RN Immediate Care Clinic (Relief)

Registered Nurse

US Heart and Vascular is in need of a PRN Registered Nurse to join our team at our Orion Medical Ambulatory Surgery Center in Houston, TX.

Position Summary

Competent clinician in invasive cardiovascular nursing care, possessing the knowledge and skills necessary to meet the standards for professional nursing practice as outlined in the Texas Nurse Practice Act. Experienced, knowledgeable, and skilled in Cardiac Catheterization Laboratory (Cath Lab) and Electrophysiology Laboratory (EP Lab) procedures and equipment. Independently assists in cardiac catheterization, electrophysiology, and vascular and interventional procedures and is experienced in the pre-operative and post-operative care associated with these invasive procedures. Follows established standards and practices under the guidance of credentialed invasive cardiologists and electrophysiologists, functioning effectively as a member of the interdisciplinary team. Practice is characterized by predominantly interdependent decision-making focused on solving problems while centered on patient care. Able to handle unexpected emergencies and manage common contingencies that may occur in the department. Provides patient care through nursing practices rooted in the American Nurses Association Standards of Practice, Nursing Process, and Values in specialty unit nursing, aligned with USHV strategic initiatives and health system goals.

Responsibilities & Duties:

Assesses, plans, implements, evaluates, and documents the daily care of assigned patients. Identifies actual and potential nursing diagnoses/patient care needs; develops and individualizes care plan and revises plan of care as needed. Competently and independently plans, coordinates, and prioritizes patient care activities according to skill level and work complexity. Executes physician orders for all assigned patients. Administers medications and treatments and delivers culturally congruent and specialty-appropriate competent nursing care under policies, procedures, and standards in a caring and compassionate manner. Competently and independently performs routine technical procedures/skills in an assigned specialty area: Cath Lab and EP procedures Competently demonstrates knowledge and skills to perform Cath Lab and EP procedures and utilize equipment Independently capable of performing different aspects of responsibilities within the department, such as circulator, monitor, scrub, and recovery area personnel. Identifies patient safety concerns and reports appropriately; addresses immediate safety concerns appropriately. Competently and consistently completes accurate, concise, and legible documentation on all patient, unit, and ASC records (including care delivery and telephone patient-related interactions). Demonstrates competent knowledge and skills to interpret and respond to patient data and hemodynamic responses throughout all phases of care: pre-, intra-, and post-Cath and EP procedures Competent in identifying cardiac rhythms, waveforms, and abnormal ranges and taking appropriate intervention Competently demonstrates knowledge and competency in the use of medications, including cardiac medications, emergency drugs, moderate sedation, and reversal agents Competently and consistently produces accurate and concise documentation of the procedural event, including monitoring per the moderate sedation policy Meets periodic USHV and unit-specific health screening, training, attendance, safety, CPR, and ACLS compliance requirements. Completes the required Orientation/Competency-Based Orientation (CBO) tools by the initial performance evaluation due date for placement in the employee file. Other duties assigned include quality control and assurance audits, environmental rounds, supply management, and any tasks deemed necessary by the center's director.

Requirements:

Must possess and maintain a current license or valid permit to practice in state where ASC is located. Basic Life Support (BLS) and Advanced Cardiac Life Saving (ACLS) certifications through the American Heart Association (AHA) are required. RN with 2 years of experience in the Cardiac Catheterization Lab. Cardiovascular certifications such as CVRN II or higher, CCRN, RCIS, and RCES are preferred.

Why Choose Us?

Comprehensive benefits package

Monday-Friday schedule

CME allowance

About Houston, TX:

Houston is a diverse city with a booming job market in energy, healthcare, and tech. It has no state income tax, an affordable cost of living, and world-class dining and entertainment. Green spaces, museums, and pro sports teams add to its appeal. Whether for career growth or culture, Houston has it all.

US Heart and Vascular