Registered Nurse Cath Lab

Mount Sinai Medical Center of Florida•Miami Beach, FL

About The Position

The Registered Nurse Cath Lab provides nursing care to patients undergoing cardiac catheterization and related procedures. The role monitors and documents patients’ hemodynamic responses, uses specialized cath lab equipment, administers medications and therapies, and supports patient safety before, during, and after procedures. The nurse assesses patients, develops and updates individualized plans of care, provides education, and evaluates patient outcomes in accordance with hospital policies and procedures. The position also contributes to professional and staff development and may take on leadership duties, including functioning as a Charge Nurse, supporting patient flow, serving as a preceptor or clinical resource, and participating in unit-based performance improvement.

Requirements

Current Florida nursing license.
Current Basic Life Support certification.
One year of experience in an RN position within a telemetry-monitored area or specialty patient care unit.

Responsibilities

Monitor, evaluate, document, and troubleshoot patients’ hemodynamic responses using cardiovascular monitoring and cath lab specialty equipment; report abnormal rhythms and findings to physicians.
Transcribe, review, and carry out physician orders, and complete assessments and reassessments according to hospital policy.
Insert peripheral intravenous catheters and monitor, evaluate, and intervene appropriately for patients receiving conscious sedation.
Use appropriate safety measures for potential radiation exposure and implement safety devices before, during, and after cardiac catheterization procedures.
Perform proper groin management for arterial sheath interventions.
Obtain initial vital signs and admission history, assess the chief complaint, and notify the physician within 15 minutes of arrival.
Complete and document nursing admission and systems assessments, identify patient education and psychosocial needs, and initiate a plan of care within eight hours of admission.
Establish care priorities based on patient needs and update individualized care standards in response to patient and family progress and feedback.
Initiate and document nursing interventions safely, including in emergency situations; prepare intravenous solutions using aseptic technique and administer and document intravenous therapy according to policy.
Administer medications within 30 minutes of their scheduled time, observe and document their effectiveness, and report adverse reactions immediately.
Provide individualized instructions to patients and significant others regarding the plan of care.
Use unit-specific equipment safely and correctly and ensure patients’ general hygiene needs are met.
Provide preoperative and postoperative care and instruction for assigned cardiac catheterization patients.
Follow standard precautions and hand hygiene guidelines; perform dressing changes using aseptic technique.
Document patient valuables and arrange appropriate storage; collect and label specimens as ordered; perform bedside glucose monitoring according to policy.
Insert intermittent or indwelling urinary catheters using aseptic technique and administer oxygen therapy according to physician orders.
Transfer patients into and out of the cath lab efficiently; obtain complete physician orders and complete transfer summaries and referral forms, including giving and receiving reports.
Use restraints safely and correctly.
Document and report patient responses and outcomes related to nursing interventions, treatments, procedures, interactions, and education; evaluate and document progress toward care goals.
Complete mandatory hospital and unit-specific in-services, plan and present unit in-services as required by level, document annual clinical competencies, and attend staff meetings as required.
Use established communication channels to resolve problems and interpersonal conflict.
Attend at least 75% of staff meetings; function as a Charge Nurse with clinical knowledge of unit patients, triage and assign beds to promote patient flow, attend a Charge Nurse course, serve as a preceptor or clinical resource, and participate in unit-based performance improvement.