Advanced Practice Registered Nurse - Interventional Radiology - Full Time

Primarily performs duties across multiple UHealth facilities as needed including but not limited to UHealth Tower, Sylvester Comprehensive Cancer Center, Interventional Radiology Clinic, Lennar Foundation Medical Center, UHealth Doral, and with possible rotations at other locations as services are expanded.   

Performs minimally invasive vascular and nonvascular procedures as mentioned in management protocol and collaborative agreement independently or under the general supervision of attending interventional radiologist and per hospital competencies including but not limited to: 

Assist with Port Placements and Removals  

Paracentesis 

Thoracentesis 

Central venous catheter insertion and removal 

PICC Line insertion and removal 

Tunneled catheter placement, exchange, and removal 

FNA biopsies  

Aspiration of superficial collections  

Bone Marrow Biopsy  

Tube removal for biliary, nephrostomy, gastrostomy, or abscess  

Suture of simple and complex incisions and lacerations not requiring ligament or tendon repair 

Assist physician with any additional interventional studies 

Preceptor: Demonstrates ability to serve as a preceptor when assigned, including introducing new Nurse Practitioners to the service area, communicating and reinforcing core and job-specific expectations, validating initial competency, assessing learning needs, serving as a resource and providing feedback 

Service educator: Serves as an education resource for staff 

Pre-study assessment & post-study follow-up for interventional patients 

Pre-assessment and assessment of interventional radiology patients undergoing imaging studies with IV contrast as required. 

Patient Management of vascular and non-vascular illnesses 

Assists attending interventional radiologists with vascular interventional procedures 

Positively impacts Interventional Radiology patients’ clinical management and provides ongoing continuity of care 

Assists in the coordination of patient imaging studies and laboratory tests required for specific Interventional radiology tests and procedures through contact with the referring physicians and/or the patients directly 

Assists in the management of & the education of patients referred to the Interventional Radiology service in addition to counseling of  patients and their families 

Assists collaborating physicians during procedures 

Recognizes the need for and obtains physician’s input and guidance as indicated within the limits of the scope of practice 

Aids in ensuring clearance for interventional procedures based on physical and lab assessment of patients 

Facilitates/initiates inter/intra-departmental problem-solving and communication 

Assesses potential problems/contraindications for interventional radiology  patients receiving IV contrast or those with uncontrolled medical problems, and takes appropriate actions to reduce the risk of patient injury 

Co-manages with physicians those patients who are/become high-risk 

Demonstrates the ability to extract pertinent patient clinical data in relation to the requested procedure 

Monitors/communicates problems that may contribute to increased unnecessary length of hospital stay to appropriate clinicians 

Conducts a pre-study-focused screening 

Conducts a pre-anesthesia, pre-procedural, and focused physical screening 

Relays information to patients regarding preparation for laboratory tests, examinations, and procedures 

Obtains an accurate abbreviated age-specific, advanced health history review of systems including biophysical and psychosocial data 

Performs intake of patients, including the taking of a brief medical history & performing physical exam 

Documents all consultations to include  focused medical history, physical exam, and summary of consultations, treatment options reviewed, risk and benefits of procedures offered, patient disposition, and the results of all testing under the indirect supervision of the attending interventional radiologist 

Dictates all procedures that are performed independently with final approval by attending interventional radiologist 

Triages interventional radiology patients via telephone and determines the need for emergency consultations based on acquired information and diagnostic testing necessary. Evaluate interventional radiology patients as needed for pre-screening issues related to contrast media allergies, contrast media pre-medication for allergies, and patients on hemodialysis or peritoneal dialysis 

Participates in the development of individualized plans of care and ongoing follow-up. 

Documents progress notes in the medical record 

Provide verbal and written orders for medications as per collaborative protocol 

Updates physicians as necessary regarding patient issues to ensure continuity of care 

Defines the discharge plan of care including follow-up, medications, home care referral, etc 

Helps to coordinate interventional procedures schedule to include requests from both the inpatient unit and outpatient referrals 

Adheres to radiation safety regulations 

Assures that pre- and post- procedure orders are carried out to include both pre-op and post-procedure instructions to patients, relatives, and staff 

Assists with the transferring of patients to other institutions when necessary 

Demonstrates knowledge and skills in interventional radiology procedures, contrast administration, response to contrast reactions, and extravasations related to interventional radiology procedures 

Provides pre- and post-procedure patient education and counseling 

Recognizes needs for/obtains physicians’ assistance, input, and guidance as indicated within limits of scope of practice 

Works collaboratively with medical, technical and support staff 

Facilitates/initiates inter/intra-departmental problem-solving and communication 

Assists with & facilitates research activities 

Participate in patient care conferences/tumor boards 

Takes part in patient rounds with the responsible physicians as necessary 

Diagnose health problems and manage the healthcare care of patients 

Prescribe and Order Physical Therapy 

Perform any other areas of management in which the APRN has been formally trained and educated to provide 

Participate in on call weekend coverage as assigned.   

Performs related duties as requires