Registered Nurse (RN) - Casual 3rd Shift

Assist with all aspects of delivery of care for patients having procedures in

the Cardiac Cath/EP/Vascular Lab including assisting physicians, patient assessments and monitoring, patient education. and to execute the objectives and the policies of the hospital.

• Assesses, plans, implements, documents, coordinates, and manages patient care according to department and hospital standards and considering age-specific accommodations.
• Communicates and collaborates with patients, physicians, family members and other health care disciplines in order to achieve excellence in patient care during hospitalization.
• Promotes patient safety through adherence to protocols, policies, procedures, evidence-based guidelines and Joint Commission National Patient Safety Goals.
• Actively participates in and supports departmental and organizational quality initiatives and goals.
• Maintains clinical competency according to unit-specific standards. JOB CRITERIA AND PERFORMANCE STANDARDS:
• Assesses, plans, implements, documents, coordinates, and manages patient care according to department and hospital standards and considering age-specific accommodations.

* Has the knowledge base to care for patient pre/post having the following diagnostic & interventional testing. In addition, assist physicians with Non-invasive testing:

• Non-invasive testing: cardioversions,TEE's, Tilt table testing & Defibrillator checks.
• Assist with Pre/post care in procedure rooms if needed
• Cross training between specialties Cath/EP/Vascular pre/post care and nightly late requirements to cover recovery room.
• Maintains a computerized, evolving plan of care based on nursing assessment, the medical plan of care and patient need. Provides patient care, which demonstrates a comprehensive knowledge of normal physiology and disease pathophysiology, appropriate nursing and medical interventions and a knowledge of the principles of growth and development over the lifespan.
• Implements patient pre and post care based on evidence-based practice.
• Documents patient response to treatment and effectiveness of care.
• Provides teaching and discharge planning based on assessment of self-care knowledge/ability on an ongoing basis.
• Ensures appropriate completion of chart and other documentation, including transcription and implementation of physician orders, and computer entry.
• Ensures that unapproved abbreviations not used when documenting on patient's medical record.
• In collaboration with the physicians able to intervene as appropriate to prevent complications.
• Implement nursing/physician orders that result in achievement of patient, nursing, and physician goals. Evaluates, revises, and improves patient care using creative strategies, current research findings, and consideration of age-specific accommodations
• Medication reconciliation
• Meditech PACU documenting for post PVI procedures
• point of care testing
• initiation and maintenance of oxygen therapy
• specimen collection utilizing mobile lab when appropriate
• Pericardial drainage

• code cart check to be completed at beginning of shift
• Demonstrates ability to perform with clinical proficiency in crises and medical emergencies.

• Communicates and collaborates with patients, physicians, family members, and other health care disciplines in order to achieve excellence in patient care during hospitalization.
• Involves patient/significant other in all aspects of the plan of care, serving as advocate when necessary.
• Consistently and continuously communicates, consults and shares pertinent information regarding changes in patient status and patient care.
• Effectively communicates pertinent patient/significant other information during hand off care or between department reports according to SBAR standards.
• Demonstrates leadership skills in team building and interpersonal relationships to create a cohesive and productive environment.
• Promotes patient safety through adherence to protocols, policies, procedures, evidence-based guidelines and Joint Commission National Patient Safety Goals.
• Maintains safety precautions while providing patient care including infection control isolation, patient/bed positioning, side rails, restraint utilization, skin care, patient/specimen transport, physical environment, fall prevention, seizure precautions, and work injury prevention.
• Analyzes data and responds to unusual/undesirable clinical status by consulting appropriate healthcare team members, including Rapid Response Team, and taking appropriate action in a timely manner.
• Maintains equipment in good working order, reports equipment failure, and initiates corrective action. Where appropriate, adheres to defined computer generated quality monitoring or procedures for validation of equipment functionality.
• Safely administers medications and treatments as ordered according to hospital policy and formulary using the appropriate principles of safe medication administration, 2 patient identifiers.
• Actively participates in and supports departmental and organizational quality initiatives and goals.

Graduate of an accredited School of Nursing.Current licensure in the Commonwealth of Pennsylvania, Department of State Bureau of Occupational and Professional Affairs.

• Prefer Experience: *1-2 years in Cardiac Cath/EP Lab or PACU pre post care
• Will consider 1-2 years Critical Care/ Interventional/Emergency experience. Certification encouraged as Cardiac RN or CCRN.

*** Pathophysiology, Waveform Analysis, Arrhythmia Detection and Cardio-

Vascular Pharmacology and computer experience.
S. for Healthcare Provider and ACLS
Excellent interpersonal and team building skills and knowledge of computer functionality