RN Cath Lab IR, Part Time Days

MLK Community Healthcare•Los Angeles, CA

About The Position

The Cardiac Cath Lab/Interventional Radiology Nurse is a skilled Registered Nurse responsible for clinical nursing excellence and patient care management. Reporting to Cardio Pulmonary Services, with a dotted line to Acute Care Nursing, the nurse organizes, plans, directs, coordinates, and provides individualized, patient- and family-centered care for a defined patient group, following the Watson Model of Care and addressing age- and population-specific needs. The role primarily supports Cardiology and Interventional Radiology, and also provides conscious sedation support for eligible ASA 1 and ASA 2 patients across departments including Peri-Op, Nursing, and Endoscopy. The nurse may also provide cardiac monitoring for procedures and testing such as Lexiscan, CT, and MRI. The position supports the hospital’s mission, core values, strategic plan, and quality and performance improvement activities. The nurse assesses patients, plans and coordinates care, recognizes changes in clinical condition, administers medications, supports procedural interventions, monitors and interprets clinical and diagnostic information, and collaborates with physicians and interdisciplinary teams. The role includes admitting and recovering patients, assisting with cardiac and interventional radiology procedures, and maintaining a safe, clean, and compliant care environment.

Requirements

Bachelor of Science in Nursing or a related Bachelor of Healthcare degree; candidates with an ASN, Nursing Diploma, or equivalent and two years of Cath Lab/IR experience may be considered in lieu of the degree.
At least one year of clinical nursing experience in Telemetry or Critical Care nursing, such as ICU, PACU, or ER, with regard to regulatory guidelines and standards of practice.
At least six months of Cardiac Cath Lab experience.
Current California Registered Nursing license.
Current BCLS and ACLS certifications.
Adult moderate sedation class required within 30 days of hire and maintained every two years.
Basic computer skills.

Nice To Haves

CRN or CCRN certification preferred.
Bilingual skills, preferably Spanish.
Electronic Medical Record experience preferred.

Responsibilities

Use the nursing process to assess patients, anticipate needs, plan care, recognize changes in condition, and revise care plans as appropriate.
Prioritize and organize patient care and ensure that planned care is completed.
Provide age-specific care, treatment, assessment, and education for adolescent, adult, and geriatric patients.
Apply current literature, research findings, and critical thinking to clinical decisions.
Maintain therapeutic nurse-patient relationships and respect patient rights; conduct hourly patient rounding.
Communicate using SBAR during handoffs and document care, including assessment, the interdisciplinary plan of care, implementation, evaluation, and the Watson Model of Care, in accordance with policy.
Adapt physical and psychosocial interventions to patient comfort and support patients and families in participating in recovery.
Promote a safe physical environment and interdisciplinary collaboration among nurses, physicians, and other healthcare team members.
Collect and analyze patient data related to fluid and electrolyte balance, airway patency, and gas exchange; intervene to correct imbalances.
Assist with intubation and maintain ventilated patients during procedures.
Assess and care for patients with impaired cardiac function, myocardial oxygen supply-demand imbalance, and atrial or ventricular arrhythmias; correlate symptoms with diagnostic results and intervene as appropriate.
Safely administer vasoactive, antiarrhythmic, cardiac, and emergency medications, understanding their indications and expected outcomes.
Understand procedural indications and effects on patient pathophysiology, including use of external, transcutaneous, and permanent pacemakers when applicable.
Interpret and act on procedural diagnostic information, including hemodynamic parameters, pressure-wire information, and EKG findings.
Monitor patients receiving thrombolytic agents, recognize complications, and manage coagulation before, during, and after procedures.
Assist with cardiac and interventional radiology procedures; identify indications and set up required equipment in the Cardiac Catheterization and Interventional Radiology Suite.
Troubleshoot hemodynamic monitoring, EKG, pacer, and other diagnostic equipment.
Re-establish and maintain hemodynamic stability in patients experiencing hypovolemic, septic, or cardiogenic shock.
Admit and recover patients according to policy and procedure, and remove arterial lines or femoral or radial sheaths after procedures when ordered.
Identify and address the learning needs of patients and families using appropriate resources.
Coordinate interdisciplinary communication with departments including Nursing, Cardiology, Radiology, and Peri-Op; review patient orders and communicate condition changes to physicians and team members.
Promptly notify physicians of significant changes, collaborate professionally to obtain required orders, and follow up on revised care.
Evaluate nursing interventions and document outcomes in the interdisciplinary plan of care.
Plan, supervise, instruct, and evaluate ancillary nursing personnel, float staff, orientees, and registry staff as needed.
Work independently and as part of a team, use monitoring and transfusion devices, and perform under pressure with seriously ill patients.
Maintain professional appearance, follow the dress code, wear a hospital identification badge, and promote proper identification practices.
Maintain a safe and clean environment that meets regulatory standards and Patient Safety Goals.
Participate in unit quality and performance improvement activities when requested, complete monitoring forms, and report findings to the Department of Quality and Licensing.
Perform other duties as assigned.