RN - Cardiac Cath Lab Full Time

Jupiter Medical Center•Lexington, MA

3d•Onsite

About The Position

Ranked #1 for Safety, Quality and Patient Satisfaction, Jupiter Medical Center is the leading destination for world-class health care in Palm Beach County and the greater Treasure Coast. Outstanding physicians, state-of-the-art facilities, innovative techniques and a commitment to serving the community enables Jupiter Medical Center to meet a broad range of patient needs. Jupiter Medical Center is the only hospital in Palm Beach, Martin, St. Lucie and Indian River counties to receive a 4-star quality and safety rating from the Centers for Medicare & Medicaid Services (CMS). The Cardiac Cath RN assumes responsibility for patient safety, and delivery of quality, compassionate, comprehensive and attentive healthcare to the whole person within the context of a professional, collaborative, respectful, and team-oriented environment. In this team-oriented environment colleagues are treated and treat each other with compassion and respect and are recognized for their excellence. The nursing professional in the Cardiac Catheterization area is responsible for and participates in all aspects of admission, assessment, pre & post procedural care, patient teaching, transfers (in-house & outside of institution) and takes emergency after-hours call on a rotational basis. The nursing professional will assist in non-invasive diagnostic and therapeutic Cardiac Catheterization Lab procedures. Scope of practice to include, but not limited to: Utilize Nursing Process to set goals, prescribe nursing actions to meet the goals and the physical, cultural, spiritual and needs of our patient across the continuum of life Provide appropriate patient education & discharge information relevant to patient disposition and based on patient age, literacy and learning needs Develop effective communication with patients and their support systems to enhance knowledge base and comfort Anticipate Physician’s needs Verify and execute Physician orders Anticipate patient reactions to medications, procedures, interventions, allergies & respond appropriately Exhibits excellent time management according to assigned caseload and department census Complete new staff member orientation learning modules, hospital-based competencies, and education as assigned by preceptor, Nursing Manager, &/or department Director Assesses, interpret and respond appropriately to patient data, i.e.) lab results, allergies, vital signs, pre & post instructions Recognize lethal and non-lethal arrhythmia, verbalize comprehension of appropriate care Operate all Cardiology monitoring equipment Start peripheral IV’s and perform phlebotomy Arterial and Venous sheath management, including IBP monitoring via pressurized transducer, sheath removal and hemostasis management Hematoma management including hemorrhage protocol, FEMSTOP application, and indications Knowledge of pulse assessment; apical, carotid, femoral, pedal and radial Assessment-Neuro, Respiratory, GI, GU, Integumentary, Vital Signs, Pain Scale, Psychosocial Educational Needs Cardiac Assessment-evaluate chest pain, ECG & Rhythm interpretation, peripheral pulse, arterial pressure, LV Pressure, LVEDP, EF, RA, RV, PA & PCW pressure & waveform; pre, post and intra procedurally Respiratory Assessment-blood gas, O2 administration, airway management, suctioning Cardiovascular, pulse assessment-apical, carotid, femoral, pedal, radial procedures- Able to perform EKG, Pulse Oximetry, assist with Stress Tests, EKG, Cardiolite, Dobutamine, Optison, ECHO, Stress ECHO, TEE, CV Procedures, Circulate Right & Left Heart Catheterizations, Percutaneous Interventions, IVUS, Arthrectomy, both directional and rotational. Cardiac Cath Lab specific equipment use, care & quality controls-hemochron, accucheck, Med Rad Injector, IABP, External Pacer, Defibrillator, Impella, Rotoblater Contact appropriate nursing unit to alert staff nurse of pre-procedural requirements, gather pertinent patient data related to procedure, arrange for transportation, perform proper order entry and obtain proper paperwork Provide appropriate nursing unit/staff nurse with patient report regarding post procedural care including access site management, vital sign requirements, Maintains meticulous and accurate documentation Maintain professional attitude Adhere to Cardiovascular Service Line uniform requirements Maintain knowledge base and seek out learning opportunities related to new equipment, supplies, and techniques Communicate with patient in preferred language, knowledge of accessing and use of language line Report any incidents through proper chain of command and complete incident reports as needed in timely manner Practice is governed by policies, procedures & protocols. Critical thinking is vital for the inherently stressful and fluid situations. Exhibit ability to work independently as well as member of a precision team Daily patient pre-op, preparatory phone calls and post op follow-up phone calls Participate in unit-based initiatives, community outreach, and team building projects Assist with transport Assist with growth, development and public image of Jupiter Medical Center and Cardiovascular Service Line Participate in hospital based and unit specific self-evaluation Nursing professional will be evaluated annually by manager or Director Nursing professional shall consult with preceptor and/or manager on areas of concern, areas for improvement, and excellence of colleagues. The RN applies nursing process and theories, as well as principles of psycho-social and physical sciences, in assessing, planning, diagnosing, implementing, evaluating, and modifying patient care utilizing evidence-based practices. The RN practice autonomously within professional nursing standards, the ANA Code of Ethics and the ANA Bill of Rights. The RN strives for quality outcomes and innovative practice in accordance with the Florida Nursing Practice Act and the Hospital/departmental policies. The RN ensures practice is in accordance with competency required for that area. This position is accountable for the quality of nursing services delivered by self (or others who are under her/his direction). This is done through participation in quality assurance or performance improvement initiatives. The RN provides care in a collaborative manner with other disciplines to ensure optimal, individualized patient care and outcomes. In managing patient care the RN will take a leadership role coordinating the interdisciplinary team working in collaboration with other health team members to enhance patient outcomes. All aspects of the RN performance supports service excellence and a healing environment. The RN identifies and communicates needed unit resources or equipment to be included in budget. Performs other duties as assigned.

