Cath Lab Registered Nurse
Wilmington, North Carolina
New Hanover Regional Medical Center

Job Opportunity: Cath Lab Registered Nurse

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

Job Description

• Work schedule: Four 10-hour day shifts per week (7:30 AM – 6:00 PM), with some early shifts (6:30 AM – 5:00 PM) depending on procedure completion. One late shift per week to complete the last patient of the day.
• Call requirement: One night per week.
• Weekend requirement: One weekend every other month.
• Float requirement: As needed.
• Unit orientation: 24 hours.
• Scrubs provided.
• Medication, documentation, and communication systems used: Pyxis, MAC LAB, CUPID, EPIC, SBAR.
• Scheduling type: Self-scheduling.
• No Return to Office (RTO) after booking allowed; call-offs or additional RTO may lead to cancellation and Do Not Rehire status.

Required Skills & Experience

• Minimum 2 years of experience as a Registered Nurse in specialty areas related to cardiac catheterization lab procedures.
• Clinical skills include:

  • Diagnostic and interventional cardiac catheterizations (adult and left/right heart).
  • Cardiac stent placement, Percutaneous Coronary Interventions (PCI).
  • Intra-Aortic Balloon Pump (IABP) placement/removal, Impella insertion.
  • Pulmonary artery line/Swan Ganz monitoring.
  • Rotablator atherectomy, scrub procedures in cardiac cath lab.
  • Administration and monitoring of procedural sedation, emergency medications, IV vasopressors, thrombolytics.
  • Cardioversion, interpretation and management of dysrhythmias.
  • Infection prevention, isolation precautions, and PPE use.
  • Sheath removal and monitoring, topical hemostasis techniques.
  • Use of IV infusion pumps and starting/maintaining IVs.
  • Activated Clotting Time (ACT) monitoring, end-tidal CO2 monitoring.

Preferred Skills

• Experience with:

  • Structural heart procedures (ASD closures, TAVR, valvuloplasty, Watchman procedure).
  • Vascular interventions (angioplasty, carotid stenting, stent graft placement).
  • Central venous access (non-tunneled, PICC, port placement).
  • Dialysis graft creation/revision and interventional procedures.
  • Endovascular interventions and vascular imaging (SVC/IVC venography, thoracic aortography, extremity angiography).
  • Use of external compression devices, hypothermia and malignant hyperthermia protocols.
  • Radiation and laser safety, vascular closure systems.
  • Obtaining 12-lead EKG/ECG.

Required Certifications

• ACLS (Advanced Cardiac Life Support) – AHA or American Red Cross accepted.
• BLS (Basic Life Support) – AHA or American Red Cross accepted.

Required Licenses

• Valid Registered Nurse (RN) license for North Carolina.

Health and Compliance Requirements

• Negative TB test or chest X-ray within 1 year of start (or documentation of past positive with appropriate follow-up).
• Required immunizations or titers: Measles (Rubeola), Mumps, Rubella, Hepatitis B, Varicella. Declinations not accepted for measles.
• Drug screening: 9-panel drug test within 6 months of start.
• Physical exam: Not required for this crisis profile.
• Annual flu vaccination or approved exemption with mask-wearing requirement.
• Background check within 6 months for clinical candidates.
• Color blindness testing within 1 year.
• Dysrhythmia/EKG competency exam with a minimum passing score of 82% (must be completed within 72 hours of start).
• Medication safety training certificate required prior to or shortly after start.
• Completion of facility-specific education modules and compliance training.

Additional Requirements

• Photo for badge: Passport-style photo on a solid white background, business attire, no head coverings except glasses, holding a paper with full name and phone number at stomach level. Must be submitted immediately after signing contract to avoid start delays.
• Completion of confidentiality agreement, hospital policies acknowledgment, and other facility-specific documents prior to start.
• Must complete Non-Novant Health Worker Clinical Education Checklist (approx. 8-10 hours of training).
• Must complete annual mandatory education if working in South Carolina.
• Must complete Corporate ID setup and I-Learn login within 24 hours of receiving credentials to avoid start delays.

Required Skills & Experience

• Valid Registered Nurse (RN) license in North Carolina
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Minimum 2 years of Cardiac Cath Lab experience, including experience within the last year
• Proficient in diagnostic catheterizations (adult, left heart, right heart)
• Skilled in interventional catheterizations including Percutaneous Coronary Interventions (PCI) and cardiac stent placement
• Experience with Intra-Aortic Balloon Pump (IABP) placement and removal
• Experience with Impella insertion
• Proficient in pulmonary artery line/Swan Ganz monitoring
• Skilled in rotablator atherectomy procedures
• Current ACLS certification issued by American Heart Association or American Red Cross
• Current BLS certification issued by American Heart Association or American Red Cross