Registered Nurse Pre Post Procedural CARS RN

Banner Health • Phoenix, AZ

9d • Onsite

About The Position

Banner Health invests in our nurses by training them to confidently and safely deliver excellent patient care. Banner Health is committed to developing the careers of our team members. We care about you, your nursing career today and your future. Great options and great opportunities.
Banner University Medical Center - Phoenix named to list of 100 Great Hospitals in America. We are proud to be a Magnet facility, Academic Medical Center, Level 1 Trauma Center, and Designated Stroke Center. As a Cardiac Cath Registered Nurse, you will have the opportunity to participate in our Nursing Clinical Ladder Program.
High acuity Invasive Cardiac and Electrophysiology Procedure pre and post unit (PACU). Preps and recovers invasive cardiac procedures, structural procedures, EP procedures, IR procedures and medical imaging procedures. We are the groin management and sheath experts of the facility. RN will pull sheaths and perform manual holds to the artery. Recovers patients from sedation and general anesthesia. Administers sedation and manages the patients intra-TEE and DCCV. Holds STEMI patients and inpatients if specialized care is needed. Follows and contributes to all Banner Health Strategic Initiatives. Some administrative duties are required in this role. This includes phone management, scanning records, chart prepping, and nursing station duties of the Cardiac Treatment Center.
Location: BUMC-Phoenix, Cardiology & Radiologic Services
Shift Details: Full-Time, 3 12hr shifts; 0530-1000, varied starts based on cases. No set schedules. Mon-Fri, subject to change. Weekends and holidays needed. Subject to low census during low-volume.
POSITION SUMMARY
This position assesses, plans, implements, evaluates and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. This position is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of assigned patients.
CORE FUNCTIONS
1. Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs. Reviews patient history and physical with patient/family and assures completion within appropriate timeframe. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessments according to patient need and as outlined in policy.
2. Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of are. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status.
3. Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided.
4. Evaluates the patient's and family's response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient's response and the effectiveness of patient teaching.
5. Documents assessment, planning, implementation and evaluation in the patient record. Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient's response to treatment. Notes physician orders accurately and in a timely manner.
6. Provides care based on the best evidence available and may participate in research activities within clinical practice. Participates in unit or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others through precepting and mentoring when appropriate.
7. Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations.
8. In some roles, this position may supervise staff and work flow of the department.
9.Interacts with all levels of staff in a variety of departments, physicians, patients, families and external contacts, such as employees of other health care institutions, community providers and agencies, concerning the health care of the patient. Interacts with other health care providers in numerous settings in order to report and ask for or clarify information. Also works with clergy to provide spiritual support. Synthesizes and prioritizes data from multiple sources to provide support for the human response of the patient and family to changes in health status.

Requirements

• Current, valid RN license in state of practice, temporary/interim RN license in state of practice, or compact RN licensure for current state of practice.
• BLS certification is required.
• 5 years in Surgical, Procedural, PACU or Cardiac ICU experience, clearly reflected in attached resume.
• Procedural knowledge.
• Sedation/general anesthesia recovery.
• Femoral artery access management- Sheath Pulling.
• Radial access management and TR bands.
• Must maintain clinical performance competencies appropriate to the area in which they work as demonstrated through annual validations.
• Experience must include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area.

Nice To Haves

• Completed BSN program.
• Bachelor's degree preferred.
• Professional certification preferred.
• Additional related education and/or experience preferred.

Responsibilities

• Preps and recovers invasive cardiac procedures, structural procedures, EP procedures, IR procedures and medical imaging procedures.
• Manages groin management and sheath pulling, performing manual holds to the artery.
• Recovers patients from sedation and general anesthesia.
• Administers sedation and manages patients during intra-TEE and DCCV.
• Holds STEMI patients and inpatients if specialized care is needed.
• Follows and contributes to all Banner Health Strategic Initiatives.
• Performs administrative duties including phone management, scanning records, chart prepping, and nursing station duties.
• Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs.
• Reviews patient history and physical with patient/family and assures completion within appropriate timeframe.
• Reviews available information obtained by other health care team members.
• Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers.
• Completes assessment and reassessments according to patient need and as outlined in policy.
• Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input.
• Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care.
• Plans care in collaboration with members of the multidisciplinary team.
• Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status.
• Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team.
• Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements.
• Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel.
• Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided.
• Evaluates the patient's and family's response to care and teaching, and revises the plan of care as needed.
• Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members.
• Evaluates patient's response and the effectiveness of patient teaching.
• Documents assessment, planning, implementation and evaluation in the patient record.
• Provides care based on the best evidence available and may participate in research activities within clinical practice.
• Participates in unit or facility shared leadership.
• Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors.
• Promotes/supports growth of others through precepting and mentoring when appropriate.
• Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care.
• Actively participates in the improvement of national nursing quality indicators and outcomes.
• May supervise staff and work flow of the department.
• Interacts with all levels of staff in a variety of departments, physicians, patients, families and external contacts.
• Interacts with other health care providers in numerous settings in order to report and ask for or clarify information.
• Works with clergy to provide spiritual support.
• Synthesizes and prioritizes data from multiple sources to provide support for the human response of the patient and family to changes in health status.

Benefits

• Nursing Clinical Ladder Program

What This Job Offers

• Job Type: Full-time
• Career Level: Senior