PRN Registered Nurse Cath Lab

The Registered Nurse is responsible and accountable for implementing directing and coordinating the care of patients through the use of the nursing process: assessment planning implementation and evaluation. Included is recognition and treatment of the physical and psychosocial changes unique to the age/population group served on the specific unit.

Essential Functions and Responsibilities
Job Class Specifics
safe medication practice.
a professional image that reflects the employees role in health care with confidence and a positive impression.
chart check to ensure no missed orders.
transcribes physicians orders.
therapeutic communication skills.
ability to assess patient education needs and use of patient education resources.
involvement in unit by attending 50% of staff/committee meetings and in-services for area.
leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes.
as a resource person regarding patient care specialty area orientation and teaching of staff.
to delays in a calm manner. Apologizes for inconveniences and gives alternatives.
assessment data identifies priority problems and documents on Plan of Care in PCS for patients and families and significant others.
effective problem-solving skills to plan patient care.
critical factors evidencing changes in patient condition and responds appropriately.
and documents discharge assessment against plan of care goals.
and maintains Intravenous Therapy according to IV standards.
appropriately to emergency situations.
17. Utilizes proper body mechanics to prevent injury to self and others. Safely positions transfers and transports patients.
18. Functions as a virtual nurse as assigned which includes but is not limited to admissions discharges education documentation through a virtual platform and working collaboratively with the bedside nursing staff.

Department: Cardiac Cath Lab

Lab Prep & Recovery:
scheduling of patients for procedures performed in Cath Lab.
competency with pre-procedural phone calls procedural instructions and chart preparation for procedures performed in the Cath Lab.
proficiency with physical preparation of all patients undergoing procedures in the Cath Lab.
competence with post-procedural follow up phone calls.
correct patient identification by following Manual of Administrative Policy.
preprocedural assessment procedural preparation and teaching on all patients undergoing procedures in Cath Lab Suite and documents assessment information.
proficiency in the preparation of patient documentation including review of diagnostic studies completion of consents and presence of H&Ps and notification of physician of abnormal results.
post-procedural assessment and teaching on all patients undergoing procedures in the Cath Lab suite and documents assessment information.
monitors assesses and evaluates patient response during recovery phase and reports changes in patient condition.
appropriate nursing assessment pre- and post-procedure as established by the department standards of patient care.
established criteria in assessing patients for discharge readiness.
ability to function in the resource role by assisting with flow of procedures.
credentialing in moderate sedation per annual competency and demonstrates appropriate clinical performance as evidenced by successful observation and chart review.
ability to maintain an open airway for the anesthetized patient.
signs/symptoms of airway obstruction laryngospasm bronchospasm aspiration and respiratory arrest and takes appropriate action to correct the problem.
the ability to calibrate and to draw blood from an arterial line.
proper technique for removal of venous/arterial sheaths and management of vascular complications.
proper application of transcutaneous pacemaker.
competency with defibrillating patients.
working knowledge of high-risk medications that require independent double-checks including dose calculation; commonly used medications in the Cardiac Cath Lab setting including actions side effects and rationale for use; and demonstrates proper initiation and titration of vasopressor agents.
proper technique for sterile technique
proficiency in point of care (POC) testing.
a 12 lead EKG.
in the annual malignant hyperthermia education.
accurate SBAR hand off communication between levels of care.
coordinates with other departments and disciplines to meet patients needs.
mandatory education and in-services by due date.
established policies and procedures objectives quality assessment safety environmental and infection control standards.
professional growth and development through participation in educational programs current literature in-service meetings and workshops.
outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
the cleanliness of work areas as required.
Suite:
competency with all elements outlined in Cath Lab Prep & Recovery area.
sterile technique in procedural suite.
monitors assesses and evaluates patient response during recovery phase and reports changes in patient condition.
signs and symptoms of cardiopulmonary emergencies and initiation of standardized interventions to stabilize the patients awaiting transfer to a higher level of care.
competency with all procedural and hemodynamic documentation.
competency with cardioverting/defibrillating patients.
competency on radiation safety by completing annual radiation safety education and following established radiation safety practices.
proper technique for insertion and care of patient receiving IABP therapy.
proper technique for insertion and care of patient receiving Impella therapy.
proper technique for insertion and care of patient receiving temporary pacemaker therapy.
proper use of all ancillary procedural equipment in Cath Lab including cleaning of.
in operation of x-ray equipment as allowable per governing bodies.
competency with circulating during any procedure providing the performing physician or assistant with any equipment need.
of On-call rotation.
with TEEs and Cardioversions.

