Sacred Heart Hospital Pensacola

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1 - Cardiovascular Lab (CVL) / Electrophysiology (EP) - Regular Hours: Monday Friday 7:00 am 5:30 pm See (*1) Below Scheduling/Orders: See (*2) Below Test Results/Films: Cardiovascular Lab Julia Leroy, Director of Cardiology Services Karen Small, RN, BSN, Patient Care Manager Contacts: Lorileigh Kent, RN, BSN, Cath Lab Clinical Educator Department Phone: CVL (Control Desk) Department Fax: CVL or Location: CVL Regional Heart & Vascular Institute 3 rd Floor (*1) A call team is available by pager 24 hours 7 days a week. After hours, call the hospital operator to access the call team. (*2) Scheduling for the Cardiovascular Lab is done through the cardiologist office. Film requests can be made via telephone or fax and should include the following: Patient Name Contact Name Medical Record (MR) Number Contact Phone Number Patient Date of Birth (DOB) Date of Procedure Name of Physician who Performed Procedure Patient weight is significant to our procedures and is needed during scheduling. The angiography suites can currently accommodate maximum patient weight of 450 pounds. Women who are of childbearing age (under 55) will be required to have a pregnancy test unless negative pregnancy can be validated and/or medical documentation noting Total Hysterectomy. To prevent delays for morning procedures, required labs must be done 1-5 days prior. For procedures being performed during noon to PM times, required labs may be completed on the same day, but must be done 3 or more hours prior to the scheduled time so results are available. Standards-of-Practice required laboratory testing includes but not limited to Basic Metabolic Panel, CBC, PT/INR for Coumadin patients, HCG test 55 years old without Medical documentation of Total Hysterectomy. Fax results to (Pre-Op) & (Directly to CVL). Patients will need to arrive at least one hour prior to the scheduled procedure time to complete the SHHS Patient Registration process and all other procedural preparation requirements. IV access will be obtained for all CVL/EP procedures, and will be started during this prep time. Patients must have a designated DRIVER to stay during their procedure to take them home. Recovery times vary but generally are 2-3 hours post procedure. If patients are unable to comply with this requirement, other arrangements must be made prior to the case being scheduled. Patients are encouraged to use the free Valet Parking Service in front of the Regional Heart and Vascular Institute. SHH-Pen Section D-1 6/2013

2 Procedure Names Listed below are some common names for procedures. Please call the department if you have questions regarding procedure names. IPP Implantable Permanent Pacemaker, Pacer, Pacemaker, Brady Pacer, Loop Recorder. Explant any of the listed devices. Lead Revision, Lead Reposition, Pocket Revision. Special scheduling available through Nemours Children s Clinic for Pediatric cases. ICD Implantable Cardioverter Defibrillator, Implantable Defib, Shock Box, Tachy Pacer. Explant any of the listed devices. Lead Revision, Lead Reposition, Pocket Revision. CHF Device Congestive Heart Failure Device, Bi-Ventricular Pacemaker, Bi-Ventricular Defibrillator (Bi-V). EP Study Electrophysiology Study, VT Study, SVT Study (May see Ablation added to the EP Study). Special scheduling available through Nemours Children s Clinic for Pediatric cases. RFA Radio Frequency Ablation, Ablation, Pulmonary Vein Isolation (PVI)/ Atrial Fibrillation Ablation. Special scheduling available through Nemours Children s Clinic for Pediatric cases. Cardiac Catheterization- heart cath, coronary angiogram, coronary study, coronary artery study. PCI- Percutaneous coronary intervention, angioplasty, stent placement. PTA Percutaneous Transluminal Angioplasty, Peripheral Intervention, stent placement. Pre-Op / Recovery for Cardiac Catheterization - Patients going to Cardiovascular Pre-Op / Recovery will need the following: 1. Complete Medical Order with symptoms and/or diagnosis. Must have Physician signature, time and date. 2. Patient of Birth (DOB), Height, Weight, Allergies. 3. For transferring patients from another facility or Direct hospital admission into SHHS from office/clinic, a current Medical History & Physical must accompany the patient. Indicate any Isolation Precautions &/or known history of drug-resistant infections. 4. A Medical History & Physical must have been completed within 30 days for the Non- Emergent/Outpatient admission. Indicate any Isolation Precautions &/or known history of drug-resistant infections. The Performing Cardiologist or Electrophysiologist must reassess the patient prior to the procedure. 5. NPO (nothing by mouth/nothing per oral) means DO NOT eat or drink anything which includes coffee, tea, soda/cola, juice, milk. ORAL medications should be taken/given with sips of water as prescribed/routine on procedure day (morning medications) even when NPO including ASPIRIN; PLAVIX; PRASUGREL; BRILINTA unless otherwise stopped by the Cardiologist or Electrophysiologist. (Specifics outlined below) Insulin-Dependent Diabetic patients should contact their physician for specific instructions prior to being NPO. Patients with Congestive Heart Failure on Lasix or any other diuretic drug should contact their physician for specific instructions. SHH-Pen Section D-2 6/2013

