Cardiovascular Specialist Rcis-Rt

** 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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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 operation of equipment and to execute the objectives and the policies of the hospital.

Responsibilities:

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

* Has the knowledge base to be able to assist in performing the following diagnostic and interventional tests:
Diagnostic Right & Left Heart Catheterizations  Invasive Coronary Studies  Structural heart procedures-TAVR, Mitraclip , PFO, Watchman  Diagnostic and Interventional Peripheral studies in Vascular Lab  Carotid IAT,stenting,TCAR  Diagnostic and Interventional Electro physiology studies/ablations  Device implants  Lead extractions  Noninvasive testing:  Defibrillator checks.
Cross training between specialties. Late coverage and on call requirements.
Provides patient care, which demonstrates a comprehensive knowledge of normal physiology and disease pathophysiology, appropriate nursing and medical interventions and knowledge of the principles of growth and development over the lifespan.
Implements patient pre and post care based on evidence-based practice.
Documents patient response to treatment and effectiveness of care.
Provides teaching and discharge planning based on assessment of self-care knowledge/ability on an ongoing basis.
Ensures appropriate completion of chart and other documentation, including transcription and implementation of physician orders, and computer entry.
Ensures that no unapproved abbreviations are used when documenting on patient's medical record.
In collaboration with the physicians able to intervene as appropriate to prevent complications.
Able to perform sheath removal with good hemostasis, using appropriate method for each patient: manual hold or any method of groin/radial closure being used in Cath, EP or Vascular lab.
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   Demonstrates initiative and self-direction in completion of assigned responsibilities in accordance with department needs.
Performs selected therapeutic interventions and diagnostic procedures according to department standards as ordered to include but not limited to:
Medication administration: under supervision of physician, such as:
Lidocaine, nitroglycerine, protamine, aspirin, heparin, contrast agents, IV fluids and any emergency medication. Can NOT administer any narcotics or hang any medication drips  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:
▪ arterial or venous sheaths         ▪ IABP/Impella         ▪ Pericardial drainage  shift refrigerator/x-ray system & code cart check to be completed at beginning of shift  2 patient identifiers will be utilized before performing these interventions and/or procedures    Assists patients physically by providing physical support through pushing, pulling, lifting, reaching, turning, kneeling, standing, sitting and balancing, and psychologically by providing emotional intervention.
Demonstrates ability to perform with…