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RN Cath Lab (Full Time, Day shift) bei Nicklaus Children's Hospital

Nicklaus Children's Hospital · Miami, Vereinigte Staaten Von Amerika · Onsite

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Job Summary

 

Responsible for the planning and delivery of care utilizing nursing processes: assessment, implementation, and evaluation. Oversees the plan of care, utilizes effective problem solving strategies, and applies evidence based practices. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director and has passion for learning. Provides compassionate and family centered care for Cath Lab patients.


Minimum Job Requirements

  • RN - Registered Nurse RN Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) – maintain active and in good standing throughout employment
  • CPR BLS -American Heart Association BLS maintain active and in good standing throughout employment
  • PALS - American Heart Association PALS maintain active and in good standing throughout employment
  • ACLS - American Heart Association ACLS maintain active and in good standing throughout employment
  • 1 year of adult/pediatric RN experience (including charge experience) in an acute care environment.

Essential Duties and Responsibilities

  • Ensures completion of pre-op assessment of patient, measures and documents weight and height, checks lab completion and vital signs.
  • Verifies parental consents are completed and signed for medication administered per policy.
  • Ensures completion of patient admission history. Prepares and accurately completes the discharge planning process per department and hospital policies and procedures.
  • Plans and implements the plan of care in collaboration with other disciplines and services to assure safe and efficient care.
  • Follows physician’s orders and administers and reconstitutes medications as needed. Adheres to six rights of medication administration per medication administration policy.
  • Collaborates with a multi-disciplinary team (ICU, Child Life, Med-Surg, etc.) in daily care planning as appropriate. Fosters a Family Centered Care Environment.
  • Monitors child continuously during procedure and reports any status changes. Immediately notifies physician and takes action on findings.
  • Prepares all medication required for surgical field as determined by the procedure.
  • Stays with the patient during emergence and extubation; assists Anesthesia as needed.
  • Ensures advanced directives are complete, secures blood consents, documents Time-Out procedures, and administers antibiotics as per Universal Protocol.
  • Performs surgical counts and proper use of cautery machines throughout surgical procedures.
  • Circulates throughout cases and ensures all expiration dates of implants are checked prior to use of any implant during a case.
  • Ensures specific labs are run during cases (ACT, ABG’s, and O2 saturation) and supports with positioning patient prior to procedure/surgery.
  • Interprets EKG throughout the case and takes appropriate actions based upon patient needs.
  • Assesses/maintains all IV drips and intra-cardiac lines, central lines, chest tubes, and Foley catheters.
  • Assists in a collaborative manner with the transportation of all patients per policy and standard procedures.
  • Communicates with physician regarding patient’s progress including: critical findings, critical lab results, and changes in the patient’s condition. Performs & documents discharge plan per policy.
  • Ensures all surgical procedure documentation (labs, consents, advance directives, and custody documentation) is obtained in a timely and accurate manner.
  • Accesses Electronic Medical Record (EMR) and performs charge reconciliation according to hospital policy. Completes accurate and timely documentation in the patient’s EMR.
  • Communicates with patients and families to review plan of care, solicits input, and communicates any patient and family concerns to physician.
  • Provides education and documents on patient/family teachings on health related needs (i.e. disease, medications, treatments, pain, discharge, safety, nutrition, skin care, etc.).
  • Promotes an “error free” working environment by consistently providing high-quality safe care as prompted (as per Universal Protocol Policy).
  • Provides patient information and effectively completes the hand off process at reassignments. Utilizes Same Day Surgery checklist.
  • Assesses all body systems, ensures safe, effective, and efficient care delivery with emphasis on the absence of medication errors, avoidance of falls, and reduction of pain post-procedure.

Knowledge/Skills/Abilities

  • BSN degree preferred or currently enrolled in BSN program.
  • Possesses proficiency in computers, (EMR) Electronic Medical Record, and Cerner preferred.
  • Career Development: National Certified Pediatric Nurse (CPN) and/or equivalent certification within 5 years of hire preferred.
  • Able to analyze and interpret data and utilize the information to make judgments regarding patient care.
  • Effective verbal and written communication skills.
  • Ability to positively influence, hold self, and others accountable.
  • Able to work effectively in a collaborative environment.
  • Knowledge of operating external defibrillator/pacemaker.
  • Ability to apply principles of evidence-based practice, analytical thinking, and service excellence in practice.
  • Ability to take call in the Cath Lab and deliver high quality service.
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