Cath Lab RN (PRN)

JOB TITLE: Cath Lab Registered Nurse (RN)
GENERAL SUMMARY OF DUTIES: 
The Cath Lab Registered Nurse (RN) provides specialized nursing care to patients undergoing diagnostic and interventional cardiovascular and peripheral vascular procedures in the ASC setting. The RN functions in pre-procedure, intra-procedure, and post-procedure phases of care while ensuring compliance with CMS ASC Conditions for Coverage, infection control standards, and patient safety regulations.
REQUIREMENTS:
• Active RN license (Pennsylvania or Multi-state)
• Minimum 1–2 years critical care or cath lab experience preferred
• BLS and ACLS required
• Moderate sedation training preferred

CLINICAL COMPETENCIES REQUIRED:

• Advanced cardiac rhythm interpretation
• ACLS certification (required)
• Moderate sedation competency validation
• Hemodynamic monitoring proficiency
• Knowledge of:
  • Anticoagulants and antiplatelets
  • Contrast safety protocols
  • Radiation safety principles
• Ability to respond to emergencies until transfer if needed

KEY RESPONSIBILITIES:
Pre-Procedure Responsibilities

• Perform comprehensive nursing assessments including:
  • Cardiac history and physical review
  • Medication reconciliation (anticoagulants, antiplatelets, insulin, etc.)
  • Allergy and contrast risk screening
  • Renal function review (baseline creatinine/GFR)
• Verify informed consent.
• Initiate IV access and administer pre-procedure medications.
• Ensure proper site preparation (radial/femoral).
• Confirm NPO status and procedural time-out compliance.
• Educate patients and families regarding procedure and post-care instructions.
  Intra-Procedure Responsibilities

• Circulate and/or monitor during:
• Diagnostic cardiac catheterizations
• PCI (percutaneous coronary interventions)
• Peripheral angiography and interventions
• Loop recorder insertions
• Cardiomems
• Monitor conscious sedation per CMS and PA state regulations.
• Continuously monitor:
• Hemodynamics
• Cardiac rhythm
• Oxygen saturation
• Blood pressure
• Assist physician with sterile technique and equipment preparation.
• Document medications, contrast volume, and procedural events in real time.
• Respond appropriately to emergencies (arrhythmias, hypotension, contrast reactions).
• Operate defibrillator and emergency equipment.
  Post-Procedure Responsibilities

• Recover patients in PACU or monitored recovery area.
• Assess access site (radial/femoral) for bleeding or hematoma.
• Monitor distal pulses and vascular status.
• Manage sheath removal.
• Manage radial band removal.
• Provide discharge education:
• Activity restrictions
• Wound care
• Medication instructions
• Emergency warning signs
• Ensure discharge criteria are met per ASC policy.

PHYSICAL/MENTAL DEMANDS:

• Ability to stand for prolonged periods
• Ability to wear lead apron during procedures
• Lift and transfer patients as needed
• Respond quickly in emergency situations

ENVIRONMENTAL/WORKING CONDITIONS:  Normal busy office environment with much telephone work.  This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve

Benefits

• 401(k) retirement plan with a company match
• And more!

Equal Employment Opportunity & Work Force Diversity

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws.  This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc.  Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.