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Provides quality nursing care and practice to patients undergoing invasive cardiac diagnostic interventional procedures EP studies and ablations and endovascular/peripheral procedures pre intra and post procedure. Maintains patient safety and comfort while assisting the physician in obtaining sufficient and valid hemodynamic and radiologic data for diagnosis and possible interventional procedure.
Responsibilities:
1. Asesses monitors and implements supportive nursing care health counseling and education to patients of all ages. Identifies physical symptoms and changes in patient status. Takes appropriate action in timely manner.
2. Provides IV access procedurespecific preparation prepares and administers procedural sedation and related reversal agents intracoronary medications anticoagulants llb/llla agents and other medications as needed.
3. Documents patients response to these medications in the medical record.
4. Monitors patients response to vasoactive/cardiac meds pre intra and post procedure as needed.
5. Assists the physician during diagnostic and interventional cardiac procedures peripheral/endovascular procedures intraaortic balloon insertions permanent pacemaker implants ICD implants TEEs and cardioversions EP studies and ablations.
6. Creates and maintains a safe sterile environment throughout all phases of procedure.
7. Follows ACLS protocol under the direction of the cardiologist in the event of complication or code 99. Assesses and monitors patient establishes IV access defibrillates administers as needed and completes documentation in the medical record.
8. Provides specific preprocedure education to patients and their families obtains patients history assessment of blood work allergies and renal status preprocedure. Verifies informed consent.
9. Contacts physician for contrast and/or renal prophylaxis if needed and informs of any other abnormalities noted. Revises the nursing care process as indicated to ensure optimal patient care while in the cath lab.
10. Knowledgeable & skilled in the use of all diagnostic equipment & supplies needed for patient preparation diagnostic and interventional procedures EP studies and ablations including devices used during implantation of permanent pacemakers and ICDs.
11. Thoroughly completes all documentation of procedures performed pre intra and post procedure ACCNCDR and Connecticut Registries.
12. Assists in the training of new staff members and serves as a resource for information to the technical cath lab staff.
13. Participates in the oncall program for emergent diagnostic caths/PCI IABP insertions temporary pacemakers and other emergent procedures.
14. Interrogates and reprograms permanent pacemakers and ICDs per physicians order.
15. Establishes policies for new procedures and equipment.
16. Assists in the QI program of the department tracking adverse outcomes and door to balloon time.
17. Achieves the organizations established expectations with regard to quality service team work selfdevelopment and community service.
18. Fulfills all compliance responsibilities related to the position.
19. Performs other duties as assigned.
Education: ASSOCIATES LVL DGRE
Other Information:
Required: State of CT RN license. Interpretation of rhythm strips sterile technique conscious sedation BLS ACLS.
Minimum Experience: three years
Desired: Minimum of 1 year cath lab and critical care experience preferred. Knowledge of pacemakers ICD electrophysiology studies.
Working Conditions:
Manual: significant manual skills/motor coord & finger dexterity
Occupational: Significant occupational risk
Physical Effort: Very Heavy effort. May exert up to 50 lbs. force
Physical Environment: Significant exposure to dirt odors noise human waste etc.
Credentials:ACLSBLSRN
Company: Danbury Hospital
Org Unit: 104
Department: Invasive Cardio Lab
Exempt: No
Salary Range: $45.29 $84.11 Hourly
Required Experience:
Unclear Seniority
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