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Hospital - Radiology RN IV (Day Shift, Full Time)

The University of Texas at San Antonio

The University of Texas at San Antonio

San Antonio, TX, USA
Posted on Jan 16, 2026

The Radiology RN IV practices at the level of an expert practitioner of nursing. The RN IV provides expert, high-quality nursing care to patients undergoing diagnostic imaging and interventional radiology (IR) procedures. This role includes comprehensive assessments, patient education, IV access and sedation monitoring, post-procedure recovery, and rapid emergency interventions as needed. Collaborates closely with radiologists, technologists, and the interprofessional care team to ensure safe, effective patient care throughout the imaging process. As a clinical expert and advanced leader, the RN IV serves as a mentor, educator, and resource to nursing staff, modeling excellence in communication, evidence-based practice, and patient advocacy. The Radiology RN IV drives unit and hospital-wide practice improvements, leads or contributes to shared governance, quality, and safety initiatives, and supports the continuous development of nursing practice and positive patient outcomes across the organization.


Education:

  • Bachelor's of Science in Nursing required

Certification/Licensure:

  • Current Texas Board of Nursing (or Compact State) RN license; Or a Temporary Texas RN License (Permanent TX license within 90 days upon hire).
  • American Heart Association Basic Life Support (BLS) certification, within 7 days of hire.

  • Perform comprehensive pre-procedure assessments, obtain medical histories, and develop individualized care plans for patients undergoing diagnostic imaging and interventional radiology (IR) procedures.
  • Prepare patients physically and emotionally for procedures; provide education on process, risks, and post-care instructions to patients and families.
  • Establish IV access, administer medications, and monitor sedation and vital signs throughout procedures to ensure patient safety and comfort.
  • Assist radiologists during interventional procedures (e.g., angiography, biopsies, drain placements) and support exams in CT, MRI, ultrasound, fluoroscopy, and nuclear medicine.
  • Recognize changes in patient condition and respond promptly with appropriate interventions, including leading emergency measures as needed.
  • Manage post-procedure recovery, ensure appropriate discharge instructions, and coordinate care transitions with other departments.
  • Serve as a liaison between the radiology team, patients, families, and interdisciplinary care providers to promote seamless care coordination.
  • Promote and model the use of the nursing process to deliver evidence-based, high-quality care for a diverse patient population.
  • Mentor, coach, and provide performance feedback to staff; support preceptorships and foster an environment that encourages professional growth and learning.
  • Identify staff development needs and design, coordinate, and implement educational initiatives for staff, patients, and families.
  • Collaborate with leadership to recruit, retain, and engage staff by modeling positive communication, conflict resolution, and peer-to-peer accountability.
  • Actively lead or participate in performance improvement, quality assurance, and patient safety initiatives within radiology and across the service line.
  • Support the development and integration of research and evidence-based practice changes, guiding staff in evaluating and applying findings to improve patient outcomes.
  • Maintain accurate, timely documentation in the electronic medical record (EMR) and ensure compliance with hospital policies, standards, and regulatory requirements.
  • Promote a respectful, diverse, and team-oriented work culture while modeling service excellence and high standards of patient care in the fast-paced radiology environment.
  • Performs other job-related duties as assigned.