520
Detailed Needs and Requirements: Cardio-Pulmonary Unit
5211.2.2
Space Requirements
1. Cardiac Catheterization Laboratory
This space is used for radiographic and fluoroscopic studies of the
heart and lungs. These studies involve the insertion of a catheter into
the patients' heart or lungs through the circulatory system, extraction of
blood samples and injection of contrast media. Elaborate radiographic
and fluoroscopic equipment may be required for these studies, e.g.,
biplane fluoroscopy and radiography, cinefluoroscopy, image
intensifiers, rapid cassette changers, etc. In addition, a thorough range
of physiological monitoring equipment is needed to keep track of the
patient's condition during procedures and warn of impending
emergencies. Equipment to deal with possible emergencies must also
be available, e.g., a defibrillator and resuscitator. Exercise equipment
and equipment to measure ventilatory function, volume or gas
exchange function of the lungs may also be required. The necessary
equipment and instruments required for the insertion of catheters,
extraction of samples, and injection of contrast media must also be at
hand during procedures.
In addition to the above equipment, there may be as many as 13 or 14
persons present in the cardiac catheterization laboratory during
complex procedures.
The insertion of the catheter is considered a minor surgical procedure,
therefore, aseptic precautions usual for minor surgery should be
observed.
Vacuum, oxygen, compressed air, and, optionally, nitrous oxide may
be used in the cardiac catheterization laboratory.
The following spaces may be considered ancillary to the cardiac
catheterization laboratory.
a. Utility room. For cleaning and storage of equipment and supplies
needed in the cardiac catheterization lab. This space may also be
equipped for flash sterilization of equipment during procedures,
depending on overall hospital supply policy. Countertop work
space, a sink, and shelving for storage are required.
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