TEE Consent TEE worksheet TEE pre test Anesthesia checklist Requisition with indication Medical history sheet Pre printed orders Sterilization log Stress Lab Setup ** Additional to the TTE lab Staff: ECG Technician Registered or Physician in the room Room: The stress lab requires the largest of the rooms because of the equipment required. A patient care area of 15m2 18.6m2 is recommended. In order to – provide a safe environment for the patient, configuration of the space is most important. A safe and easy transfer from the treadmill to the bed is vital. Equipment: Treadmill and 12 lead monitor Oxygen saturation monitor Special echo bed with cutouts IV infusion pump Recumbent bike with special echocardiography bed Ultrasound machine with stress program (DSE preset, TM and bike continuous capture presets) Patient Weight scale Supplies: Abrasive tape Razors IV 50 ml mini bags D5W and Normal saline IV pump tubing with secondary lines Disposable boot covers
TEE Consent TEE worksheet TEE pre test Anesthesia checklist Requisition with indication Medical history sheet Pre printed orders Sterilization log Stress Lab Setup ** Additional to the TTE lab Staff: ECG Technician Registered or Physician in the room Room: The stress lab requires the largest of the rooms because of the equipment required. A patient care area of 15m2 – 18.6m2 is recommended. In order to provide a safe environment for the patient, configuration of the space is most important. A safe and easy transfer from the treadmill to the bed is vital. Equipment: Treadmill and 12 lead monitor Oxygen saturation monitor Special echo bed with cutouts IV infusion pump Recumbent bike with special echocardiography bed Ultrasound machine with stress program (DSE preset, TM and bike continuous capture presets) Patient Weight scale Supplies: Abrasive tape Razors IV 50 ml mini bags D5W and Normal saline IV pump tubing with secondary lines Disposable boot covers
CCN_template_Echocardiography_Laboratory_Requirements.docx