City
 
Date Posted
10 / 22 / 2020
Grade
19
Hours Required
Per-Diem
Department
Invasive Cardiology
Schedule
Per Diem
Education
Bachelor's Degree Preferred
Location
Mount Auburn Hospital - Cambridge, MA

Cath Lab/EP Lab RN

Mount Auburn Hospital - Cambridge, MA

Description:

About Mount Auburn Hospital

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. 

Cath Lab / EP Lab Department Description

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. 

General Expectations

  1. Provides competent compassionate nursing care based on scientific principles and the use of the nursing process
  2. Provides direct nursing care for patients undergoing invasive and non-invasive procedures in the Department(s)
  3. Provides direct nursing care for patients undergoing procedures in the Cath Lab, Cath Lab Holding Area, Electrophysiology Lab, and CVOR (Cardiovascular Operating Room)
  4. 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 according under the direction of the attending physician.
  5. Acquires/maintains competency in the administration and monitoring of conscious sedation under the direction of the Cardiologist, Hospital policy, and State regulations without error.
  6. Acquires/maintains competency in radiation safety principles
  7. Acquires/maintains competency in all diagnostic and interventional cardiology procedures performed at Mount Auburn Hospital
  8. Acquires/maintains competency in specialized Interventional Cardiology equipment, intravenous (IV) infusion pumps, bedside cardiac monitors, oxygen administration/airway equipment as needed for patient care
  9. Collaborates with cardiologists regarding individualized patient assessments and plan of care
  10. Ability to adapt to a fast-paced environment
  11. Good interpersonal and communication skills
  12. Acquires/maintains competency in use of the electronic medical record
  13. Collaborates with various departments to ensure continuity of care:  Emergency Department, SICU/MICU, CVOR, Perfusion, Echo Lab, Anesthesia, PACU, etc.
  14. Performs all other duties as assigned

Cath Lab Holding Area Duties

  1. Provides nursing care to patients both pre- and post-procedure for Cath Lab and EP Lab
  2. Provides nursing care to patients during cardioversions and TEE/cardioversions
  3. Provides nursing care to electrophysiology patients during tilt table test

Cath Lab Duties

  1. Performs advanced nursing duties as needed for the care of Cath Lab patients
  2. Acquires/maintains competency in all diagnostic and interventional cardiac catheterization procedures done at Mount Auburn Hospital.
  3. Acquires/maintains competency in hemodynamic interpretation
  4. Acquires/maintains competency in various procedure room roles as needed for the department (circulating nurse or sedation nurse)
  5. Available to be on-call on a rotating basis as assigned by the department needs.  On-call response time is 30 minutes or less.
  6. Acquires/maintains competency in resuscitation teamwork
  7. Acquires/maintains competency in the care of mechanical circulatory support patients (IABP, Impella, and ECMO)

EP (Electrophysiology) Lab Duties

  1. Performs advanced nursing duties as needed for the care of EP Lab patients
  2. Acquires/maintains competency in all diagnostic and interventional EP procedures done at Mount Auburn Hospital.
  3. Acquires/maintains competency in cardiac pacing, defibrillation, mapping, and ablating for EP procedures
  4. Acquires/maintains competency in various procedure room roles as needed for the department (circulating nurse, sedation nurse, and/or scrub nurse)
  5. Applies principles for maintaining electrically safe environment for the patient and the healthcare team
  6. Differentiates the origin and route of conduction of tachycardia-related and bradycardia-related arrhythmias based on interpretation of intracardiac and surface leads
  7. Acquires/maintains competency in the set-up and operation of the ablation generator system

CVOR (Cardiovascular Operating Room) Duties

  1. Performs advanced nursing duties as needed for the care of TAVR patients in the CVOR
  2. Collaborates with CVOR and Perfusion staff for continuity of care

Requirements:

Requirements

  1. Graduate of accredited school of nursing required
  2. Currently licensed Registered Nurse in the Commonwealth of Massachusetts required
  3. Current BLS required
  4. Current ACLS required
  5. 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)
  6. Available for on-call shifts
  7. 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
  8. Holidays per rotation
  9. Ability to adapt to a fast-paced environment required
  10. Minimum 2-3 years of Critical Care or Emergency Department experience required
  11. Cardiac ICU experience preferred (CCU or CTICU/CVICU)
  12. Cath Lab, EP Lab, or Interventional Radiology experience preferred
  13. Moderate sedation experience preferred
  14. Specialty nursing certification preferred (RCIS, CCRN, CVRN, CEN, or CRN)
  15. IABP, Impella, and/or ECMO experience preferred