Interventional Coordinator-Radiology

Meadville Medical Center•Meadville, PA

About The Position

Interventional / Cardiac Cath Lab Coordinator will serve as a primary member of the Radiology / Cardiac Cath Lab Patient Care Team. He/she will maintain a comprehensive understanding of the program. The Coordinator will be responsible for the interventional technologist daily operations of the special procedures and cardiac cath lab departments. He/she is responsible for all diagnostic radiology equipment operation, ordering supplies, securing consignment agreements, technologist daily on -call schedules, training of new staff, billing, and coding. The Interventional Coordinator must perform all diagnostic procedures. The Coordinator must be able to operate all technical X-ray equipment in order to produce diagnostic radiographs for the Radiologists’ interpretation. The Coordinator must be able to set up a sterile field and perform all diagnostic and interventional special procedures. The Coordinator must be able to set up a sterile field and perform all diagnostic and interventional special procedures. The Coordinator will be expected to function closely with the Radiology Lead Technologist and radiology staff in cooperation with the Radiology Director to achieve the goals set forth by the administration and management of MMC. The individual must have a strong knowledge and formal background in the radiologic sciences.

Requirements

Professional knowledge of Radiology and practice at a level normally acquired through the completion of an accredited school of Radiologic Technology.
Must be a registered Radiologic Technologist or registry eligible pass the registry within one year of hire.
Cannot be on probation from ARRT more than once.
On-the-job Special Procedures training.
Must have at least one-year experience as an MMC Radiology staff technologist.
Must have current ACLS certification or obtain within six months of assignment in department.

