Procedural Registered Nurse

JOB TITLE:

Procedural Registered Nurse

REPORTS TO:

Clinical Supervisor DEPARTMENT/

LOCATION:

Clinical,On-Site JOB CLASSIFICATION:

Permanent, Full-Time, Non-Exempt. REQUIREMENTS:

• Current unrestricted Registered Nurse license applicable to the state of practice.

The Procedural Registered Nurse provides comprehensive nursing care to patients undergoing procedures within a urology-focused Interventional Radiology program, including Prostate Artery Embolization (PAE) and other procedures as the program develops.

This position provides nursing care throughout the entire procedural experience, including pre-procedure assessment and preparation, intra-procedure circulating and moderate sedation responsibilities, and post-procedure recovery and discharge.

The Procedural Registered Nurse works closely with the Interventional Radiologist and procedural team to ensure safe, efficient, patient-centered care before, during, and following interventional procedures.

• Complete pre-procedure nursing assessments and verify patient readiness for the scheduled procedure.
• Review medical history, medications, allergies, laboratory results, imaging, and other required clinical information.
• Confirm completion of required pre-procedure testing and preparation, establish and maintain intravenous access, and administer medications as ordered and within nursing scope of practice.
• Provide patient and family education regarding the procedure, sedation, recovery, and discharge expectations.
• Identify potential clinical concerns and communicate findings to the Interventional Radiologist or other appropriate provider.
• Ensure required documentation, consent processes, and procedural safety requirements have been completed.
• Serve as the circulating Registered Nurse during Interventional Radiology procedures.
• Prepare and administer moderate sedation according to provider orders, organizational policy, nursing scope of practice, and applicable regulatory requirements.
• Continuously monitor the patient's respiratory, cardiovascular, neurologic, and overall clinical status during moderate sedation.
• Monitor and document vital signs, oxygen saturation, cardiac rhythm, level of consciousness, pain, medications, and other required procedural information.
• Recognize changes in patient condition and initiate appropriate interventions, including airway support and emergency response as needed.
• Assist the Interventional Radiologist and procedural team with medications, supplies, equipment, and other circulating responsibilities.
• Participate in procedural time-outs and required patient-safety processes and assist in maintaining the integrity of the sterile field.
• Ensure emergency medications and equipment are immediately available and operational.
• Conduct patient phone calls before and after procedures to review preparation instructions, assess readiness, answer questions, reinforce discharge instructions, evaluate recovery status, and identify concerns requiring provider follow-up.
• Provide post-procedure recovery nursing care and monitor vascular access sites, bleeding, hematoma, neurovascular status, pain, urinary symptoms, medication effects, and other potential complications.
• Monitor patients until established discharge criteria are met and manage pain, nausea, and other post-procedure symptoms according to orders and protocols.
• Provide patient and caregiver discharge education, including medications, activity restrictions, access-site care, warning signs, and follow-up instructions.
• Coordinate transfer to a higher level of care when clinically indicated and complete accurate, timely nursing documentation.
• Assist with development and implementation of nursing workflows, patient call processes, pre- and post-procedure protocols, moderate sedation standards, and patient education for the IR program.
• Maintain emergency equipment, medication supplies, procedural nursing supplies, and required crash-cart and medication checks.
• Stock, order, and maintain procedural and recovery supplies while supporting cost-effective inventory management, minimizing waste, and ensuring necessary supplies are available for patient care.
• Participate in quality-improvement and patient-safety initiatives and collaborate with physicians, procedural staff, scheduling teams, and operational leadership to promote efficient patient flow.
• Crosstrain and provide nursing support in other procedural or clinical areas as appropriate based on organizational needs and…