Registered Nurse - Vascular Access Team (Full Time)

Beth Israel Lahey Health•Burlington, VT

21h•Onsite

About The Position

This is a full-time position (36 hours per week) for a Vascular Access RN at a Level-I-Trauma Center, involving days and evenings with an every 3rd weekend rotation. The role requires a minimum of 2 years of experience in vascular access consultation, working with medical and nursing colleagues in hospital or procedural settings, and inserting various catheters including Interosseous Catheters (IOs), peripheral intravenous catheters (PIVC), ultrasound-guided peripheral intravenous catheters (USGIV), midlines, and Peripherally Inserted Central Catheters (PICCs, with at least 1 year of PICC experience). The Vascular Access RN will work on a team of Vascular Access Nurses across inpatient, outpatient, infusion, procedural, and testing areas, servicing a variety of vascular access devices. The Staff Registered Nurse: Tertiary Care practices within the Lahey Clinic Professional Practice Model, MA Nurse Practice Act, ANA Standards of Practice and Code of Ethics, upholding Lahey Clinic’s core values and mission. The nurse bears full responsibility for the quality of nursing care, including health maintenance, teaching, counseling, collaborative planning, and patient comfort or dignified death. They are accountable for the plan of care, decision-making in assessment, planning, implementation, and evaluation, and coordinating care across the continuum. The role also involves delegation and supervision according to the Nurse Practice Act of Massachusetts, providing direct patient care, maintaining current technical skills, and complying with regulatory standards.

Requirements

Minimum of 2 years of experience providing vascular access consultation
Minimum of 2 years of experience working with medical and nursing colleagues in a hospital or procedural setting
Minimum of 2 years of experience inserting Interosseous Catheters (IOs), peripheral intravenous catheters (PIVC), ultrasound-guided peripheral intravenous catheters (USGIV), midlines
At least 1 year experience inserting Peripherally Inserted Central Catheters (PICCs)
Current BLS Certification from AHA or American Red Cross
Ability and aptitude to expertly insert, trouble-shoot, educate colleagues in real-time about care and maintenance of vascular access devices, risks, benefits and complication prevention
Experience using 3CG Technology
Familiarity with the use of technology for PICC placement and EPIC documentation
Working knowledge of best practice, including Infusion Therapy Standards of Practice Infusion Nurses’ Society (INS)
Working knowledge of Michigan Appropriateness Guide for Intravenous Catheters (MAGIC)
Working knowledge of the Strategies to prevent central line-associated bloodstream infection in acute-care hospitals: 2022 Update from the Society for Healthcare Epidemiology, et.al.(SHEA)
Graduate of a state approved and/or accredited School of Nursing
Current license to practice professional nursing from the Massachusetts Board of Registration
Demonstrates the necessary clinical skills and technical knowledge to provide care for patients according to Nursing Policy and Procedures
Demonstrates the necessary clinical skills and knowledge to provide care for patients according to the unit-specific competencies
Excellent interpersonal and organizational skills
Vaccination against influenza (flu) as a condition of employment

Nice To Haves

BSN preferred
ACLS preferred
Board Certified (VA-BC or CRNI preferred)

Responsibilities

Providing vascular access consultation
Working with medical and nursing colleagues in a hospital or procedural setting
Inserting Interosseous Catheters (IOs), peripheral intravenous catheters (PIVC), ultrasound-guided peripheral intravenous catheters (USGIV), midlines and Peripherally Inserted Central Catheters (PICCs)
Servicing a variety of vascular access devices including implanted venous access devices (IVAD, port-a-cath); a variety of tunneled and non-tunneled, temporary to permanent, dialysis catheters; Centrally Inserted Central Line Catheters (CICCs), Peripherally Inserted Central Line Catheters (PICCs), Cordis, Introducer, SwanGanz, and other venous access devices as required
Expertly insert, trouble-shoot, educate colleagues in real-time about care and maintenance of vascular access devices, risks, benefits and complication prevention
Practicing within the Lahey Clinic Professional Practice Model, MA Nurse Practice Act, ANA Standards of Practice and Code of Ethics
Demonstrating Lahey Clinic’s core values that reflect its Mission
Bearing full and ultimate responsibility for the quality of nursing care provided to individuals and groups, including health maintenance, teaching, counseling, collaborative planning and restoration of optimal functioning and comfort or for the dignified death of those they serve
Assuming the responsibility for the plan of care and having the authority to make decisions and being held accountable for decisions specific to assessment, planning, implementation and evaluation of the plan
Facilitating the coordination of care across the continuum
Demonstrating safe practice within the domains of Clinical judgment and decision making, Professional Relationships, Clinical leadership, Clinical scholarship
Delegation & Supervision in accordance with the Nurse Practice Act of Massachusetts Rules & Regulations- 244 CMR 3.0 Registered Nurse and Licensed Practical Nurse: Board of Registration in Nursing and the ANA Principles of Delegation
Making an appropriate assignment
Properly and adequately teaching, directing and supervising the delegate
Providing care directly to patients and in collaboration with other health care team members
Maintaining a current level of knowledge and skill with technical procedures as defined by nursing specialty organization
Complying with all regulations and standards of regulatory and accrediting bodies
Providing safe patient care by demonstrating organizational skills that maintain and coordinate safe delivery of quality care for assigned patients/families
Developing a culturally competent plan of care that identifies patient problems, expected outcomes, and addresses preventative measures
Performing systematic patient and family assessment relevant to practice settings
Delivering care that is specific to the age of the patient
Evaluating effectiveness of care and adapting plan based on patient/family response
Establishing professional relationship with nurses, physicians and other colleagues and patients and families
Educating the patient and family about the patient’s illness and treatment including preventative measures appropriate to the patient
Supporting Lahey Clinics commitment to community based activities both within the Lahey community and beyond
Demonstrating professional behavior by adhering to unit policies and procedures, practice guidelines specific to the setting and the ANA Code of Ethics
Demonstrating skills as a responsive team member
Demonstrating role of nurse as teacher
Demonstrating ability to fulfill role in Regulatory compliance and readiness
Upholding standards of quality nursing care
Demonstrating a commitment to life long learning
Demonstrating evidenced based practice (EBP) in nursing
Incorporating Lahey Clinic Guiding Principles, Mission Statement, and Goals into daily activities
Complying with all Lahey Clinic Policies
Complying with behavioral expectations of the department and Lahey Clinic
Maintaining courteous and effective interactions with colleagues and patients
Demonstrating an understanding of the job description, performance expectations, and competency assessment
Demonstrating a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards
Participating in departmental and/or interdepartmental quality improvement activities
Participating in and successfully completing Mandatory Education
Performing all other duties as needed or directed to meet the needs of the department