Responsibilities

Assists physicians with the following procedures and devices: Left Heart Cath Right Heart Cath Angioplasty Coronary Intervention IVUS/FFR Intra Aortic Balloon Pump Radial Hemostasis Device Angiojet Trans venous Temporary Pacemaker Permanent Pacemaker Insertion and Generator Changes Closure Devices Monitoring and recording of ECG and hemodynamic data Data storage Management of radiological equipment Monitoring of radiation safety Management of blood samples
In the absence of supervisors, demonstrates ability to function with a degree of autonomy as to continue routine patient care.
Maintains current on all diagnostic x-ray and Special Procedures equipment.
Displays ability to perform all diagnostic procedures within the appropriate radiology modalities.
Exhibits strong knowledge of departmental function and operation.
Explains procedure to patient before starting exam.
Prepares and positions patients correctly for specific examinations.
Reads orders and the suspected pathology to make sure the correct tests are performed.
Accurately produces quality images.
Maintains skills in the treatment and care for patients from newborn to geriatrics and understands techniques for different ages.
Maintains equipment in a clean and safe manner.
Keeps track of supplies in assigned area and orders as needed.
Consults with the radiation safety officer regarding radiation safety issues.
Demonstrates adherence to radiation safety policies and procedures in daily practice, including use of radiation protection and questioning females of childbearing age about pregnancy.
Participates in the orientation of new staff and provides direction.
Handles equipment service calls.
Stays up-to-date on coding and billing practices and changes.
Schedules special procedures efficiently and coordinates with nursing availability.
Knowledgeable of and follows each physician’s specific protocols for special procedures.
Performs all other duties and tasks as assigned by radiology manager and radiology lead technologist.
Performs/Reviews baseline patient assessments
Evaluates patient response to diagnostic or interventional maneuvers and medications during CCL procedures
Provides patient care pre, intra, and post procedure
Participates in team huddle, time-out, and all aspects of procedure as suggested for patient safety by the Joint Commission and other accrediting organization
Administers medication drug under the direction of a qualified physician
Acts as the first assistant during diagnostic and therapeutic catheterization procedures.
Maintains certification in Basic and Advanced Cardiac Life Support (pediatric advanced life support / PALS if working with children) as recommended by the American Heart Association.
The Invasive Cardiovascular Professional is proficient in the use of emergency equipment.
Operates and maintains all diagnostic and therapeutic equipment.
Operates under the direct supervision of a board certified or eligible physician with privileges to perform invasive cardiovascular procedures at their medical facility. These physician specialists may include: Cardiologists Cardiothoracic Surgeons Radiologists Vascular Medicine Specialists Vascular Surgeons Neurologists Neurosurgeons Doctor of Osteopath
Assists or performs procedures under direct supervision in the CCL/ICL or other procedure areas such as: Radiology Operating Room Intensive Care Unit Specialty Clinic Other areas as necessitated or allowed by circumstances and equipment availability.
Performs patient assessment History and Physical Chief complaint History of present illness and current medications Past medical history Family/social history Reviews pertinent lab work Reviews ECG and Chest X-ray Receives Hand-off Communication report from hospital unit, emergency room or transferring facility
Prepares patient for procedure in Prep/Recovery Area and Procedure Room Participates in pre procedure huddle Performs patient teaching Obtains Intravenous Access Sets up non-invasive monitoring - ECG, Blood Pressure Cuff, Pulse Oximetry, etc. Inserts Foley Catheter as needed
Draping of Patient Utilizes appropriate aseptic/sterile technique Preps access site with antiseptic solution Appropriately drapes procedural access site Administers local anesthetic for vascular access
Performs arterial and venous access Facilitate insertion and manipulation of guidewires and catheters into vasculature under fluoroscopic guidance for diagnostic and interventional purposes Obtains invasive hemodynamic data, cardiac output, and blood samples Injects contrast manually or with the aid of a mechanical contrast device to visualize cardiovascular anatomical structures (angiography, venography, etc.) Administers medication in accordance to physician orders or ACLS protocol. Facilitates acquisition Myocardial Biopsy tissue samples
Applies radiation safety principles to minimize exposure to patient, self and others Activates fluoroscopic imaging manipulate imaging equipment to optimally define anatomy Selects magnification acquisition technique specific for procedure and anatomy Performs post processing of acquired images Quantitative Analysis Digital Subtraction Image annotation Storage and Quality Assurance of digital imaging and hard copy films Operates Intravascular Ultrasound/Intracardiac Echocardiography (IVUS/ICE) and other catheter based imaging modalities Operates other imaging modalities as indicated to perform procedures in the CCL/ ICL
Administers medication in accordance to physician orders or ACLS protocol Patient Care and Assessment Maintain intraoperative sterile field and equipment supply Sets up and operates ancillary procedure equipment Contrast Injectors IVUS/ICE FFR/CFR Atherectomy/Thrombectomy Devices Intra-aortic Balloon Pump Percutaneous Ventricular Assist Devices Atherectomy/Thrombectomy device consoles Exhimer Laser console Transvenous pacemaker generator Other diagnostic, interventional, and mechanical support devices. Point of Care Testing (Operation and Quality Assurance) ACT and other Coagulation Studies Whole Blood Oximetry Platelet Function Assays Glucometry ABG BMP/CBC BNP Troponin Other POCT tests Assists and performs all roles during emergency resuscitation CPR Cardioversion Defibrillation Airway management External and Internal Pacing Administers ACLS medications
Operates Physiologic Monitoring Equipment Recognizes normal and abnormal ECG rhythms Recognizes cardiac ischemia, injury, and infarction patterns Set up and calibrate pressure transducer Properly identify, label, sample, and recognize normal and abnormal intracardiac and vascular pressure waveforms Identify Damped and Ventricularized waveforms and notifies other team members.
Complete and accurate documentation of all aspects of procedure Captures/documents data elements per facility protocol Captures and inputs data for procedural calculations
Management of Procedure Site Access Site Management/Hemostasis Manual sheath removal Compression Device Vascular Closure Devices Skin Manipulation Pocket closure Suture stabilization of equipment Patient care and assessment, monitoring and documentation ECG Vital signs Level of Consciousness Procedure access site post hemostasis a) Identify, monitor, compress hematomas b) Palpate and assess distal pulses Ambulation Discharge teaching