PACE EXAM
COMPREHENSIVE
QUESTIONS (FREQUENTLY
TESTED) WITH VEIFIED
ANSWERS GRADED A+
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
, Contact for further consultation
1. AIC states "Impella Position Unknown". Family member asks
you what it means. Answer: Talk to the nurse. RN explains that it's normal because the
pump has taken over for the heart. Continue to watch and evaluate MAP.
Turn ott alarm.
2. Transferring AIC to AIC Answer: Turn
on Console B. Disconnect white cable from console A,
plug it into console B. Press the selector knob to
accept the previous settings. Disconnect the yellow
leur locks and reconnect it.
Transfer purge cassette and purse solution to console B.
Purge Menu to change purge fluid bag and estimate remaining volume.
3. "Air in Line" Answer:
Purge Menu Deair purge.
4. Pink urine and doc asks if it could be the Impella. Answer: It's possible,
however studies show when the pump is correctly positioned and patient has appropriate
volume, the incidence of hemolysis are clinically insignificant.
Suggest sending plasma-free Hgb and
, Contact for further consultation
UA. Order an echo to evaluate position
5. "Placement Signal Lumen Blocked" Answer: *Only seen in
2.5 and CP w/o SA. Threshold for this alarm Answer: PP <10mmHg.
Likely clot.
Make sure pressure bag is properly inflated to
300mmHg. Take 20cc syringe and aspirate the red
connection port.
-If it clears, flush and reattach pressure bag.
-If you can't aspirate, cap ott pressure port. Disable placement signal (under Menu). **Will lose suction
alarms and PS. Monitor MC.
6. Fellow believes the patient has HIT. Answer: HIT is 50% drop in platelets after
Heparin administration. Can we run an ELISA or SRA to confirm?
If confirmed, contact medical oflcer to get appropriate alternative of Angiomax or Argatroban.
7. "Impella Position Wrong" Answer: PS Answer: AO. MC Answer: flat. Home Screen will
show "Impella Position Wrong" with a question mark.
COMPREHENSIVE
QUESTIONS (FREQUENTLY
TESTED) WITH VEIFIED
ANSWERS GRADED A+
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
, Contact for further consultation
1. AIC states "Impella Position Unknown". Family member asks
you what it means. Answer: Talk to the nurse. RN explains that it's normal because the
pump has taken over for the heart. Continue to watch and evaluate MAP.
Turn ott alarm.
2. Transferring AIC to AIC Answer: Turn
on Console B. Disconnect white cable from console A,
plug it into console B. Press the selector knob to
accept the previous settings. Disconnect the yellow
leur locks and reconnect it.
Transfer purge cassette and purse solution to console B.
Purge Menu to change purge fluid bag and estimate remaining volume.
3. "Air in Line" Answer:
Purge Menu Deair purge.
4. Pink urine and doc asks if it could be the Impella. Answer: It's possible,
however studies show when the pump is correctly positioned and patient has appropriate
volume, the incidence of hemolysis are clinically insignificant.
Suggest sending plasma-free Hgb and
, Contact for further consultation
UA. Order an echo to evaluate position
5. "Placement Signal Lumen Blocked" Answer: *Only seen in
2.5 and CP w/o SA. Threshold for this alarm Answer: PP <10mmHg.
Likely clot.
Make sure pressure bag is properly inflated to
300mmHg. Take 20cc syringe and aspirate the red
connection port.
-If it clears, flush and reattach pressure bag.
-If you can't aspirate, cap ott pressure port. Disable placement signal (under Menu). **Will lose suction
alarms and PS. Monitor MC.
6. Fellow believes the patient has HIT. Answer: HIT is 50% drop in platelets after
Heparin administration. Can we run an ELISA or SRA to confirm?
If confirmed, contact medical oflcer to get appropriate alternative of Angiomax or Argatroban.
7. "Impella Position Wrong" Answer: PS Answer: AO. MC Answer: flat. Home Screen will
show "Impella Position Wrong" with a question mark.
