Critical Care Nurse Cardiac Cath Lab

Decypher•Nellis Air Force Base, NV

42d•Onsite

About The Position

Decypher is seeking Critical Care Nurse Cardiac Cath Lab to support Mike O' Callaghan Military Medical Center (MOMMC), 99th Medical Treatment Facility, Nellis Air Force Base, Nevada. Education: Bachelor of Science in Nursing (BSN) Graduate of a college or university accredited by the National League for Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE) Experience: Minimum of two years of nursing experience post-graduation At least one year of experience in Critical Care or Cath Lab settings Licensure/Registration: Must hold a current, full, active, and unrestricted Registered Nurse license Valid license to practice in any of the 50 U.S. states, District of Columbia, Puerto Rico, or U.S. Virgin Islands Certifications: Required: Basic Life Support (BLS) Advanced Cardiac Life Support (ACLS) or Advanced Life Support (ALS)

Requirements

Bachelor of Science in Nursing (BSN)
Graduate of a college or university accredited by the National League for Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE)
Minimum of two years of nursing experience post-graduation
At least one year of experience in Critical Care or Cath Lab settings
Must hold a current, full, active, and unrestricted Registered Nurse license
Valid license to practice in any of the 50 U.S. states, District of Columbia, Puerto Rico, or U.S. Virgin Islands
Basic Life Support (BLS)
Advanced Cardiac Life Support (ACLS) or Advanced Life Support (ALS)
US Citizenship Required.

Responsibilities

Must be able to stand while wearing up to 25 pounds of PPE for up to 4 hours or more.
Carry out prescribed physician orders and document in patient medical record.
Possess knowledge of a variety of pharmacological agents used in treatment of patients, the desired effects, side effects, complications and usual dosage of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required.
Administer prescribed medications to include multiple medication drips and intravenous push drugs (e.g., sedatives, narcotics, vasoactive medications, neuromuscular blockades, antidysrhythmics, antihypertensives, thrombolytics, and emergency drugs). Administration consideration based on protocols, policy and recommendations by medical references.
Assess and document patient response to medications administered and intervene if desired response is not achieved.
Conduct preoperative and postoperative visits. Discuss Cardiac Catheterization and diagnostic cardiac testing procedures with patients and inform them of what to expect during procedures. Consult with the physician performing the procedure and establish priorities of care for each patient.
Properly apply cardiac monitor leads and 12 lead EKG machine, analyze rhythm strips, and notify Physician of any abnormal results (e.g., dysrhythmias for patient situation). Be able to interpret cardiac rhythms and their implications, intervene on emergent changes.
Coordinate patient care through a continuum and facilitate the achievement of optimal outcomes in relation to care, quality and cost effectiveness.
Provide professional nursing care to patients undergoing Cardiac Catheterization Laboratory and diagnostic cardiac testing procedures.
Prepare and maintain Cardiac Catheterization Laboratory for all routine and emergency procedures.
Assemble the type and quantity of material and special equipment needed for daily procedures and possible emergencies.
Support Cardiovascular, Interventional Radiology (IR), Vascular, Pulmonary Clinic, and Gastroenterology (GI) procedures or clinical care activities including but not limited to: bronchoscopies, transesophageal echocardiograms, cardioversions, CT Guided Procedures, Dobutamine stress echocardiograms, endoscopies, electrophysiology (EP) and emergency surgeries that arise that may or may not be performed outside the Immediate Cardiovascular Catheterization Laboratory as well as pre-procedure preparations, assessments and postprocedure recovery in the PACU.
During all procedures supported by the Cardiovascular Catheterization Laboratory, the RN will be responsible for pre-procedure preparations and assessments; managing intraprocedure vital signs/hemodynamics, assessments, and medication administration; and postprocedure recovery and transportation to MSU CCU/PACU.
Assist in preparing patient charts prior to the procedure and breaking down patients charts post procedure.
Educate and train new Cardiovascular Laboratory Nurses and Staff.
Assist in maintaining cardiac catheterization laboratory programs such as safety, infection control, supply, radiation safety, etc.
Support Cardiopulmonary Clinic procedures or clinical care activities, including but not limited to cardiac stress testing (treadmill, dobutamine stress, nuclear medicine stress testing), perform EKGs, Holter monitors, telephone consults, check in patients and other clinic duties as assigned.
Assist other nursing units as directed by immediate supervisor, flight leadership or hospital director. Cath lab cases take priority over other units and the nurse will be readily available to return to the cath lab during his/her time on the unit they're floated to.
Coordinate patient care in collaboration with a wide array of healthcare professionals. Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness.
Administer medications, assist with cardiac stress tests (exercise stress tests, nuclear stress tests, and stress echocardiograms) and other personalized interventions.