RN - Cath Lab

This is a Prep/Recovery unit (PACU patients post Cath/Vascular/EP procedures). Candidates MUST have a minumum of 2 years of Critical Care, PACU, or CCU expereince.

o 920 Church St. N. Concord, NC 28025

o Beds: 457

o Level III Trauma Center

o Stroke Center of Excellence

o Bariatric Center of Excellence

o Chest Pain Center

o Radius Rule: Traveler’s permanent address must be 50 miles outside of home unit

● Unit Information:

o Beds: 12 beds combined; see 17-20 patients a day (usually same nurse before and after procedure for continuity of care)

o Minimum Years of Experience required? Critical care, PACU, or CCU experience. Minimum 2 years

o Will you accept a first-time traveler? Yes

● Patient Types/Common Diagnoses:

o R and L Heart Cath, structural hearts, TAVR’s, Watchman, Vascular procedures, EP devices and ablations, possible Carotid access procedures

o Patients likely receiving moderate sedation so will be more awake and alert than PACU

● Patient Ratios:

o RN: 1: 3 (depends on the type of patient. Example: TAVR’s lielky only 2)

● Required License, National Certification, Certs (BLS, ACLS, etc.), or other position specific requirements such as Driver's License and/or Insurance:

o BLS, ACLS

● Skills required:

o neurovascular checks that may include Dopplers, comfortable with gtts (rarely pressors, nitro and heparin most commonly seen), site management (access fem or radial); TR band or groin device compression experience, rarely do they pull sheaths (not required)

o Post Anesthesia experience, a little BP management (if pressors started likely short term care until transferred to appropriate floor)

o See occasional swan, temp pacing wires, or A line (exp. Preferred but not required)

o No vents, Rarely see BiPaps

o Will have EKG, glucometer, and iSTAT checkoffs during orientation

● Support within the Department:

o CNA? 1 at a time

o Receptionist/HUC? No

o Charge nurse? Yes, occasionally takes patients but no set assignment (assist with cardioversions)

o RT 24/7? Yes, RT available with a call and anesthesia in the department routinely

o Hospitalist 24/7? APP’s and NP’s (6:30am-7pm); MD’s constantly on unit

o Telemetry monitoring/tech? Patient’s have bedside monitor as well as nurses station

● Technology/Equipment:

o EMR: EPIC

o IV Pump: Alaris

o Med dispensing: Omnicell

o Monitors: Philips

o Unit specific equipment: EKG. iSTAT, Glucometers

● Floating: If yes, where?

o Possibility to float to EP and procedural areas (manager will discuss this upon interview)

● Orientation (facility and unit) :

o NEO

o Usually 1-2 shifts of precepted shifts

● Scheduling:

o Weekend rotation: None

o On call? No

o Holiday Expectations: Closed on major holidays

o RTO approval? All RTO approved my manager

o Shift times: 7am-3pm (M-F 8hr shifts) preferred but variable as most do 10-hour shifts

o Schedule cycle: 4-5 weeks at a time

● Other notes:

o Scrub Color: Scrubs provided (Green)

o Parking: Free, designated parking for teammates

o Unit Culture: Great culture and enjoy working with each other. Everyone works very well together and have had great feedback from travelers. Repeat travelers are very common.