What are the responsibilities and job description for the Clinical RN, Cardiac Cath Lab, Per Diem position at Catholic Medical Center?
POSITION SUMMARY:
To deliver care and create a therapeutic environment for patients and families whose needs range from basic to complex by utilizing the nursing process. To carry out functions in a manner consistent with Performance Improvement and in accordance with hospital policies and procedures. To demonstrate clinical excellence through proficient practice which enhances and enriches the practice environment. Proficiency is evidenced by adeptness, facility, aptitude, ease and skill in managing complexity and uncertainty.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Under the general direction of the Director and in accordance with standards of care and practice established by the Nursing Organization and, the specific department; the rules, regulations and/or standards established by the State Board of Nursing, The Joint Commission, and appropriate specialty organizations relevant to the patient population under care, the incumbent performs the following functions:
1. Provide admission and Patient readiness for scheduled Cath Procedures
2. Acute telemetry and patient monitoring during Pre/Intra/Post Op stage of the Cath Patient stay.
3. Make decisions in a high pressure/fast pace environment and be flexible to change in schedule and caseloads.
4. Response quickly to change in patient status.
5. Pain management.
6. IV Cardiac medication administration and titration.
7. Conscious sedation recovery/management.
8. Patient assessment pre/post procedure, sunrise documentation, medication reconciliation, Mac Lab documentation.
9. Perform patient and family education instruction pre/post procedure with validation upon discharge.
10. Knowledge of sterile technique and prep.
11. Sheath Removal/TR Band Removal
12. IV Placement
Quality of Care/Performance Improvement
Demonstrates quality nursing care and a commitment to the quality care processes as evidenced by:
1. Assesses patients’ physical and psychosocial status based on interview, examination and review of clinical data.
2. Assesses potential for crisis situations and intervenes before crisis situation develops with adeptness, facility, aptitude, ease and skill in managing complexity and uncertainty.
3. Reassesses patient status at established time frames and as indicated by the patient’s condition.
4. Based on assessment, analyzes relevant patient data and identifies nursing diagnoses/patient care problems.
5. Communicates patient status and assessed needs to members of multidisciplinary team.
6. Develops an individualized plan of care, including developmental and cultural needs, in collaboration with the patient, family and interdisciplinary team.
7. Reviews and updates plan of care as needed.
8. Acts as a resource to others in developing and implementing plan of care.
9. Uses the nursing process as a basis for developing, implementing and evaluating nursing interventions.
10. Provides patient-centered care with sensitivity and respects for the diversity of human experience.
11. Performs technical skills as needed by specific clinical unit safely and competently.
12. Coordinates and implements the medical diagnostic and therapeutic orders as directed.
13. Anticipates and manages complications of disease progression and invasive procedures.
14. Documents plan of care, assessments and interventions and patient outcomes in an electronic medical record thoroughly, accurately, and according to CMC Professional Nursing Practice Standards and ANA Scope and Standards of Practice.
15. Reports status, including response to care, and changes in status as appropriate.
16. Ensures calm, supportive and therapeutic environment for patients and their families, serving as an advocate when appropriate.
17. Adheres to all safety, organizational and ethical standards according to ANA Code of Ethics.
18. Implements elements of core measures in conjunction with Performance Improvement.
19. Identifies current trends which could impact patient outcomes.
20. Identifies system resources effectively and allocates them appropriately at the point of care delivery.
21. Demonstrates clinical excellence and proficiency in practice in one or more of the following:
- Researches information relative to a new device or medical procedure, that is relevant to the units’ population, and develops reference packet available for staff on unit and encourages colleagues to seek his/her guidance in managing new device or medical procedure.
- Manages a specific complex clinical procedure common to patients in area of practice, and encourages colleagues to seek her/his guidance in managing the specific procedure/technique throughout the year.
- Serves as a primary preceptor throughout the year, providing guidance and support during orientation of new staff members or for student nurses in their senior practicum.
- Takes on role of Charge Nurse throughout the year, providing guidance and support to colleagues and ancillary staff members.
- Achieves and maintains certification in specialty area of practice
22. Employs critical thinking skills to solve problems and achieve patient outcomes
23. Identifies & communicates needs for innovative nursing practices.
24. Identifies & communicates need for new or revised policies, procedures, guidelines, etc.
25. Identifies research as a resource in clinical practice.
26. Stays current with new resources/knowledge/evidence
27. Serves as a resource/trainer for colleagues regarding competencies, policies and procedures, and clinical practice related to patient population served.
28. Utilizes the change process to improve patient care, the work environment, and patient and staff satisfaction.
Consultation and Resources/Community and Hospital/Interdisciplinary Collaboration
Consistently and competently demonstrates communication and collaboration as evidenced by:
- Collaborates with the interdisciplinary team in initiating discharge planning upon admission and updates status of the discharge plan on a continuing basis.
- Anticipates, plans for, and manages psychological and spiritual needs of the patient and family in collaboration with other health care teams.
- Communicates with patients, families, staff, volunteers and management in an accurate, considerate, and timely manner.
- Accepts constructive feedback and initiates appropriate actions to correct situation.
- Foster sense of teamwork & collaboration within department & hospital; deals with conflict professionally.
- Interacts with staff, patients and members of the public with dignity and respect; behavior is courteous and professional, reflecting sensitivity to the hospital’s mission and values.
- Promotes and maintains positive relationships between academia, physicians, the community, and the hospital.
- Appropriately initiates consults as needed, documents consult, and helps ensure plan of care is followed through.
- Identify and utilizes cost-effective resources in the hospital, community and beyond as needed.
- Facilitates the transition of the patient through the continuum of care.
- Uses best current evidence to decide when to modify clinical practice.
Nurses as Teachers
Demonstrates the ability to meet the educational needs of patients/families as evidenced by:
1. Provides health education to patients and families.
2. Integrates adopted Jean Watson’s Theory of Caring and CMC Professional Practice Model into professional practice development and educational programs.
3. Develops an individualized education plan for the patient and family, including age-specific developmental needs and incorporating their input and preferences whenever possible, based on assessment.
4. Provides education based on patient/family’s assessed needs, in accordance with the plan of care.
5. Serves as a resource to colleagues in developing and implementing a teaching plan.
Professional Development/Image of Nursing
Seeks professional development and fosters the image of nursing as evidenced by:
- Demonstrates accountability and competency for own nursing practice.
- Demonstrates accountability and competency for maintaining current credentials and competency in required skills.
- Recognizes the uniqueness of the individual and shows respect for patients, families, and all healthcare providers.
- Demonstrates caring behaviors toward the patient and significant others receiving care.
- Promotes and maintains a positive image of nursing.
- Uses national safety resources (OSHA, The Joint Commission, CMS) for professional development and to focus attention on assuring safe practice.
- Demonstrates self-direction in pursuing opportunities for role-related growth and development.
8. Promotes and supports the principles of shared decision-making.
- Acts as an effective role model and resource for students and support staff.
- Delegates responsibly to others, activities according to ability, level of preparation, the standards of practice and regulatory guidelines.
- Demonstrates a commitment to communicate effectively in all interactions within the organization.
- Prioritizes and organizes workload effectively; completes work in a timely manner.
- Utilizes the peer review evaluation and self-evaluation process for professional growth.
- Demonstrates ability to accept constructive feedback and initiate appropriate actions to correct situations.
- Identifies and takes action toward meeting own learning needs.
- Attends staff meetings and mandatory training sessions.
KNOWLEDGE, SKILLS AND ABILITIES
Individuals must possess the following knowledge, skills and abilities or be able to explain and demonstrate that the individual can perform the essential functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities and to possess the necessary physical requirements, with or without the aid of mechanical devices to safely perform the essential functions of the job:
1. Ability to deliver patient care in a manner that is appropriate to the demographics and/ or specific needs of the patient population served by the hospital.
2. Demonstrates proficiency in assessing, responding and adapting treatment of care to meet the needs of the patient population served by the hospital.
3. Ability to perform computer entry including: ordering, ADT, and charging functions independently or in collaboration with the department coordinator.
4. Ability to wear protective clothing such as gown, mask, glove, head cover, lead apron, safety glasses and/or safety shoes.
5. Ability to perform job alone following standard practices and any of several procedures as defined by the American Nurses Association’s Nursing Scope and Standards of Practice and the NH State Board of Nursing, but refer questionable cases when they arise out of standard practice.
6. Ability to exert up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
7. Requires the ability to utilize and navigate electronic clinical documentation system in order to enter patient data.
8. Basic computer keyboarding and data entry skills required.
WORK SCHEDULE:
- Work schedule may include 5-8 hour days with no weekend coverage anticipated at this time. Personnel may be expected to cover for patient care needs by rotating or working extra shifts. Nursing personnel are assigned to one area upon employment, but may be required to assume assignments in other areas to meet patient needs.
QUALIFICATIONS:
Education:
- Graduate of an accredited school of nursing preferred.
- BSN strongly preferred.
- Specialty certification strongly preferred.
Experience:
- Minimum of one year of nursing experience and/or meets the requirements of Entry RN.
Licensure/Certification:
- Current registration in the State of NH as a Registered Nurse.
- Basic Life Support (BLS) certification required.
- Certifications per unit requirements: Refer to Education, Credentialing and Certification Policy.
- ACLS Required
Salary : $71,000 - $89,900