Requirements

Graduate of an accredited school of professional nursing, BSN preferred
Current RN licensure in the state of Florida
Two years of Acute Critical Care experience Cardiovascular, ICU, or CVICU
BLS certification for Health Care Providers from American Heart Association
ACLS certification from the American Heart Association
NIH Stroke Scale Certification from American Heart Association
Annual Joint Commission mandatory education requirements, in-service and health requirements including attendance at new employee orientation
TB/PPD Surveillance Program
Maintenance of required professional licensing and/or certification(s).

Nice To Haves

BSN preferred

Responsibilities

Acts as educator to their peers, patients, and their families.
Assumes responsibility for patient safety, and delivery of quality, compassionate, comprehensive and attentive healthcare to the whole person within the context of a professional, collaborative, respectful, and team-oriented environment.
Participates in all aspects of admission, assessment, pre & post procedural care, patient teaching, transfers (in-house & outside of institution) and takes emergency after-hours call on a rotational basis.
Assists in non-invasive diagnostic and therapeutic Cardiac Catheterization Lab procedures.
Utilizes Nursing Process to set goals, prescribe nursing actions to meet the goals and the physical, cultural, spiritual and needs of our patient across the continuum of life.
Provides appropriate patient education & discharge information relevant to patient disposition and based on patient age, literacy and learning needs.
Develops effective communication with patients and their support systems to enhance knowledge base and comfort.
Anticipates Physician’s needs.
Verifies and executes Physician orders.
Anticipates patient reactions to medications, procedures, interventions, allergies & responds appropriately.
Exhibits excellent time management according to assigned caseload and department census.
Completes new staff member orientation learning modules, hospital-based competencies, and education as assigned by preceptor, Nursing Manager, &/or department Director.
Assesses, interprets and responds appropriately to patient data, i.e.) lab results, allergies, vital signs, pre & post instructions.
Recognizes lethal and non-lethal arrhythmia, verbalizes comprehension of appropriate care.
Operates all Cardiology monitoring equipment.
Starts peripheral IV’s and performs phlebotomy.
Performs Arterial and Venous sheath management, including IBP monitoring via pressurized transducer, sheath removal and hemostasis management.
Manages hematoma including hemorrhage protocol, FEMSTOP application, and indications.
Assesses knowledge of pulse assessment; apical, carotid, femoral, pedal and radial.
Performs Assessment-Neuro, Respiratory, GI, GU, Integumentary, Vital Signs, Pain Scale, Psychosocial Educational Needs.
Performs Cardiac Assessment-evaluates chest pain, ECG & Rhythm interpretation, peripheral pulse, arterial pressure, LV Pressure, LVEDP, EF, RA, RV, PA & PCW pressure & waveform; pre, post and intra procedurally.
Performs Respiratory Assessment-blood gas, O2 administration, airway management, suctioning.
Performs Cardiovascular, pulse assessment-apical, carotid, femoral, pedal, radial procedures- Able to perform EKG, Pulse Oximetry, assist with Stress Tests, EKG, Cardiolite, Dobutamine, Optison, ECHO, Stress ECHO, TEE, CV Procedures.
Circulates Right & Left Heart Catheterizations, Percutaneous Interventions, IVUS, Arthrectomy, both directional and rotational.
Operates Cardiac Cath Lab specific equipment use, care & quality controls-hemochron, accucheck, Med Rad Injector, IABP, External Pacer, Defibrillator, Impella, Rotoblater.
Contacts appropriate nursing unit to alert staff nurse of pre-procedural requirements, gather pertinent patient data related to procedure, arrange for transportation, perform proper order entry and obtain proper paperwork.
Provides appropriate nursing unit/staff nurse with patient report regarding post procedural care including access site management, vital sign requirements.
Maintains meticulous and accurate documentation.
