Registered Nurse - Cardiac Cath Lab

Primary Role:

Provide exceptional patient care in an environment where quality, respect, caring and compassion are at the center of all we do. The Cath lab Nurse’s primary role is assisting with catheterizations. Cardiac Cath lab nurses specialize in working with patients undergoing cardiac procedures in a catheterization lab. Procedures include (but are not limited to): Coronary Angiogram, PCI, balloon valvuloplasty, Left and right heart catheterization and pericardiocentesis.

Responsibilities:

• Provides the direct nursing care to patients undergoing diagnostic and therapeutic adult cardiac catheterization procedures.

• Must take On-Call assignment (arrival at DH Hospitals & Facility within 20 minutes required).

• Ensure open and effective channels of communication with patients, family/caregivers and all health care team members involved in the pre/intra/post-care of adult cardiac catheterization patients.

• Demonstrate competency in the following: Angiogram, Angioplasty, PCI, coronary stents, balloon valvuloplasty, Left and right heart Cath, pericardiocentesis, TPI, intra-aortic balloon pumps.

• Prepared for emergency situations

• Examination of the patient pre and post-catheterization.

• Transport patient to/from pre-post recovery and/or inpatient unit.

• Administer the intravenous and oral medications to patients.

• Manage the patients under procedural sedation.

• Circulating and scrubbing during cardiac catheterization and electrophysiology procedures

• Operate physiologic recorder and printer to monitor electrocardiogram and hemodynamic data. Troubleshoot equipment issues and/or initiate repair.

• Operate intra-aortic balloon. Troubleshoot equipment issues and/or initiate repair.

• Actively monitor patient during adult cardiac catheterization procedures (vitals, etc.).

• Sheath removal and care of site to prevent hematoma and bleeding after achieving hemostasis

• Participate in life-saving measures such as defibrillation and cardiopulmonary resuscitation as needed.

• Ensure adequate levels of all supplies are available in all procedural room(s).  Stock as needed.

• Recognition and management of cardiac Arrhythmias.

• After the procedure, Cath lab nurses monitor the patient's with continuous cardiac monitor, administering medications and updating the patient’s chart.

• During the recovery period, the Cath lab nurse watches for signs of Hematoma, bleeding and infection.

• Apply nursing theory to the assessment, diagnosis, treatment, and evaluation of patient responses to health, illness, and procedure.

• Positively collaborate and coordinate the continuum of care within a multi-disciplinary team and across divisions/units.

• Perform patient care according to patient priority (includes interventions identified through nursing diagnoses), and departmental, divisional, and/or unit policies, procedures, and protocols to maintain safe environment for patients, visitors and staff.

• Document/report interventions and patient/family response. Follows universal precautions.

• Precept new staff at the direction of the Procedural Nursing Manager and/or Procedural Clinical Practice Leader.

• Discharge teaching with patients and families including procedural, medications, activities, and dietary, follow up and provide post Cath instruction.

• Follow policies and procedures in accordance with DH Hospitals Cardiology/ AHA Guidelines.

• Demonstrate acceptance of responsibility; pride in work performed; flexibility in acceptance of assignments while consistently maintaining professional behavior and appearance.

• May be required to train and provide cross-coverage float to DH Specialized Unit like Post-Recovery Unit, Med- Surge, and Fast Track.

• Required participation in night/weekend/holiday on-call assignment/coverage (arrival at DH Hospitals & Facility within 20 minutes required).

• Perform other duties as assigned.

• Capture Cardiac KPIs across DH.

• Assist and Implement Cardiac policies and procedures joining with Cardiologist

• Set a guideline and Protocols for staff training and Education

Qualifications / Knowledge Requirements:

• Experience in Cardiology/ Cardiothoracic Unit for more than 5 years.

• Current certification in Basic Life Support (BLS) required by start date.
  Current certification in Advanced Cardiovascular Life Support (ACLS) required by start date.
  Current certification in Pediatric Advance Cardiovascular Life Support (PALS) required by start date.

• Current license to practice nursing in Cayman Island Nursing council Valid License.

• Experience providing direct nursing care in cardiovascular and/or OR within last 6 months required.

• Experience in hospital setting and understanding of hospital operations is preferred.

Accountability:

The Cardiac Cath Lab Nurse is accountable to the Chief Nurse. Secondary reporting will be to his/her designate. 

Travel:

None expected.

Travel Benefits:

CTMH Doctors Hospital offers a competitive benefit package that includes paid vacation, health insurance and pension in accordance with the Cayman Islands regulations.