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Orders for Cardiovascular Procedures – Adult – Ambulatory [84]

Orders for Cardiovascular Procedures – Adult – Ambulatory [84] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Delegation/Practice Protocols, Ambulatory Delegation Protocols




Delegation Protocol Number: 84

Delegation Protocol Title:
Orders for Cardiovascular Procedures – Adult – Ambulatory

Delegation Protocol Applies To:
University Hospital Heart and Vascular Procedure Center

Target Patient Population:
Adult patients scheduled for cardiovascular procedures such as right heart catheterization,
angiograms, or stenting.

Delegation Protocol Champion:
Giorgio Gimelli, MD - Department of Medicine - Cardiology

Delegation Protocol Workgroup:
Christine Griffin, RN, BSN – Invasive Cardiology
Nicole Cockroft, RN–BC CV BSN - Cardiology-West Clinic
Latricia Peters, RN – Cardiology - West Clinic
Karna Boquet, RN – Invasive Cardiology
Beth Gamble, NP – Cardiovascular Laboratory

Responsible Department:
Department of Medicine – Division of Cardiovascular Medicine

Purpose Statement:
To delegate authority from the provider performing the cardiovascular procedure to
cardiovascular Registered Nurses (RNs) who are trained as Cardiology Coordinators to enter
preprocedure orders for the planned procedure.

Who May Carry Out This Delegation Protocol:
Registered Nurse Cardiology Coordinators trained in the use of this protocol.

Guidelines for Implementation:
1. This delegation protocol is initiated when a patient is scheduled for a procedure in the
Heart & Vascular Procedure Center.
2. RN enters orders using the Cardiac Catheterization – Heart and Vascular Delegation
Protocol - RN – Adult – Preprocedure order set [5173]
3. If the patient has allergies to any of the medications in the order set the RN will consult
with the provider before placing the orders.

Order Mode: Cosign Required, Protocol/Policy

References: NA

Collateral Documents/Tools:
Cardiac Catheterization – Heart and Vascular Delegation Protocol - RN – Adult – Preprocedure
order set [5173]

Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org



Approved By:
UW Health Ambulatory Protocol Committee: July 2013; *April 2015; *August 2017
UW Health Lab Practices Committee: September 2013; *April 2015; *August 2017
UWHC Pharmacy & Therapeutics Committee: August 2013; *April 2015; *August 2017
UWHC Medical Board: September 2013; *April 2015; *August 2017
UW Health Chief Ambulatory Medical Officer: *April 2015; *August 2017

Effective Date: August 2017

Scheduled for Review: August 2020
Expedited Review Process
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
11/2017CCKM@uwhealth.org