Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.
U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.
Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
Duke Nursing Highlights:
Duke University Health System is designated as a Magnet(r) organization
Nurses from each hospital are consistently recognizedeach year as North Carolina's Great 100 Nurses.
Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
Duke University Health System has 6000 + registered nurses
Quality of Life: Living in the Triangle!
The Cardiac Cath Lab at Duke University Hospital is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. Currently awarded the 2019 Platinum Performance Achievement Award for Chest Pain - MI Registry.
High volume cardiac catheterization center performing cardiac, peripheral vascular, and structural heart procedures.
CVIS Clinical ladder available for professional growth.
Occ Summary Assists physicians in diagnosing and treating cardiac and peripheralvascular disease and cardiacarrhythmias in the Cath/EP Lab sp ecializing in the care of patientsundergoing PTCA, stent placement,IABP placement and EP devices and ablations. With increased experienceprovide s resource andmentoring to new staff while exhibitingenhanced technical skills. Work Performed Uncertified:The Cardiac Catheterization and Elect rophysiology Lab Tech assistsphysicians in diagnosing andtreating cardia c and peripheral vascular disease and cardiacarrhythmias in an invasive procedurearena, specializing in the care of patients undergoing: - Basic diagnostic catheterization procedures on adult patients withknown and s uspected congenitaland acquired cardiac and peripheral vascular disease. - Basic interventional procedures which may include any of thefollowing : PTCA, stent prep andplacement, IABP placement and operation- Basic EP procedure may include any of the following; EP studies,implantation of p acemaker, ICD, BIVICD and ablations. - Operation of the physiologic and radiographic equipment in a safe andefficient manner. - Maintain high st andards to achieve quality patient care. - Keep critical skills current. - Patient interaction: - Patient transportation, good communication and evaluation of patientstatus during the procedure,provide age and gender specific care, prep access site according to labstandard practice, andp erform EKG lead placement, blood pressure and pulse oximetry setup forhe modynamicmonitoring. Procedural requirements:Room preparation and breakd own to include fluid preparation withaccurate drug concentrations,stocki ng rooms, narcotic counts, daily QC checks, radiographic,hemodynamic and computer setup,and room cleanup Prepare sterile procedure tray and pati ent sterilefield appropriately for specifiedprocedure type - Observe occ upational and radiation safety regulations (wearingbadges, lead aprons, goggles,gloves) - Acquire and accurately document pertinent patient data on encounterformand enter intohemodynamic and X-ray systems. - Functio n in all roles rotating during the day as defined: - Room circulator- Pa tient interaction, monitoring/vital signsand procedural documentation, s etup equipment such as IABP, powerinjector, temporary pacer,biopsy, and sterile equipment/catheters/balloons/wires handoffs,running blood oximet ry for cardiacoutput; Assist MD with EP Diagnostic and Mapping systems w hich includesCarto, EPMed and ESI. - Scrub- Maintain sterile procedure, infectiouscontrol, observe allfluid patency of catheters, balloonsand m anifolds, assist according to physician direction - Monitor- Functions i n the control room operating the X-ray Equipmentand hemodynamic monitori ngequipment, reporting EKG, blood pressure, heart rate, pulse ox changes ,recording hemodynamicpressures accordingly, scan pertinent patient and proceduralinformation into hemodynamic system,assist with X-ray equipmen t and transfer images to digital archive. TEACHING/EDUCATION SKILLS Abil ity to educate the patient of procedure expectations before, duringand a fter the procedure.Instruct the patient of post-catheterization limitati ons andrestrictions. Certified:The Cardiac Catheterization /Electrophys iology Lab Tech assistsphysicians in diagnosing and treatingcardiac and peripheral vascular disease and cardiac arrhythmias in aninvasive proced ure arena,specializing in the care of patients undergoing: Basic and com plexdiagnostic catheterizationprocedures on adult patients with known an d suspected congenital andacquired cardiac andperipheral vasculardisease . Complex diagnostic procedures may include valvular, congenital defects ,pulmonary involvement,radial, brachial and neck approaches, O.R. portab le procedures, and anyresearch protocols. ComplexEP procedures include a trial fibrillationand ventricular tachycardiaablations and patients wit h lowejection fraction needing BiV ICDs. - Complex EP procedures which i nclude ablations, BIV ICD's and laserextractions. - Basic and complex in terventional procedures which may include PTCA,stents, IABP placement a ndoperation, Rotoblator, Laser, thrombolysis procedures (Angiojet,Percus urge), valvuloplasties,pulmonary stents, coils, peripheral and congenita l interventions. - Operation of the physiologic and radiographic equipme nt in a safe andefficient manner. - Maintain high standards to achieve q uality patient care. - Keep critical skills current. Crosstraining to al l labs (Mobile, Pediatric and Fixed Cardiac CathLabs and EP as applicabl e) isstrongly encouraged. TECHNICAL SKILLS - Demonstrates knowledge of a nd performs all CardiovascularTechnologist Level uncertified skills(pati ent interaction and proceduralrequirements) in an effective andprofessi onal manner. MEETS THREE OR MORE OF THE FOLLOWING: - Performs patient ca re procedures that require additional skill andtraining with competency such assheath removals and foley catheterinsertions. - Demonstrates know ledge regarding location, use, and troubleshootingof complex technicaleq uipment/instruments such as Millar catheter, Rotoblator, Laser,Angiojet, portable x-ray,radial/brachial setup, coils, Nitric Oxide, peripheral i nterventionsincluding carotid stenting and balloonvalvuloplasty. EP proc edure troubleshooting of complex equipmentincluding Carto mapping, ESIma pping, and Acuson Intra-Cardiac Echo(ICE). - Performs in the role of dat a entry, generating accurate cath reportsfrom diagnostic or intervention alprocedures. - Demonstrates knowledge of and calculates valvular areas on thehemodynamic monitoring system. - Demonstrates knowledge of and tec hnical skill to problem solve X-Rayand hemodynamic monitoringequipment ( Mobile Lab Only) TEACHING/EDUCATING SKILLS - Ability to educate the pati ent of procedure expectations before,during andafter the procedure in a professional manner. Instruct the patient of post-catheterizationlimitat ions and restrictions. MEETS 2 OR MORE OF THE FOLLOWING: - Assists in th e orientation of employees and students as requested bymanagement. - Dem onstrates ability to mentor new technologists while maintaininghigh stan dards of patient care,documentation, and professionalism. - Participates as an instructor in the annual skills checkoff. - BLS/ACLS instructor - Participates in the process of setting up in-services at communityhospi tals and making follow-upphone calls. (Mobile Lab Only) Knowledge, Skill s and Abilities - Passed RCIS or NASPE exam. - EKG recognition. - Provid eemergency care, EKG recognition - Ability to communication with patien ts, physicians, healthcare team. - Assist physician with procedure, prov ide care of patient, set upsterile procedure trays Level Characteristics - The ability to operate radio/console equipment and transmitinformatio n generally acquired through ahigh school education. Work also requires completion of the NorthCarolina State Emergency MedicalServices training program or an equivalent program. - Data Entry - Excellent Customer Ser vice Skills - Telephone Protocol - Supervisory Skills
Minimum Qualifications Education
A graduate of a diploma, associate, or baccalaureate academic program in health science (including, but not limited to, cardiovascular technology, ultrasound, radiologic technology, respiratory therapy, or nursing)
Must have documented competency in interpretation of EKG and hemodynamics. Cardiac Catheterization or Electrophysiology Lab experience preferred. Allied health professional experience in cardiology preferred.
Degrees, Licensures, Certifications
RCIS, RCES, or IBHRE certification within 24 months of hire and remains in active status Basic Life Support Certification required. Advanced Cardiac Life Support Certification required within 6 months of employment
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