Kent Campus Hospital

STATUS:Full Time 80 Hours

SHIFT: Days

GENERAL SUMMARY:

Summary:

The Professional Cardiovascular and EP Registered Nurse (RN) provides professional nursing care within the Cardiovascular and Electrophysiology Laboratory. The RN practices requiring specialized knowledge, judgement and skills are performed consistent with hospital policy, procedure, philosophy, and licensure. The RN performs multiple roles within the Cardiovascular, Electrophysiology, and Interventional Neurology laboratories including assisting physician(s) with diagnostic and interventional cardiac catheterizations, diagnostic and interventional peripheral procedures, endovascular aneurysm repair (EVAR), electrophysiology procedures (ablations, implantable cardiac defibrillator insertions/revisions, pacemaker insertions/revisions, EP studies, loop recorder insertions, structural heart procedures: Transcatheter aortic valve replacement (TAVR) and left atrial appendage occlusion (LAAO) and interventional neurology procedures: carotid stenting, stroke thrombectomy, cerebrovascular aneurysm embolization, and Trans-Carotid artery revascularization (TCAR). Responsibilities include conducting various cardiac tests to monitor patients' heart and blood vessel conditions using diverse cardiology equipment, preparing procedure rooms, prepping patients for procedures, obtaining, and recording patient information, assisting physicians in procedure by circulating procedures, X-ray fluoroscopy proficiency, performing blood work analyses, and operating intra-cardiac ultrasound. Directs and practices safety guidelines for themselves, staff, and patients. Independently functions during diagnostic and interventions procedures. Maintains a high level of expertise in specialty procedures within their assigned lab. Within the Cath Lab, this may include structural heart procedures and hemodynamics; within Electrophysiology (EP) Lab, RNs circulate/monitor and assist with device and electrophysiology procedures (EP) and assist with operation of 3D mapping systems. Within the Interventional Neurology Lab, RN’s assist with carotid stenting, stroke thrombectomy, aneurysm coiling, and other neuro-interventional procedures. Will be required to work varied hours, shift lengths, and respond to an on-call pager, which may include days, evenings, nights, holidays, and weekends. 

ESSENTIAL FUNCTIONS & ACCOUNTABILITIES:

1. Prepares the room set up prior to beginning of procedures, to provide safe, efficient delivery of care.
2. Prepares the patient for the procedure: Receives and reviews charts for scheduled patients as soon as they are available for the next day. Assures that proper documentation, lab results, and consent are present in the chart prior to the procedure. Communicates abnormal lab results or other concerns to the physician/Nurse Practitioner.
3. Prepares the patient for the procedure in a timely and efficient manner.
4. Provides nursing care, including complete systems assessment, and monitoring for the immediate pre and post procedural cardiovascular and electrophysiology patient. Abnormal findings to be communicated immediately to the physician/NP. Provides appropriate handoff to receiving RN.
5. Participates in the “Full Stop” and/or “Time Out” process, prior to the beginning of each procedure, along with the physician and other members of the team as per Bayhealth and unit policies.
6. Administers procedural sedation per Bayhealth and unit policies.
7. Demonstrates the ability to accurately document handoffs, pre and post procedure care in the electronic documentation system accurately and in real time. Demonstrates the ability to accurately document all procedures performed in the Cardiovascular and EP Lab in the MacLab/ CardioLab system.
8. Actively participates with procedure room turnover after every procedure following Infection Control protocol.
9. Demonstrates the ability to independently circulate all procedures performed in the Cardiovascular and EP Lab. Accurately records/documents procedure log in MacLab/CardioLab documentation system in real time.
10. Maintains an ongoing safe, therapeutic environment for all patients and families in accordance with hospital standards including sensitivity to patient comfort and privacy.
11. Actively participates in the preceptorship of new staff members.
12. Actively participates in hospital-based committees as well as Performance and Quality Improvement initiatives.
13. Enhances professional growth and development through participation in education, workshops, in-services, and current literature. Maintains required certifications and completes yearly unit and hospital mandatories prior to performance evaluation. Seeks specialty certification/advanced degree.
14. Takes ST-Elevation Myocardial Infarction (STEMI) call
15. Assist as part of a team to provide support to Cath/EP/IN Lab.
16. All other duties as assigned, within the scope and range of job responsibilities.

REQUIRED MINIMUM EDUCATION AND CREDENTIAL:

• Education Bachelor Degree
  Associate Degree
  Nursing - Within 36 months of hire, if not already obtained
  Nursing
  Or graduate from accredited program with Nursing Diploma.
• Credential Basic Life Support
  Registered Nurse
  Advanced Cardiovascular Life Support

EXPERIENCE:

Required: One year RN experience.

Preferred: Experience as Critical Care RN and/or experience in a Cardiovascular and EP Lab.

PREFERRED EDUCATION AND CREDENTIAL:

• Education Bachelor Degree
  Nursing
• Credential Registered Cardiovascular Electrophysiology Specialist
  National American Society of Pacing and Electrophysiology
  Registered Cardiovascular Invasive Specialist
  Adult Progressive Care Certified Nurse
  Critical Care Registered Nurse (Adult)

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