Cardiac Cath Lab Registered Nurse

Veterans Health Administration, Department of Veterans Affairs; Palo Alto (CA); On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Competitive salary

Paid time off 50 days

Federal benefits

Job summary

The Veterans Health Administration, Department of Veterans Affairs, is seeking a Cardiac Cath Lab Nurse to deliver and manage care for patients undergoing diagnostic and therapeutic cardiology procedures within a supervised training program.

The role includes pre‑procedure assessments, patient education, and post‑procedure recovery, with emphasis on safety, documentation, and collaboration with the multidisciplinary team. VA offers comprehensive benefits and support for professional development.

Qualifications

• RN license in the United States is required.
• Graduate of an approved nursing program (ADN, Diploma, or BSN).
• English language proficiency must meet VA standards.

Responsibilities

• Circulates and assists in Cardiac Cath Lab procedures.
• Monitors patients during procedures and post-procedure recovery.
• Administers medications and manages sedation under supervision.
• Ensures adherence to sterile technique and safety protocols.

Skills

English proficiency

Education

Nursing degree (ADN/ Diploma) or BSN

RN license (US)

Tools

RCIS certification

Job description

Summary

Nursing Perioperative Service; Cardiac Cath Lab (CCL) Nurse delivers and manages care for inpatients and outpatients undergoing therapeutic and diagnostic cardiology procedures as part of a supervised - planned training program. The Cardiac Cath Lab (CCL) Nurse assesses patients' physical and mental status before procedures - provides education about procedural and pre- and post-procedural care - and performs a variety of duties - including pre-procedure assessments and post-procedural recovery.

Qualifications

Basic Requirements:

• English Language Proficiency
• In accordance with 38 U.S.C. 7403(f) - no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English
• Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE)
• OR Individuals attending a master's level bridge program in nursing who have completed coursework equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program
• Upon achievement of a State license - the individual may be appointed on temporary basis and later converted to a permanent appointment upon successful completion and graduation from the bridge program
• (Reference VA Handbook 5005 - Appendix G6)
• OR In cases of graduates of foreign schools of professional nursing - possession of a current - full - active - and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse who has completed an associated degree/entry level Nursing education program
• Credit for foreign nursing education higher that associate degree/entry level requires a formal degree equivalency validation from a recognized equivalency evaluation accepted by VA such as International Consultants of Delaware (ICD)
• Current - full - active - and unrestricted registration as a graduate professional nurse in a State - Territory or Commonwealth (i.e. - Puerto Rico) of the United States - or the District of Columbia
• Graduate Nurse Technician (GNT) Exception: Candidates who otherwise meet the basic education requirements - but do not possess the required licensure - may be appointed at the entry step of the grade and level applicable to the completed nursing education as a GNT on a 120-day temporary appointment while actively pursuing licensure (may be extended up to two years on a case-by-case-basis.) NOTE: Grandfathering Provision - All persons currently employed in VHA in 0610 series and performing the duties as described in the qualification standard on the effective date of the standard (1/29/2024) are considered to have met all qualification requirements for the grade held including positive education and licensure/certification
• Grade Determinations: The following Scope - Education and Dimension criteria must be met in determining the grade assignment of candidates - and if appropriate - the level within a grade
• The Dimension requirements (Practice - Veteran/Patient Driven Care - Leadership - Professional Development and Evidence-Based Practice/Research) are detailed for each grade and level within the online assessment: https://apply.usastaffing.gov/ViewQuestionnaire/13101816
• Grade/Level Scope Education Nurse I - Level I Delivers fundamental - knowledge-based care to assigned clients while developing technical competencies
• An Associate Degree (ADN) or Diploma in Nursing - with no additional professional nursing required
• Nurse I - Level II Demonstrates integration of biopsychosocial concepts - cognitive skills and technically competent practice in providing care to clients with basic or complex
• An ADN or Diploma in Nursing AND 1 year of specialized nursing experience equivalent to Nurse I - Level 1 ;OR a Bachelor of Science in Nursing (BSN) with no additional professional nursing experience required
• Nurse I - Level III Demonstrates proficiency in practice based on conscious and deliberate planning
• Self-directed in goal setting for managing complex client situations
• An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent to Nurse I - Level 2
• OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I - Level 2
• OR a Master's degree in nursing (MSN) and no additional professional nursing experience
• OR a Master's degree in a *related field with a BSN and no additional professional nursing experience
• Nurse II Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others
• A BSN with 2 years of professional nursing equivalent to Nurse I - Level 3
• OR an MSN with one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Master's degree in a *related field with BSN and one year of specialized nursing experience equivalent to Nurse I - Level 3
• OR a Doctoral degree in Nursing with no professional nursing experience
• OR a Doctoral degree in a *related field with a BSN with no professional nursing experience
• Nurse III Executes position responsibilities that demonstrate leadership - experience and creative approaches to management of complex client care beyond the immediate practice setting
• MSN and 2 years of specialized nursing experience - one of which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Master's degree in *related field with BSN and two years of specialized nursing experience - one in which is equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in Nursing with and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• OR a Doctoral degree in a *related field with a BSN and one year of specialized nursing experience equivalent to Nurse II and meets all dimension requirements for Nurse III
• *Note: Foreign education programs/degrees are not creditable as related degrees
• Preferred Criteria: Current BLS and ACLS provider cards by American Heart Association 2 years of RN high acuity clinical experience - preferably Critical Care or Emergency Dept - or Telemetry setting
• Demonstrated competence and excellence in advanced nursing skills - EKG monitoring skills - performance in emergency situations - patient teaching - and patient/family communication
• Cardiac Catheterization Lab and Structural Heart experience are strongly preferred
• ICU and Electrophysiology experience strongly preferred
• RCIS (Registered Cardiovascular Invasive Specialist) certification strongly preferred
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: This position includes a level of physicality normally associated with duties performed by nurses such as direct patient care - and potentially long periods of walking - standing - sitting - moderate lifting - repeated bending - or kneeling
• Examples may include but are not limited to:- Significant amounts of time standing assisting assigned patients- Utilization of safe patient handling and mobility protocols

Duties

• Major duties include but are not limited to: Circulates - assists - and operates equipment for all the various Cardiac Cath/Structural Heart/EP Lab procedures
• Monitors patients during Cardiac Cath/SH/EP procedures - including continuous ECG and hemodynamic monitoring identification of cardiac arrhythmias - response to medications - titration of vasoactive IV medications - and treatments
• Documents patient data during procedures and maintains the procedure prolog
• Administers medications - including ACLS medications and anticoagulants - utilizing all safety precautions
• Administers moderate sedation with appropriate patient monitoring - assessment - and documentation
• Circulates and operates complex radiographic - angiographic - digital recording equipment - and new equipment
• Follows strict adherence to sterile technique - infection control - and safety practices
• Maintains competency of the IABP - Impella - transvenous pacemaker - Cath/EP/SH equipment - all new technological equipment added to the Cath Lab - and actively participates and contributes to in-services and training
• VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary - regular salary increases - potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: 9 or 10 hour shifts - Monday-Friday 7am-4:30pm & 7am-5:30pm/with flexibility to meet patient and program needs Telework: This is not a telework position
• Virtual: This is not a virtual position
• Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized