Interventional Radiology Nurse

Interventional Radiology Registered Nurse

Pre/Post Procedure and Moderate Sedation

ENVITA INTERVENTIONAL RADIOLOGY | Full-Time | On-Site | North Scottsdale, Arizona

Location: East Bell Road and Loop 101

Schedule: Monday through Friday, 8:00 a.m. to 4:00 p.m.

Compensation: Up to $60.00 per hour, depending on experience

Benefits: Medical, dental, vision, life insurance, paid time off, 401(k), and additional employee benefits

Provide Exceptional Procedural Care When Patient Safety Matters Most

Envita Interventional Radiology is seeking an experienced Interventional Radiology Registered Nurse with advanced hands-on moderate-sedation experience to guide patients safely through the complete procedural journey.

This is not an entry-level procedural nursing position.

The successful nurse must be capable of independently recognizing subtle changes in a patient's condition, administering and monitoring moderate sedation under appropriate provider direction, supporting airway management, responding to complications, and maintaining calm clinical control during urgent situations.

This position is especially important because many Envita patients are facing complex medical conditions, including cancer and chronic disease. They may arrive feeling frightened, medically vulnerable, overwhelmed, or uncertain about their treatment options. The nurse must combine strong procedural judgment with compassion, patient advocacy, attention to detail, and an unwavering commitment to safety.

Why Experienced Nurses Choose Envita

• Monday-through-Friday schedule, 8:00 a.m. to 4:00 p.m.
• Specialized outpatient interventional radiology environment
• Compensation up to $60.00 per hour, based on experience
• Meaningful work with patients facing complex medical conditions
• Opportunity to develop ongoing relationships with patients and families
• Advanced interventional radiology and interventional oncology procedures
• Close collaboration with interventional radiologists and clinical leaders
• Individualized, quality-over-quantity patient care
• Strong emphasis on clinical judgment, patient safety, and compassion
• Opportunity to contribute to growing procedural capabilities
• Comprehensive benefits package
• Mission-driven and patient-first organizational culture

About Envita Interventional Radiology

Envita Interventional Radiology provides advanced, minimally invasive, image-guided procedures within a collaborative outpatient environment.

Our clinical teams work with patients facing cancer, chronic disease, and other complex medical conditions. Many patients seek Envita after exhausting conventional options or while looking for a more individualized and integrated approach to their care.

Procedures may include TACE, cryoablation, radiofrequency ablation, PEF, embolization, image-guided biopsies, kyphoplasty, vascular procedures, and other advanced interventional treatments.

Envita is committed to thoughtful innovation, clinical excellence, patient safety, meaningful collaboration, and helping every patient feel informed, respected, and genuinely cared for.

Why This Position Exists

The Interventional Radiology Registered Nurse ensures that patients are safely prepared, continuously monitored, clinically supported, and appropriately recovered throughout the interventional radiology experience.

Before a procedure, the nurse verifies clinical readiness, identifies risks, establishes venous access, administers ordered medications, confirms required documentation, and prepares the patient physically and emotionally.

During the procedure, the nurse administers and monitors moderate sedation according to provider orders and established protocols, assesses the patient's airway and physiological response, maintains accurate intra-procedural documentation, and intervenes immediately when the patient's condition changes.

Following the procedure, the nurse provides vigilant recovery care, recognizes complications, manages symptoms, communicates changes, and ensures that the patient meets established discharge, transfer, or admission criteria.

The performance of this nurse directly affects:

• Patient safety
• Sedation-related outcomes
• Procedural efficiency
• On-time procedure starts
• Clinical documentation
• Patient confidence
• Physician and team reliability
• Discharge readiness
• The overall quality of the Envita patient experience

Position Summary

The Interventional Radiology Registered Nurse is responsible for the assessment, preparation, medication administration, moderate-sedation monitoring, recovery, education, documentation, and discharge of patients undergoing diagnostic, interventional, and therapeutic procedures.

