RN Cardiac Catheterization Lab (Full Time, Days)

Job Summary

Responsible for the planning and delivery of care utilizing nursing processes: assessment, implementation, and evaluation. Oversees the plan of care, utilizes effective problem solving strategies, and applies evidence based practices. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director and has passion for learning. Provides compassionate and family centered care for Cath Lab patients.

Job Specific Duties

• Ensures completion of pre-op assessment of patient, measures and documents weight and height, checks lab completion and vital signs.
• Verifies parental consents are completed and signed for medication administered per policy.
• Ensures completion of patient admission history. Prepares and accurately completes the discharge planning process per department and hospital policies and procedures.
• Plans and implements the plan of care in collaboration with other disciplines and services to assure safe and efficient care.
• Follows physician's orders and administers and reconstitutes medications as needed. Adheres to six rights of medication administration per medication administration policy.
• Collaborates with a multi-disciplinary team (ICU, Child Life, Med-Surg, etc.) in daily care planning as appropriate. Fosters a Family Centered Care Environment.
• Monitors child continuously during procedure and reports any status changes. Immediately notifies physician and takes action on findings.
• Prepares all medication required for surgical field as determined by the procedure.
• Stays with the patient during emergence and extubation; assists Anesthesia as needed.
• Ensures advanced directives are complete, secures blood consents, documents Time-Out procedures, and administers antibiotics as per Universal Protocol.
• Performs surgical counts and proper use of cautery machines throughout surgical procedures.
• Circulates throughout cases and ensures all expiration dates of implants are checked prior to use of any implant during a case.
• Ensures specific labs are run during cases (ACT, ABG's, and O2 saturation) and supports with positioning patient prior to procedure/surgery.
• Interprets EKG throughout the case and takes appropriate actions based upon patient needs.
• Assesses/maintains all IV drips and intra-cardiac lines, central lines, chest tubes, and Foley catheters.
• Assists in a collaborative manner with the transportation of all patients per policy and standard procedures.
• Communicates with physician regarding patient's progress including: critical findings, critical lab results, and changes in the patient's condition. Performs & documents discharge plan per policy.
• Ensures all surgical procedure documentation (labs, consents, advance directives, and custody documentation) is obtained in a timely and accurate manner.
• Accesses Electronic Medical Record (EMR) and performs charge reconciliation according to hospital policy. Completes accurate and timely documentation in the patient's EMR.
• Communicates with patients and families to review plan of care, solicits input, and communicates any patient and family concerns to physician.
• Provides education and documents on patient/family teachings on health related needs (i.e. disease, medications, treatments, pain, discharge, safety, nutrition, skin care, etc.).
• Promotes an "error free" working environment by consistently providing high-quality safe care as prompted (as per Universal Protocol Policy).
• Provides patient information and effectively completes the hand off process at reassignments. Utilizes Same Day Surgery checklist.
• Assesses all body systems, ensures safe, effective, and efficient care delivery with emphasis on the absence of medication errors, avoidance of falls, and reduction of pain post-procedure.

Minimum Job Requirements

• Registered Nurse RN Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) - maintain active and in good standing throughout employment
• American Heart Association BLS maintain active and in good standing throughout employment
• American Heart Association PALS maintain active and in good standing throughout employment
• American Heart Association ACLS maintain active and in good standing throughout employment
• 1 year of adult/pediatric RN experience (including charge experience) in an acute care environment.

Knowledge, Skills, and Abilities

• BSN degree preferred or currently enrolled in BSN program.
• Possesses proficiency in computers, (EMR) Electronic Medical Record, and Cerner preferred.
• Career Development: National Certified Pediatric Nurse (CPN) and/or equivalent certification within 5 years of hire preferred.
• Able to analyze and interpret data and utilize the information to make judgments regarding patient care.
• Effective verbal and written communication skills.
• Ability to positively influence, hold self, and others accountable.
• Able to work effectively in a collaborative environment.
• Knowledge of operating external defibrillator/pacemaker.
• Ability to apply principles of evidence-based practice, analytical thinking, and service excellence in practice.
• Ability to take call in the Cath Lab and deliver high quality service.