Registered Nurse 2 - Vascular Access - Nights

GBMC HealthCare•Towson, MD

10d•$32 - $49

About The Position

The Registered Nurse 2 provides vascular access, care, maintenance, and evaluation of vascular access sites and devices for patients. The role assesses patients’ vascular access needs based on diagnosis, medication regimen, medical history, and length of stay; performs and supports vascular access procedures; monitors patient responses; and documents care, procedures, outcomes, and complications. The nurse also provides patient and staff education and participates in quality assurance activities. The position requires an associate degree from an accredited School of Nursing, three years of registered nursing experience with demonstrated competence in peripheral IV catheter placement, a current Maryland RN license, current Healthcare Provider BLS certification from an affiliated American Heart Association training site, and PICC insertion, care, and maintenance competency initially and annually. Additional certifications such as ALS, PALS, or NRP are required upon hire for specialty areas. The role involves working in a normal patient care environment, with possible exposure to excessive noise, dust, temperature, and adverse conditions associated with patient care. Physical requirements include walking and standing for extended periods and using equipment necessary to perform IV access. The listed pay range is $32.18–$49.46; the final offer depends on qualifications, education, experience, and organizational needs. The position must maintain current and valid licensure and certification and demonstrate GBMC Values.

Requirements

Associate degree from an accredited School of Nursing.
Three years of experience as a Registered Nurse, with demonstrated competence in placement of peripheral IV catheters.
High-level critical thinking and assessment skills related to vascular access device selection.
Analytical skills to resolve complex patient care problems and prepare comprehensive plans of care.
Ability to work independently.
Willingness to learn new techniques, including Modified Seldinger Technique using a wire and scalpel and portable ultrasound.
Excellent communication and teaching skills.
High-level clinical communication skills with physicians and other clinical staff.
Willingness to maintain and improve vascular access knowledge through seminars, magazines, and books.
PICC insertion, care, and maintenance competency initially and annually thereafter.
Current Maryland Registered Nurse license.
Current Healthcare Provider BLS certification from an affiliated American Heart Association training site.
Additional certifications such as ALS, PALS, or NRP are required upon hire for specialty areas.
Ability to walk and stand for extended periods.
Ability to use equipment necessary to perform IV access successfully.
Must maintain current and valid licensure and certification.

Responsibilities

Assess patients’ vascular access needs based on diagnosis, medication regimen, medical history, and length of stay.
Recognize abnormal conditions or potential problems, take appropriate action, and notify appropriate personnel.
Implement provider orders according to patient needs and established nursing policies and procedures; contact physicians to discuss orders for mid- to long-term vascular access devices.
Perform IV starts, phlebotomy associated with IV starts, and placements of extended dwell catheters proficiently.
Place peripherally inserted central lines.
Troubleshoot difficult vascular access device complications or assist staff with troubleshooting.
Declot vascular access devices or assist staff as a resource in declotting.
Place difficult peripheral catheters.
Provide patient teaching regarding PICC line care and maintenance.
Be available as a resource for accessing and de-accessing implanted ports.
Maintain detailed medical records pertaining to patient care.
Document procedures, outcomes, and complications appropriately.
Evaluate patient response to care and inform the health care team of changes in condition.
Provide one-to-one staff education as needed on vascular access assessment, insertion, care, and maintenance; follow up with the unit manager if specific staff repeatedly do not respond.
Participate in quality assurance programs and audits to promote efficient, quality patient care.
Maintain current and valid licensure and certification.
Demonstrate GBMC Values, including respect, excellence, accountability, teamwork, ethical behavior, and results-oriented conduct.