RN- Cath Lab Per Diem

** 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

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…