Interventional nursing

The Cardiovascular Labs (Cardiac Catheterization, Interventional Radiology, Electrophysiology, and Hybrid OR) provide nurses with the opportunity to develop and incorporate advanced clinical skills and critical thinking in a close collaborative practice with cardiologists, interventional radiologists, gastroenterologists, electrophysiologists and vascular surgeons. The team approach to the delivery of cardiovascular services allows the RN to participate in the patient care process from pre-procedure, peri-procedure and the post-procedure phases. The RN functions in the roles of circulating, scrubbing and physiologic monitoring. All RNs are thoroughly oriented and precepted in these roles to assure clinical competency and patient safety.

RNs are required to maintain Basic Life Support for the Health Care Provider and Advanced Cardiac Life Support. The certification of Registered Cardiovascular Invasive Specialist can be obtained and is encouraged; although RNs with a bachelor of sciences in nursing degree are the preferred standard as a Magnet Hospital. Procedures in the CVL include:

  • Cardiac – diagnostic cardiac catheterizations, percutaneous coronary interventions, elective cardioversions and transesophageal echocardiograms and permanent pacemaker implantations)
  • Vascular – arterial and venous angiography, percutaneous and open peripheral balloon angioplasty/stenting, complex peripheral arterial bypass grafting and endovascular aortic repair
  • Interventional radiology – complex endovascular arterial, venous, and visceral angiograms and interventions, subcutaneous ports, intravascular filters, biliary/nephrostomy tubes/stents
  • Electrophysiology – complex arrhythmia mapping, recording, testing, ablations, cardiac defibrillator implantations and gastroenterology (endoscopic gastric diagnostic tests and interventions)

The RNs in Cardiovascular Services are multifunctional. Their skills include monitoring patients in the cardiac stress labs/cardiac PET/CT, MRI and CT sedations and other cardiovascular diagnostic and interventional procedures.

Patient Population

CVL, adult/geriatric

Unit Size

4 CVL labs (cardiac cath PCI, IR, electrophysiology and hybrid OR)

Nurse-to-Patient Ratio

Minimum of one RN per procedure team

Rotation/Shifts

8-hour shifts with 24/7 call

Skill Mix

RNs and RT(R)s

Orientation

Individualized based on previous experience and under the direction of the cardiovascular nurse educator, shift coordinators and preceptors. RNs are assigned to a primary preceptor during the orientation process. All RNs are oriented to the roles of circulating, scrubbing and physiologic monitoring. The orientation process is ongoing until the RN is competent in delivering guideline driven patient care and patient safety in all roles due to the complexity and variety of procedures. The CVL RNs are oriented to be cross-functional in imaging and cardiac stress tests monitoring and supervision. There are mandatory continuing RN education and competency testing to ensure current and best practices and refine the skills of the RNs from a novice to expert professional progression.

Learn more about opportunities to join our nursing team at Goshen Hospital. Call Human Resources, (574) 364-2626.