Boulder Community Hospital

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Cardiovascular Invasive Specialist - Cath Lab - Fulltime

at Boulder Community Hospital

Posted: 3/11/2019
Job Status: Full Time
Job Reference #: 2022
Keywords:

Job Description


Boulder, CO

Full-time

Work Hours: Days

2/18/2019

Cath Lab CIS position for 10 hour days Mon-Fri
FULLTIME - 40 hours a week - Days
Weekend - On Call

POSITION SUMMARY

Join BCH's growing Interventional Cardiology Program! 

The BCH Cath and EP teams are a group of highly dedicated professionals that love to learn new things while providing quality patient care. We have two Cath Labs and an EP Lab, each of which have their own dedicated team as well as staff that choose to work in both specialties. 

We perform all standard IC procedures, including STEMI's and complex PCI's, Structural Heart procedures, including TAVR, TEVAR, Watchman and ASD closures, CRM, some periphreal cases and complex EP procedures. 

We have a close knit team that works well together. We take pride in our work and care about our patients, as well as each other. We love what we do and this is reflected in the care our patients receive. BCH has a long-standing history of providing innovative and comprehensive cardiac care to our community. We continue to be the only hospital providing a full cardiac service line in Boulder County. 

We are continuing to build our Structural Heart program, have added a new pulmonary HTN specialist and an additional EP physician. This growth has created opportunities for new members to join our team and we are looking for Cath/EP staff that love what they do as much as we do! 

Responsibilities

Provide direct patient care and assist physicians in performing invasive and specialized cardiac procedures within the Cardiac Catheterization Laboratory and/or Electrophysiology Laboratory.  Possess the knowledge and skills necessary to manage patient care in a competent manner as outlined below.  Demonstrate the ability to collaborate with the healthcare team to provide quality care in the procedural area. 

JOB QUALIFICATIONS

Education and/or Formal Training 
Special Qualifications (Licensure, Registration, etc.)
1.     ARRT and/or RCIS licensure in good standing.
2.     BLS required within the conditional period
3.     ACLS required within the conditional period
4.     RCES and/or CEPS preferred for EP
Experience
Minimum of one year experience in an Acute Care setting required and one year Cardiac Cath Lab and/or Electrophysiology Lab experience preferred.
Knowledge, Skill and Ability
1.     Demonstrate ability to work in a multifunctional team environment and set priorities.
2.     Independent, self motivated and able to prioritize multiple critical duties.
3.     Perform well in stressful situations under the direction of physicians and co-workers.
4.     Ability to anticipate physician and patient needs as well as quickly assess situation and prioritize next steps.
5.     Demonstrate proficiency and understanding in scrubbing highly specialized procedures and equipment including but not limited to:  LHC, RHC, PTCA, BMS, DES, IVUS, Angiojet, Cutting Balloon, IABP, Rotoblater, Impella, Pericardiocentesis; Permanent Pacemaker, ICD, CRT and CRT-D
6.     Fluoroscopic equipment operation and trouble shooting.
7.     Demonstrate knowledge of the different radiographic injection techniques.
8.     Demonstrate understanding of equipment and positioning for patient imaging.
9.     Demonstrate in-depth understanding of all supplies used so that can anticipate what catheters, wires and other equipment would be best for any given situation and anatomy.
10.  Demonstrates competency caring for critically unstable patients experiencing STEMI, cardiogenic shock, respiratory compromise, arrhythmias, hemodynamic instability, tamponade, hemorrhage, etc.  This includes:
a.     Prepping and manipulation of equipment used in these emergent situations.
b.    Direct arterial/central venous/pulmonary pressure monitoring, CO/CI calculations.
c.     Transcutaneous and/or transvenous pacing, cardioversion and defibrillation.
11.  EP employees must demonstrate competency and understanding of highly specialized EP procedures and equipment, including but not limited to: Biplane x-ray, Cryo ablation, RF Transseptal puncture, RF ablation, cardiac stimulation protocols; interpretation of intracardiac electrocardiograms, 12 lead analysis,  3D electro anatomical mapping and anesthesia assist.
12.  Demonstrates competency and understanding of cardiac calculations such as Fick, CO, valve areas, shunts, saturations, etc.
13.  Demonstrates competency and understanding of sheath removal and achievement of hemostasis utilizing manual and mechanical compression as well as closure devices for both radial and femoral access sites
14.  Demonstrates competency with departmental Point of Care testing such as ACT and oxygen saturations.
15.  Demonstrates solid understanding of cardiac anatomy and physiology.
16.  Demonstrates competency and understanding of sterile technique and AORN standards.
17.  Demonstrates physical and mental health to apply Interventional Cardiology theories, procedures and standards to clinical practice
MATERIALS AND EQUIPMENT DIRECTLY USED 
1.     Includes all standard hospital medical equipment used in the department.
2.     All specialized Interventional Cardiology equipment referenced above.
3.     All patient physiologic and hemodynamic monitoring systems.
4.     Fluoroscopic equipment and associated image processing and storage systems.
5.     Computer systems involved in procedure report generation and hospital EMR.
WORKING ENVIRONMENT/PHYSICAL ACTIVITIES
1.     Labs operate Monday through Friday with variable end times, dependent upon patient acuity.   After hours, weekends and holiday coverage provided by Restricted Call Team.
2.     Physical working environment exposures may include, but not limited to any of the following:  chemical, electrical, mechanical, radiation, medical gases, body fluids, biowaste, stress and back strain.
3.     Must be able to frequently support, push, pull and/or lift up to 30 pounds, and occasionally support, push, pull and/or lift up to 50 pounds (for example, moving a patient from a wheelchair to a table, or transferring from a table to a bed); stand for long periods of time and twist.
4.     Must be able to transport patients and/or specimens and any accompanying equipment to the appropriate department.
5.     Functional physical demands include manual dexterity, fine motor skills and reaching, related to wire handling skills and catheter exchanges, etc.
6.     The following senses will be needed for essential duties of the job: speech, vision, hearing, and touch.
7.     Environmental conditions include, but are not limited to, variations in temperature, noise and multiple stimuli.
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