Registered Nurse - Cath Lab

Cardiac Cath Lab Registered Nurse

Required Skills / Certs / Exp: Minimum years of experience: 2. Traveler experience: not required. Locals accepted / rate difference: yes. Skills: Work settings include diagnostic cardiac cath lab and interventional cardiac cath lab. Procedures: cardiac stent placement, diagnostic catheterizations adult, IABP placement/removal, interventional catheterizations, left heart catheterization, percutaneous coronary interventions (PCI), pulmonary artery line/Swan Ganz monitoring, right heart catheterization. Medications: antiarrhythmics, antihypertensives, emergency medications, IV vasopressors, procedural sedation administration/monitoring, reversal agents, thrombolytics. IV therapy: blood product administration, IV infusion pumps, starting IVs. Professional knowledge and skills: 12 lead EKG, activated clotting time (ACT), cardioversion, circulate procedures, infection prevention, interpretation/management of dysrhythmias, isolation precautions, malignant hyperthermia protocols, monitoring procedural sedation, Richmond agitation-sedation scale, sheath removal and monitoring. Certs: ACLS, BLS

Preferred skills / certs / exp: Work settings include cardiac cath lab procedures such as ASD closures, cardiac implant closure device, impella insertion, rotablader athrectomy, scrub procedures, transcatheter aortic valve implantation/replacement (TAVI/TAVR). Vascular studies/procedures: angioplasty, dialysis graft interventional, upper and lower extremity angiography. IV therapy: assist with central line insertion/management, implanted ports - care and maintenance, PICC lines - care and maintenance. Professional knowledge and skills: end-tidal CO2 monitoring, external compression devices (C-clamp, sandbags), hypothermia protocols, laser assisted procedures, pressure ulcer assessment/prevention, radiation and laser safety, topical hemostasis (D-stat, Chito-Seal, Syvek Patch), vascular closure systems (Perclose, StarClose), ventilator monitoring.

Job details: Ratios: 1:1. Shift: 5x8 days (06:45-15:15) Mon-Fri. Occasional late days, typically 4-5 days per month, it is rare that staff will work in the lab after 17:00 on those days. Call requirement: call one day a week and every fifth weekend. Float requirement: will float as needed. Weekend requirement: none.

Patient diagnoses: Patients are referred to cath lab with a range of cardiovascular diagnoses or symptoms, often with suspicion or confirmation of heart or vascular disease. Some diagnoses include coronary artery disease (stable angina, unstable angina/NSTEMI, STEMI, heart failure, valvular disease, congenital heart disease, pulmonary hypertension, pericardial disease and assess pre-operative evaluation.

Special procedures / unit details: percutaneous coronary intervention (PCI)-balloon angioplasty and stent placement, PFO/ASD closure, cardiogenic shock, CTO, etc. Special equipment: Impella, Penumbra, EKOS, Roto, Ultrasound, Shockwave and ACIST are major items used. GE Mac Lab system. Unit systems (medication, documentation, communication): Pyxis, SBAR, Epic. Unit orientation: 16 hours. Scrubs: provided.