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Cath Lab RN

Category:

Cath Lab/Special Procedures

Department:

Cath Lab/Special Procedures

Status:

PRN and FT available

Description:

Minimum Entry Level Qualifications:

  1. Graduate of an accredited school of nursing.
  2. Current RN License in the State of Texas or compact State.
  3. Minimum of one year of Cath Lab and/or Interventional Radiology experience.
  4. Minimum of one year ICU experience.

Job Summary:

Provides direct patient care to adult and geriatric patient populations. Addresses the psychosocial, physical and general aspects of care related to the surgical environment. Communicates with the physician continuously and as needed about patient condition. Assists with the maintenance of equipment and inventory. Assesses procedure room for equipment functioning and readiness. Obtains supplies, circulate during procedures, prepare patient preoperative and recover patients post-operative for individual cases. Ensure all appropriate needs of the Cardiac Cath Lab/Interventional radiology team are met. Monitors, positions and assists patient during procedure. Participates in performance improvement and continuous quality improvement (CQI) activities.

Specific Responsibilities:

1. Responsible for admitting, recovering and discharging of patients from the Cardiac Cath Lab. Provides follow-up.

2. Provides direct patient care, evaluates outcomes, consults with other health team members as required and adjusts nursing care processes as indicated to ensure optimal patient care.

3. Ability to perform a head-to-toe assessment on all patients and reassessments as per policy. This includes neonate, pediatric, adolescent and geriatric patients and the general patient population. This includes post-procedure assessments.

4. Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques. Educates the patient and family regarding pain management.

5. Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.

6. Approaches patient in a kind, gentle manner.

7. Demonstrates the ability to handle emergency situations during high risk procedures.

8. Gives patient explanations and verbal reassurances consistently.

9. Adapts nursing procedure to meet the needs for treatment of individual adult and geriatric patients. ( SPL renders care to only adult,geriatric patients.)

10. Identifies the patient verbally and by the patient’s ID armband.

11. Identifies physical symptoms and changes and takes appropriate action in a timely manner.

12. Demonstrates the ability to assess cardiorespiratory systems for changes in adult to geriatric patients and is able to treat appropriately.

13. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Able to interpret data about the patient’s status in order to identify each patient’s age specific needs and provide care needed by the patient group.

14. Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families.

15. Directs and assists in maintenance and handling of special equipment, monitors and instruments.

16. Observes behavioral and physiologic changes due to medications; takes appropriate actions and documents.

17. Positions patients safely; pads and protects bony prominences.

18. Preps and drapes patients correctly for all procedures.

19. Carries out medical and surgical asepsis during all procedures.

20. Demonstrates competence in preparing and cleaning of procedure rooms before and between cases and after terminal care.

21. Carries out established techniques for safe administration of medications, contrast and parenteral fluids as per facility policies and procedures.

22. Demonstrates knowledge of anesthetic drugs, actions and side effects.

23. Follows the five medication rights and reduces the potential for medication errors.

24. Respects patient’s confidentiality and the right to privacy.

25. Demonstrates knowledge of arterial lines, Swan-Ganz and how to document appropriately.

26. Is able to open sterile supplies and set-up for procedure.

27. Demonstrates thorough knowledge of location, care and operation of all Cardiac Cath Lab equipment.

28. Ensures preop checklist is complete (H&P present, informed consent signed, test results present, prosthesis/dentures, contacts/glasses) before patient is taken into procedure room.

29. Assists the scrub with gowning.

30. Monitors the patient at all times; does not leave the room unnecessarily.

31. Documents patient data during the procedure (heart rate, blood pressure, respirations, all pressures, O2 saturation, EKG). Maintains procedure records.

32. Starts IVs; monitors IV fluids and patency of IVs.

33. Maintains charge sheet for all procedures.

34. Notifies nursing unit when procedure complete and gives a complete patient report.

35. Moves and transports patients safely.

36. Is consistently ready and prepared for assigned cases.

37. Appropriately responds to a patient in an emergency or physically distressful situation.

38. Assessment and reassessment of the patient is clearly and concisely communicated on charting. Documentation meets current standards, policies and procedures.

39. Establishes and maintains effective communication and good working relationships with coworkers for the patient’s benefit.

40. Responsible for daily check of emergency crash cart and defibrillator.

41. Counts narcotics at beginning and end of each shift with another RN per facility policy and procedure.

42. Accurately completes procedure counts (instruments, sponges, sharps) with the scrub. Follows proper procedure in the event of incorrect counts.

43. Demonstrates thorough knowledge of instrument processing, sterilization and biological monitoring.

44. Is able to perform all duties of circulating and scrub nurses.

45. Utilizes initiative, self-motivated; manages time and activity, does not waste time.

46. Demonstrates the ability to educate patients and their families.

47. Demonstrates knowledge of radiation safety.

48. Maintains patients’ films and records.

49. Responsible for performing clerical duties as assigned.

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