Cardiac Cath Lab RN
Nashua, NH
LanceSoft
5x8 hrs, Days

Cardiac Cath Lab 

Summary

The RN develops an overall view of patients, families and caregivers, and establishes strong partnerships to deliver optimal care. 
 

Essential Duties and Responsibilities

Must have 2 years of Cath Lab experience!

• Experience with complex/critical care medication infusions, including titration management
• Enhanced knowledge of anatomy and physiology, especially cardiac
• Experience with emergency cardiac interventions
• Provide in-depth history and medication review (pre-admission testing) of all patients scheduled for procedures to ensure patient safety peri-procedure. Demonstrates the ability to correctly identify periprocedural safety issues, and report to physician accordingly.
• Demonstrates clinical expertise in creating and maintaining a sterile field.
• Plans and provides equipment and supplies based on procedure and physician needs.
• Participates in on-call assignments and demonstrates flexibility to cover staffing as needed.
• Ability to be within 30-minute radius when on call.
• Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures.
• Maintains safe working environment to include radiation safety/appropriate personal protection attire.
• Demonstrates criteria for arterial and venous sheath removal. RN has working understanding of guidelines provided in physician orders for safe sheath removal when patient has been given blood thinners prior to sheath removal.
• Demonstrates the ability to identify criteria for equipment including Intra-Aortic Balloon Pump (IABP), IMPELLA etc. Assist MD with set up, insertion and maintenance of equipment as needed.
• Assist with insertion of Flow wire, Opsens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion.
• Demonstrates a working knowledge of hemodynamic waveforms. Obtains the ability to monitor arterial waveform during left heart catheterization. Able to identify damping and ventriculization of arterial waveforms. Able to correctly identify different hemodynamic waveforms during right heart catheterizations.
  
  Shift Information: 7:00am -3:30pm
  EMR Used: EPIC

Job Requirements

Job Knowledge and Skills

• Basic Dysrhythmia preferred or obtained prior to completion of orientation.
• NIHSS certification preferred or obtained prior to completion of orientation
• Certification in Specialty preferred
• Call shifts required for Cath Lab and Stress Lab.
• CPI training preferred or obtained within 6 months of hire.
• CPI advanced training for the ED and ICU within 6 months of hire.

Education and Experience

• Current New Hampshire RN license or compact state license required
• 3-5 Years Critical Care Experience preferred for the Cardiac Cath/Angiography Lab
  
  License
• ASN required, BSN preferred
• BLS required
• ACLS Preferred
• PALS Preferred
• CPI
• 3 years’ critical care experience preferred
• Assist with insertion of Flow wire, Opens and IVUS. RN must demonstrate contraindications and reversal for IV adenosine infusion.
• Ability to safely administer procedural sedation. Pass annual sedation examination. Documents sedation according to policies and procedures.