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Job Description: Interventional Radiology Registered Nurse Pre/Post Procedure and Moderate Sedation ENVITA INTERVENTIONAL RADIOLOGY | Full-Time | On-Site | North Scottsdale, Arizona Location: East Bell Road and Loop 101Schedule: Monday through Friday, 8:00 a.m. to 4:00 p.m.Compensation: Up to $60.00 per hour, depending on experienceBenefits: Medical, dental, vision, life insurance, paid time off, 401(k), and additional employee benefits Provide Exceptional Procedural Care When Patient Safety Matters Most Envita Interventional Radiology is seeking an experienced Interventional Radiology Registered Nurse with advanced hands-on moderate-sedation experience to guide patients safely through the complete procedural journey. This is not an entry-level procedural nursing position. The successful nurse must be capable of independently recognizing subtle changes in a patient’s condition, administering and monitoring moderate sedation under appropriate provider direction, supporting airway management, responding to complications, and maintaining calm clinical control during urgent situations. This position is especially important because many Envita patients are facing complex medical conditions, including cancer and chronic disease. They may arrive feeling frightened, medically vulnerable, overwhelmed, or uncertain about their treatment options. The nurse must combine strong procedural judgment with compassion, patient advocacy, attention to detail, and an unwavering commitment to safety. Why Experienced Nurses Choose EnvitaMonday-through-Friday schedule, 8:00 a.m. to 4:00 p.m.Specialized outpatient interventional radiology environmentCompensation up to $60.00 per hour, based on experienceMeaningful work with patients facing complex medical conditionsOpportunity to develop ongoing relationships with patients and familiesAdvanced interventional radiology and interventional oncology proceduresClose collaboration with interventional radiologists and clinical leadersIndividualized, quality-over-quantity patient careStrong emphasis on clinical judgment, patient safety, and compassionOpportunity to contribute to growing procedural capabilitiesComprehensive benefits packageMission-driven and patient-first organizational culture About Envita Interventional Radiology Envita Interventional Radiology provides advanced, minimally invasive, image-guided procedures within a collaborative outpatient environment. Our clinical teams work with patients facing cancer, chronic disease, and other complex medical conditions. Many patients seek Envita after exhausting conventional options or while looking for a more individualized and integrated approach to their care. Procedures may include TACE, cryoablation, radiofrequency ablation, PEF, embolization, image-guided biopsies, kyphoplasty, vascular procedures, and other advanced interventional treatments. Envita is committed to thoughtful innovation, clinical excellence, patient safety, meaningful collaboration, and helping every patient feel informed, respected, and genuinely cared for. Why This Position Exists The Interventional Radiology Registered Nurse ensures that patients are safely prepared, continuously monitored, clinically supported, and appropriately recovered throughout the interventional radiology experience. Before a procedure, the nurse verifies clinical readiness, identifies risks, establishes venous access, administers ordered medications, confirms required documentation, and prepares the patient physically and emotionally. During the procedure, the nurse administers and monitors moderate sedation according to provider orders and established protocols, assesses the patient’s airway and physiological response, maintains accurate intra-procedural documentation, and intervenes immediately when the patient’s condition changes. Following the procedure, the nurse provides vigilant recovery care, recognizes complications, manages symptoms, communicates changes, and ensures that the patient meets established discharge, transfer, or admission criteria. The performance of this nurse directly affects:Patient safetySedation-related outcomesProcedural efficiencyOn-time procedure startsClinical documentationPatient confidencePhysician and team reliabilityDischarge readinessThe overall quality of the Envita patient experience Position Summary The Interventional Radiology Registered Nurse is responsible for the assessment, preparation, medication administration, moderate-sedation monitoring, recovery, education, documentation, and discharge of patients undergoing diagnostic, interventional, and therapeutic procedures. The nurse works closely with interventional radiologists, technologists, clinical leadership, and other care-team members to ensure safe transitions before, during, and after each procedure. This position requires advanced clinical assessment skills, strong procedural judgment, confident airway awareness, competency with moderate sedation, and