RN Vascular Access

Kootenai Health•Coeur d'Alene, ID

About The Position

Provides specialized vascular access assessment, consultation, placement, management, and evaluation for patients requiring intravenous therapy. Serves as a clinical resource in vascular access and infusion therapy and collaborates with the interdisciplinary care team to promote appropriate device selection, vessel preservation, safe device management, and prevention of vascular access-related complications. The role also supports caregiver competency development, monitors vascular access outcomes, and participates in developing and evaluating evidence-based policies, procedures, products, equipment, and clinical practices. The nurse documents assessments, procedures, interventions, patient responses, and follow-up in the health record, maintains current knowledge and competency, and performs other related duties as assigned. Regular and predictable attendance is an essential job function, and the employee must be competent to meet the age-specific needs of the assigned unit.

Requirements

  • Graduate of a nationally accredited nursing program.
  • Bachelor of Science in Nursing (BSN), or completion within three years, required.
  • Current State of Idaho Registered Nurse license or licensure pending as documented by temporary licensure; alternatively, current RN licensure from a state participating in the multistate privilege to practice compact with Idaho.
  • BLS certification required.
  • Able to maintain a standing and/or sitting position.
  • Able to stoop, crouch, or bend.
  • Able to push, pull, or transport heavy equipment.
  • Able to lift or move up to 35 lbs.

Nice To Haves

  • Current Vascular Access Board Certified (VA-BC), Certified Registered Nurse Infusion (CRNI), or other applicable specialty certification preferred.
  • Three to five years of clinical nursing experience preferred.
  • Previous vascular access, infusion therapy, critical care, emergency, or other relevant clinical experience preferred.

Responsibilities

  • Performs comprehensive vascular access assessments and collaborates with the interdisciplinary care team to select the appropriate device based on therapy, expected treatment duration, patient condition, access history, and vessel availability.
  • Performs ultrasound-guided placement of peripheral intravenous and midline catheters for patients with complex or difficult access.
  • Assesses, manages, and troubleshoots vascular access devices within established scope, policy, and competency.
  • Performs or supports device maintenance, dressing changes, implanted device access and de-access, catheter patency interventions, and device removal as appropriate.
  • Identifies and responds to vascular access-related complications and collaborates with the care team on timely intervention, escalation, replacement, or removal.
  • Promotes vessel health and preservation by minimizing unnecessary access attempts and supporting the least invasive clinically appropriate device.
  • Provides consultation, education, and clinical guidance to caregivers on device selection, insertion, maintenance, troubleshooting, complication prevention, and care.
  • Educates patients and families about vascular access devices, procedures, and ongoing care as appropriate.
  • Serves as an organizational subject matter expert and clinical resource in vascular access.
  • Participates in monitoring outcomes and performance measures, including device utilization, complications, line necessity, and other quality indicators.
  • Participates in developing, implementing, and evaluating evidence-based policies, procedures, products, equipment, and clinical practices related to vascular access.
  • Supports vascular access competency development for organizational caregivers.
  • Maintains knowledge and competency related to current vascular access and infusion therapy standards, practices, products, and technology.
  • Documents vascular access assessments, procedures, interventions, patient response, and follow-up in the health record.
  • Plans and accomplishes goals using experience and judgment.
  • Performs other related duties as assigned.
  • Maintains regular and predictable attendance.
  • Meets age-specific needs of the assigned unit.

Benefits

  • Comprehensive medical coverage, including fully employer-paid options for eligible full-time employees and affordable plans for part-time staff.
  • Dental, vision, life, and pet insurance.
  • Telemedicine and wellbeing resources.
  • Tuition assistance after 90 days.
  • Retirement plans with pre-tax and Roth options and employer matching from 3%–6%.
  • Competitive pay, plus night, weekend, and PRN shift differentials.
  • Wellness program with coaching, financial wellness resources, and free or discounted access to fitness centers and premium wellbeing apps.
  • PerkSpot discounts with deals in over 25 categories.
  • Employee referral bonus program.
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