JOB SUMMARY
Provide specialized technical assistance to physicians performing diagnostic and interventional cardiac and vascular procedures in the Cardiac Cath Lab.

Key Responsibilities
• Assist physicians in performing a variety of cardiac and vascular procedures.
• Prepare and maintain the cath lab environment, instruments, and equipment.
• Monitor patients during procedures, including vital signs and hemodynamic status.
• Administer medications and emergency drugs as directed by the physician.
• Ensure sterile technique is maintained throughout procedures.
• Operate specialized equipment used in the cath lab.
• Document patient information and procedure details accurately.
• Respond to emergency situations and provide appropriate care.

Schedule / Shift
• 5x8 Days (06:45-15:15) Monday-Friday.
• Occasional late days (4-5 days per month), with rare instances of working past 17:00 on those days.

Call Requirement
• On call one day per week and every fifth weekend.

Float Requirement
• Will float as needed.

Weekend Requirement
• None specified.

Required Qualifications
• Minimum 2 years of experience in a Cardiac Cath Lab setting.
• Experience in both Diagnostic Cardiac Cath Lab and Interventional Cardiac Cath Lab work settings.
• Proficiency in performing procedures such as: Cardiac Stent Placement, Diagnostic Catheterizations Adult, IABP Placement/Removal, Interventional Catheterizations, Left heart catheterization, Percutaneous Coronary Interventions (PCI), Pulmonary Artery Line/Swan Ganz monitoring, Right heart catheterization.
• Knowledge and administration of medications including: Antiarrhythmics, Antihypertensives, Emergency Medications, IV vasopressors, Procedural Sedation Administration/Monitoring, Reversal agents, Thrombolytics.
• Competency in IV therapy including: Blood Product Administration, IV infusion pumps, Starting IVs.
• Strong understanding of professional knowledge and skills including: 12 Lead EKG, Activated Clotting Time (ACT), Cardioversion, Circulate Procedures, Infection Prevention, Interpretation/Management of Dysrhythmias, Isolation Precautions, Malignant Hyperthermia Protocols, Monitoring Procedural Sedation, Richmond Agitation-Sedation Scale, Sheath Removal and Monitoring.

Preferred Qualifications
• Experience with procedures such as: ASD Closures, Cardiac Implant Closure Device, Impella insertion, Rotablader athrectomy, Scrub Procedures, Transcatheter Aortic Valve implantation/Replacement (TAVI/TAVR).
• Experience with Vascular Studies/Procedures including: angioplasty, dialysis graft interventional, Upper and Lower Extremity Angiography.
• Proficiency in advanced IV therapy including: Assist with Central Line Insertion/management, Implanted Ports - Care and Maintenance, PICC Lines - Care and Maintenance.
• Proficiency in professional knowledge and skills including: End-Tidal CO2 monitoring, External Compression Devices (C-Clamp, Sandbags), Hypothermia protocols, Laser Assisted Procedures, Pressure Ulcer Assessment/Prevention, Radiation and Laser Safety, Topical Hemostasis (D-Stat, Chito-Seal, Syvek Patch), Vascular Closure Systems (Perclose, StarClose), Ventilator Monitoring.

Certifications
• ACLS
• BLS

Experience
• Minimum 2 years of direct experience in a Cath Lab environment.
• Traveler Experience: Not required.

Skills
• Diagnostic Cardiac Cath Lab
• Interventional Cardiac Cath Lab
• Cardiac Stent Placement
• Diagnostic Catheterizations Adult
• IABP Placement/Removal
• Interventional Catheterizations
• Left heart catheterization
• Percutaneous Coronary Interventions (PCI)
• Pulmonary Artery Line/Swan Ganz monitoring
• Right heart catheterization
• 12 Lead EKG
• Activated Clotting Time (ACT)
• Cardioversion
• Circulate Procedures
• Infection Prevention
• Interpretation/Management of Dysrhythmias
• Isolation Precautions
• Malignant Hyperthermia Protocols
• Monitoring Procedural Sedation
• Richmond Agitation-Sedation Scale
• Sheath Removal and Monitoring
• IV therapy
• Medication administration

EMR / Systems
• Epic
• Pyxis

Patient Population
• Adults with a range of cardiovascular diagnoses or symptoms, including suspicion or confirmation of heart or vascular disease.
• Common diagnoses include coronary artery disease (stable angina, unstable angina/NSTEMI, STEMI), heart failure, valvular disease, congenital heart disease, pulmonary hypertension, pericardial disease, and pre-operative evaluations.

Unit / Specialty
• Cardiac Catheterization Laboratory (Cath Lab)

Special Procedures / Unit Details
• Percutaneous Coronary Intervention (PCI) - balloon angioplasty and stent placement
• PFO/ASD closure
• Cardiogenic shock management
• Chronic Total Occlusion (CTO) procedures
• External Counterpulsation (ECP)

Special Equipment
• Impella
• Penumbra
• EKOS
• Roto
• Ultrasound
• Shockwave
• ACIST
• GE Mac Lab system

Unit Orientation
• 16 Hours