Cath Lab RN- Circulate/Monitor

St Louis Heart & Vascular; Bridgeton (MO); On-site; USD 75,000 - 110,000; Full time

Job summary

St Louis Heart & Vascular is seeking a Cardiac Catheterization Lab Registered Nurse – Monitor/Circulator (Cath Lab RN) to provide comprehensive patient care in monitoring and circulating roles during diagnostic and interventional procedures. The role includes pre-, intra-, and post-procedural nursing care with a focus on cardiovascular anatomy, hemodynamics, and arrhythmia recognition.

The ideal candidate will have ADN/BSN, current RN license in the state, BLS/ACLS certification, and 1–2 years

Qualifications

• Associate's or Bachelor's degree in Nursing (ADN/BSN) from an accredited nursing program.
• Current Registered Nurse (RN) license in the state of [State].
• Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certification required.
• Moderate sedation competency and radiation safety training per organizational policy.

Responsibilities

• Pre-procedural assessments and patient education.
• Monitor vital signs, ECG, oxygen saturation, and hemodynamic waveforms.
• Circulate during procedures; prepare room, equipment, and supplies.
• Administer medications, contrast, and anticoagulants as ordered; monitor ACT.
• Post-procedural monitoring and care; educate patients on post-procedure care.

Skills

Cardiovascular nursing

Patient assessment

Arrhythmia recognition

Communication skills

Cath lab equipment

Education

ADN/BSN

Tools

Cath lab equipment

Hemodynamic recording systems

EHR

Job description

The Cardiac Catheterization Lab Registered Nurse – Monitor/Circulator (Cath Lab RN) is responsible for providing patient care in the monitoring and circulating roles during peripheral (arterial and venous) and coronary diagnostic and interventional procedures, device implants (AICD, PPM, and loop recorders), and electrophysiology (EP) ablations. This role involves pre-procedural, intra-procedural, and post-procedural nursing care, and requires specialized knowledge of cardiovascular anatomy, hemodynamics, and arrhythmia recognition, as well as the ability to function effectively in a fast-paced, high-stress environment. This role may also be assigned to other areas of the department, including pre-op and post-op.

Key Responsibilities:

• Patient Assessment and Preparation:
  
  • Conduct pre-procedural assessments, including patient history, labs, and anticoagulation status.
  • Educate patients and their families about the procedure and answer any questions.
  • Prepare patients for procedures, including IV access, monitoring pads, and medications as ordered.
• Monitoring Responsibilities:
  
  • Monitor and document vital signs, ECG rhythm, oxygen saturation, and hemodynamic waveforms.
  • Administer and manage moderate sedation, assessing sedation level, airway, and patient response.
  • Recognize and promptly communicate arrhythmias, ECG changes, and procedural complications.
• Circulating Responsibilities:
  
  • Prepare the procedure room, including equipment, supplies, medications, and sterile setup.
  • Anticipate and provide sheaths, catheters, wires, stents, closure devices, leads, and ablation catheters.
  • Administer medications, contrast, and anticoagulants as ordered, and perform ACT monitoring.
  • Maintain a sterile field, aseptic technique, and radiation safety practices, and document device implants.
• Provide post-procedural monitoring and care, assessing for access site and rhythm complications.
• Perform sheath removal and achieve hemostasis per policy.
• Educate patients on post-procedure care and follow-up, and document care in the medical record.
• Emergency Response:
  
  • Respond promptly to emergencies, including ACLS, defibrillation, cardioversion, and temporary pacing.
  • Participate in code blue, STEMI activation, and other emergency protocols as required.
• Collaboration and Departmental Coverage:
  
  • Work collaboratively with the cath lab team and participate in continuing education and quality improvement initiatives.
  • May be assigned to other areas of the department, including pre-op and post-op, and rotate between monitor, circulator, and pre/post-op assignments based on departmental needs.

Qualifications:

• Education:
  
  • Associate's or Bachelor's degree in Nursing (ADN/BSN) from an accredited nursing program.
• Certification and Licensure:
  
  • Current Registered Nurse (RN) license in the state of [State].
  • Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certification required.
  • Moderate sedation competency and radiation safety training per organizational policy.
• Experience:
  
  • Minimum of 1-2 years of experience in a critical care or cardiac care setting.
  • Previous experience in a cardiac catheterization or electrophysiology lab preferred.
• Skills:
  
  • Strong clinical skills in cardiovascular nursing, patient assessment, and arrhythmia recognition.
  • Ability to remain calm and effective in high-pressure situations, with excellent communication skills.
  • Proficiency with cath lab equipment, hemodynamic recording systems, and electronic health records (EHR).

This position is a clinical position and will report to the department Monday - Friday. Procedures are performed between 6:00 AM and 4:00 PM, and daily hours fluctuate based on procedure volume and case length. This position may also be assigned to other areas of the department, including pre-op and post-op.

Physical Requirements

This position requires full range of body motion. While performing the duties of this job, the employee is regularly required to sit, walk, and stand for prolonged periods; talk or hear, both in person and by telephone; use hands repetitively to handle or operate standard office and procedural equipment; reach with hands and arms; wear protective lead apparel; assist with positioning patients; and lift up to 25 pounds.

Equal Employment Opportunity Statement

We provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Salary and Benefits

Full-time, non-exempt position. Competitive compensation and benefits package to include 401K; a full suite of medical, dental, and ancillary benefits; paid time off, and much more.

The statements contained herein are intended to describe the general nature and level of work performed by the Cath Lab RN, but is not a complete list of the responsibilities, duties, or skills required. Other duties may be assigned as business needs dictate. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions.