Senior Registered Nurse - Cath/Electrophysiology Lab

Parkland Health

About The Position

The Senior Registered Nurse coordinates care for a defined patient population using the Parkland nursing professional practice model and nursing process. The RN assesses patients, identifies nursing diagnoses, develops and implements individualized plans of care, evaluates responses, and supports safe transitions through the healthcare encounter. The RN delegates interventions in accordance with the Texas Nursing Practice Act, patient condition, and staff competencies. In the Cath/Electrophysiology Lab, the RN provides patient-centered cardiac care, including patient assessment and surveillance, medication administration, IV management, emergency resuscitation, sedation and analgesia, physiological monitoring, and recognition of ECG changes. The RN documents care, supports patients and families with education, serves as a patient advocate and resource, and contributes to team coordination, staff development, quality improvement, and regulatory compliance. The role is full-time, on the day shift, with 10-hour shifts and a rotating after-hours on-call schedule.

Requirements

Graduate of an accredited school of nursing.
At least two years of nursing experience.
Current, valid RN license or temporary RN license from the Texas Board of Nursing, or a valid Compact RN license.
Current healthcare provider BLS certification from the American Heart Association, American Red Cross, or Military Training Network.
Current ALS or ACLS certification from the American Heart Association, American Red Cross, or Military Training Network, required on hire or placement in the role.
Clinical proficiency in cardiac care.
Effective interpersonal, oral, and written communication skills, including ability to communicate with patients, families, and hospital staff in accordance with policies and procedures.
Ability to provide direction to non-nursing staff, serve as a preceptor, serve on rotation as a Relief Charge Nurse, and prepare and conduct in-service education.
Availability to work the on-call rotation or schedule.

Nice To Haves

Bachelor of Science in Nursing.
Experience in a critical care setting such as ICU or ED, or prior Cath/EP Lab experience.

Responsibilities

Coordinate and provide individualized care for assigned patients using the nursing process and applicable standards of practice.
Advocate for patients and protect their needs, rights, confidentiality, and religious and cultural preferences.
Provide patient-care information and training to patients and families receiving Cath/EP Lab care; participate in assigned community outreach activities as applicable.
Maintain knowledge of and comply with applicable nursing rules, regulations, policies, laws, guidelines, accreditation requirements, and health-plan requirements.
Maintain appropriate use of sanitation, infection-control practices, safety procedures, supplies, equipment, and materials.
Perform patient assessments and continuous surveillance; participate in Universal Protocol and site-marking identification.
Recognize changes in patient condition, initiate appropriate interventions, consult team members, notify providers, and implement orders in a timely manner.
Prioritize and provide safe nursing care, including management of cardiology patients with varied medical conditions, medication administration using the six rights, and IV access maintenance and management.
Provide emergency resuscitation care for adults.
Administer sedation and analgesia; monitor and document patients’ physiological status during procedures, including vital signs and ECG changes, and initiate appropriate nursing interventions.
Complete accurate and timely patient-care and hospital documentation in accordance with department and Parkland standards.
Provide direction to non-nursing staff, seek guidance from experienced staff when needed, and serve as Charge Nurse as necessary.
Serve as a preceptor or trainer for newer nursing and clinical staff and student trainees.
Prepare and conduct at least one in-service educational program each year for the Cath Lab/Electrophysiology department.
Identify and recommend work-process and patient/customer-satisfaction improvements; implement and monitor results as appropriate, and participate in interdisciplinary committees as assigned.
Maintain positive working relationships and respond proactively to the needs of patients, families, physicians, coworkers, and other customers.
Maintain Texas RN licensure and other required certifications or licenses; keep current with developments in nursing practice and integrate new knowledge into work.