Registered Nurse RN - Interventional Radiology

Wage Range: $46.78 - $79.58

PER-DIEM

Interventional Radiology

Definition of Position: 

The Interventional Registered Nurse (RN) provides specialized nursing care to patients undergoing minimally invasive diagnostic and therapeutic procedures. The RN is responsible for pre-procedure, intra-procedure, and post-procedure patient care throughout the interventional patient experience.

The Interventional RN ensures safe, efficient, and high-quality care using the nursing process, established standards of care, and organizational policies. The RN collaborates with physicians and the interdisciplinary team, serves as a patient advocate, and participates in call coverage as required.

Essential Job Functions:

Pre-Procedure Care

• Perform pre-procedure nursing assessments and review relevant clinical information.
• Verify patient identity, procedure, NPO status, medication reconciliation and consent according to institutional policy.
• Initiate intravenous access and prepare patients for procedures.
• Collaborate with the procedural team regarding case planning.
• Document required information in the electronic medical record (EMR).
• Provide patient and family education regarding the procedure and recovery expectations.

Intra-Procedure Care

The Interventional RN provides continuous patient monitoring and clinical support during procedures and may function in one of the following roles.

Sedation RN

• Administer and monitor moderate sedation in accordance with organizational policy and credentialing requirements.
• Perform a pre-sedation assessment, including verification of allergies and NPO status, and ensure that the airway evaluation and ASA classification are documented in accordance with policy.
• Continuously monitor patient status including cardiac rhythm, blood pressure, respiratory status, oxygen saturation, and level of consciousness.
• Maintain airway patency and respond to sedation-related complications.
• Communicate patient status with the procedural team and document medications and monitoring parameters in the EMR.

Circulating RN

• Coordinate nursing care in the procedure room and ensure completion of patient identification, procedure verification, and procedural time-out.
• Maintain a safe procedural environment and assist with patient positioning and monitoring setup.
• Administer medications per provider order and assist with vascular access site management when appropriate.
• Recognize and respond to procedural complications such as bleeding, arrhythmias, or respiratory compromise.
• Communicate patient status, manage specimens, and document care and procedural events in the EMR.

Post-Procedure Care

• Receive and recover patients following procedures and perform post-procedure assessments including vital signs, neurological status, and access site evaluation.
• Maintain airway patency and monitor for hemodynamic or respiratory changes.
• Manage pain, nausea, and other recovery needs.
• Assess and manage vascular access sites and maintain hemostasis.
• Administer medications and treatments as ordered.
• Educate patients and caregivers regarding recovery, medications, activity restrictions, and signs of complications.
• Coordinate patient transfer or discharge and provide appropriate handoff communication.

Additional Responsibilities

Patient Advocacy and Collaboration

• Advocate for patient safety and rights while maintaining patient confidentiality.
• Communicate effectively with patients, families, and the interdisciplinary team.
• Delegate tasks appropriately in accordance with Oregon State Board of Nursing guidelines.

Department Support

• • Assist with maintaining supplies, equipment readiness, and room turnover.
  • Participate in quality improvement and regulatory programs including DNV requirements.
  • Maintain required competencies and continuing education.
• Performs other related duties as assigned.

QUALIFICATIONS:

Education

                Required: Graduate of an accredited school of professional nursing.  Evidence of continuing education appropriate for skill level and area of practice.

Preferred: BSN                                                                                                                                      

Licenses/ certifications/ registrations

Required: Current RN license in the State of Oregon; current BLS, ACLS certification

Preferred: Certifications specific to areas of clinical specialty preferred (e.g., RCIS, NIH Stroke Scale), IV certification

Experience

Required: At least one year’s experience in critical care, emergency, cath lab, or IR.

                Preferred: At least three years of experience in Interventional Radiology or Cath Lab, conscious sedation training, monitor role experience.

Other: Infusion pumps, PCA pumps, and other medical equipment, computer, printer, photocopier, and patient charts. Ability to provide care for the patient's age-specific, cultural, physical, and psychosocial wellbeing.

Physical Requirements:

The physical and sensory functions described below are essential to the successful performance of this position. In accordance with the Americans with Disabilities Act (ADA), reasonable accommodations may be made to enable qualified individuals with disabilities to perform these essential functions. The position requires sufficient auditory ability to detect and respond to various sounds, including patient alarms and verbal communication. Clear and effective communication is essential, as is the ability to interact with patients, families, and healthcare team members. Visual acuity is necessary for observing patient conditions, reading documentation and monitors, and distinguishing colors for clinical purposes, such as identifying medications or safety indicators. Tactile perception is also important for assessing physical characteristics such as temperature, size, shape, or texture during patient care. Motor coordination is required for reaching, grasping, handling, and performing fine motor tasks necessary for the use of medical equipment and procedures. The position also involves occasional stooping, kneeling, crouching, or crawling when assisting patients or accessing equipment. Walking and standing are typically continuous throughout the shift. The role requires the ability to lift to 50 pounds independently and involves frequent pushing, pulling, carrying, or repositioning of objects or patients weighing up to 25 pounds. There may also be occasional lifting or transferring of individuals weighing over 100 pounds, with the expectation that appropriate lifting techniques, mechanical aids, or team assistance will be used to ensure safety. May to sit for long periods of time.

Working Conditions:

This position is performed primarily in an indoor healthcare environment, such as a hospital, clinic, or long-term care facility. While the work setting is protected from outdoor weather conditions, it may be subject to variable indoor temperatures. The role involves frequent exposure to infectious and contagious diseases, hazardous materials, and medical equipment, with the expectation that all staff follow appropriate safety protocols and utilize personal protective equipment (PPE) as required.

The health care environment can be fast-paced and unpredictable, requiring the ability to respond quickly to changing circumstances, including high-pressure or emergency situations. The work setting also involves multiple simultaneous demands and varying levels of noise due to medical equipment, staff activity, and patient needs.