The Professional Cardiovascular Registered Nurse (RN)provides professional nursing care within the
Cardiovascular and Electrophysiology Laboratory. The RN practices requiring specialized knowledge,
judgement and skills are performed consistent with hospital policy, procedure, philosophy and licensure. The
RNperforms multiple roles within the Cardiovascular, Electrophysiology, and Interventional Neurology
laboratories including assisting physician(s) with diagnostic and interventional cardiac catheterizations,
diagnostic and interventional peripheral procedures, endovascular aneurysm repair (EVAR), electrophysiology
procedures (ablations, implantable cardiac defibrillator insertions/revisions, pacemaker insertions/revisions, EP
studies, loop recorder insertions, structural heart procedures: Transcatheter aortic valve replacement (TAVR)
and left atrial appendage occlusion (LAAO) and interventional neurology procedures: carotid stenting, stroke
thrombectomy, cerebrovascular aneurysm embolization, and transcarotid artery revascularization (TCAR).
Responsibilities include conducting various cardiac tests to monitor patients' heart and blood vessel conditions
using diverse cardiology equipment, preparing procedure rooms, prepping patients for procedures, obtaining,
and recording patient information, assisting physicians in procedure by circulating procedures, X-ray
fluoroscopy proficiency, performing blood work analyses, and operating intra-cardiac ultrasound. Directs and
practices safety guidelines for themselves, staff, and patients. Independently functions during diagnostic and
interventions procedures. Maintains a high level of expertise in specialty procedures within their assigned lab.
Within the Cath Lab, this may include structural heart procedures and hemodynamics; within Electrophysiology
(EP) Lab, RN’s perform device and electrophysiology procedures (EP), and operate 3D mapping systems.
Within the Interventional Neurology Lab, RN’s perform carotid stenting, stroke thrombectomy, aneurysm
coiling, and other neuro-interventional procedures. Will be required to work varied hours, shift lengths, and
respond to an on-call pager, which may include days, evenings, nights, holidays, and weekends.
Responsibilities:
Prepares the patient care and/or procedure area prior to the arrival of the first patient or beginning of first
procedure to provide for safe, efficient delivery of care.
Receives and reviews charts for scheduled patients as soon as they are available for the next day. Assures that
proper documentation, lab results, and consent is present in the chart prior to the procedure. Communicates
abnormal lab results or other concerns to the physician/Nurse Practitioner.
Prepares the patient for the procedure in a timely and efficient manner.
Provides nursing care, including complete systems assessment, and monitoring for the immediate pre and post
procedural cardiovascular and electrophysiology patient. Abnormal findings to be communicated immediately
to the physician/NP. Provides appropriate handoff to receiving RN.
Participates in the “Full Stop” and/or “Time Out” process, prior to the beginning of each procedure, along with
the physician and other members of the team as per Bayhealth and unit policies.
Administers procedural sedation per Bayhealth and unit policies.
Demonstrates the ability to accurately document handoffs, pre and post procedure care in the electronic
documentation system accurately and in real time. Demonstrates the ability to accurately document all
procedures performed in the Cardiovascular Lab in the MacLab system.
Demonstrates the ability to independently circulate all procedures performed in the Cardiovascular and EP Lab.
Maintains an ongoing safe, therapeutic environment for all patients and families in accordance with hospital
standards including sensitivity to patient comfort and privacy. Actively participates in the preceptorship of new
staff members.
Enhances professional growth and development through participation in education, workshops, in-services, and
current literature. Maintains required certifications and completes yearly unit and hospital mandatories prior to
performance evaluation. Seeks specialty certification/advanced degree.
All other duties as assigned, within the scope and range of job responsibilities.