The nurse works closely with interventional radiologists, technologists, clinical leadership, and other care-team members to ensure safe transitions before, during, and after each procedure.

This position requires advanced clinical assessment skills, strong procedural judgment, confident airway awareness, competency with moderate sedation, and the ability to respond calmly and effectively when a patient's condition changes.

Critical Moderate-Sedation Requirement

Candidates must possess a minimum of two years of direct, hands-on experience administering and monitoring moderate sedation in an interventional radiology, procedural, surgical, cardiac catheterization, endoscopy, or closely related clinical environment.

This experience must include demonstrated responsibility for:

• Pre-sedation patient assessment and risk identification
• Medication administration under provider orders
• Continuous physiological and level-of-consciousness monitoring
• Airway assessment and basic airway support
• Recognition of respiratory depression and oversedation
• Recognition of hemodynamic instability
• Use and interpretation of cardiac, oxygenation, and ventilation monitoring
• Immediate clinical intervention and escalation
• Familiarity with reversal agents and emergency-response protocols
• Accurate intra-procedural medication and monitoring documentation
• Post-sedation recovery assessment and discharge readiness

Observation-only experience, recovery-only experience, classroom training, or limited exposure to sedated patients will not satisfy this requirement.

Candidates should be prepared to provide detailed examples demonstrating the number and types of procedures supported, sedation medications administered, monitoring responsibilities, complications recognized, and interventions personally performed.

Key Performance Objectives

1. Demonstrate Safe and Independent Moderate-Sedation Competency

Within the first 60 days, successfully complete all required Envita moderate-sedation, medication-administration, monitoring, airway-management, emergency-response, and documentation competencies.

The nurse will consistently:

• Complete required pre-sedation assessments
• Verify patient risk factors, allergies, medications, fasting status, and laboratory results
• Administer moderate-sedation medications according to provider orders and policy
• Continuously monitor respiratory, cardiovascular, neurologic, and sedation status
• Recognize early signs of respiratory depression, airway compromise, oversedation, allergic reaction, or hemodynamic instability
• Initiate appropriate nursing interventions without delay
• Escalate concerns immediately to the qualified medical provider
• Maintain accurate and complete sedation records
• Recover patients safely until established discharge or transfer criteria are met

Successful performance requires more than completing a checklist. The nurse must demonstrate situational awareness, sound judgment, appropriate urgency, and the ability to anticipate clinical deterioration.

2. Ensure Complete Pre-Procedure Readiness

Within the first 60 days, independently complete thorough pre-procedure assessments and prepare assigned patients without avoidable omissions.

Pre-procedure readiness includes:

• Medical and surgical history review
• Medication reconciliation
• Anticoagulant and antiplatelet verification
• Allergy and contrast-reaction history
• Required laboratory and diagnostic-result verification
• NPO and fasting-status confirmation
• Patient identity and procedure verification
• Confirmation that informed consent has been completed by the responsible provider
• Baseline neurological and vascular assessments when applicable
• IV access and ordered medication administration
• Transportation and responsible-adult verification
• Identification and escalation of clinical risks
• Clear patient and caregiver education

The nurse should identify missing information, contraindications, or readiness concerns early enough to prevent avoidable delays, cancellations, or patient-safety risks.

3. Provide Vigilant Intra-Procedural Monitoring and Emergency Response

Within the first 90 days, independently manage the nursing responsibilities for assigned interventional procedures within the nurse's validated competencies.

The nurse will:

• Monitor airway, respiratory rate, oxygenation, ventilation, cardiac rhythm, blood pressure, circulation, pain, anxiety, and level of consciousness
• Administer medications, fluids, and contrast media according to provider orders and established protocols
• Maintain accurate time-based medication and monitoring documentation
• Recognize changes in condition before they become critical
• Communicate clinical changes clearly and immediately
• Assist the physician and technologist during invasive procedures
• Establish or troubleshoot venous access
• Support critical or medically complex patients
• Initiate emergency measures and assist with resuscitation when required
• Maintain readiness of emergency medications, equipment, oxygen, suction, and airway resources

The nurse must demonstrate the confidence to stop, question, or escalate when a clinical situation appears unsafe.

