MyMichigan Health
Summary: Units: Cath Lab / 2nd unit based on applicant’s experience. Day shift plus call. This position cares for patients before, during and after angiography, interventional and diagnostic procedures. Responsibilities include pre‑procedure assessment, pre‑medication, documentation of cath process, post‑cath care, patient education and scrubbing in for procedures while assisting other members of the cardiac catheterization laboratory.
Responsibilities
35% Performs nursing care of the catheterization/angiography cardiovascular patient and conducts other cardiac diagnostic nursing procedures according to department protocol. Assisting in stress echocardiogram, routine treadmill exam, nuclear and pharmacologic stress testing, tilt table, echocardiograms (NS/Definity), cardioversions, and transesophageal echocardiograms. Assists with prep, procedure, and recovery for other interventional radiology procedures. Evaluates and screens patients for safety prior to performing testing. Provides sedation monitoring in accordance with hospital policy and documents appropriately. Holter monitor application, event monitor application, and ambulatory blood pressure monitor application, pacemaker interrogations. Inserts PICC lines and functions as a vascular access expert to meet patients’ needs. Performs other necessary tasks as assigned by manager.
35% Operates equipment and manages supplies, i.e., cardiac output, hemodynamic, pacemakers/ICDs, intraaortic balloon pump, crash cart, IV pumps, defibrillators, point of care glucometer/blood sugar testing, stress machines, and other nursing supplies. Transesophageal echocardiography (TEE/IV etc.).
15% Scrubs in for procedures with the physician.
15% Records all pertinent information on appropriate data sheets. Develops, reviews, and enhances cardiovascular education materials and programs.
Other Duties And Responsibilities Assists in other radiology/cardiology procedures as needed. Required 30‑minute response time to arrive on site when on‑call. Demonstrates a general ability to manage assignments and perform routine duties on the unit. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Possesses a thorough knowledge of pre, intra, and post procedure routine. Initiates a teaching plan appropriate to the procedure and the patient’s level of understanding. Communicates effectively with patients, families, and physicians to assure that appropriate care is provided. Inserts PICC lines via ultrasound guidance and provides instruction/education to patients. Demonstrates an understanding of all medications administered for care of the patient. Provides sedation monitoring in accordance with the hospital policy and documents appropriately. Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Oversees/maintains use and function of nursing equipment, crash cart, IVACs, O2, defibrillators, Nova StatStrip Glucose Meter, and other nursing supplies. Required to be part of transport team when patients have an intraaortic balloon pump placed and needing higher level of care. Transfers patients, stocks supplies, and performs basic office functions. Other duties as assigned.
Certifications and Licensures
ACLS: Advanced Cardiac Life Support
– Within 1 month of hire or transfer.
BLS: Basic Life Support
– Within 1 month of hire or transfer (AHA).
RN: Registered Nurse
– Knowledge of nursing technique as normally acquired through completion of an Associates degree in Nursing culminating in licensure as a RN. ACLS certified. Knowledge of critical care nursing as normally acquired through 2 years experience working in a Medical Center or similar setting.
Required Education Associate degree in Nursing (Bachelor degree in nursing is preferred). NRGE specialization.
Other Information Knowledge of critical care nursing as normally acquired through 2 years experience working in a Medical Center or similar setting is preferred. Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. Previous direct patient care experience preferred. Knowledge of cardiac stress testing preferred. Knowledge of moderate sedation, medication and IV solution administration preferred. Knowledge of invasive radiology procedures and cardiac catheterization preferred. Knowledge and operation of intraaortic balloon pump preferred.
Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including public contact, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required. Able to move freely about facility with or without an assisted device. Must be able to perform the functions of the job as outlined. Overall vision and hearing necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood‑borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Lift or carry 21‑50 lbs occasionally; 20 lbs frequently; walk/stand/push/pull of arm/leg controls constantly 10 lbs.
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Responsibilities
35% Performs nursing care of the catheterization/angiography cardiovascular patient and conducts other cardiac diagnostic nursing procedures according to department protocol. Assisting in stress echocardiogram, routine treadmill exam, nuclear and pharmacologic stress testing, tilt table, echocardiograms (NS/Definity), cardioversions, and transesophageal echocardiograms. Assists with prep, procedure, and recovery for other interventional radiology procedures. Evaluates and screens patients for safety prior to performing testing. Provides sedation monitoring in accordance with hospital policy and documents appropriately. Holter monitor application, event monitor application, and ambulatory blood pressure monitor application, pacemaker interrogations. Inserts PICC lines and functions as a vascular access expert to meet patients’ needs. Performs other necessary tasks as assigned by manager.
35% Operates equipment and manages supplies, i.e., cardiac output, hemodynamic, pacemakers/ICDs, intraaortic balloon pump, crash cart, IV pumps, defibrillators, point of care glucometer/blood sugar testing, stress machines, and other nursing supplies. Transesophageal echocardiography (TEE/IV etc.).
15% Scrubs in for procedures with the physician.
15% Records all pertinent information on appropriate data sheets. Develops, reviews, and enhances cardiovascular education materials and programs.
Other Duties And Responsibilities Assists in other radiology/cardiology procedures as needed. Required 30‑minute response time to arrive on site when on‑call. Demonstrates a general ability to manage assignments and perform routine duties on the unit. Attend and participate in professional association activities and programs to assure being current on regulations, guidelines, and professional standards. Possesses a thorough knowledge of pre, intra, and post procedure routine. Initiates a teaching plan appropriate to the procedure and the patient’s level of understanding. Communicates effectively with patients, families, and physicians to assure that appropriate care is provided. Inserts PICC lines via ultrasound guidance and provides instruction/education to patients. Demonstrates an understanding of all medications administered for care of the patient. Provides sedation monitoring in accordance with the hospital policy and documents appropriately. Demonstrates the ability to interpret information and reports pertinent data to the physician, including pertinent clinical information. Oversees/maintains use and function of nursing equipment, crash cart, IVACs, O2, defibrillators, Nova StatStrip Glucose Meter, and other nursing supplies. Required to be part of transport team when patients have an intraaortic balloon pump placed and needing higher level of care. Transfers patients, stocks supplies, and performs basic office functions. Other duties as assigned.
Certifications and Licensures
ACLS: Advanced Cardiac Life Support
– Within 1 month of hire or transfer.
BLS: Basic Life Support
– Within 1 month of hire or transfer (AHA).
RN: Registered Nurse
– Knowledge of nursing technique as normally acquired through completion of an Associates degree in Nursing culminating in licensure as a RN. ACLS certified. Knowledge of critical care nursing as normally acquired through 2 years experience working in a Medical Center or similar setting.
Required Education Associate degree in Nursing (Bachelor degree in nursing is preferred). NRGE specialization.
Other Information Knowledge of critical care nursing as normally acquired through 2 years experience working in a Medical Center or similar setting is preferred. Interpersonal skills needed to communicate successfully with individuals and groups and interact with people at all levels to communicate ideas and concepts in a clear and understandable manner. Previous direct patient care experience preferred. Knowledge of cardiac stress testing preferred. Knowledge of moderate sedation, medication and IV solution administration preferred. Knowledge of invasive radiology procedures and cardiac catheterization preferred. Knowledge and operation of intraaortic balloon pump preferred.
Physical/Mental Requirements And Typical Working Conditions Exposure to stressful situations, including public contact, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required. Able to move freely about facility with or without an assisted device. Must be able to perform the functions of the job as outlined. Overall vision and hearing necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood‑borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Medium. Lift or carry 21‑50 lbs occasionally; 20 lbs frequently; walk/stand/push/pull of arm/leg controls constantly 10 lbs.
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