Registered Nurse; Flex - Cardiac Cath Lab

Overview

Under the supervision of the Nurse Manager, Critical care Nurses provide direct and individualized nursing care to patients based on the application of scientific nursing principles. In addition to general nursing care, responsibilities of Critical care Nurses include (but are not limited to):

Assessment:
Conducts ongoing focused physical, psychosocial, and pain assessments; includes assessment of patient education needs.

Planning:
Utilizes the assessment, identifies problems, and makes nursing diagnoses, formulate goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn, and incorporates family into the plan of care.

Implementation:
Prioritizes and implements an efficient nursing plan of care.

Evaluation/Reassessment:
Consistently conducts timely evaluations, recognizes changes in patient conditions, determines when reassessments are needed, and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care. Evaluate patient’s response to interventions and communicates with other healthcare team members the need to revise or maintain plan of care.

• Utilizes the nursing process in taking care of the patient.
• Assesses condition of the patient and documents findingsin EHR.
• Utilizes principles of Infection Control in the delivery of care.
• Implements appropriate nursing interventions to facilitate recovery of patient and prevent complications.
• Evaluate patient’s response to interventions and communicates with other healthcare team members the need to revise or maintain plan of care.
• Implements discharge planning based on patient care needs.
• Initiates and documents patient education based on treatment plan in the language that the patient understands.
• Documents assessment, interventions, changes in the patient’s condition and response to interventions based on hospital policy on documentation.
• Initiates appropriate actions effectively in an emergent situation.
• Prioritizes tasks and adjusts priorities, maintain orderly, efficient, and timely flow of patients.
• Recognizes and reports errors or unusual occurrences, and initiates corrective action when appropriate.
• Makes accurate, complete, and timely entries into the patient medical record addressing all steps of the nursing process.
• Actively communicate with all members of the healthcare team, patient, and patient family and then assess, plan, implement and evaluate patient care.
• Know how to start standard interventions to stabilize the patient.
• Communicates with colleagues and interdisciplinary team about the prevention, treatment and patient care needs of the patient that has or ask pressure injurys (reports, dietary consults, communicates with physicians).
• Basic cardiac rhythm monitoring techniques, interpretation, and treatment.
• Recognizes lethal arrhythmias and acts appropriately. Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology.
• Recognize the signs and symptoms of cardiopulmonary and respiratory emergencies and knowing how to start standard interventions to stabilize the patient.
• Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications. Reports adverse reactions to medications or treatments in accordance with the policy.
• Calculate drug dosage, administering continuous medication infusion, and monitoring patients for effects of medication.
• Pre Procedure assessment/intra and post procedure assessment.
• Set up machines such as IVUS/FFR/Rotablator/Angiojet/Impella CP/IABP; IV pump; use of Doppler; phlebotomy /IV start; basic equipment set up; sterile field preparation/ handling sterile equipment;zeroing, flushing introducers, catheters;
  
  Contrast injector set up;
• Cardio pulmonary monitoring/ Arrhythmia recognition & treatments.
• Medication Indication, dosage, action, side effects of anti-platelets/ coagulants.
• Blood and blood product transfusions.
• Prep and drape patient.
• Type of anesthesia:
  Local and Mild to Moderate sedation analgesia.
• Care of mechanically ventilated Patients while in IR.
• Preparation and administration…