- 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 416-4864 Julia Leroy, Director of Cardiology Services 416-6414 Karen Small, RN, BSN, Patient Care Manager - 416-2969 Contacts: Lorileigh Kent, RN, BSN, Cath Lab Clinical Educator - 416-4889 Department Phone: CVL 416-4864 (Control Desk) Department Fax: CVL 416-4250 or 416-6970 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 850-416-4250 (Pre-Op) & 850-416-6970 (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
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
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 24-48 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 48-72 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 850-434-1322. 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
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 416-4959 Contact Name(s) Phone Numbers: Department Phone: Joseph Greene, Exec. Director of Imaging 416-4644 - Office June Jernigan, RT, Coordinator 416-4959 Office Interventional Rad / Specials 416-4959 Interventional Rad / Recovery 416-6260 Department Fax: Interventional Radiology 416-6023 Interventional Radiology / Specials Location: Ground Floor Sacred Heart Hospital Interventional Radiology / Specials Control Desk - 416-4959 Recovery - 416-6260 Dwayne Saunders, Interim Manager 416-4851 (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 416-2940 for outpatient procedures. Inpatient procedures are scheduled through the Department Contact Number 416-4959. 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 416-4959. To contact the on-call Interventional Radiologist (after hours & weekends), call the Doctors Directory at 438-9622 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
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
Regular Hours: Sacred Heart Hospital Pensacola Vascular Access Center V Monday Friday 8:00 am 4:30 pm Scheduling/Orders: 416-2568 Automatically faxed to Dialysis Centers and/or Physician Offices within Results: 24 hours of procedure Contact Name: Heidi Lipe, RN Phone: (850) 416-2568 (CLOT) or Pager# (850) 406-0656 Fax: (850) 416-6023 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
Common CPT Codes for IR Procedure CPT Codes Arteriogram, Abdominal with Run-Off 75630, 75635 Arteriogram Carotid 75660-75680 Arteriogram, Cerebral 75671, 75685 Arteriogram, Mesenteric 75726 Arteriogram, Pulmonary 75741, 75743, 75746 Arteriogram, Renal 36251-36254 Arteriogram, Thoracic 75605 Arteriogram, Upper Extremity 75710-75716 Biopsy, Bone 20225 Biopsy,Kidney 50200 Biopsy, Lung 32405 Biopsy, Liver 47000 Biopsy, Pancreas 48102 Biliary Tube Change 47525, 75984 Catheter Check/Declot 36593 Cholangiogram 47505, 74305 Chest Tube Placement 32422, 75989 Declot of Fisutal/Graft 36147, 36148 Dialysis Catheter Placement 36555-36561 Dialysis Catheter Removal 36589 Dialysis Catheter Replacement 36581, 7701 Embolization, Chemo-Liver 75894 Embolization, Internal Iliac 75894 Embolization, Other 75894 Embolization, Renal 75894 Embolization, Uterine Artery 37210 Endovascular AAA Repair (Infrarenal) 34800 Fistulogram 36147-36148 G Tube Placement 49440 G Tube Replacement 49450 Replace G-J Tube 49452 GJ Tube Placement 49440, 49446 IVC Filter 37191 IVC Gram 75825 IVC Filter Removal 37193 J Tube Placement 49441 J Tube Replacement 49451 Kyphoplasty 22523, 72991, 22524, 22525 SHH-Pen Section D-7 6/2013
Procedure CPT Codes Lumbar Puncture 62270, 77003 Lumbar Puncture with Chemo 62311, 7703 Mediport Insertion, Adult 36561, 76937, 7701 Mediport Insertion, <5yrs 36560, 76937, 7701 Mediport Check 36598 Mediport Removal 36590 Nephrostogram 50394, 74425 US Guided Paracentesis 49083 Paracentesis 49082 Percutaneous Cholangiogram 47500 Percutaneous Nephrolithotomy 50080, 76000 Percutaneous Nephrostomy 50390, 50392, 74225, 74475 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 36475-36479 Thoracentesis 32421, 76942 TIPS, Insertion 37182 TIPS, Revision 37183 Tunneled Catheter, Adult 36558, 76937, 7701 Tunneled Catheter, <5yrs 36557, 76937, 7701 Tunneled Catheter Replacement 36581, 7701 Tunneled Catheter Removal 36589 Venogram, Ulilateral Extremity 75820 Venogram, Bilateral Extremity 75822 Vertebroplasty 22520, 72291, 22521, 22522 SHH-Pen Section D-8 6/2013