Critical Care / Cath Lab Nurse

Job Summary:
We are seeking an experienced Critical Care / Cath Lab Nurse to support high‐risk cardiac procedures and complex ICU cases involving advanced mechanical circulatory support devices, including the Impella heart pump, intra‐aortic balloon pump (IABP), and ventricular assist devices (VADs).[ docthub ]
The ideal candidate will collaborate closely with cardiologists and intensivists to deliver safe, evidence‐based care to critically ill patients undergoing catheter‐based interventions and receiving advanced cardiac support.[ resources.workable ]

Key responsibilities

• Provide nursing care to critically ill cardiac patients in the ICU and Cath Lab, including pre‐, intra‐, and post‐procedure support for high‐risk PCI and other interventions.[ resources.workable ]

• Assist cardiologists during catheter‐based procedures, ensuring sterile technique, precise device setup, and continuous patient monitoring throughout the case.[ randstad.com ]

• Monitor, interpret, and document vital signs, hemodynamic parameters, and telemetry, escalating changes to the medical team promptly.[ docthub ]

• Operate and troubleshoot advanced cardiac support equipment, including Impella pumps, IABP consoles, and external VAD controllers, in collaboration with physicians and perfusionists.[ docthub ]

• Administer medications, titrate vasoactive drips, and manage sedation and analgesia according to established protocols and orders.[ indeed ]

• Perform head‐to‐toe assessments, ongoing reassessments, and comprehensive documentation in the electronic medical record for all assigned patients.[ indeed ]

• Educate patients and families on procedures, post‐procedure expectations, and device‐related care, using clear, compassionate communication.[ randstad.com ]

• Participate in multidisciplinary rounds, contribute to care planning, and coordinate safe discharge or transfer, including device weaning plans when applicable.[ careers.eisenhowerhealth ]

Mandatory requirements (for deep parsing tests)

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• Must have experience with the Impella device in a clinical setting (ICU or Cath Lab).

• Minimum 1–2 years of hands‐on experience managing patients supported by Impella CP or similar Impella systems during high‐risk PCI or cardiogenic shock.

• Demonstrated ability to set up, prime, start, monitor, and safely wean Impella devices according to institutional protocols and manufacturer guidelines.

• Prior experience working with intra‐aortic balloon pumps (IABP), including insertion support, console operation, and troubleshooting alarms.

• Hands‐on exposure to ventricular assist devices (VADs), such as LVADs, including basic controller checks, driveline care, and emergency response procedures.

• Must be able to clearly describe prior clinical scenarios where you managed patients on Impella, IABP, or VAD support, including complications and resolutions.

• Familiarity with advanced hemodynamic monitoring (arterial lines, central venous lines, and pulmonary artery catheters) and interpretation of pressure waveforms.

• Comfortable working in high‐acuity environments, making quick, evidence‐based decisions during emergencies and rapid clinical deterioration.

Preferred skills and device exposure

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• Experience supporting ECMO (extracorporeal membrane oxygenation) patients in collaboration with perfusionists and intensivists.

• Prior work with cardiac assist devices beyond Impella, such as TandemHeart or other percutaneous mechanical circulatory support systems.

• Knowledge of Cath Lab imaging and equipment (fluoroscopy, contrast injectors, pressure transducers) and associated safety protocols.[ medely ]

• Strong understanding of sterile technique, infection control, and radiation safety in Cath Lab and ICU environments.[ docthub ]

• Ability to interpret ECG rhythms, recognize ischemia and arrhythmias, and coordinate immediate interventions with the medical team.[ docthub ]

General qualifications

• Current RN license (state‐specific) and eligibility to practice in a high‐acuity cardiac care setting.[ builtin ]

• Bachelor of Science in Nursing (BSN) preferred; equivalent experience considered.[ builtin ]

• 3+ years of total nursing experience, with at least 2 years in ICU, CCU, or Cath Lab environments caring for critically ill cardiac patients.[ indeed ]

• Advanced Cardiac Life Support (ACLS) certification required; Critical Care or Cardiac specialty certification preferred.[ docthub ]

• Strong critical‐thinking, communication, and teamwork skills, with proven ability to perform under pressure in fast‐paced clinical scenarios.[ randstad.com ]