CARDIOVASCULAR INVASIVE SPECIALIST (CATH LAB TECH) - Adult Cath Lab

  • Requisition Number: 155188
  • Department: DUKE HOSPITAL
  • Location: Durham
  • Type of Position: Regular
  • Specialty: Cardiothoracic/Cardiology/Vascular
  • Employment Status: Full Time
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Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.

 

U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.

 

Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.

 

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

 

Duke Nursing Highlights:

 

  • Duke University Health System is designated as a Magnet® organization
  • Nurses from each hospital are consistently recognized each year as North Carolina’s Great 100 Nurses.
  • Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
  • Duke University Health System has 6000 + registered nurses
  • Quality of Life: Living in the Triangle!
  • Relocation Assistance!

 

Department Profile

 

The Cardiac Cath Lab at Duke University Hospital is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. Currently awarded the 2019 Platinum Performance Achievement Award for Chest Pain – MI Registry.

 

High volume cardiac catheterization center performing cardiac, peripheral vascular, and structural heart procedures.

 

Work Hours & Shifts:

A rotating schedule allows employees a four-day weekend once per month.

 

Hours of Work:

Monday-Friday, 0730-1800

 

Occ Summary Assists physicians in diagnosing and treating cardiac andperipheralvascular disease andcardiac arrhythmias in the Cath/EP Lab specializing in the care ofpatients undergoing PTCA,stent placement, IAB Pplacement and EP devices and ablations. Withincreased experienceprovide sresource and mentoring to new staff while exhibitingenhanced technicals kills. Work Performed Uncertified:The Cardiac Catheterization and Electr ophysiology Lab Tech assistsphysicians in diagnosingand treating cardiacand peripheral vascular disease and cardiacarrhythmias in an invasivepr ocedure arena, specializing in the care of patients undergoing: - Basicd iagnostic catheterization procedures on adult patients withknown and sus pectedcongenital and acquired cardiac and peripheral vascular disease.- Basic interventional procedures which may include any of thefollowing: P TCA, stent prepand placement, IABP placement and operation- Basic EPproc edure may include any of the following; EP studies,implantation ofpacema ker, ICD, BIV ICD and ablations. - Operation of the physiologic andradio graphic equipment in a safe andefficient manner. - Maintain high standar ds to achieve quality patient care. - Keep critical skills current.- Pat ient interaction: - Patient transportation, good communication andevalua tion of patientstatus during theprocedure, provide age and genderspecifi c care, prep access siteaccording to lab standardpractice, and perform E KG lead placement, blood pressure and pulseoximetry setup forhemodynamicmonitoring. Procedural requirements:Room preparation and breakdown to in clude fluid preparation withaccurate drugconcentrations, stocking rooms, narcotic counts, daily QC checks,radiographic,hemodynamic and computer setup, and roomcleanup Prepare sterileproceduretray andpatient sterile f ield appropriately for specified procedure type - Observe occupational a nd radiation safety regulations (wearingbadges, lead aprons,goggles, glo ves) - Acquire and accurately document pertinent patient data onencounte rformand enter intohemodynamic and X-ray systems. - Function in all role s rotating during the day as defined: - Room circulator- Patient interac tion, monitoring/vital signsand procedural documentation, setup equipmen t such as IABP, powerinjector, temporarypacer, biopsy, and sterile equip ment/catheters/balloons/wires handoffs,running bloodoximetry for cardiac output; Assist MD with EP Diagnostic and Mappingsystems whichincludes C arto, EPMed and ESI. - Scrub- Maintain sterile procedure, infectious con trol, observe allfluid patency of catheters,balloons and manifolds, assi st according to physician direction - Monitor- Functions in the control room operating the X-ray Equipmentand hemodynamicmonitoring equipment, r eporting EKG, blood pressure, heart rate, pulseox changes, recordinghemo dynamic pressures accordingly, scan pertinent patient andprocedural info rmation intohemodynamic system,assist withX-ray equipment and transfer i mages todigital archive. TEACHING/EDUCATION SKILLS Ability to educate th e patient of procedure expectations before, duringand aftertheprocedure. Instruct the patient of post-catheterization limitations andrestriction s. Certified:The Cardiac Catheterization /Electrophysiology Lab Tech as sistsphysicians in diagnosingand treating cardiac and peripheral vascula r disease and cardiacarrhythmias in an invasiveprocedure arena, speciali zing in the care of patients undergoing: Basicand complex diagnosticcath eterization procedures