the ability to respond calmly and effectively when a patient’s condition changes. Critical Moderate-Sedation Requirement Candidates must possess a minimum of two years of direct, hands-on experience administering and monitoring moderate sedation in an interventional radiology, procedural, surgical, cardiac catheterization, endoscopy, or closely related clinical environment. This experience must include demonstrated responsibility for:Pre-sedation patient assessment and risk identificationMedication administration under provider ordersContinuous physiological and level-of-consciousness monitoringAirway assessment and basic airway supportRecognition of respiratory depression and oversedationRecognition of hemodynamic instabilityUse and interpretation of cardiac, oxygenation, and ventilation monitoringImmediate clinical intervention and escalationFamiliarity with reversal agents and emergency-response protocolsAccurate intra-procedural medication and monitoring documentationPost-sedation recovery assessment and discharge readiness Observation-only experience, recovery-only experience, classroom training, or limited exposure to sedated patients will not satisfy this requirement. Candidates should be prepared to provide detailed examples demonstrating the number and types of procedures supported, sedation medications administered, monitoring responsibilities, complications recognized, and interventions personally performed. Key Performance Objectives 1. Demonstrate Safe and Independent Moderate-Sedation Competency Within the first 60 days, successfully complete all required Envita moderate-sedation, medication-administration, monitoring, airway-management, emergency-response, and documentation competencies. The nurse will consistently:Complete required pre-sedation assessmentsVerify patient risk factors, allergies, medications, fasting status, and laboratory resultsAdminister moderate-sedation medications according to provider orders and policyContinuously monitor respiratory, cardiovascular, neurologic, and sedation statusRecognize early signs of respiratory depression, airway compromise, oversedation, allergic reaction, or hemodynamic instabilityInitiate appropriate nursing interventions without delayEscalate concerns immediately to the qualified medical providerMaintain accurate and complete sedation recordsRecover patients safely until established discharge or transfer criteria are met Successful performance requires more than completing a checklist. The nurse must demonstrate situational awareness, sound judgment, appropriate urgency, and the ability to anticipate clinical deterioration. 2. Ensure Complete Pre-Procedure Readiness Within the first 60 days, independently complete thorough pre-procedure assessments and prepare assigned patients without avoidable omissions. Pre-procedure readiness includes:Medical and surgical history reviewMedication reconciliationAnticoagulant and antiplatelet verificationAllergy and contrast-reaction historyRequired laboratory and diagnostic-result verificationNPO and fasting-status confirmationPatient identity and procedure verificationConfirmation that informed consent has been completed by the responsible providerBaseline neurological and vascular assessments when applicableIV access and ordered medication administrationTransportation and responsible-adult verificationIdentification and escalation of clinical risksClear patient and caregiver education The nurse should identify missing information, contraindications, or readiness concerns early enough to prevent avoidable delays, cancellations, or patient-safety risks. 3. Provide Vigilant Intra-Procedural Monitoring and Emergency Response Within the first 90 days, independently manage the nursing responsibilities for assigned interventional procedures within the nurse’s validated competencies. The nurse will:Monitor airway, respiratory rate, oxygenation, ventilation, cardiac rhythm, blood pressure, circulation, pain, anxiety, and level of consciousnessAdminister medications, fluids, and contrast media according to provider orders and established protocolsMaintain accurate time-based medication and monitoring documentationRecognize changes in condition before they become criticalCommunicate clinical changes clearly and immediatelyAssist the physician and technologist during invasive proceduresEstablish or troubleshoot venous accessSupport critical or medically complex patientsInitiate emergency measures and assist with resuscitation when requiredMaintain readiness of emergency medications, equipment, oxygen, suction, and airway resources The nurse must demonstrate the confidence to stop, question, or escalate when a clinical situation appears unsafe. 