Cardiovascular Specialist
Erlanger Health System - Chattanooga, TN

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Qualifications

Job Summary:
A registered professional Cardiovascular Specialist (CVS) employed by Erlanger Health System is responsible for direct and/or indirect care of patients seen in the Cardiac Cath Lab.

Education:
Required:
Graduate from an accredited school of Nursing, Radiology Technology, Cardiovascular Technology (CVT) or Respiratory.
Annual Erlanger Health System HLC courses

Preferred: None

Experience:
Required:
Knowledge of general nursing, radiology, and respiratory principles and practice skills
Knowledge of organizational functions, policies and regulations
Knowledge of current trends and new developments in the cardiovascular arena

Preferred:
Previous clinical experience as a CVS in a Cardiac Cath Lab

Position Requirement(s): License/Certification/Registration
Required: Current licensure or registry for area of specialty in the state of Tennessee
Current BLS certification
Current ACLS certification
Annual Erlanger Health System credentialing per department policies & procedures

Preferred:
RCIS credentialed (all staff will be encouraged to become RCIS credentialed within one year of being fully-trained in the Cardiac Cath Lab.)

Department Position Summary:
A registered professional Cardiovascular Specialist (CVS) in the Cardiac Cath Lab is responsible for direct and/or indirect patient care. He/she must have the ability to assess patients, administer pharmacological drugs as ordered, perform procedures and operate equipment necessary for patient care assigned and assist physician with procedures. The CVS must be familiar with sterile technique, cath lab equipment, procedures and radiation safety.

The employee must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in the Cardiac Cath Lab. The CVS must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his or her age-specific needs and to provide the care needed as described in the Cardiac Cath Lab's policies and procedures.

Processess:
1. Admission: contrast, survey questionnaire, physical assessment
2. Patient re-assessment & documentation per unit standards of care
3. Individualize plan of care
4. Implement plan of care
5. Evaluate plan of care
6. Pharmacology: administration & interactions
7. Documentation
8. Age-appropriate care
9. Knowledge of growth & development
10. Lab values / ABGs / Panic levels (assessment & intervention)
11. Interpersonal communication
12. Makes patient assignment / Supervises delegated functions on acuity

Procedures:
1. Central Line Draws/Infusaports- Care of & Lab Draws (High Risk/Low Volume)
2. Restraints- Assessment, Alternatives, Application, & Documentation 3. Blood Products (High Risk)
4. Moderate Sedation (High Risk)
5. Fall Prevention (High Risk)
6. Standard Precautions
7. CT: set-up, insertion
8. IV technique -- TPN or PPN / site rotation / labeling / documentation
9. O2 therapy / CPAP
10. Suctioning: Trach / Oral / NT
11. Restraints: Assessment / Alternatives / Application / Documentation
12. Hypo/Hyperthermia
13. Specimen: Biopsy tissue on heart transplants
14. NGT / DHT care
15. Volume replacement: Continuous / Bolus / Rapid
16. Cardiac monitoring: placement of electrodes / trouble shooting
17. Code Blue
18. Foley: insertion / precautions / care / removal / documentation of output
19. Drainage tubes
20. Invasive procedures: setup / assist per unit policies & procedures
21. Skin staples/sutures: removal
22. Body Substance Isolation (BSI)
23. Phlebotomy: technique / labeling / type & crossmatch
24. Pre-op/Post-op care

Equipment:
1. GE x-ray
2. Philips x-ray
3. O2 consumption
4. LifePack 12 Defibrillator
5. Temporary pacemakers
6. CD writer
7. Ventilators
8. Alarms
9. Helios printer
10. Targano viewer
11. FemStop
12. Perclose
13. Ablator
14. Analyzers Perm Pacemakers
15. Biphasic Defibrillator
16. IV / PCA pumps
17. Witt Hemodynamics & printer
18. Rotablator
19. Angiojet
20. IABP
21. Cardiac outputs
22. O2 saturation machine
23. Medical injectors
24. Hospital information system
25. Specialty carts: latex allergy, etc.
26. Doppler
27. Wall suction
28. Pulse oximetry
29. Medicine cart: location in department, knowledge of contents
30. ACT machine
31. CVIS ultrasound machine

Standards of Practice: Safety Initiatives:
1. Clinical Alarms Mgmt: Alarms activated as appropriate
2. Clinical Alarms Mgmt: Set parameters specific to patient/population
3. Clinical Alarms Mgmt: Audible
4. Accuracy of patient identification: Uses two approved identifiers to verify patient before any treatment
5. Effectiveness of communication among caregivers: Appropriate documentation and use of VORB and TORB
6. Effectiveness of communication among caregivers: Appropriate use of approved abbreviations
7. Effectiveness of communication among caregivers: Timely reporting of panic (critical) test results
8. Safety of using medication: aware of look-alike/sound-alike drugs used
9. Safety of using medication: Five rights applied
10. Reduce risk of health care-associated infections: Appropriate hand hygiene
11. Appropriate documentation and use of restraints
12. Appropriate implementation and documentation of Universal Protocol
13. Reduce the risk of patient harm resulting from falls: Implements fall protocol

Standards of Behavior:
1. Respects cultural diversity and sensitivity of all customers
2. Adhere to HIPAA regulations
3. Adhere to Hospital Policies & Practice
4. Aware of department specific QI program
5. Participate and attend unit staff meetings
6. Reviews and acknowledges unit communication information
7. Explain to customers all wait times, expected or unexpected
8. Functions independently
9. Utilizes problem solving abilities
10. Shows initiative
11. Manages time effectively
12. Maintains organizational abilities during stressful situations
13. Conducts his or herself in a professional manner; is considered reliable by peers
14. Receives and disseminates information effectively and appropriately
15. Negotiates in a professional manner with floors/unit/departments
16. Demonstrates effective interpersonal skills
17.Available for work as scheduled

Mission: To improve the health of people we touch

Vision: To be recognized locally, regionally and nationally as a premier health system

R.E.S.P.E.C.T.: We will fulfill the mission and vision by adhering to the Standards of R.E.S.P.E.C.T.
Responsiveness
Enthusiasm
Safety
Privacy
Excellence
Communication
Teamwork

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