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RN Cardiac Catherization

Job ID: 148036
Category: Nursing
Work Type: FT
Location: West Chester, PA, United States
Date Posted: Aug 10, 2022
Work Schedule: Full-Time Day Shift

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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.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Summary:

  • Assist in all diagnostic and interventional vascular and cardiac catheterization procedures. Perform emergency procedures such as emergent percutaneous cardiac and peripheral interventions, IAB insertion, pericardiocentesis and temporary pacemaker insertion. Follow established standards and practices under the direction of a credentialed invasive cardiologist, vascular surgeon or electrophysiologist. The cardiovascular Registered Nurse will demonstrate cardiovascular knowledge in physical assessment, and perform high quality clinical care for all cardiovascular patients. Provides staffing support and supplements the entire program with expert nursing knowledge. 

Responsibilities:

  • Clinical Practice:
  • Provides age appropriate care for the population served. Gives consideration to growth & developmental phase of life, to age related factors such as thermal regulation, nutrition, medication administration, nutrition, safety and privacy of the patient.
  • Uses appropriate resources for patients with special needs such as language barriers, sensory problems, altered cognition, cultural and religious needs.
  • Ensures attention to patient’s physical, spiritual and emotional well being.
  • Demonstrates competency in assessment skills (Includes admission and shift assessments).
  • Performs pain assessments and intervenes to optimally meet patient’s needs for comfort.
  • Plans clinical care based on patient’s needs and uses available resources.
  • Performs clinical care in accordance with policy and procedure.
  • Performs peripheral venipuncture and peripheral and central vascular access care according to policy & procedure.
  • Evaluates outcomes of nursing interventions and takes appropriate actions to move patient toward reaching goals of care.
  • Identifies situations that warrant patient rescue and takes appropriate action, e.g. Rapid Response or Code Blue/Pink.
  • Adheres to the 5 rights of medication administration and uses the Medication Administration Check (MAK) system per policy and procedure.
  • Integrates principles of infection control & infection prevention into practice.
  • Adheres to aseptic technique as appropriate.
  • Uses resources and references for reviewing policies and procedures, medications, and clinical information.
  • Prioritizes and organizes work effectively within assigned shift. Clinical Responsibilities Specific to the Cardiac Cath Lab
  • Calls for, receives and preps patient for Cath Lab procedures.
  • Provides patient teaching prior to, and following all cardiac studies
  • Checks chart for completeness including required signatures, patient education sheet and physician orders, and enters data into computer
  • Responds quickly and efficiently during an emergency and follows ACLS protocols.
  • Checks and documents emergency and POC testing equipment, and prepares cath lab holding area for day.
  • Performs Cardiology testing as per protocol.
  • Interventional Responsibilities (If trained in the Interventional Procedure Room):
  • Assists Technical Staff and Cardiologist during Interventional Procedures in the Monitor, Scrub and circulation duties
  • Maintains sterile field using sterile technique
  • Assists with the preparation of procedure supplies
  • Monitor’s patients for hemodynamic stability and arrhythmia’s, and responds appropriately.
  • Maintains knowledge of all interventional supplies: wires, quide catheters, manifold set up, procedural flow of case.
  • Practices and maintains competency with safe radiation exposure.
  • Communication:
  • Uses effective communication during hand-offs. (e.g. Shift report, transfer report, etc).
  • Organizes information into a meaningful format, such as SBAR.
  • Delegates appropriately to unlicensed personnel and team members.
  • Communicates patient care information to the interdisciplinary care team.
  • Provides patient and family education in a manner that is understood and gives the patient and family handouts, brochures and resources that can be taken home for future reference.
  • Documentation:
  • Documents patient care in an accurate, professional and timely manner using Mac Lab, Soarian, MAK, and paper documentation forms according to policy and procedure.
  • Documents patient care that is relevant to patient’s diagnosis, problems and reflects patient’s status.
  • Professional Role Development:
  • Develops own nursing knowledge via practice, observation, professional literature, networking and attending continuing education programs.
  • Promotes best practice by demonstrating a commitment to quality patient care and the profession of nursing.
  • Promotes innovation and creativity in the practice environment.
  • Serves as a preceptor and mentor for new employees.
  • Mentors student nurses.
  • Accepts constructive feedback about performance or behaviors and shows evidence of change.
  • Demonstrates verbal and writing skills that are appropriate for healthcare communication.
  • Adheres to the Department of Nursing Dress Code. Department of Nursing and
  • Organization Support:
  • Attends assigned committee meetings and contributes to the committees.
  • Communicates support of organizational values and strategies.
  • Supports the following organizational programs: Magnet® , Hospital of Distinction, Joint Commission Disease Specific Certification, Nursing Councils, and integrates their standards into clinical practice.
  • Reviews nursing quality data, e.g. NDNQI and identifies how to apply best practice into own practice and mentor others towards meeting quality target goals.
  • Maintains good attendance/lateness standards in accordance with Hospital policy.
  • Department Support:
  • Must have necessary skills to identify clinical problems through assessment and conversation with patients during all phases of care and general contact with the patients
  • Must be astute in identifying these problems and be able to implement appropriate actions to be taken to address these conditions
  • Must be competent in use of all equipment in the Cardiac Cath Lab
  • Must be competent in hemodynamic monitoring of the Cardiac Catheterization Patient and in the ability to respond to a cardiac emergency
  • Maintain compliance and competence with the development of the electronic medical record and all developing technology
  • If trained in the circulation and monitoring of Invasive procedures, will fulfill the on-call requirement
  • The following are duties that the Cardiac Cath RN may be trained to performed:
  • Monitoring Cardiac, Peripheral and Electrophysiology procedures
  • Circulating Cardiac, Peripheral and Electrophysiology procedures
  • Scrub Cardiac, Peripheral and Electrophysiology procedures
  • Charge RN role
  • Cardiovascular testing

Credentials:

  • Registered Nurse - PA (Required)
  • Basic Cardiac Life Support (Required)
  • Advanced Cardiac Life Support (Required)

Education or Equivalent Experience:

  • Bachelor of Arts or Science (Required)
  • Nursing Training in hemodynamic monitoring and EKG interpretation 2+ years Experience in critical care nursing, and Cardiac Cath Lab

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

   Current UPHS employees must apply HERE
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