Cardiac Stress Technician

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The clinical support specialist who prepares patients, runs stress testing, and keeps everything safe before, during, and after the procedure.

Sector

Nuclear Cardiology - Outpatient Imaging

Type

Part-time, 1099 Independent Contractor - days/week to grow with volume

Location

Dallas, TX - In-person only

Rate

$40-$45/hr USD

Registered Nurse (RN), ACSM Certified Clinical Exercise Physiologist (ACSM-CEP/EP), or Licensed Paramedic

Role Overview

Our client is looking for a qualified Cardiac Stress Technician to support nuclear cardiology procedures at their Dallas, TX outpatient location. This role works directly alongside the Nuclear Medicine Technologist and supervising physician - handling patient preparation, IV access, physiologic monitoring, and stress test execution for both exercise and pharmacologic protocols.

This is not an imaging role. The Cardiac Stress Technician provides clinical support and emergency response within their scope of practice, and does not perform or interpret nuclear medicine scans. Volume starts part-time and is expected to grow with the market.

Key Responsibilities

Patient Preparation & Assessment

• Obtain and document patient history, vital signs, and pre-procedure assessments
• Prepare patients for nuclear medicine and nuclear cardiology examinations
• Assist with patient positioning and procedural preparation
• Educate patients on what to expect during stress testing and imaging

IV Access & Monitoring

• Establish and maintain intravenous access for imaging and stress testing procedures
• Monitor ECG rhythm, blood pressure, oxygen saturation, and patient symptoms throughout exercise and pharmacologic stress testing
• Identify and report abnormal findings or adverse reactions to the supervising physician immediately

Stress Testing Support

• Execute exercise treadmill and pharmacologic stress protocols under physician supervision
• Apply working knowledge of ACC/AHA stress testing indications, contraindications, and termination criteria
• Assist with pharmacologic stress agents including adenosine, regadenoson, and dobutamine administration and adverse effect management
• Assist physicians and Nuclear Medicine Technologists during testing procedures

Emergency Response & Documentation

• Ensure emergency equipment and medications are available and operational at all times
• Respond to medical emergencies and provide advanced life support interventions within scope of practice
• Assist with patient recovery and discharge instructions
• Maintain accurate patient care documentation and comply with HIPAA and infection control standards

Scope of Practice - Important

This role does not perform nuclear medicine imaging, interpret diagnostic images, administer radiopharmaceuticals (unless specifically authorized), or independently supervise nuclear stress testing.

Who Will Succeed

This role suits a clinical professional who is calm under pressure, confident with IVs and ECG monitoring, and takes patient safety personally. You know stress testing cold - the protocols, the red flags, and when to call it. You work well alongside physicians and imaging staff without needing to be managed.

• You hold an active RN, ACSM-CEP/EP, or Paramedic credential and are in good standing
• You have at least 1 year of cardiac stress testing experience and can run a test independently
• You know the ACC/AHA termination criteria by heart and apply them with confidence
• You're comfortable with pharmacologic agents - adenosine, regadenoson, dobutamine - and their reversal agents
• You communicate clearly and concisely with supervising physicians and imaging staff
• You adapt to part-time or variable scheduling without it affecting your clinical performance

Experience & Skills

Required:

• One of the following active credentials in good standing: Registered Nurse (RN), ACSM Certified Clinical Exercise Physiologist (ACSM-CEP or equivalent), or Licensed Paramedic
• Texas state license or certification in good standing for applicable credential
• Minimum 1 year of cardiac stress testing experience
• Current BLS certification
• Current ACLS certification
• Demonstrated knowledge of ACC/AHA stress testing indications, contraindications, and absolute/relative termination criteria
• Familiarity with pharmacologic stress agents and reversal agent administration
• Strong patient assessment and emergency response skills
• Ability to work on-site in Dallas, TX - Central Time
• Strong written and verbal communication - clear clinical documentation required
• AI-fluent - actively uses AI tools to support documentation, scheduling coordination, or patient communication; will be confirmed at screening

Preferred:

• Experience in outpatient or mobile nuclear cardiology settings
• Familiarity with nuclear cardiology workflows and imaging room protocols
• Experience working alongside Nuclear Medicine Technologists