Required Skills/Experience:
At least one year of experience in critical care, emergency, or cath lab required.
Preferred Skills/Experience:
At least three years of experience in Interventional Radiology or Cath Lab preferred.
Conscious sedation training preferred.
Monitor role experience preferred.
Bilingual and/or English-Spanish speaking preferred.
Required Credentials:
Graduate of an accredited school of professional nursing.
Evidence of continuing education appropriate for skill level and area of practice required.
Shift & Scheduling:
May be on call for the Interventional Unit as the need arises.
Unit Details:
Patients undergo invasive interventional procedures, including angiography, embolization, cardiac catheterization, and other minimally invasive interventions.
RN assignments may include circulator, moderate sedation, scrub, and hemodynamic/procedural monitor roles.
Circulator assignments include administering anticoagulants, vasoactive agents, contrast, and emergency drugs; maintaining sterile technique; and assisting with procedures.
Moderate sedation assignments require continual assessment, including monitoring vital signs, hemodynamics, oxygenation, ventilation, level of consciousness, and patient responses; the RN verifies ASA classification and consults anesthesia for ASA IV or greater.
Scrub assignments use sterile instruments, guidewires, catheters, sheaths, embolic materials, and procedural trays, with attention to vascular anatomy, device sizing, catheter selection, and table-side procedural flow.
Monitor assignments include recording hemodynamic data, pressures, procedural events, supplies, implants, contrast usage, and procedural details; operating and troubleshooting physiological monitoring systems such as hemodynamic recorders, ECG, and oxygen saturation monitors; and communicating real-time findings to the procedural team.
Contrast allergy or sensitivity management includes collaboration with radiology technologists and physicians, discussion of appropriate contrast agents such as switching to iso-osmolar agents, and communicating allergy considerations during the timeout.
The RN responds to complications including arrhythmia, bleeding, contrast reactions, stroke alerts, and cardiac arrest.
Peri-procedure support includes patient preparation and positioning, monitoring-equipment setup, verification of allergies, NPO status, and renal function, patient identification, procedure verification, timeout processes, and sheath pulls and vascular access management as needed.
Equipment includes infusion pumps, PCA pumps, ultrasound, IVUS, and physiological monitoring systems.
Department support includes managing supplies and par levels, restocking rooms, tracking expiration dates, rotating stock, receiving and shelving inventory, room turnover and post-procedure cleanup, and ensuring devices such as ultrasound and IVUS are cleaned, charged, and stored.
Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process.
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