# data[].attributes.headline
Registered Nurse at Oregon Health and Science University, Peter Uluave

# data[].attributes.subject
Registered Nurse at Oregon Health and Science University, Peter Uluave

# data[].attributes.body
With more than 25 years of experience as a medical care provider, Peter Seti Uluave Jr. serves as a registered nurse at Oregon Health and Science University (OHSU), where he has worked since 2013. Among his responsibilities, he conducts electrophysiology and cardiac cath procedures and cares for geriatric, adult, and pediatric patients. Peter S. Uluave also fulfills multiple training and education roles. He provides technical support for the Hemodynamic monitoring system and other new lab equipment, and he shares insights into electrophysiology and cardiac cath operations at OHSU with patients, staff, members of leadership, and stakeholders.

# data[].attributes.attachment_link.readable_text
With more than 25 years of experience as a medical care provider, Peter Seti Uluave Jr. serves as a registered nurse at Oregon Health and Science University (OHSU), where he has worked since 2013. Among his responsibilities, he conducts electrophysiology and cardiac cath procedures and cares for geriatric, adult, and pediatric patients. Peter S. Uluave also fulfills multiple training and education roles. He provides technical support for the Hemodynamic monitoring system and other new lab equipment, and he shares insights into electrophysiology and cardiac cath operations at OHSU with patients, staff, members of leadership, and stakeholders.

Overhis career, Peter Uluave has taught in community colleges and given presentations to share his medical experience. He held the titles of medical department chair at Mountain West College and GED instructor at Big Bend Community College.

Mr. Uluave has also spoken at the North America Society of Pacing and Electrophysiology conventions as a faculty presenter. He holds a master of public health from Westminster College and a bachelor's degree in nursing from the University of Utah. In his free time, Mr. Uluave enjoys camping and racquetball.

# data[].attributes.attachment_link.title
Registered Nurse at Oregon Health and Science University, Peter Uluave

# data[].attributes.attachment_link.description
With more than 25 years of experience as a medical care provider, Peter Seti Uluave Jr. serves as a registered nurse at Oregon Health and Science University (OHSU), where he has worked since 2013. Among his responsibilities, he conducts electrophysiology and cardiac cath procedures and cares for geriatric, adult, and pediatric patients.

# data[].attributes.headline
The Role of Cardiac Nurses in Patient Care

# data[].attributes.subject
The Role of Cardiac Nurses in Patient Care

# data[].attributes.body
Cardiovascular nursing is a medical specialization dedicated to caring for patients with heart disease. Cardiac nurses are responsible for monitoring and treating different patient groups, including the critically ill and those recovering from cardiac procedures. Cardiac nurses with advanced qualifications can become more involved in patient care by performing life support procedures.

# data[].attributes.attachment_link.readable_text
Cardiovascular nursing is a medical specialization dedicated to caring for patients with heart disease. Cardiac nurses are responsible for monitoring and treating different patient groups, including the critically ill and those recovering from cardiac procedures. Cardiac nurses with advanced qualifications can become more involved in patient care by performing life support procedures.

After completing a bachelor's degree in nursing, registered nurses (RN) interested in specializing in cardiac care must obtain additional professional certification. They can apply for certification through the American Nurses Credentialing Center (ANCC). ANCC offers two cardiovascular certifications: cardiac rehabilitation and cardiac vascular nursing. Prerequisites for the certification exam include two years of nursing experience, 30 continuing education credit hours, and a total of 2,000 hours of cardiovascular training.

Alternatively, nurses who want to specialize in more specific fields of cardiac care can apply through the American Association of Critical-Care Nurses (AACN) or the American Board of Cardiovascular Medicine (ABCM). These associations certify nurses in adult cardiac surgery and catheterization laboratory nursing, respectively.

Registered nurses may undertake a graduate study to become advanced practice nurses (APNs) to boost their qualifications. APNs can continue their studies to become cardiovascular clinical nurse specialists (CNS).

Cardiac nurses administer medication, monitor patients' vital signs, and perform electrocardiograms and stress tests. These nurses keep doctors updated about patient status and ensure that patients follow the treatment plan. Cardiac nurses also inform patients' families of any status changes.

Depending on the specialization, cardiac nurses may allocate most of their time to acute care, emergency response, or surgical support. For example, cardiac surgery nurses help prepare patients for operations while acute care nurses use defibrillators.

In addition to their clinical duties, cardiac nurses are in charge of patient education. They instruct patients on lifestyle habits, such as exercise, diet, and weight loss, to prevent future cardiac incidents. Cardiac nurses also give patients clear instructions on the use of their medications, especially for pain management.

