Registered Nurse - Cath Lab/EP Lab - Per Diem

Beth Israel Lahey Health•Cambridge, MA

1d•Onsite

About The Position

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. Mount Auburn Hospital is a 217-bed teaching hospital affiliated with Harvard Medical School and is located in Cambridge, MA. Founded in 1886, the hospital is dedicated to providing comprehensive healthcare to the residents of surrounding nearby communities. Mount Auburn Hospital is part of Beth Israel Lahey Health, a new healthcare system in Boston, MA and surrounding areas. The Invasive Cardiology Department at Mount Auburn Hospital is comprised of the Cardiac Catheterization Lab (Cath Lab) and the Electrophysiology Lab (EP Lab). The department offers comprehensive diagnostic and interventional procedures to our patients. The clinical staff is comprised of a mixture of registered nurses, cardiovascular technologists, and radiologic technologists. The department is comprised of two Cath Labs, one EP Lab, and a six bed holding room for pre- and post-procedure care. Additionally, Cath/EP Lab staff work collaboratively with the cardiac surgery team in the hybrid CVOR to care for patients undergoing TAVR procedure.

Requirements

Graduate of accredited school of nursing required
Currently licensed Registered Nurse in the Commonwealth of Massachusetts required
Current BLS required
Current ACLS required
Available for flexible dayshifts per department needs between the hours of 0630 and 1730 (mix of 8, 9, or 10-hour shifts are utilized within the department)
Available for on-call shifts
On-call requirement: 1-2 nights/week in addition to every 4th weekend for all full-time and part-time staff or per departmental needs
Holidays per rotation
Ability to adapt to a fast-paced environment required
Minimum 2-3 years of Critical Care experience required

Nice To Haves

Cardiac ICU experience preferred (CCU or CTICU/CVICU)
Cath Lab, EP Lab, or Interventional Radiology experience preferred
Moderate sedation experience preferred
Specialty certification preferred (RCIS, RCES, CCRN, CVRN, CEN, and/or CRN)
IABP, Impella, and/or ECMO experience preferred

Responsibilities

Provides competent compassionate nursing care based on scientific principles and the use of the nursing process
Provides direct nursing care for patients undergoing invasive and non-invasive procedures in the Department(s)
Provides direct nursing care for patients undergoing procedures in the Cath Lab, Cath Lab Holding Area, Electrophysiology Lab, and CVOR (Cardiovascular Operating Room)
Evaluates patient prior to procedure; monitors vital signs, assesses patient, and documents accordingly during procedure; recognizes changes in patient status and reports to physician; initiates nursing interventions under the direction of the attending physician.
Acquires/maintains competency in the administration and monitoring of conscious sedation under the direction of the Cardiologist, Hospital policy, and State regulations without error.
Acquires/maintains competency in radiation safety principles
Acquires/maintains competency in all diagnostic and interventional cardiology procedures performed at Mount Auburn Hospital
Acquires/maintains competency in specialized Interventional Cardiology equipment, intravenous (IV) infusion pumps, bedside cardiac monitors, oxygen administration/airway equipment as needed for patient care
Collaborates with cardiologists regarding individualized patient assessments and plan of care
Ability to adapt to a fast-paced environment
Good interpersonal and communication skills
Acquires/maintains competency in use of the electronic medical record
Collaborates with various departments to ensure continuity of care: Emergency Department, SICU/MICU, CVOR, Perfusion, Echo Lab, Anesthesia, PACU, etc.
Performs all other duties as assigned
Provides nursing care to patients both pre- and post-procedure for Cath Lab and EP Lab
Provides nursing care to patients during cardioversions and TEE/cardioversions
Provides nursing care to electrophysiology patients during tilt table test
Performs advanced nursing duties as needed for the care of Cath Lab patients
Acquires/maintains competency in all diagnostic and interventional cardiac catheterization procedures done at Mount Auburn Hospital.
Acquires/maintains competency in hemodynamic interpretation
Will be required to maintain competency in all various procedure room roles as needed for the department (sedation, circulating, scrubbing, and monitoring)
Available to be on-call on a rotating basis as assigned by the department needs. On-call response time is 30 minutes or less.
Acquires/maintains competency in resuscitation teamwork
Acquires/maintains competency in the care of mechanical circulatory support patients (IABP, Impella, and ECMO)
Performs advanced nursing duties as needed for the care of EP Lab patients
Acquires/maintains competency in all diagnostic and interventional EP procedures done at Mount Auburn Hospital.
Acquires/maintains competency in cardiac pacing, defibrillation, mapping, and ablating for EP procedures
Acquires/maintains competency in various procedure room roles as needed for the department (circulating nurse, sedation nurse, and scrub nurse)
Applies principles for maintaining electrically safe environment for the patient and the healthcare team
Differentiates the origin and route of conduction of tachycardia-related and bradycardia-related arrhythmias based on interpretation of intracardiac and surface leads
Acquires/maintains competency in the set-up and operation of the ablation generator system
Performs advanced nursing duties as needed for the care of structural heart patients (TAVR, TMVR, PFO, and LAAC) in the CVOR
Will cross-train to various roles in structural heart cases: monitor, circulator, and/or scrub as assigned
Collaborates with CVOR and Perfusion staff for continuity of care