RN Cardiovascular - Cath Lab

PeaceHealth•Vancouver, WA

About The Position

PeaceHealth is seeking a Registered Nurse to provide cardiovascular cath lab patient care by assessing, planning, implementing, and evaluating care according to the nursing process and established standards. The nurse collaborates with patients, families, and healthcare team members, and communicates and documents relevant patient information and education. This is a 1.00 FTE day position, scheduled 0700–1730, with night and weekend on-call coverage required for approximately 5 to 8 days per month. The posting specifies two years of cath lab experience and MacLab hemodynamic experience. The role includes supporting invasive cardiac procedures, monitoring patients, administering medications, providing patient and family education, and maintaining safe care practices. The nurse also monitors equipment, follows radiation safety and universal precautions, and may assist with staff orientation and training. Position-specific requirements and qualifications vary by department; the Cath Lab notes specify recent interventional cath lab experience, on-call availability, NIHSS certification within six months of hire, ACLS/BLS, and competence in hemodynamic monitoring and vasoactive medication titration. The position involves physical activity and exposure to biohazards, body fluids, airborne particles, and noisy environments. Patient handling over 35 pounds requires assistive equipment. The posting states an all-inclusive bill rate of $105; it does not identify this as the employee's salary.

Requirements

Graduate of an accredited school of nursing.
Registered Nurse license in the state of practice.
Basic Life Support certification upon hire.
Advanced Cardiac Life Support certification upon hire.
Two years of cath lab experience and MacLab hemodynamic experience are specified in the opening summary.
For the PHSW Cath Lab: at least two years of interventional cath lab experience within the last five years.
For the PHSW Cath Lab: NIHSS certification within six months of hire.
For the PHSW Cath Lab: demonstrated competence in hemodynamic monitoring and vasoactive medication titration.
Strong verbal, written, and interpersonal communication skills.
Ability to communicate clinical information effectively.
Strong analysis and problem-solving skills.
Strong organizational skills and ability to work independently or as part of an interdisciplinary team in a fast-paced environment.
Computer skills.
Ability to teach.
Knowledge of nursing processes and practices.
Ability to meet the stated physical requirements, including patient handling, fine motor skills, pushing and pulling, CPR, and frequent movement and bending.

Nice To Haves

Bachelor of Science in Nursing.
Experience with electrophysiology procedures, or equivalent education and/or experience.
For PHSW Cardiac Prep Recovery: IV therapy and tele-monitoring experience.
For PHSW Cardiac Prep Recovery: current skills in arterial and venous sheath management.

Responsibilities

Perform and document age-appropriate assessments, including the patient’s and family’s participation and ability to provide care.
Assess bio-psycho-social, economic, environmental, cultural, spiritual, community, and other factors affecting the patient’s health.
Develop and maintain an individualized plan of care with the patient, family, and healthcare team, and modify or continue the plan based on patient response.
Provide scrub assistance to physicians during invasive procedures.
Monitor and assess ECG and blood pressure, and demonstrate CPR defibrillation technique.
Assist with electrophysiology, mapping, and ablation procedures as assigned.
Perform limited blood testing and report results.
Position radiology equipment for cardiac cases.
Implement nursing and medical interventions using appropriate resources, skills, and knowledge.
Make referrals and provide patient and family teaching to support desired outcomes.
Evaluate care and identify changes in the patient’s condition.
Communicate and document interventions and patient responses according to standards and use the recognized organizational communication standard.
Keep current with departmental and organizational changes through communications and assigned meetings.
Administer medicines and narcotics according to policy; understand medication effects and interactions; and resolve medication discrepancies.
Delegate only tasks appropriate to other healthcare providers’ scope of practice while retaining accountability for nursing care.
Identify patient and family teaching needs, involve appropriate family members, and use available education resources.
Assist with orientation and training of technical and clerical staff.
Follow radiation safety and universal precaution protocols and report liabilities.
Monitor equipment operation, make authorized adjustments, and report malfunctions and maintenance needs.
Perform other duties as assigned.