In recent years, the role of cardiac nurses has expanded beyond their basic job description. A 2017 study focused on the success of cardioversions performed by an APN. Cardioversions are medical procedures that use a defibrillator to treat abnormal heart rhythms. The procedure typically requires a cardiologist, a cardiac nurse, and an anesthesiologist. The study showed that APNs performed more than 500 successful cardioversions with or without supervision by a cardiologist. The increased involvement of cardiac nurses and other mid-level healthcare providers in advanced cardiovascular care can enhance the patient experience.

Nurse Bobbie Barraza is another prime example of a nurse growing outside the registered nursing box. After serving as an RN for 17 years, she pursued further education and training in perioperative nursing. Upon completing UCLA's one-of-a-kind registered nurse first assistant (RNFA) program, Barraza specialized in cardiovascular surgery. Today, she is the only RNFA certified for cardiovascular surgery at Long Beach Memorial Hospital.

As more cardiac nurses and APNs become trained to perform procedures such as cardioversion, healthcare personnel coordination can be improved. Busy cardiologists can better manage their time without having to perform cardioversions. Additionally, limiting cardioversion teams to an APN and an anesthesiologist can increase patient access to care since both staff members are usually present in most medical facilities.

# data[].attributes.attachment_link.title
The Role of Cardiac Nurses in Patient Care

# data[].attributes.attachment_link.description
Cardiovascular nursing is a medical specialization dedicated to caring for patients with heart disease. Cardiac nurses are responsible for monitoring and treating different patient groups, including the critically ill and those recovering from cardiac procedures. Cardiac nurses with advanced qualifications can become more involved in patient care by performing life support procedures.

# data[].attributes.body
Cardiac catheterization, also known as coronary angiogram, is a medical procedure performed to assess the quality of blood flow to the heart. It is used as a diagnostic tool and a therapeutic method in patients with heart disease.

# data[].attributes.attachment_link.readable_text
Cardiac catheterization, also known as coronary angiogram, is a medical procedure performed to assess the quality of blood flow to the heart. It is used as a diagnostic tool and a therapeutic method in patients with heart disease.

During a cardiac catheterization, a cardiologist inserts a long hollow tube, or catheter, into a patient's blood vessel, typically in the groin region. Once inserted, the catheter is carefully pushed along the patient's blood vessel system until it reaches the heart. Afterward, the cardiologist injects a contrast dye into the catheter to facilitate the visualization of the heart and blood vessels, and uses an X-ray camera to take photos of the patient's arteries and heart anatomy.

To prepare for a cardiac catheterization, patients must abstain from food and drink prior to the procedure. Patients undergo some blood tests and an electrocardiogram (EKG) before catheterization. These preparatory tests enable the physician to get information about the patient's cardiovascular health in case he or she suffers from any clotting problems or arrhythmias. Patients must also disclose their medical history, including prescribed medications and any allergies.

The procedure is performed at the hospital and typically lasts for 30 minutes. Patients change into a hospital gown and lie back on the procedure table, and the physician inserts a catheter in the groin region. Alternative entry points may include the elbow, wrist, or neck.

Throughout the procedure, the patient is hooked up to an EKG device to record the heart's electrical activity. Additionally, the patient's vital signs, such as blood pressure and oxygen levels, are continuously monitored. The physician prepares an intravenous line in the patient's arm, to allow the infusion of necessary fluids as well as sedatives.

Cardiac catheterization is indicated for patients with a history of heart attacks or symptoms such as chest pain, fatigue, and shortness of breath. It is used to diagnose causes of abnormal blood flow to the heart.

Cardiologists can perform the procedure to examine patients with suspected atherosclerosis; such patients may suffer from blocked or narrowed arteries, which hinder blood flow. Furthermore, cardiologists can use it to evaluate the health of the heart muscle itself. In addition to diagnosing cardiomyopathies and heart failure based on the catheterization results, cardiac catheterization allows cardiologists to evaluate the condition of the heart valves and chambers, which can help in detecting valvular disease and congenital heart defects.

Another important diagnostic use involves obtaining a cardiac biopsy. If the cardiologist wants to take a closer look at the histological structure of the heart muscle, a small sample of the heart tissue is taken during catheterization.

The therapeutic applications of cardiac catheterization include angioplasty, balloon valvuloplasty, and stenting. Angioplasty involves the placement of a small balloon through the catheter; the balloon is then inflated to widen narrowed arteries in patients with atherosclerosis. Balloon valvuloplasty is a similar procedure that targets dysfunctional heart valves. Stenting, meanwhile, can be performed during or after cardiac catheterization. It consists of placing a mesh tube inside an artery to keep it open.

