Clinical Nurse Vascular Access

Vascular Access Nurse

Hours for this position are 1900–0730. The Vascular Access Service provides care to both inpatient and outpatient populations at Barnes-Jewish Hospital.

The team utilizes both traditional IV insertion techniques and advanced ultrasound-guided technology to place peripheral IVs (PIVs), midlines, and peripherally inserted central catheters (PICC lines). Training is provided during orientation to develop competency in the use of ultrasound for vascular access device placement.

In addition to device insertion, nurses assess, maintain, and troubleshoot vascular access devices, including restoring catheter patency through evidence-based interventions such as declotting occluded lines and addressing mechanical or positional issues.

This role offers opportunities for advancement through higher RN Career Ladder levels, with corresponding percentage-based salary increases aligned with expanded responsibilities and role progression. Benefits include, but are not limited to, Medical, Dental, Vision, 401K with Match, and Tuition Assistance. Sign-on bonus eligibility is available based on role requirements (up to $7,500.00).

Additional preferred requirements include:

• Experience with ultrasound-guided vascular access
• Experience with central line placement and maintenance

Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.

The department consists of specialty-trained RNs, many with vascular access certifications, who place vascular access devices (PIVs, midlines, PICC lines) using both traditional and ultrasound-guided techniques. Staff are skilled in difficult access, device insertion, and comprehensive care, including assessment, maintenance, and troubleshooting such as declotting and resolving mechanical issues, while supporting education, ensuring high-quality, evidence-based patient care, and preserving patients' long-term vascular health and integrity.

The department also promotes continuous improvement of multidisciplinary care standards, safety, and patient outcomes across BJC by identifying, implementing, and sustaining innovative best practices, while serving as a communication bridge among vascular access teams.

Role purpose:

Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care.

Responsibilities:

• Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration.
• Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development.
• Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care.
• Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care. Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs.
• BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Minimum requirements:

• Education: Nursing Diploma/Associate's
• Experience: No Experience
• Licenses & Certifications: RN

Preferred requirements:

• Education: Bachelor's Degree - Nursing
• Experience: <2 years

BJC Total Rewards

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance* paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance

*Not all benefits apply to all jobs

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer