RN Electrophysiology

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