Cath Lab RN
Winston Salem, NC
Access Healthcare
5x8 hrs, Days

Registered Nurse - Cath Lab

Location: Winston Salem, North Carolina
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Overview

• Work in Diagnostic and Interventional Cardiac Cath Labs
• Procedures include: Cardiac Stent Placement, Diagnostic Catheterizations (Adult), IABP Placement/Removal, Interventional Catheterizations, Left and Right Heart Catheterization, Percutaneous Coronary Interventions (PCI), Pulmonary Artery Line/Swan Ganz monitoring
• Medications handled: Antiarrhythmics, Antihypertensives, Emergency Medications, IV vasopressors, Procedural Sedation Administration/Monitoring, Reversal agents, Thrombolytics
• IV Therapy: Blood Product Administration, IV infusion pumps, Starting IVs
• Professional skills: 12 Lead EKG, Activated Clotting Time (ACT), Cardioversion, Circulate Procedures, Infection Prevention, Dysrhythmia Interpretation/Management, Isolation Precautions, Malignant Hyperthermia Protocols, Richmond Agitation-Sedation Scale, Sheath Removal and Monitoring

Preferred Skills (not required)

• Procedures: ASD Closures, Cardiac Implant Closure Device, Impella insertion, Rotablader athrectomy, Transcatheter Aortic Valve implantation/Replacement (TAVI/TAVR)
• Vascular Procedures: Angioplasty, dialysis graft interventional, Upper and Lower Extremity Angiography
• IV Therapy: Assist with Central Line Insertion/management, Implanted Ports and PICC Lines care
• Additional skills: End-Tidal CO2 monitoring, External Compression Devices, Hypothermia protocols, Laser Assisted Procedures, Pressure Ulcer Assessment/Prevention, Radiation and Laser Safety, Topical Hemostasis, Vascular Closure Systems, Ventilator Monitoring

Work Schedule & Requirements

• Shift: Monday to Friday, 5 days a week, 8 hours per day (06:45 - 15:15)
• Occasional late days (4-5 per month), rarely past 17:00
• Call: One day per week and every fifth weekend
• Float: Required as needed
• Patient Ratio: 1:1
• No weekend shifts required

Patient Population & Diagnoses

• Patients with cardiovascular diagnoses or symptoms including:

  • Coronary artery disease (stable angina, unstable angina/NSTEMI, STEMI)
  • Heart failure
  • Valvular disease
  • Congenital heart disease
  • Pulmonary hypertension
  • Pericardial disease
  • Pre-operative cardiovascular evaluation

Special Procedures & Equipment

• Percutaneous Coronary Intervention (PCI) including balloon angioplasty and stent placement
• PFO/ASD closure, Cardiogenic shock management, CTO
• Equipment used: Impella, Penumbra, EKOS, Roto, Ultrasound, Shockwave, ACIST, GE Mac Lab system

Orientation & Training

• Unit Orientation: 16 hours
• Scrubs: Provided

Required Qualifications

• Valid Registered Nurse license in North Carolina
• Minimum 2 years of experience in Cardiac Cath Lab nursing, with experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• ACLS certification
• BLS certification issued by American Heart Association or American Red Cross

Compliance & Background Checks

• Background checks required within 90 days of start, including:

  • Local county, federal court, national criminal database, DOJ sex offender search
  • Education verification for highest degree specific to nursing profession
• Drug screen: Negative 10-panel drug screen within 30 days of start
• Physical exam: Within 1 year of start (30 days if past positive TB)
• Immunizations and titers required or documentation of immunity for:

  • Rubeola (Measles)
  • Mumps
  • Rubella
  • Varicella
  • Hepatitis B (titer or series or facility-specific declination)
• TB testing: Negative PPD, Qgold, or Tspot within 1 year; if positive, clear chest x-ray within 5 years and annual physical with TB questionnaire signed by physician
• Fit testing: N95 mask fit test within 1 year or completion of PAPR training (exceptions apply)
• Seasonal flu vaccination or approved exemption required during flu season
• Medication Safety training and certificate of completion required

Testing & Competencies

• Dysrhythmia/EKG Competency Exam required within 72 hours of start; must score 82% or higher with up to 3 attempts and remediation if needed
• Medication/Pharmacology competency exam as applicable
• Color Blind Testing within 1 year via online platform

Documentation & Facility Requirements

• Employment application must be uploaded
• References: 2 professional references within 3 years for travel/per diem acute care nurses
• Confidentiality agreement, education roster, tobacco-free campus acknowledgement, and other facility-specific documents must be completed and signed prior to start
• Corporate ID and I-Learn account setup required within 72 hours of contract signing, including proof of login
• Radiation badge required for Cath Lab staff; arranged by agency for travel nurses

Additional Notes

• Candidates must provide a passport-style photo on a white background for badge creation (specific instructions apply)
• Candidates will float as needed within the facility
• No weekend shifts required, but call coverage is mandatory as specified
• Interview with manager required before offer

This position offers a specialized cardiac cath lab nursing experience with a structured schedule and comprehensive orientation, ideal for RNs with at least 2 years of relevant experience seeking a travel contract in North Carolina.