Directly assists the physician during invasive cardiovascular, electrophysiology and/or peripheral vascular procedures. This person must be capable of the proper operation, safety, and maintenance of radiologic equipment, the correct preparation and placement of patients prior to and during radiologic procedures in the invasive cardiovascular laboratory. Assists with pre and post procedure patient care. May serve as a second circulator during invasive procedures.
Demonstrates technical competency in the use of x-ray equipment for optimum examination results and radiation safety. Performs daily quality assurance checks per department standards - Ensures images are acceptable by physician. Directs / supervises other staff in making films and assuring quality. Applies principles of radiation safety practices to protect self and others. Assists with the selection of appropriate images for transferring. Completes all steps involved for archiving images. Assists physicians and their representatives in locating images. Completes process, or delegates appropriately, the day of procedure.
Acknowledges the Physician’s Plan of Care and Practices in a Collaborative Relationship with the Physician - Maintains professional rapport with physicians. Displays confidence with communication. Knowledgeable of physician protocols and plan of care. Consistently coordinates with physician as to start times and special circumstances.
Participates in on-call rotation as assigned and maintains flexibility in work schedules to meet the needs of the cath lab schedule - Maintains flexibility and respect for co-workers in regards to call rotation and assignments When requested will assist with coverage by staying late. Covering call as the need arises. Responds when on call within the appropriate time frame. Will adjust worked hours when asked according to increased or decreased workload.
Monitor Role - Demonstrates working knowledge of physiological monitoring equipment and supplies. Consistently provides accurate documentation of procedures performed, equipment used, care received, medications given and response to them during procedure. Consistently ensures images are archived in imaging archival system. Willingly helps with supplies and patient care during and post procedure. Performs an equipment check with the scrub post procedure to assure all equipment used during the procedure is accounted for. Consistently alerts physician and circulating nurse to any change in patients’ vital signs. Consistently documents in accordance with governing policies.
Scrub Role - Demonstrates a thorough knowledge of all invasive angiographic/therapeutic procedures. Properly selects and sets up supplies. Initiates and maintains appropriate sterile technique. Demonstrates thorough knowledge of vascular anatomy. Prevents air and blood emboli. Exhibits skill and knowledge by safe and proper use of diagnostic and interventional equipment. Administers intra-arterial medications safely and accurately under direct supervision of physician. Demonstrates ability to secure sheaths when necessary. Demonstrates ability to safely remove arterial and venous sheaths. Assists monitor person with completing charges timely and accurately post procedure. Assists with pre and post procedure care, within scope of practice.
Second Circulator Role - Readily assists with pre and post procedure care, within scope of practice. Anticipates needs of physician and scrub person. Pulls supplies and equipment needed by the physician and scrub person. Assists circulator with completing charges timely and accurately. Informs Equipment Specialist and/or Buyer of supply needs. Assist in keeping supplies neat and orderly.