Registered Nurse- Cath Lab Per Diem (Day Shift)

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

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Entity: Penn Medicine Doylestown Health

Department: Cath Lab

Location: 595 West State Street, Doylestown Pa 18901

Hours: Per Diem Day Shift 

 

Job Summary:

Assist with all aspects of delivery of care for patients having procedures in the Cardiac Cath/EP/Vascular Lab including assisting physicians, patient assessments and monitoring, patient education. and to execute the objectives and the policies of the hospital

 

Accountabilities:

• 1. Assesses, plans, implements, documents, coordinates, and manages patient care according to department and hospital standards and considering age-specific accommodations.

• * Has the knowledge base to care for patient pre/post having the following diagnostic & interventional testing. In addition, assist physicians with non-invasive testing:

• Diagnostic Right & Left Heart Catheterizations

• Invasive Coronary Studies

• Diagnostic and Interventional Peripheral studies

• Diagnostic and Interventional Electro physiology studies

• Device implants

• Noninvasive testing: cardioversions, TEE’s, Tilt table testing & Defibrillator checks.

• Assist with Pre/post care in procedure rooms if needed

• Cross training between specialties Cath/EP/Vascular pre/post care and nightly late requirements to cover recovery room. Off hour Call ins for cardioversion unable to be done during normal working hours.

• a. Maintains a computerized, evolving plan of care based on nursing assessment, the medical plan of care and patient need. The plan initiated according to department standards.

• b. Provides patient care, which demonstrates a comprehensive knowledge of normal physiology and disease pathophysiology, appropriate nursing and medical interventions and a knowledge of the principles of growth and development over the lifespan.

• c. Implements patient pre and post care based on evidence-based practice.

• d. Documents patient response to treatment and effectiveness of care.

• e. Provides teaching and discharge planning based on assessment of self-care knowledge/ability on an ongoing basis.

• f. Ensures appropriate completion of chart and other documentation, including transcription and implementation of physician orders, and computer entry.

• g. Ensures that unapproved abbreviations not used when documenting on patient’s medical record.

• h. In collaboration with the physicians able to intervene as appropriate to prevent complications.

• i. Able to perform sheath removal with good hemostasis, using appropriate method for each patient: manual hold or any method of groin closure used in Cath or EP lab.

• j. Implements nursing/physician orders that result in achievement of patient, nursing, and physician goals. Evaluates, revises, and improves patient care using creative strategies, current research findings, and consideration of age-specific accommodations

• k. Demonstrates initiative and self-direction in completion of assigned responsibilities in accordance with department needs.

• l. Recovers patients having therapeutic interventions and diagnostic procedures according to department standards as ordered to include but not limited to:

• ¨ medication administration

• ¨ Medication reconciliation

• ¨ Meditech and Maclab documentation

• ¨ Meditech PACU documenting for post PVI procedures

• ¨ point of care testing

• ¨ initiation and maintenance of oxygen therapy

• ¨ specimen collection utilizing mobile lab when appropriate

• ¨ 12-lead ECG

• ¨ Insertion and maintenance of Intravenous IV’s

• ¨ Flushing and maintenance of central lines:

• 1. arterial or venous sheaths

• 2. IABP

• 3. Pericardial drainage

• ¨ code cart check to be completed at beginning of shift

• ¨ Every Tuesday ensure narcotic weekly count is performed by 2 associates on Pyxis machines throughout department

• ¨ 2 patient identifiers will be utilized before performing these interventions and/or procedures

• m. Assists patients physically by providing physical support through pushing, pulling, lifting, reaching, turning, kneeling, standing, sitting and balancing, and psychologically by providing emotional intervention.

• n. Demonstrates ability to perform with clinical proficiency in crises and medical emergencies.

• 2. Communicates and collaborates with patients, physicians, family members, and other health care disciplines in order to achieve excellence in patient care during hospitalization.

• a. Utilizes effective interpersonal skills including interaction with staff through understanding, talking, and hearing, seeing and listening.

• b. Involves patient/significant other in all aspects of the plan of care, serving as advocate when necessary.

• c. Consistently and continuously communicates, consults and shares pertinent information regarding changes in patient status and patient care.

• d. Uses interpersonal communication techniques that show a willingness to accept and give constructive feedback for promoting professional excellence.

• e. Effectively communicates pertinent patient/significant other information during hand off care or between departments report according to SBAR standards.

• f. Demonstrates leadership skills in team building and interpersonal relationships to create a cohesive and productive environment.

• 3. Promotes patient safety through adherence to protocols, policies, procedures, evidence-based guidelines and Joint Commission National Patient Safety Goals.

• a. Maintains safety precautions while providing patient care including infection control isolation, patient/bed positioning, side rails, restraint utilization, skin care, patient/specimen transport, physical environment, fall prevention, seizure precautions, and work injury prevention.

• b. Analyzes data and responds to unusual/undesirable clinical status by consulting appropriate healthcare team members, including Rapid Response Team, and taking appropriate action in a timely manner.

• c. Maintains equipment in good working order, reports equipment failure, and initiates corrective action. Where appropriate, adheres to defined computer generated quality monitoring or procedures for validation of equipment functionality.

• d. Safely administers medications and treatments as ordered according to hospital policy and formulary using the appropriate principles of safe medication administration, 2 patient identifiers.

• e. Safely handles various types of drugs and body fluids using knowledge of appropriate standard precautions.

• 4. Actively participates in and supports departmental and organizational quality initiatives and goals.

• a. Identifies professional goals, which reflect own strengths and weaknesses and seeks assistance for improvement of performance.

• b. Attends and participates in meetings according to department standards.

• c. Supports and participates in department, hospital, and evidence based care quality initiatives, including core measures.

• d. Participates as a team member or in workgroups on department, hospital and/or evidence based care quality initiatives.

• 5. Maintains clinical competency according to unit-specific standards.

• a. Demonstrates competency in maintaining specific technological skills required by job category and/or specialty area. See individual department competencies for unit specific requirements. Demonstrates recognition of equipment or technological adaptations dependent on age-specific patient needs (See Scope of Practice as delineated in departmental standards and/or related Policy and Procedure in the Policy and Procedure Manual).

• b. Maintains technological competence through practice and ongoing participation in in-services and formalized professional conferences.

• c. Acquires and maintains proficiency in IV administration.

• d. Recognizes legal responsibilities and functions within limitations as specified by the Pennsylvania Nurse Practice Act.

 

• Performs duties in accordance with Penn Medicine and entity values, policies, and procedures

• Other duties as assigned to support the unit, department, entity, and health system organization

 

Qualifications:

• BSN Required
• Will consider 1-2 years Critical Care/ Interventional/Emergency experience.
• Very strong background required in Cardiovascular Anatomy, Physiology, Pathophysiology, Waveform Analysis, Arrhythmia Detection and Cardio-Vascular Pharmacology and computer experience.
• 1-2 years’ in Cardiac Cath/EP Lab or Radiology Special Procedures Room/ OR/PACU pre post care preferred

 

Licenses, Registrations, and Certifications:

• ACLS and BLS required
• Current licensure in the Commonwealth of Pennsylvania, Department of State Bureau of Occupational and Professional Affairs.
• Certification encouraged as Cardiac RN or CCRN preferred

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.