Utah Valley Regional Medical Center
Utah Valley Heart Center
Cardiac Cath Lab
Day of Surgery
What surgery patients can typically expect on the day of surgery.
A map to the facility and driving directions are provided through this MapQuest link:
Arriving at Utah Valley Regional Medical Center
- Patient and visitor parking is available in the parking structure located off of 1200 North (Bulldog Avenue).
- Expect to be at the hospital up to 24 hours from check in to check out (for outpatients).
- A map of the Utah Valley Regional Medical Center:
Reception & Admitting
- Complete admissions paperwork prior to your procedure:
- Prepare to sign the informed consent form. Read details about the consent form and the possible risks of the procedure. This form is for review only. You will be asked to sign the actual document after meeting with your physician on the day of your procedure.
- The Surgery Health History form will be completed at this time, if you have not already provided the information or completed the secure online form.
- Review your insurance information and provide any co-pays. Depending on your insurance, co-pays may be collected at this time or billed to you.
- Read the following material:
- Discharge Instructions (depending on your procedure and the surgeon's preference).
- Review the Pain Management Brochure. Nurses will ask you to rate your pain according to the numeric or picture scale, described in the section Rating Your Pain. This scale will help nursing staff effectively evaluate and manage your pain. If you have any questions, ask the pre-operative nurse prior to surgery.
Pre-Procedure Area
Also the Post-Cath Recovery Unit:
- Preparation for the procedure and initial recovery take place in the same area.
- First, you will change from regular clothes to hospital clothes.
- A registered nurse will perform an assessment, and you will be prepared for your procedure. This may include: having vital signs and weight measured, starting an IV (intravenous) line, drawing lab tests, possible urine sample.
- You can be provided with a warm blanket, magazines, games and activities, TV or radio while waiting to be moved to the Cath Lab.
- Waiting times before your procedure starts will vary. The actual time your procedure begins will depend on longer or shorter procedure times and emergencies. We will make every effort to keep you informed if a delay occurs.
- Your family will be shown where to wait during your procedure. There are several booklets and videos available that provide additional information about procedures performed in the Cath Lab. No family will be permitted in the Cath Lab during the procedure.
Cardiac Cath Lab Procedure Area
- Your cardiologist will visit with you. Please feel free at this time to ask any questions regarding your procedure.
- A registered nurse will ask once more for your name, allergies, food intake status and to identify the surgical site.
- Your arm or groin will be shaved and cleaned with antiseptic solution. Sterile drapes will be placed over the area.
- Monitors will be applied and a warm blanket provided.
- Local anesthetic will be administered to numb the area before the procedure begins.
- A sedative (conscious sedation) will be given during the procedure. It is important for you to remain awake so your can follow your doctor's verbal instructions, such as breathing deep or coughing.
Post-Cath Recovery Unit
- Your recovery begins with individual nursing care - including pain management.
- Depending on your procedure and medical condition, you will either recover in our Post-Cath Recovery Unit or be taken to the Cardiac Intensive Care Unit.
- Two immediate family members can visit with you in the Recovery area. No one under the age of 12 will be allowed to visit in the recovery area or Cardiac Intensive Care Unit.
- Once you have met specific medical criteria, you will be discharged home or transferred to the Cardiovascular Unit (CVU), for additional monitoring.
Post-Procedure
- Recuperation:
- You will stay in bed for a period of time, which may include lying flat for several hours.
- A registered nurse will:
- Take vital signs.
- Treat any nausea/vomiting.
- Manage pain, if needed.
- Offer fluids.
- Provide discharge education (both written and verbal) to you and to the person who is taking you home.
- Site Closure Device Information:
One of the following special products may be used to seal the puncture site of the artery used during your procedure:
- Vasoseal: a protein (collagen) "plug". It may be felt as the size of a small olive pit at the site for 5-7 days. The collagen will reabsorb in approximately six weeks. You may notice slight redness and swelling around the puncture site. This is normal. However, if you notice the appearance of the collagen (a whitish, clear substance) protruding from the puncture site, report this to your cardiologist.
- Angio-Seal: a device composed of a small collagen sponge and an absorbable anchor, connected by absorbable suture. This "sandwiches" the puncture between the anchor (inside the artery) and the collagen sponge (outside the artery). You may notice a possible pea size lump and mild tenderness to the touch at the procedure site.
- Clos-Sur P.A.D.: A pressure applied dressing using the cell binding action of Polyprolate (a hemostatic agent) to stop bleeding at the puncture site. If this is used, you will need to remove the dressing after 24 hours of the procedure by wetting the Clo-Sur P.A.D. with water, allow it to dissolve and then remove slowly.
- Prescriptions:
- Your cardiologist will provide any discharge prescriptions necessary.
- Going Home:
- You will be observed and made comfortable until you have met medical criteria.
- You will begin cardiac rehabilitation to help you return to your normal routine as soon as possible.
- Depending on your needs and the procedure performed, many patients are able to go home within 24 hours.
- A registered nurse will accompany you out of the building when you are discharged. You may walk to your car, if feeling well enough, or be assisted in a wheelchair.
Cardiac Cath Lab
Utah Valley Heart Center
1034 North 500 West
Provo, Utah 84604
Phone: (801) 357-7850
© 2007 Intermountain Healthcare, Salt Lake City, Utah. All Rights Reserved.