Cath Lab RN (Part-Time)

Surgery Partners•Philadelphia, PA

About The Position

The Cath Lab Registered Nurse provides specialized nursing care to patients undergoing diagnostic and interventional cardiovascular and peripheral vascular procedures in an ambulatory surgery center (ASC). The RN delivers care during pre-procedure, intra-procedure, and post-procedure phases while ensuring compliance with CMS ASC Conditions for Coverage, infection control standards, and patient safety regulations. The role involves patient assessment and preparation, procedural monitoring and assistance, recovery and discharge care, and response to clinical emergencies. The position requires advanced cardiac rhythm interpretation, hemodynamic monitoring, and competency in moderate sedation. The nurse uses a defibrillator and other emergency equipment and may need to respond to emergencies until patient transfer.

Requirements

Active RN license in Pennsylvania or a multistate RN license.
BLS certification.
ACLS certification.
Advanced cardiac rhythm interpretation competency.
Moderate sedation competency validation.
Proficiency in hemodynamic monitoring.
Knowledge of anticoagulants and antiplatelets, contrast safety protocols, and radiation safety principles.
Ability to respond to emergencies until transfer if needed.

Nice To Haves

Minimum 1–2 years of critical care or cath lab experience preferred.
Moderate sedation training preferred.

Responsibilities

Perform comprehensive pre-procedure nursing assessments, including review of cardiac history and physical, medication reconciliation, allergy and contrast risk screening, and renal function.
Verify informed consent, initiate IV access, administer pre-procedure medications, prepare the procedural site, confirm NPO status, and comply with procedural time-out requirements.
Educate patients and families about procedures and post-care instructions.
Circulate and/or monitor during diagnostic cardiac catheterizations, PCI, peripheral angiography and interventions, loop recorder insertions, and CardioMEMS procedures.
Monitor conscious sedation in accordance with CMS and Pennsylvania state regulations.
Continuously monitor hemodynamics, cardiac rhythm, oxygen saturation, and blood pressure.
Assist the physician with sterile technique and equipment preparation.
Document medications, contrast volume, and procedural events in real time.
Respond to emergencies such as arrhythmias, hypotension, and contrast reactions; operate the defibrillator and emergency equipment.
Recover patients in PACU or a monitored recovery area.
Assess radial or femoral access sites for bleeding or hematoma and monitor distal pulses and vascular status.
Manage sheath removal and radial band removal.
Provide discharge education covering activity restrictions, wound care, medication instructions, and emergency warning signs.
Ensure discharge criteria are met according to ASC policy.