Qualifications and Standards

Education:
Graduate of an accredited School of Nursing required; Bachelor of Science in Nursing is preferred.
Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.

Experience:
Experience applying customer service behaviors and communication skills required.
Previous nursing experience in specialty area preferred.
For Cath Lab one year of acute care nursing experience (ED Cath Lab CCU IMCU Tele-Observation) preferred.
For Cardiac Rehab two years experience in Critical Care and/or Progressive Care required.
For Cardiovascular Services two years of experience reading cardiac monitors and be self directed in responding to abnormalities or cardiac arrests codes as a team member.
For Device Clinic at least one year of device management services required. Successful completion of EKG course required. At least two years of acute care nursing required (Tele-Observation IMCU CCU Cath Lab ED).
For Emergency Department at least one year of RN experience in ED or Critical Care required.
For Family Birthing Services a minimum of 1 year Labor and Delivery experience (within the last five years); For Family Birthing position posted as a trainee position requirement of at least 1 year of experience as an RN with preferred areas of ICU CCU IMCU EDor internal nurse intern upon successfully completing accredited nursing program. Experience requirement does not apply to an RN in the Family Birthing Services Fellowship Program (FBSFP)
For Infusion Services 6 months of infusion nursing experience required and 6 months Midline and PICC experience required.
For Wound Care Center two years experience and expertise in the nursing process related to wound care required. Experience in advanced wound care initiatives preferred.
For Outpatient Behavioral Health Services two years experience in Behavioral/Psychiatric nursing is required. Previous experience in a Behavioral Health Outpatient setting preferred. Child Abuse Recognition and Reporting Training in accordance with Act31 of 2014 required. Federal Bureau of Investigation (FBI) Clearance and finger printing required.
For Rapid Admission requires one year acute care experience and successful completion of EKG course within six months of hire.
For SDS / PACU must have experience with and be familiar with reading cardiac monitors and be self directed in responding to abnormalities or cardiac arrest as a team member. Must have recent clinical experience with cardiopulmonary resuscitation and have the ability to lead a Code Blue in the absence of a higher level professional.
For Medical Surgical (Renal Oncology and Pediatrics) pediatric experience is preferred.
For Level II NICU a minimum of one year NICU experience (within the last five years); For Level II NICU position posted as a trainee position requirement of at least 2 years of experience in: NICU Level 1 Labor and Delivery Post-Partum Nursery PICU ICU ED or CCU. Or for Level II NICU position posted as a trainee position requirement of a new graduate RN with (A) practicum/capstone in Labor and Delivery Nursery or NICU or (B) experience as Tech/Aide in Labor and Delivery Post-Partum Nursery or NICU.

Certifications/Licensure:
Eligible for or currently licensed as a Registered Professional Nurse in Pennsylvania.
Certification in specialty preferred.
CPR certification required.
ACLS required for Cardiovascular Services CCU Device Clinic Emergency IMCU FBS Tele Observation PACU/SDS or achieved within one year of start date.
ACLS required for Cardiac Rehab or achieved within 3 months of hire/transfer.
Proficiency in cardiac monitor interpretation conscious sedation and ACLS required for Cath Lab or achieved within 6 months of hire/transfer.
ACLS required for Float Pool.
PALS required for Emergency PACU and Pediatric trained staff within one year from start date.
PALS and Conscious Sedation is required for SDS or must be achieved within four months of hire/transfer.
CNOR preferred for OR.
CPAN/CAPA preferred for PACU/SDS.
CRRN preferred for Rehabilitation Medicine.
NRP required for Level II NICU.
NRP and Fetal Monitoring education required for Family Birthing Services within one year from start date.
PMH-BC preferred for BHS (IP and OP).
Proficiency in cardiac monitor interpretation required for PACU/SDS IMCU Tele Observation CCU Cardiac Rehab Cardiovascular Services Cath Lab and Emergency.
Temporarily reassigned personnel will work in a limited scope of practice consistent with credentials and be supervised by appropriately credentialed staff.
WOCNCB or CWCN preferred for Wound Care Center.