on adult patients with knownand suspectedcongenit al and acquiredcardiac and peripheral vasculardisease. Complex diagnosti c procedures may include valvular, congenital defects,pulmonaryinvolveme nt, radial, brachial and neck approaches, O.R. portableprocedures, and a nyresearch protocols. Complex EP procedures include atrialfibrillationan d ventriculartachycardia ablations and patients with low ejection fracti on needingBiV ICDs. - Complex EP procedures which includeablations, BIV ICD#s and laserextractions. - Basic and complexinterventional procedures which may include PTCA,stents, IABPplacement and operation, Rotoblator, Laser, thrombolysis procedures(Angiojet, Percusurge),valvuloplasties, p ulmonary stents, coils, peripheral and congenitalinterventions. - Operat ion of the physiologic and radiographic equipment in a safe andefficient manner. - Maintain high standards to achieve quality patient care. - Ke ep critical skills current. Crosstraining to all labs (Mobile, Pediatric and Fixed Cardiac CathLabs and EP as applicable)is strongly encouraged. TECHNICAL SKILLS - Demonstrates knowledge of and performs all Cardiovas cularTechnologist Level uncertifiedskills (patient interaction and proce dural requirements) in aneffective and professionalmanner. MEETS THREE O R MORE OF THE FOLLOWING: - Performs patientcare procedures that require additional skill andtraining with competencysuch as sheath removals and foley catheterinsertions. - Demonstrates knowledge regarding location, u se, and troubleshootingof complex technicalequipment/instruments such as Millar catheter, Rotoblator, Laser,Angiojet, portable x-ray,radial/brac hial setup, coils, Nitric Oxide, peripheral interventionsincluding carot id stenting andballoon valvuloplasty. EP procedure troubleshooting of co mplexequipment including Cartomapping, ESImapping, and Acuson Intra-Car diac Echo(ICE). - Performs in the role of data entry, generating accurat e cath reportsfrom diagnostic orinterventional procedures. - Demonstrate s knowledge of and calculates valvularareas on thehemodynamic monitoring system. - Demonstrates knowledge of and technical skill to problem solve X-Rayand hemodynamicmonitoring equipment (Mobile Lab Only) TEACHING/EDU CATING SKILLS - Ability to educate the patient of procedure expectations before,during and after theprocedure in a professional manner. Instruct the patient ofpost-catheterization limitations andrestrictions. MEETS 2 OR MORE OF THE FOLLOWING: - Assists in the orientation oty to mentor ne w technologists while maintaininghigh standards of patienf employees and studentsasrequested bymanagement. - Demonstrates abilitcare, document ation, and professionalism. - Participates as an instructor in the annua l skills checkoff. - BLS/ACLSinstructor - Participates inthe process of setting up in-services at communityhospitals and makingfollow-up phone c alls. (Mobile Lab Only) Knowledge, Skills and Abilities- Passed RCIS or NASPE exam. - EKG recognition. - Provide emergencycare, EKG recognition - Ability to communication with patients, physicians,healthcare team. - Assist physician with procedure, provide care of patient, set upsterile procedure trays Level Characteristics - The ability tiredthrough a high school education. Work also requires completion of tho operate radio/con sole equipment and transmitinformation generally acqueNorth Carolina Sta teEmergency Medical Services training program or an equivalent program. - Data Entry - Excellent Customer Service Skills - Telephone Protocol - Supervisory Skills

 

 

Minimum Qualifications

 

 

Education

A graduate of an associate or baccalaureate academic program in health science (including, but not limited to, cardiovascular technology, ultrasound, radiologic technology or respiratory therapy) Or A graduate of an associate or baccalaureate academic program in an unrelated field along with graduation from a certificate program in cardiovascular technology, ultrasound, radiology technology or respiratory.

 

Experience

 

No experience required

 

Degrees, Licensures, Certifications

 

RCIS, RCES, ARRT - RTR, ARRT - Radiography (R), ARRT - Cardiac Interventional Radiography (CI) , ARRT - Cardiovascular Interventional Radiography (CV), ARRT - Vascular Interventional Radiography (VI), or IBHRE certification within 36 months of employment. Basic Life Support Certification required. Advanced Cardiac Life Support Certification required within 6 months of employment (Adult Cath, Adult EP, & Hybrid OR only). Duke employees in the CVIS job classification as of January 1, 2016 who were not eligible for certification will be exempt from the certification requirements of the CVIS I. See ladder document for additional information.

 

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

 

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

 

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

 

Cardiothoracic/Cardiology/Vascular