4. Deliver Safe Post-Procedure Recovery and Discharge

Within the first 90 days, independently manage routine post-procedure recovery and demonstrate appropriate escalation for higher-risk patients.

Recovery responsibilities include:

• Receiving a complete procedural handoff
• Monitoring airway, breathing, circulation, neurological status, pain, nausea, and sedation recovery
• Performing procedure-specific puncture-site, bleeding, vascular, and neurological assessments
• Recognizing hemorrhage, hematoma, contrast reaction, infection, oversedation, or hemodynamic instability
• Administering ordered medications and interventions
• Communicating changes promptly to the appropriate provider
• Evaluating readiness for discharge, transfer, or admission
• Completing accurate and timely recovery documentation
• Providing patient-specific discharge education
• Confirming patient and caregiver understanding through teach-back when appropriate

Patients should leave Envita feeling clinically safe, emotionally supported, and confident about what to expect during recovery.

5. Maintain Efficient Patient Flow Without Compromising Quality

Within the first 90 days, effectively manage assigned patients while supporting on-time procedure starts, timely room progression, safe recovery, and appropriate discharge or transfer.

The nurse will:

• Anticipate clinical and operational needs
• Prioritize patients according to acuity and procedural schedule
• Communicate potential delays early
• Prepare medications, supplies, monitoring equipment, and recovery spaces
• Complete documentation without creating avoidable bottlenecks
• Coordinate effectively with physicians, technologists, and clinical team members
• Support safe procedural turnover
• Protect quality and safety even when the schedule is busy

Efficiency will never be achieved by rushing assessments, overlooking warning signs, or compromising patient education.

6. Strengthen Patient Experience, Clinical Quality, and Team Reliability

During the first year, become a trusted clinical team member known for excellent judgment, reliable follow-through, compassionate care, and direct communication.

The nurse will contribute to:

• Medication and procedural safety
• High-quality clinical handoffs
• Accurate and timely documentation
• Infection-prevention standards
• Emergency preparedness
• Patient and caregiver education
• Identification of recurring clinical risks
• Reporting of adverse events and near misses
• Continuous process improvement
• A supportive and accountable nursing culture
• Positive patient and family experiences
• Strong working relationships with physicians and team members

The nurse should accept feedback professionally, take ownership of mistakes, communicate concerns respectfully, and actively help protect both patients and colleagues.

First 30 Days

During the first 30 days, the nurse will:

• Complete Envita orientation and required clinical onboarding
• Learn interventional radiology procedures, workflows, and documentation standards
• Review moderate-sedation policies and emergency-response protocols
• Demonstrate understanding of commonly used sedation medications and reversal agents
• Become familiar with contrast, anticoagulation, infection-prevention, and recovery protocols
• Review Envita's procedures and patient populations
• Demonstrate safe use of monitoring and emergency equipment
• Shadow experienced clinical team members
• Learn pre-procedure, intra-procedure, and recovery workflows
• Build effective relationships with physicians, technologists, and nursing colleagues
• Demonstrate alignment with Envita's patient-first standards

First 60 Days

By the end of 60 days, the nurse will:

• Complete required moderate-sedation competency validation
• Independently prepare routine interventional radiology patients
• Complete accurate assessments and medication reconciliation
• Identify sedation risks and missing clinical information
• Establish and maintain IV access
• Provide clear patient and caregiver education
• Administer ordered medications safely
• Monitor routine moderate-sedation cases within validated competency
• Manage routine post-procedure recovery with appropriate support
• Document care accurately and within required timeframes
• Communicate changes in condition promptly
• Demonstrate current knowledge of emergency and airway-response procedures

