Eastern Maine Healthcare System STAFF RN - CV LAB- TAMC in Presque Isle, Maine

*GENERAL DESCRIPTION/STATEMENT: * The Cardiovascular Lab Registered Nurse performs as an integral part of a multidisciplinary team providing care to patients during their experience through the Cardiovascular Lab setting. Provides age specific care to patients ranging from young adult to geriatric aged patients. Registered Nurses interact with patients in the outpatient and inpatient hospital settings. Per protocols, independently screen patients for various Cardiovascular and Peripheral vascular diagnostic or interventional procedures. Provide pre, intra and post procedure assessment and education for patients undergoing these procedures. Addresses the psychosocial, physical and general aspects of care related to the procedure environment. Collaborate with referring and procedural physicians to insure all protocol and educational needs of the patient are met prior to procedures. Provides mild sedation and administers medications per protocols, ACLS guidelines and physician orders during procedures. Monitors for and responds to changes in, level of consciousness, ECG, respiratory, and hemodynamics. Immediate recovery of patients post procedure in the Cardiovascular Lab post procedure area until discharge and/or departmental transfer criteria are met. Completes hand off of post procedural patients to appropriate receiving nursing unit. Reports post procedure assessments, care and discharge plans for the patient for the discharging nursing unit. Functions as a resource to nursing units and personnel, providing direction and guidance in solving patient and Cardiovascular Lab issues. Cardiovascular Lab Registered Nurses function as a patient advocate and act as a liaison between referring physician, patient, family, and procedural physician to ensure a smooth transition throughout their entire Cardiovascular Lab experience.

ESSENTIAL DUTIES:

  1. Assists in performing the following diagnostic and interventional procedures: Right Heart Catheterization, Left Heart Catheterization, Ventriculography, Aortography, Coronary and Bypass Graft angiograms, Peripheral vascular diagnostic and interventional studies, Insertion and removal of Venous Access Devices, Insertion of IVC filter devices, Invasive Hemodynamic Monitoring, Transesophageal Echocardiograms, Cardioversions, Permanent Pacemaker system implants and pacemaker generator changes, and any other invasive or non-invasive procedure performed in the CV lab.

  2. Provides assistance to physician in the course of the diagnostic and/or interventional procedure performed in the lab.

  3. Assess patient's response to procedures, taking into account age specific criteria of patients.

  4. Able to identify abnormal intracardiac pressures and changes in ECG, including complex dysrhythmias, which may occur.

  5. Administer and record prescribed medications, contrast media, treatments, and procedures as ordered by physician.

  6. Participates in immediate pre and initial post procedure patient instruction, education and follow-up, including next day follow-up phone call or in house visit.

  7. Performs sheath removal with good hemostasis, using appropriate method for each patient.

  8. Use appropriate aseptic and sterile techniques for procedures.

  9. Maintains proficiency in emergency situation response and performance, including, but not limited to BLS, ACLS, and PALS.

  10. Comply with mandated hospital and department education programs.

  11. Provides training and in-service education programs to other hospital departments involved in patient care.

  12. Participates in professional growth opportunities, performance improvement, and continuous quality improvement activities.

  13. Provides training and in-service education programs to other hospital departments

involved in patient care.

  1. Checks emergency supplies and equipment for proper function and adequate supply on

regular basis.

  1. Attends and participates in minimum 75% of staff meetings.

  2. Works with manager and physicians to represent the lab in promotional activities

  3. Completes all TAMC mandatory education programs

  4. Performs all duties according to CV Lab written approved policies and procedures.

OTHER RESPONSIBILITIES:

  1. Performs other duties as assigned.

  2. Cross training to PACU, DSU, and/or OR required for float eligible staff; highly recommended for float optional staff.

LICENSE REQUIREMENTS: Registered Nurse, State of Maine license


AVAILABILITY REQUIREMENTS: 0700-1530 or until job is done, may be required to start work at 0600 or 0630 depending on patient load and physician availability. Monday through Friday, some Saturday responsibility


EDUCATION SKILLS, EXPERIENCE REQUIREMENTS:

  1. Current BLS and ACLS certification

  2. 1-2 years experience in Cardiovascular Lab or Radiology Special Procedures preferred

  3. 1-2 years experience in Critical Care preferred, experience in OR, PACU ED considered

  4. Must have very strong background in cardiovascular anatomy, physiology and pathophysiology

  5. Proficient in cardiac monitoring, dysrhythmia recognition, treatment, and hemodynamic pressure tracing interpretation.

  6. Desire to work with a comprehensive professional health care team.

  7. Strong interpersonal skills.

PHYSICAL DEMAND REQUIREMENTS:

  1. Sitting. 2-4 hours/day.

  2. Standing. 4-6 hours/day.

  3. Walking. 2-6 hours/day

  4. Lifting. 50lbs with good body mechanics.

  5. Twisting. Frequently, 500-1000 or greater twists/day.

  6. Bending. 130-480 bends hours/day.

  7. Squatting/Kneeling. 1-4 hours/day.

  8. Endurance. Moderate to heavy energy requirements.

  9. Wrist Position. Moderate Extensive deviation.

  10. Pinching. Frequent, 130-480 pinches per day.

  11. Hand/Wrist Repetitions. Moderate, 1000-2880/day or more.

  12. Manual Dexterity. Frequent fine motor skills required.

  13. Either Handedness. 70%- 100% of job cycle time.

  14. Both Handedness. 70%-100% of job cycle time.

  15. Sight. Requires corrected 20/20 near vision and 20-40 far vision.

  16. Hearing. Can hear whispered voice at eight (8) feet (FAA class II).

  17. Speech. Frequent clear speaking ability required.

  18. Exposure to Infection. Frequent

  19. _Visual Color Discrimination _Requires both red/green and blue/violet