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heart and valves 

Mountain States Cardiology
Preparing for a Procedure at JCMC


 

Johnson City Medical Center
400 N. State of Franklin Road
Johnson City, TN 37604-6094

 

Phone: (423) 431-6111

Campus Map  •  Area Map

 

 

  • Park in the lot behind the hospital near the cardiovascular services entrance and cancer treatment center — let the guard know you have a procedure
  • Enter through the employee entrance, take an immediate right and go around to the left to the registration desk
  • Check-in at the registration desk
  • Check-in time will be determined by the type of procedure (see below)
  • Bring your order
  • If you have more than 1 test scheduled in the same week, please notify registration staff and technician—at times we can complete these in the same day, depending on the type of test, schedule, and MD availability 

Invasive Procedures

Noninvasive Procedures

  • Ambulatory Blood Pressure Monitor
  • ECHO, Carotid Ultrasound, Arterial or Venous Doppler, ABI
  • EKG
  • Event Monitor
  • Holter Monitor
  • Stress Test
  • Tilt Table 

    Invasive Procedures

    Cardiac Catheterization, Percutaneous Transluminal Coronary Angioplasty/Stent, Permanent Pacemaker, Implantable Cardioverter Defibrillator, Electrophysiology Study

    • Arrive two hours prior to your procedure for registration, admission assessment,and prep.
    • Come in the front entrance of Johnson City Medical Center.  Take the elevator to the 2nd floor and enter the waiting room across the hall from the elevator.  You will be given an information form to be filled out and asked for your insurance cards and the order from the doctor’s office.  These will all be faxed to the admitting office to get you into the computer system.
    • When you are in the system, you will be taken to have your IV started, blood and EKG done (if needed) and some questions asked.  From here you will be taken to a room on 2200, where you will be placed on a cardiac monitor and have your groin or chest clipped. This is also where you will wait for your procedure to begin.
    • We try very hard to stay on schedule.  However, please understand that your procedure may be delayed if an emergency comes in.
    • Do not eat or drink anything after midnight--unless you are scheduled to arrive after noon.  You may then have a light breakfast of toast and juice by 6:00 a.m.
    • You should shower or bathe the night before or in the a.m.
    • Unless your doctor tells you otherwise, take your morning medicine with a small drink of water.
    • If you are diabetic, check your blood sugar, but take only any sliding scale medicine.  Do not take any other insulin or diabetic medicine.
    • Please bring all your medicine or an updated list of all your medicine with you to be shown to your nurse.  This should include any over the counter medicines, any vitamins, or any herbal medicines.
    • You MUST have someone to drive you home and to stay at home with you overnight.
    • During the procedure, your family should wait in the Cath Lab waiting room for updates.  The nurse will keep them informed and your doctor will want to talk to them when your procedure is finished.
    • Bring an overnight bag in case you need to be admitted to the hospital after your procedure. You will remain in Interventional Holding until you are discharged home or until a bed is available.

    If you have questions before your arrival for the procedure, you should call your doctor’s office. You may also call Interventional Holding at (423) 431-5913 or Judy Heaton, RN, BSN, Clinical Coordinator at (423) 431-6067.

    Noninvasive Procedures

    Ambulatory Blood Pressure Monitor

    • Arrive 15 minutes prior to test time for registration
    • Wear short sleeves, no sweatshirts or tight-sleeved clothing
    • Test will take about 1 hour to complete

    Echo, Carotid Ultrasound, Arterial or Venous Doppler, ABI

    • Arrive 15 minutes prior to test for registration
    • Wear 2 piece clothing
    • No diet restrictions, unless you are having another test which requires restriction of food or drink
    • Each of these tests may take up to an hour to complete.  If you have multiple procedures, plan for an hour for each

    EKG

    • Arrive 15 minutes prior to test time for registration
    • Wear 2 piece clothing
    • Test will take about 30 minutes to complete

    Event Monitor

    • Arrive 15 minutes prior to test time for registration
    • Wear 2 piece clothing
    • Test will take about 1 hour to complete

    Holter Monitor

    • Arrive 15 minutes prior to test time for registration
    • Shower or bathe before the test (the monitor stays on for 24-48 hrs)
    • Wear 2 piece clothing
    • Test will take about 1 hour to complete

    Stress Test

    • Arrive 2 hours prior to the procedure for registration, prep and resting films
    • Do not eat or drink 6 hours prior to the test—NO CAFFIENE for 24 hrs prior to test.  Drink plenty of fluids the night before the test
    • Ask your physician about what medicines you should take prior to the test
    • Bring shoes (not sandals or slip-on) wear comfortable 2 piece clothing
    • Test may take up to 6 hours to complete

    Tilt Table

    • NOTHING to drink or eat 6 hours prior to test. Drink plenty of fluids the night before the test
    • Need to have a driver to take patient home
    • Test may take up to 3 hours to complete
    • Wear 2 piece clothing