Registered Nurse 2 - Cardiac Catheterization Lab - UW Medical Center Montlake

Job Description

The UW Medical Center Montlake's Cardiac Cath Lab has an exciting opportunity for a Registered Nurse 2 to join their team.

Job Summary

The Cardiac Cath Lab Registered Nurse provides direct and indirect patient care in the Cardiac Catheterization Lab. They effectively communicate with physicians about changes in the patient’s condition, including hemodynamic monitoring and symptomatology. The RN responds quickly and accurately to changes or needs based on the patient assessments. Responsibilities include patient prep for procedures, ongoing patient assessments, providing appropriate moderate sedation per UWMC policy, monitoring, and circulating diagnostic and complex interventional cardiology procedures. They will participate in performance improvement and CQI activities as requested. This unit-specific description of job responsibilities should be combined with the UWMC RN2 position description.

Job Duties And Performance Standards

• Instructs and prepares patients for Cardiac Cath procedures. Performs pre-procedure assessments and patient/family education in preparation for scheduled procedure(s).
• Complete Pre-Procedure Checklist(s) and other required documentation in EPIC. Ensures consent, moderate sedation documentation, and appropriate orders have been completed by the physician prior to the procedure.
• Identifies and assesses high risks patients. Accurately addresses patient’s medical issues prior to patient arrival in Cardiac Cath Lab. Initiates Anesthesia Consult per screening tool(s) and UW Moderate Sedation Policy if indicated.
• Monitors hemodynamic status of patients undergoing Cath procedures, correctly interprets results, revises plan of care based on patient’s response to the procedure, demonstrating knowledge of cardiac monitoring and dysrhythmias.
• Assists with prepping and draping of patients while following aseptic techniques.
• Performs patient care in an environment that optimizes patient safety and reduces the likelihood of medical/healthcare errors.
• Consistently assesses and documents patient pain interfering with procedure - makes appropriate physician contact for intervention.
• Assists with maintenance of supplies and operation of equipment related to procedures.
• Follows the five medication rights and reduces the potential for medication errors by correctly labeling and handling medications.
• Participates in the management of inventory and assists in the evaluation of new products as directed/requested.
• Participates in the mentoring, education and/or training of other staff and students.
• May perform quality control testing and cleaning on a variety of equipment.
• Assists in maintaining accurate records and reports.
• Recognizes, responds to, and manages emergency situations according to protocols and standards.
• Ongoing assessment of patient needs and identifies issues or concerns pre-, intra- and post-procedure.
• Performs other related duties as assigned.
• Recognizes, responds to and manages emergency situations according to standards.
• Observes, triages, identifies, and escalates any patient issues and/or needs post procedure.
• Completes a comprehensive hand-off to the recovery or inpatient unit receiving their patient.
• Performs other related duties as assigned.
• Attends classes/trainings to establish and maintain clinical competencies
• Fulfills mandatory continuing education requirements such as online LMS modules, and accumulation of CEU hours.
• Complies with annual UWMC Employee Health mandates such as vaccine programs, TB testing, and respiratory fit testing.
• Fulfills the preceptor role, if requested by management, and agreed upon by nurse.
• Fulfills the Charge nurse role, if requested by management, and agreed upon by nurse.
• Adheres to attendance standards.
• Performs other related duties as assigned.
  
  

List of Procedures supported by RNs in the Cath Lab (not all procedures listed below are completed at the UWMC-NW campus)

• Transcatheter valve replacements – aortic, mitral, pulmonic and tricuspid (multiple access approaches)
• Right Heart Catheterization
• Percutaneous Coronary Intervention, stenting
• CTO - Chronic Total Occlusion
• Coronary Atherectomy
• Drug Coated Balloon (DCB), scoring balloons, cutting balloons
• Brachytherapy
• Left Heart Cath and coronary angiogram
• Endomyocardial Biopsy
• Wide range of adult-congenital procedures
• PFO - Patent Foramen Ovale
• ASD - Atrial Septal Defect
• VSD - Ventricular Septal Defect
• Peri-valvular Leaks
• Mitraclip
• Tricuspid Clip
• Impella (left-sided support) and Impella RP (right-sided support)
• Intra-Aortic Balloon Pump (IABP) insertion
• Tandem Heart (left-sided support) and Tandem ProtekDUO (right-sided support)
• ECMO
• Peripheral Vascular cases; both Diagnostic and Interventional
• Temporary pacemaker wire implants
• Pericardiocentesis
• Micra leadless pacemaker implants
• Sheath removal; both arterial and venous
• ECG - Electrocardiograms and correct lead placement for procedures
  

List of Equipment (not all-inclusive)

• Impella console - left and right-sided ventricular assist devices
• Tandem Heart SPARC console - left and ventricular assist devices
• Intra-Aortic Balloon Pump (IABP) - left vent assist device
• ACT machine (Hemochron) - activated clotting time; including use, proper running of controls and documentation
• AVOXimetry machine; including use, proper running of controls and documentation
• Beta Radiation - radiation therapy via external device for Brachytherapy solely operated by the UW Radiation Physicist
• ACIST - contrast injection system
• Abbot – Intravascular Ultrasound (IVUS) and pressure wire modalities
• Boston Scientific - Intravascular Ultrasound (IVUS)
• Medtronic external pacing box
• Phillips (ML) and Siemens (NW) X-Ray System
• Atherectomy devices - Rotablator, CSI Diamondback, SHOCKWAVE and Excimer Laser
• Abbott OCT - optical coherence tomography
• Siemens X300 and SC2000 for Intravascular Echocardiography (ICE)
  
  

Job-Specific Requirements

• Requirements
• Current Washington State Registered Nurse Licensure.
• ACLS certification; able to obtain within 4 months of hire.
• Required: Recent cardiac/telemetry experience
• Desired: Two or more years of recent critical care or Cath Lab experience.
• Language Skills
• Able to communicate effectively in English, both verbally and in writing.
• Other Skills
• Basic computer knowledge and skills.
  

Compensation, Benefits And Position Details

Pay Range Minimum:

$45.59 hourly

Pay Range Maximum

$83.64 hourly

Benefits

Other Compensation:

For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-uw-staff/

Shift

First Shift (United States of America)

Temporary or Regular?

This is a regular position

FTE (Full-Time Equivalent)

75.00%

Union/Bargaining Unit

WSNA UWMC Montlake

About The UW

Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world.

UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.

Our Commitment

The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81.

To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu.

Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.