Registered Nurse (Flex) - Cardiac Cath Lab

Overview

Under the supervision of the Nurse Manager, Critical care Nurses provide direct and individualized nursing care to patients based on the application of scientific nursing principles. In addition to general nursing care, responsibilities of Critical care Nurses include (but are not limited to):

Assessment: Conducts ongoing focused physical, psychosocial, and pain assessments; includes assessment of patient education needs.

Planning: Utilizes the assessment, identifies problems, and makes nursing diagnoses, formulate goals, teaching plans and outcomes to create an individualized plan of care.  Identifies individual patient goals, readiness to learn, and incorporates family into the plan of care.

Implementation: Prioritizes and implements an efficient nursing plan of care.

Evaluation/Reassessment: Consistently conducts timely evaluations, recognizes changes in patient conditions, determines when reassessments are needed, and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care. Evaluate patient’s response to interventions and communicates with other healthcare team members the need to revise or maintain plan of care.

Responsibilities

• Utilizes the nursing process in taking care of the patient.
• Assesses condition of the patient and documents findings in EHR.
• Utilizes principles of Infection Control in the delivery of care.
• Implements appropriate nursing interventions to facilitate recovery of patient and prevent complications.
• Evaluate patient’s response to interventions and communicates with other healthcare team members the need to revise or maintain plan of care.
• Implements discharge planning based on patient care needs.
• Initiates and documents patient education based on treatment plan in the language that the patient understands.
• Documents assessment, interventions, changes in the patient’s condition and response to interventions based on hospital policy on documentation.
• Initiates appropriate actions effectively in an emergent situation.
• Prioritizes tasks and adjusts priorities, maintain orderly, efficient, and timely flow of patients.
• Recognizes and reports errors or unusual occurrences, and initiates corrective action when appropriate.
• Makes accurate, complete, and timely entries into the patient medical record addressing all steps of the nursing process.
• Actively communicate with all members of the healthcare team, patient, and patient family and then assess, plan, implement and evaluate patient care.
• Know how to start standard interventions to stabilize the patient.
• Communicates with colleagues and interdisciplinary team about the prevention, treatment and patient care needs of the patient that has or ask pressure injurys (reports, dietary consults, communicates with physicians).
• Basic cardiac rhythm monitoring techniques, interpretation, and treatment.
• Recognizes lethal arrhythmias and acts appropriately. Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology.
• Recognize the signs and symptoms of cardiopulmonary and respiratory emergencies and knowing how to start standard interventions to stabilize the patient.
• Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications. Reports adverse reactions to medications or treatments in accordance with the policy.
• Calculate drug dosage, administering continuous medication infusion, and monitoring patients for effects of medication.
• Pre Procedure assessment/intra and post procedure assessment.
• Set up machines such as IVUS/FFR/Rotablator/Angiojet/Impella CP/IABP; IV pump; use of Doppler; phlebotomy /IV start; basic equipment set up; sterile field preparation/ handling sterile equipment; zeroing, flushing introducers, catheters; Contrast injector set up; 
• Cardio pulmonary monitoring/ Arrhythmia recognition & treatments.
• Medication Indication, dosage, action, side effects of anti-platelets/ coagulants.
• Blood and blood product transfusions.
• Prep and drape patient.
• Type of anesthesia: Local and Mild to Moderate sedation analgesia.
• Care of mechanically ventilated Patients  while in IR.
• Preparation and administration medication (PO, IM, IV) and preparation IC medications.
• Assisting with Emergency Management.
• Stroke: NIHS scale, Diagnostic and interventional procedures.
• Assist in all procedures done in Radiology.
• Waived tests: ACT (liquid and Electronic control)P2Y12, ASA assay.
• Participates in the formulation, review and or revision of departmental policies.
• Transferring patient  to floor after  verbal report/electronic report using Handoff.
• Discharge patients safely if out patients.
• Set Up Angiojet thrombectomy system.
• EP lab: Table set up, draping and prep: PPM/AICD, EPS, Cardioversion
• Hemodynamic monitoring and pressure recording: LHC, RHC, Double transducer- AS, MS, Device implant, NIPS, EPS, RFA, Cardio version, peripheral angiogram/angioplasty.
• Neuro Intervention: Table set up, draping and prep, hemodynamic monitoring, documentation, assisting with procedure.
• Maintain stock of medical supplies and equipment needed for procedures.
• Demonstrate initiative and commitment in maintaining and upgrading skills through continuing education and actively participating in patient care conferences.
• Performs other duties as assigned within the RN scope of practice.

Qualifications

Education:

Internal & 1199 SEIU:

• • Graduate of accredited nursing program(s).
  • Bachelor's Degree in Nursing preferred.

Non 1199 SEIU Candidates:

• • Bachelor’s Degree in Nursing or equivalent to BSN program.
  • Master's Degree in Nursing, preferred. 

Experience:

• Minimum one (1) year Cath Lab Nurse experience or one (1) year Critical Care or Telemetry experience required.

Knowledge and Skills:

• Knowledge of Neuro assessment, and documentation, NIHSS scale.
• Knowledge of critical lab values. 
• Critical thinking, math, and computer skills.
• Works as a team player. 
• Demonstrates respect and professionalism in all interactions.
• Excellent oral and communication skills. 
• Decision making and problem solving. 
• Able to read, write, see and hear English.

Licenses, Certifications:

• Current NY State RN License required.
• Basic Life Support (BLS) from the American Heart Association, required.
• Advanced Cardiovascular Life Support (ACLS) from the American Heart Association, required.
• CCRN (required within one (1) year of hire.
• Basic Arrhythmia Class with Certificate required.
• Stroke Certification required.
• Registered Cardiovascular Invasive Specialist (required within one (1) year of hire).

Physical Requirements:

• Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day. 
• Position will be required to stoop, bend, lift and carry items weighing up to 35 pounds for routine performance of essential functions.
• An individual in this position may be exposed to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions.
• Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients.
• Manual and finger dexterity, as well as hand and eye coordination.
• Corrected vision and hearing to within normal range.
• Frequently sitting at desk working on computer.
• Ability to flex working hours
• On call.

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH).

OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.