3 Procedure specifics and medications expected to be HELD on day of procedure_ For all Coronary Study/Heart Cath Patients: NPO 6 hours prior to your scheduled arrival time to Sacred Heart Health System. Hold the following types of medications: Coumadin; Pradaxa; Xarelto; Glucophage; Metformin; Actosplus; Lovenox injections the day of procedure. For all Electrophysiology (EPS) and/or Ablation Patients: DO NOT eat or drink anything after midnight. Hold the following types of medications: Lasix or any diuretic, if possible; Beta-Blockers; Coumadin, Pradaxa; Xarelto; Glucophage; Metformin; Actosplus; Lovenox injections the day of procedure. Hold Betapace (sotalol), Rhythmol (propafenone), Cordarone (amiodarone), Multaq (dronedarone) or any other antiarrhythmic drug for 5 days prior to the procedure date unless otherwise advised by your Electrophysiologist. All pediatric cases (less than 18 years of age) will be scheduled with General Anesthesia; Pre-Op, Procedures and Recovery will be Latex-Free; and, minor female patients will be appropriately screened for pregnancy. For all Device Implant/Explant Patients: DO NOT eat or drink anything after midnight. Hold the following types of medications: Lasix or any diuretic, if possible; Glucophage; Metformin; Actosplus; Lovenox injections the day of procedure; Coumadin 4 days; and, Pradaxa or Xarelto hours prior to the procedure date unless otherwise advised by your Electrophysiologist. All pediatric cases (less than 18 years of age) will be scheduled with General Anesthesia; Pre-Op, Procedures and Recovery will be Latex-Free; and, minor female patients will be appropriately screened for pregnancy. For all Trans-Esophageal Echocardiogram (TEE) and/or Synchronized- Cardioversion Patients: BE SURE TO TAKE YOUR PHYSICIAN-PRESCRIBED ANTICOAGULATION MEDICINES AS DIRECTED: Lovenox SQ injections; oral Warfarin /Coumadin; oral Pradaxa/Dabigatran Etexilate; or Xarelto/Rivaroxaban. DO NOT stop taking your Anticoagulation Medication unless specifically instructed to do so by your Cardiologist or Electrophysiologist. 6. Have patients bring ALL their prescribed and other-the-counter (OTC) medications and vitamin/mineral/herbal supplements in their original bottles/containers to the hospital on the day of their procedure. 7. Patients with allergies to IV contrast agents will need to contact their Cardiologist or Electrophysiologist for premedication at least hours before the procedure date. 8. If patients wear SLEEP APNEA breathing-assist devices at home, please bring your equipment with you on the day of your procedure. 9. Any patient having an interventional-type fixing procedure, ablation, implantable device will be admitted to the hospital overnight. 10. If patients have any questions or concerns before their scheduled procedure, a physician can be reached at Ask for the Cardiologist or Electrophysiologist ON CALL. It would be best to call before 5:00 pm (1700hrs). SHH-Pen Section D-3 6/2013

4 Vascular & Interventional Radiology (Special Procedures) _ Regular Hours: Monday Friday 7:00 am 5:30 pm See (*1) Below Scheduling/Orders: See (*2) Below Test Results/Films: Interventional Radiology Contact Name(s) Phone Numbers: Department Phone: Joseph Greene, Exec. Director of Imaging Office June Jernigan, RT, Coordinator Office Interventional Rad / Specials Interventional Rad / Recovery Department Fax: Interventional Radiology Interventional Radiology / Specials Location: Ground Floor Sacred Heart Hospital Interventional Radiology / Specials Control Desk Recovery Dwayne Saunders, Interim Manager (office) (*1) Call teams are available by pager 24 hours 7 days a week. To reach an Interventional Radiologist after hours, please call the Doctors Directory. The Interventional Radiologist will activate the Call Team. (*2) Scheduling for the Vascular & Interventional Radiology Lab is done through the Outpatient Scheduling Department for outpatient procedures. Inpatient procedures are scheduled through the Department Contact Number Film requests can be made via telephone or fax to the Hospital Health Information Department (Medical Records) and should include the following: Patient Name Contact Name Medical Record (MR) Number Contact Phone Number Patient Date of Birth IR Physicians: During normal business hours, the Interventional Radiologists can be reached at To contact the on-call Interventional Radiologist (after hours & weekends), call the Doctors Directory at and ask for the Interventional Radiologist on call. Patient weight is significant to our procedures and is needed during scheduling. The angiography suites can currently accommodate maximum patient weight of 450 pounds. Is there any possibility of pregnancy? If yes, a pregnancy test will be necessary prior to the procedure. Is patient allergic to IV contrast? If yes, the patient must be pre-medicated prior to procedures requiring fluoroscopy. In preparation for procedures, patient should have nothing to eat or drink after midnight the night before the procedure. For early morning cases, required labs must be done prior to the scheduled day. For cases being performed later in the day, required labs may be completed on the same day, 3 or more hours prior to the scheduled time. SHH-Pen Section D-4 6/2013

