Advanced Cardiac Catheterization Technicians scrub, circulate, and operate both electrical and physiologic monitoring equipment as well as single and bi-plane fluoroscopic equipment for the most complex examination and treatment procedures including endocardial biopsy, cryoablation and radio frequency ablation procedures, intra-aortic balloon pump, ventricular assist devices, and transcatheter aortic valve replacements for very critical patients. Due to the advanced nature and autonomy of this position, applicants must have: Certification as a Registered Cardiovascular Invasive Specialist (RCIS). Basic Life Support (BLS) certification. Advanced Cardiac Life Support (ACLS) certification. The cardiovascular technologist performs invasive cardiovascular procedures utilizing highly complex and technical monitoring equipment under the direction or prescription of a qualified physician. These procedures are performed on patients who have diagnoses of congenital heart disease, congestive heart disease, acquired heart disease, and coronary artery disease. The technologist has training and certification in advanced life support and is competent to recognize life-threatening changes during procedures. The patient populations are at a high risk for cardiopulmonary arrest and the technologist must be competent to assist with the rescue during these events. They mentor and train lower graded technicians, nurses, nursing students, and cardiovascular technology students on invasive cardiology procedures and assist the supervisor/manager with quality control and performance improvement activities. The incumbent must be able to be on-call and fulfill the obligations of on-call status. The Cardiology Procedure Lab Technician executes responsibilities that demonstrate leadership, experience, and creative approaches to managing complex systems. Duties, roles, and responsibilities include: Assure all equipment is operational prior to patient procedures; contact Cath Lab Supervisor, Biomedical Repair, and the attending physician when equipment is inoperative or malfunctioning. Secure patient's confidence and cooperation during procedures. Explain the procedure, position for desired results, cushion, and shield patients for a variety of difficult procedures. Gather patient information from the electronic medical record. Operate cardiac physiologic monitoring equipment. Set up and calibrate pressure transducers. Properly identify, label, and sample intracardiac and vascular waveforms. Completely and accurately document all aspects of the procedure including capturing and inputting data or procedural calculations in the hemodynamic monitoring system. Facilitate insertion and manipulation of guidewires and catheters into vasculature under fluoroscopic guidance for diagnostic and interventional purposes. Obtain invasive hemodynamic data, cardiac output, and blood samples. Inject contrast manually or with the aid of a mechanical contrast device to visualize anatomical structures (angiography, venography, etc.). Administer intra-coronary medications via manifold system during angiography procedures in accordance with physician orders. Operate single and bi-plane fluoroscopic equipment utilized in imaging. Manipulate imaging equipment to optimally define anatomy. Select magnification acquisition technique specific for procedure and anatomy and perform post processing of acquired images including quantitative analysis, digital subtraction, and image annotation. Set up and operate ancillary procedure equipment including the power injector, IVUS/OCT, ICE, FFR/CFR/IFR, Atherectomy / Thrombectomy Devices, Intra-aortic Balloon Pump, Percutaneous Ventricular Assist Devices, PACS image archive system, Hemodynamic system, EP Recording system, 3D non-invasive Mapping System in Electrophysiology procedures, as well as RF and Cryo Generator systems. Perform Activated Clotting Time (ACT), Whole Blood Oximetry, and Blood Glucose Monitoring quality control and patient testing using Point of Care equipment in the procedure labs. Follow CAP Survey Standards of the General Laboratory. Coordinate patient placement following procedure with bed control and involved unit to ensure patient needs are met. Perform personal care or nursing care activities that do not require professional nurse education or nursing licensure. Assist with patient care and operate specialty equipment during clinical emergencies (cardiac arrest, tamponade, hypotension / shock etc.). Check expiration dates of lab stock weekly. Provide orientation to new employees, students, and trainees. Evaluate new equipment and provide insight into new technology. Initiate or participate in quality or performance improvement projects. Provide training to colleagues, new employees, students, and trainees. Perform work in a setting which regularly and recurrently involves exposure to infectious and contagious diseases, radiation risks, and other risks that require special health and safety precautions such as gloves, protective clothing, and the use of radiation safety badges. Work Schedule: Monday - Friday 7:00am to 3:30pm including a 24/7-365 day On Call rotation for emergency Cardiac Procedures with a response time of 30 minutes from activation. Financial Disclosure Report: Not required.
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.