Registered Nurse - Cardiac Cath Lab - Pool - Day - Horizon West

Orlando Health•Winter Garden, FL
•Onsite

About The Position

The Registered Nurse provides advanced patient care in a hospital or inpatient setting for patients with serious illnesses or injuries who require timely, complex care to stabilize and support their condition. The role involves complex assessment and therapies, high-intensity interventions, continuous nursing vigilance, and care appropriate to the ages and needs of patients on the assigned unit or department. The nurse assesses patients, develops and revises individualized care plans, evaluates progress, documents care, and coordinates and delegates care to other team members while collaborating with physicians and the interdisciplinary team. Registered Nurses with specialized training may serve as Extracorporeal Membrane Oxygenation (ECMO) Specialists, supporting extracorporeal life support services in the Cardiac Intensive Care Unit and other hospital settings. Under the direction of unit leadership and medical and perfusion providers, ECMO Specialists operate and monitor ECMO equipment and circuits, administer ordered medications and blood products through the circuit, support transport, and respond to emergencies. They maintain continuous ECLS coverage, attend required quarterly simulations, and provide critical nursing resource support to the CVICU or other areas when not providing ECLS services. The nurse also contributes to staff development, mentoring, quality improvement, professional practice, and organizational outcomes. The role includes maintaining a safe and organized work area, attending in-services and meetings, and assuming other duties as assigned.

Requirements

  • Graduate of an approved school of nursing.
  • At least 1 year of experience, unless an exception is approved by an AVP level or above.
  • Current State of Alabama RN license or valid eNLC multistate RN license.
  • Current BLS/Healthcare Provider certification.
  • Meet Baptist Health and unit/department mandatory, developmental, and performance competency requirements.
  • ACLS, NRP, PALS, or TNCC certification is required for certain areas; NRP is required for the Neonatal Intensive Care Unit.
  • Specialized training is required to function as an ECMO Specialist.

Responsibilities

  • Provide complex patient assessment, therapies, and high-intensity nursing interventions with continuous vigilance.
  • Use patient information and assessment data to anticipate changing conditions and take timely, evidence-based action.
  • Monitor and adjust specialized patient-care equipment and interpret and record electronic displays, including cardiac rhythms and pressure readings.
  • Respond to life-threatening situations according to nursing standards and protocols; recognize serious changes and contact a physician or take preplanned emergency measures.
  • Assess patient needs, develop and revise individualized plans of care, and evaluate progress toward expected outcomes.
  • Advocate for patients and families and provide compassionate, therapeutic care while respecting diversity and patient rights.
  • Provide age-appropriate care and apply knowledge of growth and development across the lifespan.
  • Coordinate care for an assigned group of patients and delegate tasks in accordance with patient needs and team members’ capabilities and qualifications.
  • Document assessments, education, medications, treatments, and patient-safety activities in accordance with required and regulatory standards.
  • Communicate and collaborate with medical staff and interdisciplinary teams to plan and manage care and address patient or unit concerns.
  • Serve as a preceptor, charge nurse, unit educator, nurse clinician, role model, or resource for other staff as assigned.
  • Support the transition and development of new team members and students in collaboration with nursing leadership and education staff.
  • When trained as an ECMO Specialist, perform scheduled, unscheduled, and emergency ECLS; operate ECMO equipment under medical and perfusion direction; monitor and optimize the circuit; administer ordered blood products and medications through the circuit; manage connected equipment; and manage ECLS during transport.
  • Ensure continuous ECLS coverage and attend mandatory quarterly simulations.
  • Maintain ECMO/perfusion equipment and supplies and provide relevant information to the supervisor or director in coordination with biomedical engineering or vendors.
  • Provide critical nursing resource support to the CVICU or other areas as directed when not providing ECLS services.
  • Participate in or lead nursing practice and performance-improvement committees, peer review, mentoring, and coaching.
  • Use supplies efficiently, maintain a clean, safe, organized work area, attend required development activities and meetings, and pursue continuing education.
  • Maintain punctual attendance and comply with Baptist Health policies and procedures.
  • Perform other duties as assigned.
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