For hospitals with a cath lab, how many staff members are in the room during the procedure? As a high-alert medication, does heparin require dual sign-off when staff are operating under a provider's supervision (i.e. nursing) at your institution? If your institution does not require a dual sign-off, what electronic safety feature(s) do you have in place? For reference, our EHR is Epic, and we are not currently utilizing barcode scanning in the OR.

Are baseline ACTs checked before heparin administration in your cath lab?
If yes, which of the following apply for checking the baseline ACT?
1. Checked on all patients
2. Checked based on recent heparin administration/infusion
3. Checked based on recent PTT or Hep Quant Assay result (e.g. recent supra-therapeutic PTT)
4. Other?

Thank you for your response,
Stacie Ethington MSN, RN-BC
Medication Safety Nurse Specialist
Nebraska Medicine