Maintains professional attitude.
Adheres to Cardiovascular Service Line uniform requirements.
Maintains knowledge base and seeks out learning opportunities related to new equipment, supplies, and techniques.
Communicates with patient in preferred language, knowledge of accessing and use of language line.
Reports any incidents through proper chain of command and completes incident reports as needed in a timely manner.
Applies nursing process and theories, as well as principles of psycho-social and physical sciences, in assessing, planning, diagnosing, implementing, evaluating, and modifying patient care utilizing evidence-based practices.
Practices autonomously within professional nursing standards, the ANA Code of Ethics and the ANA Bill of Rights.
Strives for quality outcomes and innovative practice in accordance with the Florida Nursing Practice Act and the Hospital/departmental policies.
Ensures practice is in accordance with competency required for that area.
Accountable for the quality of nursing services delivered by self (or others who are under her/his direction) through participation in quality assurance or performance improvement initiatives.
Provides care in a collaborative manner with other disciplines to ensure optimal, individualized patient care and outcomes.
Takes a leadership role coordinating the interdisciplinary team working in collaboration with other health team members to enhance patient outcomes.
Identifies and communicates needed unit resources or equipment to be included in budget.
Performs other duties as assigned.
Builds effective networks, working relationships, and alliances in order to collaborate effectively within department and organization.
Provides guidance and feedback to help others strengthen knowledge/skills needed to accomplish tasks, solve problems, and perform effectively within the team.
Fosters commitment and cohesiveness by facilitating cooperation and working as a team within the organization toward goal accomplishments.
Works well with others, builds consensus, and ensures cooperation to complete tasks and positive workflow.
Exercises self-leadership, self-awareness, and self-regulation; manages emotions so that they are expressed appropriately; leads others by showcasing adaptability, empathy, and social skills.
Interacts with others in a way that is seen as direct and truthful; ensures confidence in individual and organizational motives and representations.
Acts in a way that is consistent with personal and organizational values by keeping confidence, promises, and commitments.
Clearly states goals and beliefs; informs people of their true intentions, does what they say they will do; follows through on commitments.
Supports people in their efforts to try new things.
Thinks creatively, generates novel and valuable ideas and uses these ideas to develop new or improved processes.
Accepts new ways of doing things and adapts to change.
Speaks and writes clearly, conveys information in a concise, organized, and logical manner.
Tailors the message to fit the interests and needs of the audience.
Listens attentively and exercises tact, discretion, and diplomacy when interacting with members of the department and organization.
Treats all people with dignity and respect.
Demonstrates an open-minded approach to understanding people regardless of their gender, age, race, national origin, religion, ethnicity, disability status, or other characteristics.
Challenges bias and intolerance.
Develops all-inclusive groups in the realms of social interaction and communication.
Shows respect for the beliefs of others; encourages and promotes practices that support cultural diversity; discourages behaviors or practices that may be perceived as unfair, biased, or critical toward people with certain backgrounds.
Participates in unit-based initiatives, community outreach, and team building projects.
Assists with transport.
Assists with growth, development and public image of Jupiter Medical Center and Cardiovascular Service Line.
Participates in hospital based and unit specific self-evaluation.
Consults with preceptor and/or manager on areas of concern, areas for improvement, and excellence of colleagues.