Consents

              **Assess Code Status - If patient is a DNR:  Please notify Attending and Rescind DNR**

**The names of Any and All Fellows as well as residents/interns that might be in the case must be on the consent***

-That means, if there is a resident who is rotation through cardiology and is observing in the lab --> that resident's name must be on consent

-Please also include the EP attending, as well the name of the General Surgeon who can assist with access (if needed) in the consent**

CONSENTS:

• • • For Single or Dual Chamber PPM / ICD:

Heart – Perm Pacemaker Placement 

Heart – ICD placement 

DCCV - Possible

• • • For CRT

Same as above + transvenous lead initial insertion

Heart – Permanent Pacemaker Placement (Biventricular) 

Ventricle – Biventricular Perm Pacemaker with Automatic Implantable Cardioverter Defibrillator 

DCCV - Possible

• • • For  Gen Change

Heart – CRT-D, ICD, Pacemaker Generator Replacement  + DCCV

Heart – CRT-D, ICD, Pacemaker – Lead Revision

If applicable (PM dependent):  Heart – Temp Pacemaker Placement 

DCCV - Possible

• • • For Loop Recorder

Heart – insertion of Loop Recorder

DCCV - Possible

• • • For SVT / Flutter Ablations

Heart – Electrophysiology Study

Heart – Electrophysiology Mapping

Heart – Electrophysiology with Ablation (Atrial Flutter)

Heart – Electrophysiology with Ablation (Supraventricular Tachy)

Heart – Intracardiac Echocardiography (ICE)

*DCCV - Possible

*Heart – Perm Pacemaker Placement - Possible

• • • For AFib Ablations

Heart – Electrophysiology Study

Heart – Electrophysiology Mapping

Heart – Electrophysiology with Ablation (Atrial Flutter)

Heart – Electrophysiology with Ablation (Supraventricular Tachy)

Heart – Intracardiac Echocardiography (ICE)

Heart – Septal Puncture 

Heart – Electrophysiology with Ablation (Atrial Fibrillation or Left Sided Atrial Flutter) 

*DCCV - Possible

*Heart – Perm Pacemaker Placement - Possible

• After ALL devices

  • Hand patient’s family a handout of Post Op Instructions 

    • Fill in the time frame for lifting restrictions (if applicable)

    • Hand write on paper when they can resume anticoagulation (if applicable) / Jardiance (if applicable) 

    • Hand write on paper to hold Gabapentin if they also are getting Vicodin

• • Check post-op CXR for PTX

    • If it’s past 5 PM, check out with the house office to check on CXR for PTX and have the H.O. notify you with results, then text the implanter that there’s no PTX

• After Ablations:

  • Remove Figure of Eight Stitches (if applicable)