# data[].attributes.attachment_link.description
Cardiac catheterization , also known as coronary angiogram, is a medical procedure performed to assess the quality of blood flow to the heart. It is used as a diagnostic tool and a therapeutic method in patients with heart disease.

# data[].attributes.body
The advances in the care of cardiac patients have necessitated the development of a parallel nursing specialty. Today, patients in intensive cardiac care units (ICCUs), intermediate units, catheterization laboratories, and cardiology wards are treated by cardiac nurses. Ambulatory services, such as cardiac outpatient clinics (particularly for heart failure treatment) and noninvasive cardiac laboratories (primarily for pharmacological stress testing and echocardiography) also require cardiac nurses. In addition, the cardiac nurse plays an important role in clinical research and in teaching nursing students.

# data[].attributes.attachment_link.readable_text
The advances in the care of cardiac patients have necessitated the development of a parallel nursing specialty. Today, patients in intensive cardiac care units (ICCUs), intermediate units, catheterization laboratories, and cardiology wards are treated by cardiac nurses. Ambulatory services, such as cardiac outpatient clinics (particularly for heart failure treatment) and noninvasive cardiac laboratories (primarily for pharmacological stress testing and echocardiography) also require cardiac nurses. In addition, the cardiac nurse plays an important role in clinical research and in teaching nursing students.

A nursing specialty, cardiac nursing involves working with patients who have suffered from various cardiovascular diseases. A cardiac nurse is a registered nurse who specializes in the treatment and care of patients with various cardiac illnesses or conditions.

To properly handle any patient with cardiac problems, a cardiac nurse must have certain essential skills and knowledge. This includes proficiency in BLS and ACLS.

Basic Life Support, or BLS, is the sort of care that first responders, public safety personnel, and healthcare practitioners give to people who are experiencing cardiac arrest, an obstructed airway, or respiratory distress. It requires the ability to perform cardiopulmonary resuscitation (CPR), use an automated external defibrillator (AEDs), and relieve airway blockages in patients of all ages. In addition to the physical capabilities required to provide BLS to people in need, those working in the area must also possess problem-solving and critical thinking skills, as well as the ability to collaborate as part of a team, to provide the best possible care and enhance patient outcomes.

The initial phase in therapy can be described as basic life support. A person who has undergone BLS training will understand how to aid a patient. BLS is considered noninvasive, since it does not involve the use of needles or other instruments that penetrate the skin. Furthermore, BLS does not entail the administration of medication.

Advanced Cardiovascular Life Support, on the other hand, stresses cardiac arrest prevention, along with early and sustained high-quality CPR. For registered nurses (and cardiac nurses) working with adults or in intensive care units, advanced cardiovascular life support (ACLS) is necessary. An ACLS unit, unlike a BLS unit, will have airway equipment, cardiac monitoring tools, cardiac life support, and a glucose testing device. To become proficient in this area, nurses must undergo extensive training compared to the training given in BLS. ACLS is for healthcare professionals who lead or assist in the management of cardiopulmonary arrest or other cardiovascular crises, as well as emergency response workers.

Stress testing, ECG, and echocardiography are some crucial skills that cardiac nurses are trained in. In a stress test, a patient is monitored while they are doing activities such as exercising on a treadmill or stationary bicycle. The placement of electrodes on the skin to record the impulses created as electricity is sent to the cardiac muscles is known as an electrocardiogram (ECG). An echocardiogram is a type of ultrasound that examines the heart.

Cardiac nurses must be capable of educating patients on preventive techniques and treating them in clinical settings, as well as keeping track of their medical histories and diagnosing them. Also, they assist patients in comprehending a variety of cardiac problems.

Cardiac nurses may be needed to assess and treat patients at home to help them recover, monitor the results of stress tests, and assist patients in progressively altering their lifestyles to improve health. They also provide the required care (particularly in postoperative situations), and regularly monitor cardiac and vascular reading, with or without the direction of cardiologists.

Also, cardiac nurses should have the ability to communicate effectively, manage time efficiently, make appropriate decisions through accurate judgments, and be situationally aware and ready to take quick action.

# data[].attributes.attachment_link.description
The advances in the care of cardiac patients have necessitated the development of a parallel nursing specialty. Today, patients in intensive cardiac care units (ICCUs), intermediate units, catheterization laboratories, and cardiology wards are treated by cardiac nurses.

# data[].attributes.body
Cardiac nursing is a specialty that involves working with and caring for patients suffering from various cardiovascular diseases. Essentially, a cardiac nurse is a registered nurse who is trained to provide care to patients with various sorts of heart illnesses or conditions.