Registered Nurse Cath Lab

Cardiac Cath Lab Responsibilities

Evaluates, assesses and documents patient's hemodynamic response to therapeutic intervention by accurate cardiovascular monitoring. Reports abnormal rhythm to physician.

Monitors, evaluates, documents and trouble shoots patients hemodynamic response with the use of cath lab specialty equipment.

Accurately transcribes, reviews and carry's out physician orders.

Assess and reassess as per hospital policy.

Competent in the insertion of peripheral intravenous catheters.

Monitors, evaluates and intervenes appropriately with patients receiving conscious sedation.

Demonstrates appropriate safety measures as it relates to potential radiation exposure.

Assesses and implements safety devices pre-intra-post Cardiac Cath procedures.

Demonstrates proper groin management for arterial sheath interventions.

Assessment

Performs initial vital signs and admission history to include introduction to patient and family. Assessment of chief complaint and notification of physician within 15 minutes of arrival.

Obtains and documents a complete nursing admission assessment, including physiological and psychological factors to develop a plan of care within eight hours of admission.

Performs and documents an accurate systems assessment at the beginning of each procedure.

Responds to diagnostic data and initiates appropriate action or intervention.

Assesses patient education needs on admission.

Assesses psychosocial needs specific to patient's age, growth, and development.

Planning

Initiates a plan of care within eight hours of admission.

Establishes priorities for patient care based on patient needs.

Implementation

Verbalizes understanding of patient diagnosis and plan of care.

Safely and correctly initiates and documents nursing interventions in emergency situations.

Prepares intravenous solutions using aseptic technique.

Administers, observes, and documents intravenous therapy according to hospital policy.

Administers medications within 30 minutes of scheduled time. Observes and documents effectiveness. Recognizes and reports adverse reactions immediately.

Provides individualized instructions to patient/significant other regarding the plan of care.

Demonstrates safe and correct use of unit specific equipment.

Ensures that each patient's general hygiene needs are met.

Performs pre-operative and post operative care and instruction for each assigned cardiac cath patient.

Adheres to standard precautions including hand hygiene guidelines at all times.

Documents specific patient valuables on designated form when received and immediately arranges for appropriate storage.

Performs dressing changes using aseptic technique.

Collects and labels specimens per policy when ordered by physician.

Performs bedside glucose monitoring according to policy.

Reports all abnormal findings immediately to physician.

Inserts intermittent or indwelling urinary catheter using aseptic technique.

Administers oxygen therapy according to physician order.

Transfers patients in/out of the cath lab in an efficient manner, by obtaining a complete and correct set of physician's orders. Completes transfer summary and ensures appropriate completed referral forms accompany intra-facility transfers, including giving/receiving of report.

Demonstrates safe and correct use of restraints.

Evaluation

Documents/reports patient responses or outcomes resulting from: nursing interventions, treatments/procedures, interpersonal interactions, and patient/family education.

Evaluates and documents patient's progress towards established goals/objectives.

Updates/revises individualized patient care standards based on patient/family responses, progress towards goals.

Professional and Staff Development

Obtains 100% mandatory hospital and unit specific inservices annually, prior to evaluation date.

Plans, presents, and documents unit inservice as required by level.

Documents competency in clinical skills annually.

Attends staff meetings as required.

Uses established lines of communication for resolution of problems and interpersonal conflict.

Leadership

Attends 75% staff meetings.

Functions as a Charge Nurse, possesses clinical knowledge of all patients on the unit. Triages and assigns beds to promote patient flow.

Attends a Charge Nurse course.

Serves as a preceptor/clinical resource.

Actively participates in unit based PI.

Qualifications

License/Registration/Certification:

Current FL Nursing License, Current Basic Life Support

Education:

None

Experience:

1 year in RN position within a Telemetry monitored area or specialty patient care unit.

Benefits

We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:

Health benefits

Life insurance

Long-term disability coverage

Healthcare spending accounts

Retirement plan

Paid time off

Pet Insurance

Tuition reimbursement

Employee assistance program

Wellness program

On-site housing for select positions and more!

Mount Sinai Medical Center