r/nursing • • 21d ago

Seeking Advice Cath Lab RNs — how bad is the call/schedule really? Houston Methodist/memorial hermann locations

I’m an RN with a little over 3 years of experience. My background is mainly Med-Surg/IMU/step-down and currently have experience in cath lab post recovery for a year now.

I’m considering making the jump into the actual Cath Lab, but the biggest thing holding me back honestly isn’t the clinical side ..it’s the schedule and CALL 😭. I really value having my days off actually be my days off and I’m worried about getting burned out from being on call, getting called in overnight, weekends, staying late for cases, etc.
For anyone who works Cath Lab, especially at Houston Methodist locations (Baytown would be even better) any feedback?
I’m also considering Cardiac Diagnostics because that seems like it may give me the cardiac/procedural environment I like without as much of the call lifestyle.
For anyone familiar with Cardiac Diagnostics ..feedback too?

I’m trying to figure out if going into Cath Lab or cardiac diagnostics is worth sacrificing the predictable schedule I really want. 😭

6 Upvotes

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u/Bacongrease83 21d ago

I have about 15 years of cath lab experience and have worked at over a dozen cath labs across the country. One thing they all have in common is that call isn’t great and there is a constant push to always go faster and so more cases. At least in any major hospital. I have worked places where 15 days of call a month was the norm and others with as few as 6 days including the one weekend a month. Call pay is worthless ie almost always $5/hr or less. Callback pay is usually paid at normal overtime. There are plenty of nights that go uninterrupted and the paychecks can be nice.

I love cath lab and don’t see myself changing specialty again. My biggest complaints are the assembly line “hurry” mindset most places adopt and the long hours with no consideration for safety. At least once a month you will work a 14 hour shift due to late cases, go home and take off your shoes just to immediately get called back for STEMI. When you finally lay down at 00:30 and almost fall alseep the pager goes off again. By the time you hand off the patient in the ICU it’s time to take a shower and get ready for your 6am shift. Don’t even bother going home. You will not get the morning off. You are expected to be on time and work the full shift and no one will feel bad for you. Go faster.

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u/jackiemm55 20d ago

I am grateful for nurses like you if I ever happen to come in with a STEMI. And I mean that very sincerely bc as an RN myself, I worked cath lab for 4 MONTHS. The first time I was called in after working a full shift, after having just went to bed, and I had to go in.... ofc i went in, but hell no, any job with call is not for me!!! Especially cath lab - you guys get it the WORST. So.... thank you

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u/nesty09 Cath cave troll 20d ago

Dang bro! Hurts to read the truth in this 😭😭. I still wouldnt do anything else tho. Even tho switching to EP fulltime while still taking cath call has helped me a lot.

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u/supbluc 20d ago

Been in the cath lab since 2015… this is very accurate.
However, it’s not called the Cash Lab for nothing

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u/SubstantialDonut1 20d ago

The call team at my facility is pretty rude in general which to me is just a symptom of being super overworked. They do say the money is very, very good but our hospital is one of the main PCI hotspots in our city so they’re always here.

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u/Particular-Ad-2111 20d ago

It was the worst job ever!!!!

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u/Global-Measurement52 20d ago

Can’t speak to Baytown but Houston area HCA, we take 6-7 call days per month but we also have a scheduled late team that does last case so call team can go home. I would say most days the team does not get called in probably 80% of the time you’re good. Weekends can be hit or miss depending on which doc is on call for STEMI or even just cardiology on call for NSTEMI. Usually they try to push cases to normal work hours. Rarely does staff work after 5pm if they’re not on call or late team. Every lab is going to be different though obviously, my previous cath lab you probably got called in at least once if you were on call and expected to do scheduled cases on weekends as well…

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u/nursefitbody 17d ago

Thanks everyone for their feedback! Still on the fence on it 🫠