Registered Nurse - Vascular Access Team (Full Time)

Beth Israel Lahey Health•Burlington, VT

1d•Onsite

About The Position

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives. This is a full-time position (36 hours per week). The preferred schedule is 3 12-hour shifts (7:00am to 7:00pm), but there is some flexibility. Every 3rd weekend rotation. LHMC is seeking an exceptional Vascular Access RN with a minimum of 2 years of experience providing vascular access consultation, working with medical and nursing colleagues in a hospital or procedural setting, and inserting Interosseous Catheters (IOs), peripheral intravenous catheters (PIVC), ultrasound-guided peripheral intravenous catheters (USGIV), midlines and Peripherally Inserted Central Catheters (PICCs – at least 1 year experience). Vascular Access RN will work in a Level-I-Trauma Center on a team of Vascular Access Nurses of varying skill sets, in a variety of settings, including inpatient, outpatient, infusion, procedural areas and testing areas. As such, Vascular Access RNs service 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. Under the general supervision of the Nurse Manager/Assistant Nurse Manager/Tertiary Team Leader, 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 and demonstrates Lahey Clinic’s core values that reflect its Mission. The nurse-patient/family relationship, continuity of care and accountability are central to the delivery of individualized high quality patient care. A Staff Registered Nurse: Tertiary Care demonstrates the knowledge and skills necessary to provide expected standards of care based on physical, psychosocial, cultural, educational, spiritual, safety and age-appropriate considerations of patients. The Staff Registered Nurse: Tertiary Care, in accordance with the Nurse Practice Act of Massachusetts Rules & Regulations- 244 CMR 3.0, shall bear full and ultimate responsibility for the quality of nursing care he/she provides to individuals and groups. Included in such responsibility are health maintenance, teaching, counseling, collaborative planning and restoration of optimal functioning and comfort or for the dignified death of those they serve. The Staff Registered Nurse: Tertiary Care assumes the responsibility for the plan of care and has the authority to make decisions and is held accountable for decisions specific to assessment, planning, implementation and evaluation of the plan. The registered nurse facilitates the coordination of care across the continuum and demonstrates safe practice within the domains of: Clinical judgment and decision making, Professional Relationships, Clinical leadership, Clinical scholarship. A responsibility and function of the Staff Registered Nurse: Tertiary Care includes 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. The delegating registered nurse at Lahey Clinic bears the full and ultimate responsibility that includes but is not limited to: Making an appropriate assignment, Properly and adequately teaching, directing and supervising the delegate, The outcome of the delegation. The Staff Registered Nurse: Tertiary Care provides care directly to patients and in collaboration with other health care team members. The Staff Registered Nurse: Tertiary Care maintains a current level of knowledge and skill with technical procedures as defined by nursing specialty organization, complies with all regulations and standards of regulatory and accrediting bodies, and is currently licensed in the state of Massachusetts as a registered nurse. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment. More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger. At Beth Israel Lahey Health, we are driving the change in health care that Massachusetts wants and needs. Our culture promotes continuous learning, growth, innovation and a sense of belonging. We make it a priority to offer comprehensive compensation and benefits and help you achieve a healthy and balanced life. While you're busy caring for and supporting our patients, we take care of you.

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 BD Site-Rite 8 ultrasound technology for PICC placement
Familiarity with 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 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
Vaccinated 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)
Inserting peripheral intravenous catheters (PIVC)
Inserting ultrasound-guided peripheral intravenous catheters (USGIV)
Inserting midlines
Inserting Peripherally Inserted Central Catheters (PICCs)
Servicing a variety of vascular access devices including implanted venous access devices (IVAD, port-a-cath)
Servicing a variety of tunneled and non-tunneled, temporary to permanent, dialysis catheters
Servicing Centrally Inserted Central Line Catheters (CICCs)
Servicing Peripherally Inserted Central Line Catheters (PICCs)
Servicing 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
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 adhering 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
Making an appropriate assignment
Properly and adequately teaching, directing and supervising the delegate
The outcome of the delegation
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