Registered Nurse Cath Lab CV Invasive Specialist I

Intermountain Health

6d • $39 - $60 • Onsite

About The Position

The CV Invasive Specialist I performs duties necessary for cardiac catheterization procedures at a technical and professional level, requiring some proctoring and supervision of technical details. The specialist performs a variety of technical procedures requiring some independent judgment and assumes responsibility and initiative for designated areas and procedures. Practice follows the Alliance of Cardiovascular Professionals (ACVP) Scope of Practice or, for Electrophysiology, the NASPE Standards of Professional Practice for the Allied Professional in Pacing and Electrophysiology.

The role supports diagnostic, interventional, electrophysiology, CRM, structural-heart, and vascular procedures. Duties include preparing and turning over procedure rooms; assisting with supplies and inventory; monitoring and assessing patients; documenting procedural events and hemodynamic information; operating and troubleshooting equipment; and providing patient education and emotional support. The specialist may mix and administer medications under physician direction and supervision when qualified, and may assist with sheath removal, closure devices, suturing, and achieving hemostasis, subject to state law and scope of practice.

The position is based at Intermountain Health St. Vincent Regional Hospital in Billings, Montana. The department includes two Cath Labs, an EP Lab, a Vascular Suite, and a Hybrid Operating Room and performs approximately 350 procedures monthly. Teams typically include three registered nurses and invasive technologists. Care is delivered in collaboration with cardiologists, electrophysiologists, vascular surgeons, and cardiac surgeons, using RN-led conscious sedation or anesthesia as appropriate. Documentation uses Epic and Mac-Lab systems.

The schedule is 40 hours per week across four 10-hour shifts, with shared call obligations and a 30-minute response time. Regular lab hours are 7:30 a.m.–6:00 p.m. Monday through Friday, with shift negotiations possible. Call coverage is 6:00 p.m.–7:30 a.m. and covers 24 hours on Saturdays, Sundays, and holidays. The hourly pay range is $39.16–$60.42, dependent on experience. A sign-on bonus of up to $20,000 and/or relocation assistance may be offered when applicable.

Requirements

• Basic Life Support (BLS) certification for healthcare providers.
• PALS certification for children's hospitals or ACLS certification for adults; new employees must obtain the applicable certification within three months of starting.
• Meet one of the listed education and experience pathways: a bachelor's degree in health science and six months of healthcare experience; graduation from a Radiologic Technology, Cardiovascular Technology, Respiratory Therapy, or Nursing program; a diploma or associate program in health science and one year of healthcare experience; or graduation from a non-programmatically accredited invasive cardiovascular technology program with at least one year of specialty training and 800 clinical hours.
• Education must be obtained from an accredited institution; degree will be verified.
• Intermediate computer skills.
• Current license, where applicable.
• Surgical Tech/Assistant certification as required by state requirements.
• Fluoroscopy Operator Certification as required in the state of Colorado.
• Skills in patient assessment and monitoring, sound decision-making, procedural assistance, patient education, equipment operation and troubleshooting, analytical and critical thinking, initiative, relationship-building, health language fluency, communication, and collaboration.

Nice To Haves

• Two years of CV Invasive Training experience.

Responsibilities

• Participate in procedure room preparation and post-procedure turnover.
• Develop knowledge of invasive, diagnostic, and interventional supplies and assist with inventory control.
• Use supplies and equipment correctly, including documenting hemodynamic recordings, calculations, and interpretations.
• Provide patient education and emotional support to patients and family members, and help ensure patient comfort.
• Promote teamwork and cohesiveness with team members and physicians.
• Assess patient condition, document findings, and inform the physician of deviations from normal criteria throughout procedures.
• Apply knowledge of cardiopulmonary pathophysiology, pharmacology, anatomic anomalies, and treatment options.
• Understand and apply x-ray generation and safety principles and operate imaging equipment correctly.
• Mix and administer medications under physician direction and supervision when qualified, in accordance with state laws.
• At the end of procedures, apply closure devices, suture sheaths in place, or remove sheaths and apply pressure to obtain hemostasis, as appropriate.
• Provide thorough and accurate documentation of each procedure and associated events.
• Operate, calibrate, and troubleshoot Cardiac Catheterization Laboratory equipment; perform point-of-care testing and quality assurance.
• Scrub, circulate, and monitor diagnostic, interventional, and CRM procedures according to applicable scope-of-practice documents.
• Complete procedure data entry; acquire and process imaging studies; perform hemodynamic assessments and calculations; complete intra-procedure CathPCI registry requirements; and prepare procedural reports.

Benefits

• A sign-on bonus of up to $20,000 may be offered when applicable.
• Relocation assistance may be offered when applicable.
• A benefits package covering programs intended to support physical, mental, and social well-being.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level