4. Deliver Safe Post-Procedure Recovery and Discharge Within the first 90 days, independently manage routine post-procedure recovery and demonstrate appropriate escalation for higher-risk patients. Recovery responsibilities include:Receiving a complete procedural handoffMonitoring airway, breathing, circulation, neurological status, pain, nausea, and sedation recoveryPerforming procedure-specific puncture-site, bleeding, vascular, and neurological assessmentsRecognizing hemorrhage, hematoma, contrast reaction, infection, oversedation, or hemodynamic instabilityAdministering ordered medications and interventionsCommunicating changes promptly to the appropriate providerEvaluating readiness for discharge, transfer, or admissionCompleting accurate and timely recovery documentationProviding patient-specific discharge educationConfirming patient and caregiver understanding through teach-back when appropriate Patients should leave Envita feeling clinically safe, emotionally supported, and confident about what to expect during recovery. 5. Maintain Efficient Patient Flow Without Compromising Quality Within the first 90 days, effectively manage assigned patients while supporting on-time procedure starts, timely room progression, safe recovery, and appropriate discharge or transfer. The nurse will:Anticipate clinical and operational needsPrioritize patients according to acuity and procedural scheduleCommunicate potential delays earlyPrepare medications, supplies, monitoring equipment, and recovery spacesComplete documentation without creating avoidable bottlenecksCoordinate effectively with physicians, technologists, and clinical team membersSupport safe procedural turnoverProtect quality and safety even when the schedule is busy Efficiency will never be achieved by rushing assessments, overlooking warning signs, or compromising patient education. 6. Strengthen Patient Experience, Clinical Quality, and Team Reliability During the first year, become a trusted clinical team member known for excellent judgment, reliable follow-through, compassionate care, and direct communication. The nurse will contribute to:Medication and procedural safetyHigh-quality clinical handoffsAccurate and timely documentationInfection-prevention standardsEmergency preparednessPatient and caregiver educationIdentification of recurring clinical risksReporting of adverse events and near missesContinuous process improvementA supportive and accountable nursing culturePositive patient and family experiencesStrong working relationships with physicians and team members The nurse should accept feedback professionally, take ownership of mistakes, communicate concerns respectfully, and actively help protect both patients and colleagues. First 30 Days During the first 30 days, the nurse will:Complete Envita orientation and required clinical onboardingLearn interventional radiology procedures, workflows, and documentation standardsReview moderate-sedation policies and emergency-response protocolsDemonstrate understanding of commonly used sedation medications and reversal agentsBecome familiar with contrast, anticoagulation, infection-prevention, and recovery protocolsReview Envita’s procedures and patient populationsDemonstrate safe use of monitoring and emergency equipmentShadow experienced clinical team membersLearn pre-procedure, intra-procedure, and recovery workflowsBuild effective relationships with physicians, technologists, and nursing colleaguesDemonstrate alignment with Envita’s patient-first standards First 60 Days By the end of 60 days, the nurse will:Complete required moderate-sedation competency validationIndependently prepare routine interventional radiology patientsComplete accurate assessments and medication reconciliationIdentify sedation risks and missing clinical informationEstablish and maintain IV accessProvide clear patient and caregiver educationAdminister ordered medications safelyMonitor routine moderate-sedation cases within validated competencyManage routine post-procedure recovery with appropriate supportDocument care accurately and within required timeframesCommunicate changes in condition promptlyDemonstrate current knowledge of emergency and airway-response procedures First 90 Days By the end of 90 days, the nurse will:Independently manage assigned patients across the pre-, intra-, and post-procedure continuumAdminister and monitor moderate sedation safelyRecognize and respond appropriately to sedation-related complicationsDemonstrate strong procedural prioritization and time managementSupport efficient patient flow and procedure-room turnoverComplete safe and thorough handoffsMaintain complete medication, monitoring, and recovery documentationDemonstrate sound judgment during urgent clinical situationsMeet all required sedation, emergency-response, nursing, and documentation competenciesConsistently demonstrate Envita’s patient-first culture Exceptional Success After One Year After one year, exceptional performance will be demonstrated by:Consistently safe and clinically thorough procedural nursing careStrong physician and team confidence in the nurse’s clinical judgmentReliable moderate-sedation administration and monitoringEarly recognition and escalation of clinical complicationsNo recurring pattern of missed assessments