CATH LAB RN - CATH LAB

Status: Full Time

Shift: M-F 8hr shift or possible 4/10 hr shift. Includes call.

Exempt: No

Summary:

Performs nursing duties associated with the operation of the Cath Lab. 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. Reports to the Cath Lab Manager.

Other information:

A. EXPERIENCE, KNOWLEDGE, AND SKILL

1. Previous Experience Required:

Minimum 2 years of nursing experience in a hospital setting preferred

2. Specialized or Technical Education Required:

Graduate of an accredited school of nursing and

Currently RN licensure in the state of practice

Current BCLS certification

Current ACLS certification

EKG, basic telemetry monitoring

3. Manual or Physical Skill Required:

Use of proper body mechanics during patient care-positioning, turning, lifting, transporting patients

Long periods of standing with lead apron

IV skills

4. Physical Effort Required/Physical Demands:

Assisting patients

Strength: Medium

Push: Frequently

Pull: Frequently

Carry: Frequently

Lift: Frequently

Sit: Occasionally

Stand: Constantly

Walk: Constantly

Responsibilities:

Follows North Oaks Health System's compliance programs and all federal and state regulatory guidelines.

A. EXPECTATIONS:

1. Ability to identify those who receive services and/or products within the work

environment, including patients, families, visitors, other departments, and all others. Ability to anticipate and meet the needs and expectations of customers. promotes the customer service standards of COURTESY, ATTITUDE, RESPECT AND ENTHUSIASM.

2. Function according to the professional code of ethics and standards of practice.

3. Maintains confidentiality of patient and hospital information.

4. Perform all duties as directed by the Cath Lab Manager, Peri-Op Director and VP Surgical Services.

5. Can professionally speak and listen to information. Can express self clearly (written and oral communication) in a professional manner.

6. Ability to identify and use appropriate information routes.

7. Participate in education programs, in-service meetings, and attend other meeting as required. Share newly acquired knowledge with other staff members, and incorporates newly acquired knowledge to patient care as appropriate.

8. Act as liaison with nursing, medical staff, and other hospital personnel to facilitate problem solving and coordination of services and act as an educational resource.

9. Confer as necessary with physician concerning patient care.

10. Consider age specific needs when communicating with patient/family.

11. Ability to get along with others in a courteous professional manner.

12. Ability to work effectively with others to solve problems, implements group decisions and achieves group/organization goals.

13. Work as a team player with the patient as the focus.

14. Functions productively, responsibly and exhibits adaptability with the team. Positively demonstrates VALUES of North Oaks Health System. Plans and prioritizes work while maintaining positive performance.

15. Each person is responsible for his/her actions, and individually accountable for satisfied patients/customers.

16. Comply with:

• HHC department policies, procedures and objectives including but not limited to safety, environment, and infection control and CQI programs.
• North Oaks Health System policies.
• North Oaks Health System Legal Compliance Program and all Federal and State Regulatory Guidelines.
• Ethics guidelines and Code of Conduct.
• Patient Rights and Responsibilities. Provides care consistent with these standards.
• HIPPA guidelines.
• North Oaks Health System mission to provide quality, personalized health care services in a caring efficient and financially responsible manner, and to work in harmony with physicians, area hospitals, businesses and community organizations.

17. Successfully complete yearly competency labs.

18. Adhere to NOMC and HHC dress code.

B. SPECIFIC DUTIES:

1. The Cath Lab RN is responsible and accountable for assessment and documentation of patient care during the pre-procedure, procedure, and post-procedure period.

• Demonstrate accurate documentation following guidelines of the HHC Cath Lab Documentation Standards policy.
• Demonstrate appropriate assessment skills following the HHC Assessment of the Cath Lab Patient policy.

2. The Cath Lab RN will provide quality patient care pre-procedure,

procedure and post-procedure.

3. The Cath Lab RN will provide education regarding Cath Lab

procedures to patient/family.

4. The Cath Lab RN will administer conscious sedation according to

hospital policy and under the direction of the physician.

5. The Cath Lab RN will have knowledge, skills, and ability necessary

to manage and monitor patients receiving conscious sedation.

6. The Cath Lab RN must have a working knowledge of all hemodynamic

monitors, devices, and equipment used for Cath Lab procedures.

7. The Cath Lab RN must be familiar with and have a good working

knowledge of all vascular diagnostic procedures, vascular interventional procedures, and non-vascular interventional therapeutic procedures.

8. The Cath Lab RN is responsible for supervision and safety of patients

while in the Cath Lab suites.

9. The Cath lab RN is responsible for radiation safety standards in the work

environment. (Film Badge, distance from eye of radiation source, proper lead apron, and thyroid shield).

10. The Cath Lab RN maintains necessary inventory of supplies for

Cath Lab Suites and Patient Care Areas, rotating stock in an orderly fashion, and eliminating outdated items.

11. The Cath Lab RN will utilize the 5 rights of medication delivery at all

times.

12. The Cath Lab RN will utilize the Pyxis Anesthesia Cart system

responsibility and account for narcotics according to hospital policy.

13. The Cath Lab RN will have knowledge of commonly used drugs in the

Cath Lab area: Indication, Route, Usual dosage, Reference location, and nursing implications.

14. The Cath Lab RN will perform emergency cardiac care measures

including defibrillation, initiation and maintenance of intravenous fluids, giving emergency medications and administering cardiopulmonary restrictions and/or advanced cardiac life support measures.

15. The Cath Lab RN will be able to identify arrhythmias and take

appropriate action.

16. The Cath Lab RN is responsible for daily check of emergency crash carts,

defibrillators, Intra-aortic Balloon Pumps, and Temp. pacemaker.

17. The Cath Lab RN will be schedule for call with rotating weekends and

holidays.

C. EDUCATION AND STAFF DEVELOPMENT:

1. Trains new and current employees, students, and/or volunteers by discussion

and demonstration.

2. Participates in projects and assists in the development and implementation of

procedures and policies.

3. Financial Responsibility: Each person is individually accountable for his/her

part in the overall financial well being of the Medical Center.

4. Accountability:

• Attendance
• Punctuality
• Complies with wearing of Hospital Identification badge
• Appropriate use of breaks and mealtimes
• Attends staff meetings
• Organizational and Departmental Regulator Compliance (OSHA, JCAHO, HCFA, OIG, etc….)
• Policies and Procedures
• Competencies
• Work area cleanliness
• Maintains Licensure
• Complies with Infection Control