will help prevent unnecessary cancellations, and us procedural nurses will be SO grateful for you. This week we chat about how to PREPARE your patient before they go, and in the coming weeks, we will chat about what to consider when your patient comes back after they recover.Follow along and join the Nursing Co-op community on Instagram @ashley_nursingcoop and on Facebook in The Nursing Co-op Huddle! We would love to see you there! As always, message me with any feedback, comments, or questions on Instagram, or shoot me an email at thenursingcoop@gmail.com. Happy Nursing!

HFpEF Diagnosis and Treatment in the Cath Lab Guest: Barry A. Borlaug, M.D. Host: Malcolm R. Bell, M.D. Heart failure with preserved ejection fraction (HFpEF), formerly referred to as diastolic heart failure, is defined hemodynamically as an inability of the heart to pump blood adequately at normal filling pressures. But while some people have high filling pressures while at rest, others have high filling pressures during exercise. Diagnosis of HFpEF in the Cardiac Catheterization Laboratory involves both at-rest and exercise studies. Joining us today to discuss the diagnosis of HFpEF and patient selection for Cardiac Catheterization Laboratory testing is Barry A. Borlaug, M.D., a cardiologist at Mayo Clinic in Rochester, Minnesota. Specific topics discussed: HFpEF defined Diagnosis and patient selection for catheterization laboratory testing H2FpEF scoring system Catheterization laboratory at-rest and exercise studies, tests and measurements Key parameters for HFpEF diagnosis General study length Treatment recommendations Cardiac rehabilitation considerations Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV. NEW Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.

"It's so important for every individual to take a few moments each day and go inward, to connect with your heart, to get to know yourself again, no matter what age you are. And to open your heart so that you can look at others not with judgment, not with criticism, not with some preconceived idea, but just as another soul who's on this path, learning and growing with you."  ~Claire D'AndreaAh-ha MomentsNurses continue to be blessed with the ability to ebb and flow with life changes by pairing it with new Nursing roles, jobs and opportunitiesWhen you know you want and need to do something, your heart will beat faster, your soul will sing and your gut will speak... listen to the internal-knowing messages you receiveNurse Coaching training can change your life, and the way you interact with others, and yourselfTry not to ignore caring for yourself as a top priorityWomen's heart health comprises not only caring for the heart muscle, but also your mind-body-spirit connection too!Find a healthcare practitioner you respect and can relate to, for a symbiotic partnership leads to clearer plans of care for yourself and your familyThere are many women's heart health resources available to you (see the resources below to get started)Love yourself and love your heartLinks and ResourcesWomenHeart:  the leading voice for the millions of American women living with or at risk of heart diseaseAmerican Heart AssociationPacific Pearl La JollaIntegrative Nurse Coach Academy Nurse Coach Programs Integrative Nurse Coach Academy I Integr Our mission is to provide nurses with a global community for learning, networking, and reconnecting

On this episode we continue our chat about life as a Cath Lab RN. This time around we are discussing what it is like being on-call, pros/cons of the environment, and procedures for STEMI's and strokes! Follow along and join the Nursing Co-op community on Instagram @ashley_nursingcoop and on Facebook in The Nursing Co-op Huddle! We would love to see you there! As always, message me with any feedback, comments, or questions on Instagram, or shoot me an email at thenursingcoop@gmail.com. Happy Nursing! 

A frontline View from Italy

In this episode we chat about what nurse life looks like in the Cardiac Cath Lab! In part one, we discuss some background on the flow of the day in the lab, types of procedures, various roles in each procedure, and some of the differences between floor and procedural nursing. Follow along and join the Nursing Co-op community on Instagram @ashley_nursingcoop and on Facebook in The Nursing Co-op Huddle! We would love to see you there! As always, message me with any feedback, comments, or questions on Instagram, or shoot me an email at thenursingcoop@gmail.com. Happy Nursing! 

This episode features Wendy King, a cath lab nurse at Johnson & Johnson. She assists physicians and offers care to cardiac patients during the post-catheterization recovery period. We also hear how to become a cath lab nurse and their primary duties. The College of Nursing at Brigham Young University presents nursing careers and professional insight to undergraduate students. This is the forty-eighth show in The College Handoff series and was recorded in October 2021.

Dr. Bill Berryhill, Managing Partner of Heart of Texas Cath Lab and Heart of Texas Surgery Center, joined the podcast to talk about the hybrid ASC/cath lab model, payer trends and how independent centers can remain successful.