5 Patient must have a designated driver. If patient will not have a driver to be present throughout the procedure time, other arrangements must be made prior to the case being scheduled. Patients are encouraged to use the free Valet Parking Service located next to the Brent Lane Parking Garage. Procedure Names Listed below are some common names for procedures. Please call the department if you have questions regarding procedure names. IVC filters placement and removal DVT thrombolysis TIPS treatment of variocele bleeding or refractory ascites A/O with Runoff Arteriogram Abdominal with runoff, aortagram with lower extremity Carotid cerebral (May be uni-lateral or bi-lateral) AAA Repair Endovascular repair of aneurysm Tunneled dialysis catheter Tesio, Canon, Ash-Split, Hema-Split, Duraflow Angioplasty- PTA (Percutaneous Transluminal Angioplasty) Central Lines Tunneled Cath, Mediport, Temporary Line Vertebroplasty/Kyphoplasty Uterine Artery Embolization Declots/Fistulograms Venograms J-Tube Jejunostomy G-Tube Gastrostomy GJ-Tube Gastrojejunostomy Interventional Radiology - Patients going to Interventional Radiology Pre-Op / Recovery will need the following: 1. Complete order with symptoms and/or diagnosis and physician signature. 2. Preferred order consult radiology for (symptom). This allows the radiologist to treat the patient with an intervention (angioplasty, stent) at the time of the diagnostic test, otherwise, the intervention must be scheduled at a later date and an order for the intervention sent from the referring physician. 3. Patient date of birth 4. Current history and physical 5. Patient needs to be NPO (nothing to eat or drink) for at least 6 hours prior to procedure time 6. Patient needs to have a driver to stay during their procedure to take them home. Recovery time may vary, but generally is 2-3 hours post procedure. 7. Patients will be instructed on how to take their prescription medications prior to their procedure. SHH-Pen Section D-5 6/2013

6 Regular Hours: Sacred Heart Hospital Pensacola Vascular Access Center V Monday Friday 8:00 am 4:30 pm Scheduling/Orders: Automatically faxed to Dialysis Centers and/or Physician Offices within Results: 24 hours of procedure Contact Name: Heidi Lipe, RN Phone: (850) (CLOT) or Pager# (850) Fax: (850) Location: Sacred Heart Hospital Ground Floor In the Interventional Radiology Dept. Using the latest technology in minimally invasive procedures, Sacred Heart s interventional radiologists and vascular surgeons work together with renal doctors to minimize complications and delays in dialysis. Patients may expect prompt, quality dialysis access and diagnostic care including: Fistulograms Declots of fistula/graft Dialysis catheter placement/removal Venograms Surgical Referrals SHH-Pen Section D-6 6/2013

7 Common CPT Codes for IR Procedure CPT Codes Arteriogram, Abdominal with Run-Off 75630, Arteriogram Carotid Arteriogram, Cerebral 75671, Arteriogram, Mesenteric Arteriogram, Pulmonary 75741, 75743, Arteriogram, Renal Arteriogram, Thoracic Arteriogram, Upper Extremity Biopsy, Bone Biopsy,Kidney Biopsy, Lung Biopsy, Liver Biopsy, Pancreas Biliary Tube Change 47525, Catheter Check/Declot Cholangiogram 47505, Chest Tube Placement 32422, Declot of Fisutal/Graft 36147, Dialysis Catheter Placement Dialysis Catheter Removal Dialysis Catheter Replacement 36581, 7701 Embolization, Chemo-Liver Embolization, Internal Iliac Embolization, Other Embolization, Renal Embolization, Uterine Artery Endovascular AAA Repair (Infrarenal) Fistulogram G Tube Placement G Tube Replacement Replace G-J Tube GJ Tube Placement 49440, IVC Filter IVC Gram IVC Filter Removal J Tube Placement J Tube Replacement Kyphoplasty 22523, 72991, 22524, SHH-Pen Section D-7 6/2013

8 Procedure CPT Codes Lumbar Puncture 62270, Lumbar Puncture with Chemo 62311, 7703 Mediport Insertion, Adult 36561, 76937, 7701 Mediport Insertion, <5yrs 36560, 76937, 7701 Mediport Check Mediport Removal Nephrostogram 50394, US Guided Paracentesis Paracentesis Percutaneous Cholangiogram Percutaneous Nephrolithotomy 50080, Percutaneous Nephrostomy 50390, 50392, 74225, PICC Line, Adult (Arm) 36569, 76937, 7701 PICC Line, Adult (Tunneled) 36558, 76937, 7701 PICC Line, < 5yrs, Tunneled 36557, 43937, 7701 PICC Exchange Over the Wire 36580, 7701 RF Ablation Thoracentesis 32421, TIPS, Insertion TIPS, Revision Tunneled Catheter, Adult 36558, 76937, 7701 Tunneled Catheter, <5yrs 36557, 76937, 7701 Tunneled Catheter Replacement 36581, 7701 Tunneled Catheter Removal Venogram, Ulilateral Extremity Venogram, Bilateral Extremity Vertebroplasty 22520, 72291, 22521, SHH-Pen Section D-8 6/2013