Upon completion of this learning program, you will be able to::

• Describe the anatomy of the heart.
• Outline the flow of blood in the chambers and great vessels of the heart.
• Outline the flow of blood in the coronary arteries and veins.
• State the function of the coronary circulation.
• Define cardiac catheterization.
• List the diagnostic and interventional indications for cardiac catheterization.
• Recognize contraindications to cardiac catheterization.
• Identify the members of the cardiac catheterization lab team.
• Recognize the different sections of the cardiac catheterization lab and describe the use of each section during the cardiac catheterization procedure.
• Describe the preparation of patients before the catheterization procedure.
• Outline the procedure of cardiac catheterization and associate the role of each member of the cardiac catheterization lab team with the main steps of the procedure.
• Describe the three classes of X-ray contrast agents and their role in cardiac catheterization.
• Outline the postcatheterization protocol that health care professionals follow for the care of patients.
• Recognize the risks and complications that may be associated with cardiac catheterization.

1. GETTING STARTED
   1. Sound Check
   2. Disclaimer
   3. Welcome
   4. Navigation Instructions
2. STAYING FOCUSED
   1. Introduction
   2. Learning Objectives
3. TEST YOUR CURRENT KNOWLEDGE
   1. Pretest
4. THE HEART AND CORONARY CIRCULATION
   1. Anatomy of the Heart
   2. Cardiac Circulation
   3. Coronary Circulation
      • SIDE NOTE: Digging Deeper – Coronary Circulation
   4. Coronary Arteries and Veins
   5. Progress Check
5. DEFINITION OF CARDIAC CATHETERIZATION
   • SIDE NOTE: Digging Deeper – Statistics on Cardiac Catheterization
6. INDICATIONS
   1. Diagnostic Indications vs Interventional Indications
   2. Diagnostic Indications
   3. Interventional Indications
   4. Progress Check
7. CONTRAINDICATIONS
   1. Absolute Contraindications
   2. Relative Contraindications
   3. Progress Check
8. LAB FACILITIES
   1. Introduction
   2. Hospital-based Labs
   3. Freestanding Labs
   4. Mobile Labs
   5. Progress Check
9. VIRTUAL VISIT: THE CARDIAC CATHETERIZATION LAB
   1. Introduction
   2. Welcome by Dr. Williams (Lab Director)
   3. Meet the Lab Team
      1. Attending Physician
      2. Perspective 1: Secondary Operator
      3. Perspective 2: Nurse Practitioner
      4. Perspective 3: Nurse Circulator
      5. Perspective 4: Radiology Technologist
      6. Perspective 5: Control Room Operator
   4. Procedure Room and Lab Equipment
      1. Dr. Williams (Overview)
      2. Imaging System
      3. X-Ray Contrast Agents
         • SIDE NOTE: Digging Deeper – Safety of X-ray Contrast Agents
           1. Physiological Data Monitoring Systems
           2. Catheters and Associated Supplies
   5. Progress Check
10. BRIAN’S PRECATHETERIZATION PATIENT PREPARATION
    1. Patient History
    2. Patient Perspective (Brian)
    3. Preprocedure Briefing (Dr. Norbash)
    4. Preprocedure Briefing (Nurse Juliana)
       • SIDE NOTE: Digging Deeper – Patient Chart
11. BRIAN’S CATHETERIZATION PROCEDURE
    • SIDE NOTE: Digging Deeper – Brachial vs. Femoral Artery Access
    • SIDE NOTE: Digging Deeper – Cardiac Catheterization Tests
12. BRIAN’S POSTCATHETERIZATION PREPARATION
    1. Dr. Norbash (End of Procedure)
    2. Nurse Circulator (11:30 AM)
    3. Mr.Holmes (2:30 PM)
    4. Progress Check
13. RISKS AND COMPLICATIONS
    1. Risks and Complications
    2. Progress Check
14. HOSPITAL EMERGENCY CODES
15. TEST YOUR ACQUIRED KNOWLEDGE
    1. Summary
    2. Posttest
16. CONCLUSION
    1. End of Program
17. GLOSSARY
18. REFERENCES