Procedural Registered Nurse
Urology Center of Iowa
Job Description
Job Description
JOB TITLE: Procedural Registered Nurse
REPORTS TO: Clinical Supervisor
DEPARTMENT/LOCATION: Clinical, On-Site
JOB CLASSIFICATION: Permanent, Full-Time, Non-Exempt.
REQUIREMENTS: Current unrestricted Registered Nurse license applicable to the state of practice.
LAST MODIFIED: 8/26/2026
POSITION SUMMARY
The Procedural Registered Nurse provides comprehensive nursing care to patients undergoing procedures within a urology-focused Interventional Radiology program, including Prostate Artery Embolization (PAE) and other procedures as the program develops.
This position provides nursing care throughout the entire procedural experience, including pre-procedure assessment and preparation, intra-procedure circulating and moderate sedation responsibilities, and post-procedure recovery and discharge.
The Procedural Registered Nurse works closely with the Interventional Radiologist and procedural team to ensure safe, efficient, patient-centered care before, during, and following interventional procedures.
ESSENTIAL FUNCTIONS
· Complete pre-procedure nursing assessments and verify patient readiness for the scheduled procedure.
· Review medical history, medications, allergies, laboratory results, imaging, and other required clinical information.
· Confirm completion of required pre-procedure testing and preparation, establish and maintain intravenous access, and administer medications as ordered and within nursing scope of practice.
· Provide patient and family education regarding the procedure, sedation, recovery, and discharge expectations.
· Identify potential clinical concerns and communicate findings to the Interventional Radiologist or other appropriate provider.
· Ensure required documentation, consent processes, and procedural safety requirements have been completed.
· Serve as the circulating Registered Nurse during Interventional Radiology procedures.
· Prepare and administer moderate sedation according to provider orders, organizational policy, nursing scope of practice, and applicable regulatory requirements.
· Continuously monitor the patient's respiratory, cardiovascular, neurologic, and overall clinical status during moderate sedation.
· Monitor and document vital signs, oxygen saturation, cardiac rhythm, level of consciousness, pain, medications, and other required procedural information.
· Recognize changes in patient condition and initiate appropriate interventions, including airway support and emergency response as needed.
· Assist the Interventional Radiologist and procedural team with medications, supplies, equipment, and other circulating responsibilities.
· Participate in procedural time-outs and required patient-safety processes and assist in maintaining the integrity of the sterile field.
· Ensure emergency medications and equipment are immediately available and operational.
· Conduct patient phone calls before and after procedures to review preparation instructions, assess readiness, answer questions, reinforce discharge instructions, evaluate recovery status, and identify concerns requiring provider follow-up.
· Provide post-procedure recovery nursing care and monitor vascular access sites, bleeding, hematoma, neurovascular status, pain, urinary symptoms, medication effects, and other potential complications.
· Monitor patients until established discharge criteria are met and manage pain, nausea, and other post-procedure symptoms according to orders and protocols.
· Provide patient and caregiver discharge education, including medications, activity restrictions, access-site care, warning signs, and follow-up instructions.
· Coordinate transfer to a higher level of care when clinically indicated and complete accurate, timely nursing documentation.
· Assist with development and implementation of nursing workflows, patient call processes, pre- and post-procedure protocols, moderate sedation standards, and patient education for the IR program.
· Maintain emergency equipment, medication supplies, procedural nursing supplies, and required crash-cart and medication checks.
· Stock, order, and maintain procedural and recovery supplies while supporting cost-effective inventory management, minimizing waste, and ensuring necessary supplies are available for patient care.
· Participate in quality-improvement and patient-safety initiatives and collaborate with physicians, procedural staff, scheduling teams, and operational leadership to promote efficient patient flow.
· Crosstrain and provide nursing support in other procedural or clinical areas as appropriate based on organizational needs and demonstrated competency.
· Perform other duties as assigned.
QUALIFICATIONS & REQUIREMENTS
· Current unrestricted Registered Nurse license in the state of practice.
· Graduate of an accredited nursing program.
· Current BLS and ACLS certification required.
· Moderate sedation certification preferred; if not currently certified, must obtain within 30 days of hire.
· Procedural, perioperative, emergency, critical-care, PACU, or interventional radiology experience preferred.
· Strong assessment, communication, patient education, teamwork, and emergency-response skills.
WORKING ENVIRONMENT
This role is based in a fast-paced, patient-focused urology clinic where collaboration is key. Our team of physicians, nurses, and support staff work together in a modern facility equipped with an EHR system and on-site diagnostic services. The atmosphere is professional yet warm, with a shared commitment to delivering compassionate, high-quality care to a diverse patient population. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Potential exposure to infectious diseases, bloodborne pathogens and chemical cleaning agents. Electronic medical records (EMR) systems, phone systems and standard medical equipment.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to stand and walk for extended periods of time, assist with positioning and transferring patients safely, wear lead protective apparel for extended periods as required during procedures, respond rapidly during emergencies, operate clinical equipment, and perform the physical functions necessary to provide safe procedural and recovery nursing care. Specific vision abilities required by this job include Close vision and Distance vision. While performing the duties of this job, the employee is frequently required to lift patients and carry items weighing up to 30 pounds unassisted, adequate physical ability, including sufficient manual dexterity, to perform the requisite healthcare services, stand; walk; sit and talk or hear.
COMPANY OVERVIEW
OUR MISSION: To provide compassionate, world-class urologic care and exceptional experiences for our patients, employees and partners.
OUR VISION: Curing the world of urologic disorders, one person at a time.
OUR VALUES : At UCI, we are passionate about patient experience and making the healthcare journey from diagnosis through treatment as easy and stress-free as possible! Through unmatched integration and access for patients, partner hospitals and other physicians in the community, we provide world-class urologic care in an attentive environment where you are at the center of all we do.
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