Advanced Practice Registered Nurse Interventional Radiology Full Time

Primarily performs dutiesacross multipleUHealth facilitiesas neededincludingbut not limited to UHealth Tower Sylvester Comprehensive Cancer Center Interventional Radiology Clinic Lennar Foundation Medical Center UHealthDoralandwithpossiblerotations at otherlocations as services are expanded.

Performs minimally invasive vascular and nonvascular procedures as mentioned in management protocol and collaborative agreementindependentlyorunderthegeneral supervision of attending interventional radiologist and per hospital competenciesincluding but not limited to:

Assist with Port Placementsand Removals

Paracentesis

Thoracentesis

Central venous catheter insertion and removal

PICC Line insertion and removal

Tunneled catheter placement exchange and removal

FNA biopsies

Aspiration of superficial collections

Bone Marrow Biopsy

Tube removal for biliary nephrostomygastrostomyor abscess

Suture of simple and complex incisions and lacerations not requiring ligament or tendon repair

Assist physician with any additional interventional studies

Preceptor: Demonstrates ability to serve as a preceptor when assigned including introducing new Nurse Practitioners to the service area communicating and reinforcing core andjob-specificexpectations validating initial competency assessing learning needs serving as a resource and providing feedback

Service educator: Serves as an education resource for staff

Pre-studyassessment &post-studyfollow-up for interventional patients

Pre-assessment and assessment of interventional radiology patients undergoing imaging studies with IV contrast as required.

Patient Managementof vascular and non-vascular illnesses

Assists attending interventional radiologists with vascular interventional procedures

Positively impacts Interventional Radiology patients clinical management and provides ongoing continuity of care

Assists inthecoordination of patient imaging studies and laboratory tests required for specific Interventional radiology tests and procedures through contact with the referring physicians and/or the patients directly

Assists in the management of & the education of patients referred to the Interventional Radiology service in addition to counseling of patients and their families

Assists collaborating physicians during procedures

Recognizestheneed for and obtains physicians input and guidance as indicated withinthelimits ofthescope of practice

Aids in ensuring clearance for interventional procedures based on physical and lab assessment of patients

Facilitates/initiates inter/intra-departmentalproblem-solvingand communication

Assesses potential problems/contraindications for interventional radiology patients receiving IV contrast or those with uncontrolled medical problems and takes appropriate actions to reduce the risk of patient injury

Co-manages with physicians those patients who are/becomehigh-risk

Demonstrates the ability to extract pertinent patient clinical data in relation to the requested procedure

Monitors/communicates problemsthatmay contribute to increased unnecessary length of hospital stay to appropriate clinicians

Conducts apre-study-focusedscreening

Conducts a pre-anesthesia pre-procedural and focused physical screening

Relays information to patients regarding preparation for laboratory tests examinations and procedures

Obtains an accurate abbreviated age-specific advanced health history review of systems including biophysical and psychosocial data

Performs intake of patients including the taking of a brief medical history & performing physical exam

Documents all consultations toincludefocused medical history physical exam and summary of consultations treatment options reviewed risk and benefits of procedures offered patient disposition and the results of all testing under the indirect supervision of the attending interventional radiologist

Dictates all proceduresthatare performed independently with final approval by attending interventional radiologist

Triages interventional radiology patients via telephone and determines the need for emergency consultations based on acquired information and diagnostic testing necessary.Evaluateinterventional radiology patients as needed for pre-screening issues related to contrast media allergies contrast media pre-medication for allergies and patients on hemodialysis or peritoneal dialysis

Participates in the development of individualized plans of care and ongoing follow-up.

Documents progress notes in the medical record

Provideverbal and written orders for medications as per collaborative protocol

Updates physicians as necessary regarding patient issues to ensure continuity of care

Defines the discharge plan of care including follow-up medications home care referral etc

Helps to coordinate interventional procedures schedule to include requests from both the inpatient unit and outpatient referrals

Adheres to radiation safetyregulations

Assures that pre- and post-procedureorders are carried out to include both pre-op and post-procedure instructions to patients relativesand staff

Assists with the transferring of patients to other institutions when necessary

Demonstrates knowledge and skills in interventional radiology procedures contrast administration response to contrast reactionsand extravasations related to interventional radiology procedures

Provides pre- and post-procedurepatient educationand counseling

Recognizes needs for/obtains physicians assistance inputand guidance as indicated within limits of scope of practice

Works collaboratively with medical technical and support staff

Facilitates/initiates inter/intra-departmental problem-solving and communication

Assists with & facilitates research activities

Participate in patient care conferences/tumor boards

Takes part in patient rounds with the responsible physicians as necessary

Diagnose health problems and manage the healthcare care of patients

Prescribe and Order Physical Therapy

Perform any other areas of management in which theAPRNhas been formally trained and educated to provide

Participate inon call weekend coverageasassigned.

Performs related duties as requires