PRN Registered Nurse - Cath Lab - Day

WellSpan Health•Chambersburg, PA

1d•Onsite

About The Position

The Cardiac Catheterization Laboratory (pre and post) consists of 3 Cardiac Catheterization Laboratory suites that perform various procedures including cardiac catheterization, permanent pacemaker implants, AICD implants, Electrophysiology studies, ablation procedures, and carotid stenting. There is a 13-bay pre/post patient care area. The role also involves performing TEE and cardioversion procedures. Orientation for this position is extensive, ranging from 16 weeks to 6 months, covering all aspects of the department. Each staff member is expected to participate in the on-call rotation. Nursing care is provided to adults 18 years or older, with no pediatric procedures performed. This is a PRN position, requiring a minimum of 24 hours off shift per 6-week schedule, with 10-hour day/evening shifts. Weekend and holiday work is required as needed, with eligibility for Shift and Weekend Differential. The Registered Nurse is responsible and accountable for implementing, directing, and coordinating patient care through the nursing process: assessment, planning, implementation, and evaluation. This includes recognizing and treating the physical and psychosocial changes unique to the age/population group served on the specific unit.

Requirements

Graduate of an accredited School of Nursing required.
Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.
Experience applying customer service behaviors and communication skills required.
Eligible for or currently licensed as a Registered Professional Nurse in Pennsylvania.
CPR certification required.
Proficiency in cardiac monitor interpretation, conscious sedation, and ACLS required for Cath Lab or achieved within 6 months of hire/transfer.
At least two years of acute care nursing required (Tele-Observation, IMCU, CCU, Cath Lab, ED).
Successful completion of EKG course required.

Nice To Haves

Bachelor of Science in Nursing is preferred.
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.
Certification in specialty preferred.

Responsibilities

Demonstrates safe medication practice.
Maintains a professional image that reflects the employee’s role in health care, with confidence and a positive impression.
Completes chart check to ensure no missed orders.
Accurately transcribes physician’s orders.
Demonstrates therapeutic communication skills.
Demonstrates ability to assess patient education needs and use of patient education resources.
Demonstrates involvement in unit by attending 50% of staff/committee meetings and in-services for area.
Demonstrates leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes.
Acts as a resource person regarding patient care, specialty area, orientation and teaching of staff.
Responds to delays in a calm manner. Apologizes for inconveniences and gives alternatives.
Analyzes assessment data, identifies priority problems and documents on Plan of Care in PCS for patients and families and significant others.
Uses effective problem-solving skills to plan patient care.
Identifies critical factors evidencing changes in patient condition and responds appropriately.
Completes and documents discharge assessment against plan of care goals.
Initiates and maintains Intravenous Therapy according to IV standards.
Responds appropriately to emergency situations.
Utilizes proper body mechanics to prevent injury to self and others. Safely positions, transfers and transports patients.
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.
Demonstrates scheduling of patients for procedures performed in Cath Lab.
Demonstrates competency with pre-procedural phone calls, procedural instructions, and chart preparation for procedures performed in the Cath Lab.
Demonstrates proficiency with physical preparation of all patients undergoing procedures in the Cath Lab.
Demonstrates competence with post-procedural follow up phone calls.
Demonstrates correct patient identification by following Manual of Administrative Policy.
Completes preprocedural assessment, procedural preparation, and teaching on all patients undergoing procedures in Cath Lab Suite, and documents assessment information.
Demonstrates proficiency in the preparation of patient documentation, including review of diagnostic studies, completion of consents, and presence of H&P’s and notification of physician of abnormal results.
Completes post-procedural assessment and teaching on all patients undergoing procedures in the Cath Lab suite, and documents assessment information.
Continually monitors, assesses, and evaluates patient response during recovery phase, and reports changes in patient condition.
Utilizes appropriate nursing assessment pre- and post-procedure, as established by the department standards of patient care.
Follows established criteria in assessing patients for discharge readiness.
Demonstrates ability to function in the resource role by assisting with flow of procedures.
Achieves/maintains credentialing in moderate sedation per annual competency and demonstrates appropriate clinical performance as evidenced by successful observation and chart review.
Demonstrates ability to maintain an open airway for the anesthetized patient.
Identifies signs/symptoms of airway obstruction, laryngospasm, bronchospasm, aspiration, and respiratory arrest, and takes appropriate action to correct the problem.
Demonstrates the ability to calibrate and to draw blood from an arterial line.
Demonstrates proper technique for removal of venous/arterial sheaths and management of vascular complications.
Demonstrates proper application of transcutaneous pacemaker.
Demonstrates competency with defibrillating patients.
Demonstrates 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.
Demonstrate proper technique for sterile technique.
Demonstrates/maintains proficiency in point of care (POC) testing.
Completes a 12 lead EKG.
Participates in the annual malignant hyperthermia education.
Achieves accurate SBAR hand off communication between levels of care.
Collaboratively coordinates with other departments and disciplines to meet patient’s needs.
Completes mandatory education and in-services by due date.
Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
Enhances professional growth and development through participation in educational programs, current literature, in-service meetings, and workshops.
Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
Maintains the cleanliness of work areas as required.
Demonstrates competency with all elements outlined in Cath Lab Prep & Recovery area.
Demonstrate/maintains sterile technique in procedural suite.
Recognizes signs and symptoms of cardiopulmonary emergencies and initiation of standardized interventions to stabilize the patient's awaiting transfer to a higher level of care.
Demonstrates competency with all procedural and hemodynamic documentation.
Demonstrates competency with cardioverting/defibrillating patients.
Demonstrates competency on radiation safety by completing annual radiation safety education and following established radiation safety practices.
Demonstrates proper technique for insertion and care of patient receiving IABP therapy.
Demonstrates proper technique for insertion and care of patient receiving Impella therapy.
Demonstrates proper technique for insertion and care of patient receiving temporary pacemaker therapy.
Demonstrates proper use of all ancillary procedural equipment in Cath Lab, including cleaning of.
Assists in operation of x-ray equipment, as allowable per governing bodies.
Demonstrates competency with circulating during any procedure, providing the performing physician or assistant with any equipment need.
Participation of On-call rotation.
Assists with TEE's and Cardioversions.