Cath Lab RN

Cardiac Cath Lab RN  4x 10 hour shifts - 7a-5: 30p  2-3 call shifts per week and 1 weekend per month  Certs Required:  BLS  ACLS  PALS  EDUCATION/TRAINING/ EXPERIENCE:Experience: Two years ED/Critical Care experience required. Interventional Cardiac/Radiology and/or EP experience strongly preferredEducation: Completion of an accredited Registered Nursing program. BSN preferredREQUIRED

SKILLS:

Written and verbal communications, interpersonal skills.

Basic organizational and computer skills.CERTIFICATIONS/LICENSES: Current California RN license (maintain current) BLS (maintain current AHA) ACLS (maintain current AHA) POSITION SUMMARYProvides safe, competent nursing care for patients in accordance with facility policies, standards, and philosophy. Provides professional leadership and support to the healthcare team. The concepts of Patient Centered Care will provide the foundation for all nursing care. Always Demonstrates Service Excellence standards.POSITION SPECIFIC RESPONSIBILITIES1. Assessment: Performs Patient Assessment According to Hospital/Unit Policy Performs initial assessment appropriate to the patient s clinical presentation/diagnosis, caresetting, age, development level, and cultural and religious orientation in a timely manner as itpertains to diagnostic testing/scheduled procedure. Performs completely and accurately including, but not limited to, physical (i.e. assessment forpain, skin breakdown, risk for falls), psychological (i.e. cognitive and communicative skills ordevelopment), social status and other patient needs prior, during and post invasive diagnostictesting/ procedure. Identifies and prioritizes the need for further assessment based on the patient s clinicalpresentation/diagnosis and tolerance of diagnostic testing/scheduled procedure.- Reports abnormal findings or values to the physician(s)- Collaborates with the anesthesiologist and specialist2. Planning: Develops a Patient Plan of Care ThatPage 3 of 9 Is individualized for each patient based on assessment of needs that include input from thepatient, family and other multi-disciplinary health care team members. Pre-screens patient lab work, mobility, allergies, and medication history prior to invasivediagnostic testing/ procedure. Identifies specific nursing diagnosis is relevant to assessment findings. Appropriatelynotifies physician if scheduled invasive diagnostic test or procedure is impacted byassessment. Identifies interventions specific to identified patient needs during invasive diagnostictesting/ procedure. Includes plan for discharge/transfer3. Implementation Performs interventions identified specific to the patient s individual needs to ensure safe,successful invasive diagnostic testing/ procedure. Demonstrates the ability to effectively communicate patient care needs to all members ofthe multidisciplinary health care team. Conducts patient/family education that:a. Is appropriate to the patient s age, learning needs, level of understanding andreadiness to learn.b. Includes the family/significant others when appropriate. Documents nursing intervention and patient teaching.5. Evaluation Evaluates and documents the patient s response to the invasive diagnostic testing/procedure. Revises and updates the Plan of Care as evidenced by documentation. Documents patient s response to teaching.6. Critical Thinking Skills Demonstrates sound judgment and effective decision-making in following the nursingprocess. Triages/prioritizes multiple patient interventions. Changes priorities based on new assessment data. Identifies supplies, equipment, and additional personnel necessary to complete a givenassignment. Analyzes data collected, weighs alternatives, and acts appropriately. Facilitates systems/processes in response to situations that have the potential to negativelyimpact patient/family outcomes.6. Quality Assurance Customer Service/Guest Relations- Coordinating and integrating interdepartmentalservices. Documents all customer service responses and consistently identify ways toimprove customer service and feedback while reducing customer/patient complaints. Participation- Active member of Performance Improvement process for department andorganization. Patient Care- Continues to carry a full schedule of patient studies daily in addition to leadduties. Regulatory Compliance- Assures departmental compliance with all mandated state andfederal regulations/laws as mandated by all regulatory bodies. Safety- Completes HPRRs as appropriate.Page 4 of 97. Leadership Accountable for own conduct and independent decisions made in the course of jobperformance. Participates in unit activities designed for improvement of services. Acts as preceptor for new health care team members and student nurses when asked. Effectively delegates tasks to appropriate health care team members. Provides input for policy/procedure development.8. Core Competencies Follows the five rights of medication administration and maintains transcription accuracy. Administers blood products according to the hospital policy. Administers IV therapy per hospital policy. Able to function effectively during an emergency patient care situation. Demonstrates knowledge of appropriate interventions regarding the use of restraints perhospital policy. Assumes responsibility for maintaining a high level of clinical expertise and adapts to newinformation, technology, and changing trends in nursing practice. Considered at expert level in cardiac rhythm analysis and hemodynamic waveforms. Demonstrates appropriate pain management/moderate sedation assessment and policycompliance. Performs waived testing following hospital policy. Maintains require certifications.9. Unit Specific Competencies Demonstrates the ability to utilize monitoring system, assess findings, intervene asindicated and evaluate. Demonstrates knowledge of Moderate Sedation policy and demonstrates expertise inproviding as ordered. Able to titrate drugs according to unit policy in response to changing patient condition. Ability to assist with any related processing of documentation within the department. Provide on-call coverage as needed by the department. Demonstrates knowledge of the step-by-step progress of specific sterile procedures for allspecial procedure examinations.a. Anticipates Radiologist's/ Cardiologist's needs in regard to instrumentation, sutures,sponges, supplies, etc.b. Displays dexterity in the use of the required instrumentation according to technique,procedure and special requirements.c. Demonstrates ability to function in Special Procedures / Cath Lab situations requiringin-depth technical expertise and knowledge of anatomy and physiology. Anticipates instrumentation/equipment for a wide range of simple and complex procedures.a. Selects appropriate instrumentation, catheters, and supplies consistent withRadiologist's /Cardiologist s preference.b. Sterile environment is set up and organized prior to patient's arrival into room. Able to circulate and document procedurea. Assesses patient prior to procedure reporting to physician all pertinent information.b. Assess patient s pain, medicates as ordered and documents response. Able to anticipate changes in patients and notify physician.Page 5 of 9 Demonstrates ability to conduct a time out at the beginning and end of the case utilizing theWHO universal protocol. Ability to orient new staff to the department and act as a resource when necessary.11. Medical Staff Maintains a positive relationship with the Medical Staff and identifies opportunities toimprove service relationships. Maintains Policies and Procedures that mirror current practices as well as the communitystandard. Implement policies, procedures, and practices that increase physician satisfaction with theservice. Works with medical staff to ensure scheduling and patient flow for each day are optimum.

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