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Provides competent compassionate care based on scientific principles Cares for patients undergoing invasive and non-invasive procedures in the Department(s): Cath Lab, Electrophysiology Lab, and CVOR (Cardiovascular Operating Room) as detailed below. Recognizes changes in patient status and reports to primary nurse and/or attending physician Provides necessary interventions to/for the patient as allowed by state regulations and by the direction of the attending physician. Acquires/maintains competency in radiation safety principles Collaborates with physicians, registered nurses, other technologists, and perfusionists regarding individualized patient plan of care Ability to adapt to a fast-paced environment Good interpersonal and communication skills Acquires/maintains competency in use of the electronic medical record Responsible for re-stocking of equipment and supplies. Will reorder additional items as needed for the department and procedures. Responsible for charging supplies and procedures to each patient account after each procedure. Collaborates with various departments to ensure continuity of care: Emergency Department, SICU/MICU, CVOR, Perfusion, Echo Lab, Anesthesia, PACU, etc. Performs all other duties as assignedJob Description:
Cath Lab / EP Lab Department Description
The Invasive Cardiology Department at Mount Auburn Hospital is comprised of the Cardiac Catheterization Lab (Cath Lab) and the Electrophysiology Lab (EP Lab). The department offers comprehensive diagnostic and interventional procedures to our patients. The clinical staff is comprised of a mixture of registered nurses, cardiovascular technologists, and radiologic technologists. The department is comprised of two Cath Labs, one EP Lab, and a six bed holding room for pre- and post-procedure care. Additionally, Cath/EP Lab staff work collaboratively with the cardiac surgery team in the hybrid CVOR to care for patients undergoing TAVR procedure. Invasive Cardiology staff is cross-trained to care for patients in all of the areas listed above.
Cath Lab Duties
Performs daily equipment and room checks to ensure safe operation of all cardiology supplemental equipment. This includes quality assurance checks, logging of results, troubleshooting equipment, and calibration of equipment. Technologist will notify leadership of any equipment requiring a service call by the vendor. Acquires/maintains competency in all diagnostic and interventional cardiac catheterization procedures done at Mount Auburn Hospital. This includes (but not limited to) diagnostic coronary angiography, percutaneous interventions, right heart cath, pericardiocentesis, left ventricular support devices (intra-aortic balloon pump, Impella, and extracorporeal membrane oxygenation). The technologist will acquire/maintain competency in aseptic and sterile techniques for the preparation and maintenance of procedural equipment and sterile table. The technologist will acquire/maintain competency in hemodynamic monitoring. Hemodynamic monitoring includes (but not limited to) continuous arterial pressure and right heart pressure monitoring. Technologist will communicate any acute changes to the physician and nurse. Acquires/maintains competency in various procedure room roles as needed for the department (circulating, monitoring, and/or scrubbing).
Circulator role: The circulator will gather and hand-off all necessary diagnostic and emergency equipment to the physician and/or scrub.
Monitor role: The monitor will analyze and monitor the patient’s heart rate, heart rhythm, and invasive blood pressures throughout the duration of the procedure and alert the physician and team of any acute changes. The monitor is also responsible for observing and documenting all the pertinent procedure details in the patient’s electronic medical record.
Scrub role: The scrub will don sterile attire (gown and gloves) in order to directly assist the attending physician throughout the duration of the procedure. The scrub will maintain competency in all necessary diagnostic and interventional equipment on the sterile field.
The technologist will maintain competency in standard cath lab equipment: diagnostic catheters, guidewires, interventional catheters, pulmonary artery catheters, angioplasty balloons, drug-eluting stents, bare-metal stents, and arterial closure devices. The technologist will acquire/maintain competency in the usage of Rotapro (formerly known as Rotablator) for coronary rotational atherectomy, IVUS (intra-vascular ultrasound), and FFR (fractional flow reserve). The technologist will successfully complete and maintain competency in AHA ACLS (American Heart Association Advanced Cardiovascular Life Support) and resuscitation teamwork through training and classwork. ACLS certification will be renewed every 2 years. Acquires/maintains competency in the initiation of mechanical circulatory support for hemodynamic support: intra-aortic balloon pump (IABP), Impella, and extracorporeal membrane oxygenation.
EP (Electrophysiology) Lab Duties
The technologist will acquires/maintain competency in all diagnostic and interventional EP procedures done at Mount Auburn Hospital: diagnostic electrophysiology and pacing maneuvers, supraventricular tachycardia ablations, atrial flutter ablations, atrial fibrillation ablation (pulmonary vein isolation), atrioventricular node ablation, ventricular tachycardia ablations. The technologist will acquire/maintain competency in the workflow of utilizing the cardiac mapping system during diagnostic and interventional electrophysiologic procedures. The technologist will be responsible for monitoring the patient’s heart rate and rhythm during all EP procedures and immediately notifying the physician of any acute changes or life-threatening rhythms. The technologist will be competent in emergency defibrillation and emergency anti-tachycardic pacing maneuvers. The technologist will acquire/maintain competency in the set-up and usage of ablation catheters and ablation generators. The technologist will acquire/maintain competency in all cardiac rhythm management (CRM) device implants and generator change procedures: implantable cardioverter-defibrillator (ICD) and pacemakers. The technologist will acquire/maintain competency in sterile technique required for pacer and ICD implant procedures. The technologist will also maintain full competency in the scrub role during implants and assisting the physicians.
CVOR (Cardiovascular Operating Room) Duties
The Cath/EP technologist will be assigned to assist the physician and team with structural heart procedures in the CVOR: transcatheter aortic valve replacement (TAVR), patent foramen ovale (PFO) closures, left atrial appending closures (Watchman device implants), or other procedures as assigned. The technologist may be assigned to any of the following roles in the CVOR: scrub tech, circulating tech, or recording tech. The technologist will be competent in all roles. Collaborates with CVOR and Perfusion staff for continuity of care during the cases noted above or as assigned.
Requirements
Bachelor’s degree in health-related field required Current BLS required Current ACLS preferred Radiologic technologist (RT-R), Registered Cardiovascular Invasive Specialist (RCIS), and/or Registered Cardiac Electrophysiology Specialist (RCES) highly preferred Available for flexible dayshifts per department needs between the hours of 0630 and 1730 (mix of 8, 9, or 10-hour shifts may be utilized) Available to be on-call on a rotating basis as assigned by the department needs. On-call response time is 30 minutes or less. On-call requirement: 1-2 nights/week in addition to every 4th weekend for all full-time and part-time staff or per departmental needs Holidays per rotation Ability to adapt to a fast-paced environment required Cath Lab, EP Lab, or Interventional Radiology experience preferred IABP, Impella, and/or ECMO experience preferred
Pay Range:
$48.00 - $71.33The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
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