Cath Lab Registered Nurse at Appalachian Regional Healthcare System – Boone, North Carolina

Location: Boone, North Carolina | Cath Lab | Non-Exempt

As a Cardiac Cath Lab Registered Nurse at UNC Health Appalachian, you’ll be part of a highly specialized cardiovascular team delivering advanced diagnostic and interventional care. In this fast-paced procedural environment, you’ll combine critical care expertise, technical skill, and compassionate patient care to support life-saving cardiac procedures.

This role is ideal for an RN who thrives in high-acuity settings, values teamwork with cardiologists and multidisciplinary teams, and is committed to delivering top-decile outcomes in patient safety, quality, and experience.

Compensation: Starts at $34.00 per hour and is commensurate with education, experience, certification, and internal equity
Status: Non-Exempt
Benefits: Comprehensive medical, dental, and vision coverage; retirement plan with employer match; paid time off; tuition reimbursement; wellness incentives; employee discounts; and additional employee support programs. Benefits begin the first of the month following 60 days of employment from new hire orientation.

Located in the heart of the Blue Ridge Mountains, Boone, North Carolina offers exceptional outdoor recreation, vibrant community living, and outstanding quality of life.

• Assist cardiologists and radiologists with diagnostic catheterizations and interventional procedures.

• Perform scrubbing, circulating, monitoring, and documentation responsibilities during procedures.

• Monitor and record hemodynamic parameters in accordance with policy and procedure.

• Deliver moderate sedation under the direct order and supervision of the attending physician.

• Operate and report results from blood glucose and oxygen saturation monitoring devices.

• Provide direct and indirect nursing care addressing psychosocial, physical, and restorative patient needs.

• Conduct thorough assessments and respond promptly to changes in patient condition.

• Recognize cardiac arrhythmias and interpret EKG findings.

• Utilize sound clinical judgment in emergency or rapidly changing situations.

• Maintain accurate and timely documentation in the electronic medical record.

• Communicate effectively with patients, families, physicians, and interdisciplinary team members.

• Adhere to regulatory standards, organizational policies, and nurse practice guidelines.

• Promote a safe, patient-centered environment focused on quality and service excellence.

• Demonstrate professionalism, accountability, and teamwork.

• Respond quickly and accurately to emergencies within the Cath Lab and hospital setting.

• Graduate of an accredited nursing program required

• Critical care experience preferred

• Ability to recognize arrhythmias and experience with hemodynamic monitoring preferred

• One (1) year of experience in a similar role preferred

• Current, unrestricted Registered Nurse (RN) license in the State of North Carolina

• Basic Life Support (BLS) from the American Heart Association required at time of hire

• Advanced Cardiac Life Support (ACLS) from the American Heart Association required within 90 days of hire or transfer

• Strong clinical knowledge and critical care proficiency

• Ability to communicate courteously and effectively within the chain of command

• Competence in delivering safe, effective patient care within licensure and regulatory standards

• Knowledge of cardiac care pathways and invasive cardiology procedures

• Exceptional customer service and patient-centered care skills

• Ability to work effectively in a fast-paced procedural environment

• Ability to lift, position, push, pull, and/or transfer patients weighing 50+ pounds

• Prolonged standing and walking (8+ hours per shift)

• Frequent bending, squatting, kneeling, twisting, and reaching

• Manual dexterity for precise procedural tasks

• Near visual acuity for detailed clinical monitoring

• Frequent repetitive hand, finger, and wrist movements

• Occasional exposure to vibration, cramped spaces, and radiation

• Regular exposure to bloodborne pathogens and infectious materials

• Frequent exposure to electrical/mechanical equipment and clinical hazards

• Exposure to ionizing and non-ionizing radiation in procedural settings

• Requires flexibility for irregular hours, including days, evenings, weekends, holidays, and emergency call situations

• Fast-paced, high-acuity cardiovascular procedural environment

About UNC Health Appalachian
UNC Health Appalachian is a premier healthcare provider in the High Country, operating three hospitals and a variety of medical services. We are committed to improving the health and quality of life for residents of the region.

About UNC Health
As part of the University of North Carolina system, UNC Health includes 14 hospitals and over 500 clinics, dedicated to advancing the health and well-being of North Carolinians.

Diversity and Inclusion
UNC Health Appalachian is committed to a diverse and inclusive workforce. We welcome applicants from all backgrounds and experiences. Employment is contingent upon successful background checks and drug screening. For accommodations or additional information, contact arhsrecruitment@unchealth.unc.edu.