First 90 Days

By the end of 90 days, the nurse will:

• Independently manage assigned patients across the pre-, intra-, and post-procedure continuum
• Administer and monitor moderate sedation safely
• Recognize and respond appropriately to sedation-related complications
• Demonstrate strong procedural prioritization and time management
• Support efficient patient flow and procedure-room turnover
• Complete safe and thorough handoffs
• Maintain complete medication, monitoring, and recovery documentation
• Demonstrate sound judgment during urgent clinical situations
• Meet all required sedation, emergency-response, nursing, and documentation competencies
• Consistently demonstrate Envita's patient-first culture

Exceptional Success After One Year

After one year, exceptional performance will be demonstrated by:

• Consistently safe and clinically thorough procedural nursing care
• Strong physician and team confidence in the nurse's clinical judgment
• Reliable moderate-sedation administration and monitoring
• Early recognition and escalation of clinical complications
• No recurring pattern of missed assessments, incomplete documentation, or delayed escalation
• Minimal preventable procedure delays related to incomplete nursing preparation
• High-quality medication, sedation, and recovery documentation
• Consistently complete discharge education
• Positive patient and family feedback
• Dependable support of daily procedural flow
• Active participation in clinical-quality and safety improvements
• Willingness to support, mentor, and strengthen the broader clinical team
• Strong alignment with Envita's mission, culture, and standards of care

Core Responsibilities

Pre-Procedure Nursing

• Complete comprehensive nursing assessments
• Review medical history, medications, allergies, laboratory results, and physician orders
• Confirm patient identity, procedure, and laterality when applicable
• Verify fasting status and transportation arrangements
• Assess anticoagulation, bleeding, contrast, and sedation risks
• Confirm informed consent has been completed by the responsible provider
• Witness consent signatures when permitted by policy
• Establish and maintain IV access
• Administer prescribed medications
• Prepare patients physically and emotionally for procedures
• Communicate clinical concerns before the patient enters the procedure room

Intra-Procedural Nursing and Moderate Sedation

• Administer moderate-sedation medications according to provider orders and organizational policy
• Continuously monitor the patient's respiratory, cardiovascular, neurological, and sedation status
• Assess and support airway patency
• Monitor level of consciousness, oxygenation, ventilation, ECG, blood pressure, and pain
• Recognize respiratory depression, oversedation, allergic reaction, bleeding, or hemodynamic instability
• Initiate appropriate interventions and escalation
• Maintain accurate medication and monitoring documentation
• Administer contrast media as ordered and permitted
• Assist physicians and technologists during invasive procedures
• Support venous access, critical-patient monitoring, and emergency response
• Assist with resuscitative measures when required

Post-Procedure Recovery

• Receive structured clinical handoffs from the procedural team
• Monitor patients recovering from moderate sedation and invasive procedures
• Assess airway, breathing, circulation, neurological status, pain, nausea, and procedure sites
• Monitor for bleeding, hematoma, allergic reaction, oversedation, infection, or instability
• Administer medications and interventions according to orders
• Notify the provider of changes in condition
• Evaluate readiness for discharge or transfer using established criteria
• Complete accurate recovery and discharge documentation

Patient Education and Communication

• Explain procedure and recovery expectations in understandable language
• Provide emotional reassurance without minimizing patient concerns
• Reinforce provider education regarding the procedure
• Educate patients and caregivers regarding medications, restrictions, follow-up care, and warning signs
• Confirm understanding before discharge
• Protect patient dignity, privacy, and confidentiality
• Communicate compassionately with patients facing serious or complex diagnoses

Clinical Quality and Department Readiness

• Complete accurate and timely EMR documentation
• Follow medication-administration and patient-identification standards
• Maintain infection-control and sterile-practice expectations
• Maintain readiness of emergency equipment, medications, oxygen, suction, and monitoring resources
• Participate in emergency drills and quality-improvement activities
• Report safety concerns, near misses, and adverse events appropriately
• Help maintain adequately stocked and prepared procedural and recovery areas

Ideal Candidate Profile

The ideal candidate is an experienced Interventional Radiology Registered Nurse who combines strong procedural judgment with a calm, compassionate bedside manner.

