Critical Care Registered Nurse – EP Lab
Lexington, KY
Magnet Medical
4x10 hrs, Days

A Registered Nurse (RN) in Electrophysiology (EP) provides specialized nursing care to patients undergoing diagnostic and therapeutic procedures related to heart rhythm disorders. EP nurses work in collaboration with electrophysiologists and other healthcare professionals to assist in the management of arrhythmias, conduct diagnostic tests such as electrophysiology studies (EPS), and support patients through procedures like catheter ablation, pacemaker or defibrillator implantation, and other treatments. This role requires expert knowledge of cardiac care, advanced electrophysiology techniques, and the ability to work in high-stakes, fast-paced environments.

Key Responsibilities:

1. Pre-Procedure Assessment and Preparation:

   • Conduct thorough pre-procedure assessments of patients, including reviewing medical history, current medications, allergies, and previous cardiac conditions.
   • Educate patients and their families about the electrophysiology procedure, including the purpose, potential risks, and expected outcomes.
   • Ensure patients are appropriately prepared for the procedure, including obtaining informed consent, performing vital sign checks, and ensuring lab work is completed (e.g., EKG, blood work).
   • Monitor patient status prior to the procedure, including sedation levels, anxiety management, and any comorbid conditions (e.g., hypertension, diabetes).

2. Assisting in Electrophysiology Procedures:

   • Assist the electrophysiologist during electrophysiology studies (EPS), which involve mapping the electrical pathways of the heart.
   • Set up and monitor electrophysiology equipment, including the electrophysiology lab’s electrical mapping system, fluoroscopy, and other diagnostic tools.
   • Assist with the insertion of catheters into the heart via the femoral vein, internal jugular vein, or other access points, ensuring patient safety and comfort.
   • Monitor the patient’s vital signs, oxygenation levels, and electrocardiogram (ECG) during the procedure.
   • Administer sedatives, analgesics, or other medications as ordered, ensuring patient safety and managing potential side effects or complications.
   • Assist with catheter ablation procedures to treat arrhythmias, including monitoring for any adverse events during the procedure.

3. Post-Procedure Care and Monitoring:

   • Monitor patients closely after an EP procedure, including assessing vital signs, cardiac rhythms, and any signs of complications (e.g., bleeding, infection, arrhythmia recurrence).
   • Provide care for patients recovering from sedation, ensuring they are stable and alert before discharge.
   • Educate patients on post-procedure care, including wound care (for catheter insertion sites), activity restrictions, medication management, and recognizing signs of potential complications (e.g., infection, bleeding).
   • Coordinate with the healthcare team to ensure follow-up appointments and ongoing care, such as pacemaker or defibrillator programming or cardiac rehabilitation.

4. Patient Education and Emotional Support:

   • Provide education to patients and families regarding arrhythmias, pacemaker/defibrillator use, and lifestyle changes needed to manage their heart condition.
   • Address patients' concerns and provide emotional support before, during, and after the procedure, helping to alleviate anxiety and ensuring they are fully informed.
   • Educate patients about heart health, including the role of medication, activity restrictions, and long-term care following heart rhythm treatments.

5. Collaboration with the Healthcare Team:

   • Work closely with electrophysiologists, cardiologists, and other medical professionals to ensure that patients receive optimal care during and after the procedure.
   • Communicate effectively with the healthcare team, providing updates on patient status and any changes in condition during or after the procedure.
   • Collaborate in the development of individualized care plans for patients with arrhythmias, ensuring appropriate treatments are delivered.
   • Participate in patient rounds to review and update care plans as necessary.

6. Infection Control and Safety:

   • Follow strict infection control protocols during procedures, including sterile techniques when inserting catheters and performing other invasive procedures.
   • Monitor for and address any signs of infection at catheter insertion sites or internal device sites (e.g., pacemaker or defibrillator).
   • Ensure patient safety by monitoring for potential complications, such as bleeding or arrhythmias, following procedures.

7. Documentation and Record-Keeping:

   • Maintain accurate, up-to-date documentation of patient assessments, procedures, medications administered, and outcomes.
   • Ensure patient records are in compliance with institutional and regulatory standards, including HIPAA guidelines.
   • Document any post-procedure complications, patient responses to treatment, and care instructions provided to patients.

8. Emergency Response:

   • Respond to emergency situations, such as cardiac arrhythmias, complications from the procedure (e.g., catheter-induced trauma), or adverse reactions to medications or anesthesia.
   • Be prepared to initiate life-saving measures such as advanced cardiac life support (ACLS) in the event of a cardiac arrest or other life-threatening conditions.
   • Collaborate with the healthcare team to stabilize patients and provide appropriate interventions in emergency situations.