That is what they used to do, unfortunately it hasn’t worked out well.
From what I understand - they used to hire RNs, and turn over was high. RNs grew upset once they learned that their pay was less than CIS. And again, there were “issues” over who does what - I imagine if they were short CIS or RN, either side would feel burdened and overworked, and felt lack of help from the other, because of “that is out of my scope” or “that’s not my job,” like responses, leading to breakdown in teamwork, burnout and high turnover.
It seems like retention is an issue everywhere, with the trend of hospitals trying to cut costs (hire fewer staff) and nurses leave bedside to travel, go back to school, etc...
I haven’t seen RNs in cath lab in the 5 years I’ve worked at my hospital, no current postings for hiring Cath Lab - RN exists in my hospital either, so they cut them awhile ago. Unfortunately that has forced CIS to take on the traditional RN responsibilities, and that now contributes to CIS work stress and then over. Travelers are expensive, constant retraining isn’t making current staff very happy.
So, they are trying this instead: hiring nurses to be CIS. CIS will train the RN to take on CIS roles and RNs will educate CIS so they’re more comfortable. We will all be paid the same. We will all work under the same set of rules. So far the staff have seemed happier with this set up. Again, Ive always like technology so I would be excited to learn CIS.
I’m an introvert, bedside leaves me feeling worn out daily with constant interaction with many many different people all day long.. I don’t hate it, it just wears me out.. ICU was a good fit (same patients and MDs worked better for me) but high turn over, bad schedule, constant rehiring of new grads, (and babysitting overconfident new grads ...not paying attention to their vasopressor bags running dry... freaking out at every alarm...) politics, cost cutting (our supplies and resources were literally cut in half in all ICUs in my hospital and their sister hospitals), and other things pushed me away (it’s long story...). In summary, lots of unnecessary stress was added in a naturally stressful environment. Anyway, I wanna try something different.
As for the lab set up- they SHOULD just hire more staff - RNs and CIS. But again, hospitals are more business oriented these days and proper staffing is an issue everywhere. What do?
Again, I’m just concerned about maintaining an active RN license if I were to take the job. I am optimistic that I’ll enjoy the work, but you never know, maybe I won’t wanna do it forever and wanna return to nursing in the future. I’m a baby nurse with only 5 years under my belt. So I wanna know if keeping an active RN license possible if I do take this job. If that’s not possible, then fine. Or if I would have to take a nurse refresher course, retake NCLEX , etc, then that’s also fine. I just wanna know. Maybe I won’t ever return to nursing and stay CIS. Maybe it’ll turn out to be a better fit than nursing. Won’t know till I try it 🙂