This nurse does not simply observe numbers on a monitor. The nurse understands what those numbers mean, recognizes trends, connects physiological changes to medication and procedure risks, and intervenes before a patient's condition becomes critical.

The successful candidate is comfortable with medically complex patients, moderate sedation, airway support, invasive procedures, rapid clinical decision-making, and emotionally distressed patients and families.

This person understands that efficiency matters, but patient safety and clinical quality always come first.

The ideal nurse:

• Notices subtle changes
• Anticipates clinical risk
• Asks appropriate questions
• Escalates concerns without hesitation
• Remains composed during emergencies
• Communicates directly and respectfully
• Documents thoroughly
• Takes ownership
• Supports colleagues
• Treats every patient with dignity and compassion

Required Qualifications

• Current Registered Nurse license in Arizona or qualifying compact-state license
• Graduate of an accredited professional nursing program
• Current Basic Life Support certification
• Current Advanced Cardiovascular Life Support certification
• Minimum of two years of direct, hands-on moderate-sedation administration and monitoring experience
• Previous Interventional Radiology nursing experience
• Demonstrated experience with pre-, intra-, and post-procedure nursing care
• Experience preparing and recovering patients following sedation or invasive procedures
• Demonstrated competency in airway assessment and basic airway support
• Experience recognizing and responding to sedation-related complications
• Strong clinical assessment, documentation, and communication skills
• Experience with IV access, medication administration, physiological monitoring, and emergency response
• Ability to care for medically complex patients
• Ability to provide detailed evidence of sedation experience during the interview process

Preferred Qualifications

• Bachelor of Science in Nursing or Master of Science in Nursing
• Certified Radiology Nurse certification
• Certified Sedation Registered Nurse certification
• PACU, critical-care, cardiac catheterization, procedural, or perioperative experience
• Experience with interventional oncology patients
• Experience with vascular access and contrast administration
• Experience with procedure-specific recovery protocols
• Experience with TACE, ablation, embolization, biopsy, kyphoplasty, or comparable interventional procedures
• Experience in a specialized outpatient procedural setting

Core Competencies

The successful nurse will demonstrate:

• Moderate-sedation expertise
• Clinical judgment
• Airway awareness
• Emergency-response readiness
• Patient advocacy
• Attention to detail
• Emotional intelligence
• Situational awareness
• Appropriate urgency
• Organization and prioritization
• Accurate documentation
• Clear communication
• Reliable follow-through
• Team collaboration
• Learning agility
• Accountability
• Continuous improvement

Culture and Values Alignment

Envita seeks team members who demonstrate:

• Compassion for patients facing difficult circumstances
• Integrity and honesty in clinical decision-making
• Accountability for outcomes and commitments
• Humility and willingness to learn
• Respect for patients, caregivers, and colleagues
• Gratitude and a service-oriented mindset
• Emotional maturity during stressful situations
• Loyalty to the patient, team, and mission
• Positive and professional communication
• Commitment to confidentiality
• Commitment to exceptional quality and continuous improvement
• Alignment with Envita's patient-first, purpose-driven, and faith-friendly environment

Compensation and Benefits

• Compensation up to $60.00 per hour, depending on experience
• Full-time employment
• Monday-through-Friday schedule, 8:00 a.m. to 4:00 p.m.
• Medical insurance
• Dental insurance
• Vision insurance
• Life insurance
• Paid time off
• 401(k)
• Specialized outpatient procedural environment
• Collaborative relationships with physicians and clinical leaders
• Opportunity to provide individualized, quality-focused care
• Long-term opportunity to contribute to the growth of Envita Interventional Radiology

Mon-Fri