Any Cath Lab Nurses???

Hi There, I work in a cath lab with 2 labs, do about 17 -20 caths a day and 4-6 angioplasties between the 2 labs. I love my job and have been there about 5 yrs.. It is intriguing, intense, fun, rewarding, stressful and exhausting all in one. You are always learning. Each case is dynamic.

We have lots of ER RNs that have joined us. I think they find it more of a learning curve as it is so specialized on the cardiac component. I came from CCU/ICU background

You need to know your cardiac rhythms. ACLS will help you. You will learn IABPs and the administration of TONS of drugs.

I have to say we do have a high turnover, I personally think it is the "dream job", but it is highly competitive between the nurses??????? ( Anybody else get that at your lab?)

When you have a bunch of RNs with a "zillion"yrs of experience in cardiac specialties, the tensions and attitudes tend to soar.

There is a llot of on call, we do 4 days monday to thurs and 3 days fri -sun for on call. If you get called in, you get 12 hours off after the case, this then puts stress on the day staff to get the labs up and running because you are now down 3 nurses ( on call). This strain is really taking its toll on the staff, our sick time is high, morale down and high turnover. We have no one to replace the RNs off because we have no RN avail to come in. Vicious circle. This is where I work, I dont know what the other labs are like.

You wanted it straight from the hip, there you have it, but I truly do LOVE what I do

ERRNTraveler:

I'll hire you. I have been in the cath lab for over 10 years. I left once and then returned 4 years ago to start the primary interventional program. I still take call, 140 hrs every 2 weeks; plus work full time. We don't get time off after working all night. I have personally been up and in the hospital for 40 hrs straight. It is tough, but I would not work in ICU or med surg for a million bucks. LOL. OK maybe for that much in a month.

What I look for in a nurse is:

1. ACLS
   
2. 12 lead ECG acquisition and recognition,
   
3. Cardiac assessment/treatment, ACS; CHF; AMI;etc.
   
4. Hemodynamics (arterial waveform, swan ganz). This is the hardest to teach unless your hospital is big and does a lot of cases where you can learn on the fly.
   
5. Pathophysiology. To be any good in the cath lab, get a good handle on this
   
6. Meds, critical care setting
   
7. Neuro (we do cerebral coils),
   
8. Renal
   
9. Peripheral stuff. Know the vascular system in and out.
   
10. A&P.
    
11. Excellent computer skills, all our equipment is Windows based. Word document competent, XL document competent, Networking savy. Study the language of the lab, rotablader, pressure wire, intracardiac ultrasound, fluoro, catheters, wires, stents,etc.
    
12. Intra Aortic Balloon Pumping Skills.
    
13. Gotta be focused, yet multi-task as well. I have a nurse that has ADD tendencies and it is too scarry to work with.
    
14. Confidence, independent thinker and acts in the best interest of the patient without fearing what the MD will like or not.
    
15. An understanding family, they hate the call and will "divorce" you.
    
16. Communication skills, have to be diplomatic in a very volatile environment.

It is a tough environement, it is competitive, a lot of type A personalities. I love male nurses, they bring balance to the unit, they are good problem solvers.

That is all I can think of on short notice. It is hard and rewarding.

:innerconf

Where are you at? LOL:specs:

I'm from WI, currently on assignment in San Diego, looking to settle down in FL or somewhere in the South in a year or two. I meet pretty much all of your requirements, except no IABP experience and not much swan-ganz experience, and I'm not a man... Where is your hospital located?

We are in Portland, Oregon.

Just for your information, there are IABP classes offered by the ARROW and DATA SCOPE companies, which sell the catheters and pumps. We have them come once a year or more to give us a one day class or a 4 hour refresher. The ICU staff in your Hospital would know about them, better yet, contact the clinical nurse specialist for that unit.

Good luck.

CathMarm,

I too am an ER nurse interested in eventually going into the Cath Lab. I found your response very helpful as far as where to gear my studies outside of work.

Thanks

Hi, I am a Cath Lab Nurse for 5 years, Worked in ED for 12 prior and ICU/CCU for 14 years prior to that. Makes me old. Nursing for 35 years. I absolutely love my job. Was burning out in ED. Time to leave that for younger nurses.

I am seriously considering to transfer to the cath lab or PACU. I know a lot of nurses who work on the floor have back/neck problems due to high physical demands. I could not imagine myself running on the floor, cleaning and changing pts when I am at age 55 or 60. No offence to my senior nurses, they are absolutely wonderful! I am just seeking a way to prolong my career. Is Cath Lab a good choice?or PACU? any suggestions plz?

This seems like a logical choice in terms of less physical demand, however I was considering all of those lateral transfers. All kinds of standing still, with extra wieght on your shoulders, and the stress of working on call and having your schedule upset. I think it may be less, of one sort of physical demand and more of another.

I am an ICU nurse who does quality outcomes for a cath lab. Let me tell you, this is where I want to work! Completely different nursing though. Very technical, you need to be onto of your cardiovascular knowledge. I have a very high respect for them. But this work is not back breaking at all. Barely physical, which is great.

And PACU. Oh, over here it looks like a vacation. a few patients, come in, go out, they sit and chat...... Nice...... I am quite sure the sh!t hits the fan there too, but you are not running your butt off and cleaning butt every 5 minutes.

But this work is not back breaking at all. Barely physical, which is great. .

My physical workload here is FAR greater than when I work in the ICU.

If you think the cath lab is barely physical, then you don't know anything about the cath lab...

Hello all..

In response to the ER nurse wanting to go to the cath lab... I went to the cath lab after working on a cardiac step down for 15 years.. I truly love my job. I think one of the most important skills needed in the lab is to be able to think on your feet and prioritize. I have found ER nurses to be some of the best at that.

One of the hardest things for me to get a handle on was the right heart cath hemodynamics...a work in progress... I think the best way to learn it is to monitor the cases as much as you can..Hands on. IABP's, Cardiac meds etc.

At our hospital we were required to obtain our RCIS ( Registered cardiovascular interventional specialist) within 2 years of being hired in the lab. All the studying I did for that test helped quite a bit.

Good luck.