Procedural Nurse I EP Lab (Days)
Scott and White Healthcare - Temple, TX

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Responsibilities
Job Summary:
Coordinates and provides nursing care including the assessment, education, counseling and treatment of patients and delegating nursing care to others as appropriate. Works cooperatively with ancillary nursing staff and other patient team personnel and maintains standards for professional nursing practice in the clinical setting.
UTILIZES THE NURSING PROCESS AS THE BASIS FOR PATIENT CARE PRACTICE.
*Completes pertinent Nursing Assessment with patient and family.
*Makes accurate pertinent assessments and clearly documents in patient records.
*Assesses and implements appropriate nursing care based on nursing assessment of age, developmental stage and physical condition.
*Provides effective patient/family education based on individualized learning needs.
*Identifies discharge needs and facilitates discharge planning.
PERFORMS NURSING PROCEDURE/TREATMENTS AS DELEGATED THROUGH PHYSICIAN ORDERS TO PROVIDE QUALITY CARE TO PATIENTS.
*Evaluates, initiates, and maintains standards of care in area of expertise and performs duties in accordance with the policies and procedures of Scott & White and the Nursing Department.
*Implements the medical plan of care appropriately as delegated through physician orders and within the parameters of this job description.
*Administers medications and treatments safely, accurately and in accordance with established policies and procedures.
DIRECTS, COORDINATES AND PARTICIPATES IN THE EVALUATION/SUPERVISION OF NURSING CARE PROVIDED TO PATIENTS TO ENSURE THE HIGHEST QUALITY PATIENT CARE IS DELIVERED.
*Directs and coordinates nursing care, establishes priorities and delegates nursing activities according to patient needs and staff's capabilities and qualifications.
*Evaluates and supervises nursing care and provides constructive and relevant coaching and feedback.
*Participates as a member of assigned patient care team. Facilitates communication and initiates interdisciplinary activities and makes appropriate referrals.
*Clearly communicates in a timely manner data obtained during nursing assessments and reports and serves as an advocate for patients and families when communicating with other health team members.
SERVES AS RELIEF CHARGE NURSE WHEN ASSIGNED TO ENSURE EFFICIENT OPERATIONS AND CONTINUITY OF CARE.
*Oversees care of all patients on unit in accordance with established procedures.
*Makes appropriate patient assignments.
*Ensures proper coverage of personnel.
PARTICIPATES IN EDUCATION, RESEARCH AND PERFORMANCE IMPROVEMENT ACTIVITIES TO ENHANCE AND MAINTAIN PERSONAL AND DEPARTMENTAL QUALIFICATIONS AND STANDARDS OF PERFORMANCE.
*Collaborates with Nursing Management, Clinical Staff Development and staff to identify and provide opportunities for staff members to develop the knowledge, skills, and abilities needed to contribute to the success of the department.
*Actively participates in performance improvement and/or research activities when indicated.
*Participates in self evaluations when requested, setting realistic goals.
*Participates actively and attends staff meetings at a minimum of 50% attendance.
*Provides two educational or research presentations per year as approved by management.
PERFORMS OTHER POSITION APPROPRIATE DUTIES AS REQUIRED IN A COMPETENT, PROFESSIONAL AND COURTEOUS MANNER.
Cath:
FULFILLS ADDITIONAL EDUCATION AND DEMONSTRATES UNIT-SPECIFIC COMPETENCIES REQUIRED TO MAINTAIN QUALIFICATIONS.
*Completes Scott & White Dysrhythmia Course.
*Cross trains to Cath/EP lab holding areas and procedure areas as directed.
UTILIZES AND EVALUATES EQUIPMENT, INSTRUMENTS AND SUPPLIES SAFELY, APPROPRIATELY AND TO FULL CAPACITY.
*Independently and safely operates patient care equipment correctly; interprets, documents and responds to data appropriately.
*Participates in product evaluation or research to include patient informed consent, documentation and use of product as directed.
PROVIDES ADVANCED CARDIAC CARE TO ENSURE QUALITY PATIENT CARE AND ENHANCED PATIENT SAFETY.
*Administers routine and STAT cardiac care to include cardiac monitoring, emergency administration and conscious sedation and precepts these skills.
*Provides nursing care during dobutamine stress echocardiogram to include administration of dobutamine within established dosing parameters and procedure protocols.
*Provides nursing care during all phases of conscious sedation including pre-assessment, administration and recovery.
*Provides nursing care through assistance with diagnostic procedures such as in contrast administration and bubble studies.
*Circulates for complex procedures and precepts these skills.
*Safely and effectively achieves hemostatsis following vascular sheath removal.
*Consistently meets required response time when on-call.
*Actively and routinely participates in patient follow-up activities.
Endo:
PROCEDURES:
*Independently assists physician with ERCP's.
*Independently does FNA's
Pathology/Donor Services:
CONDUCTS INITIAL SCREENING OF POTENTIAL BLOOD AND PLATELET DONORS TO DETERMINE DONOR SUITABILITY AND PREVENT COLLECTION OF BLOOD FROM UNSUITABLE ALLOGENIC DONORS.
*Greets donors courteously and verifies identification is correct as documented on donor card.
*Performs donor screening process thoroughly, including physical examinations and medical history interviews.
*Assists phlebotomists in making donor suitability decisions.
*Defers donors appropriately in accordance with current regulations.
*Performs skillful venipunctures and assists staff as necessary.
COLLECTS BLOOD AND PLATELETS IN ACCORDANCE WITH ESTABLISHED OPERATING PROCEDURES TO ENSURE ACCEPTABLE DONATION.
*Reviews donor history and verifies donor acceptability is documented prior to initiating collection.
*Performs skillful venipunctures without contamination to sterile site, including "difficult sticks".
*Collects units of WB from allogeneic, autologous and directed donors IAW SOP and terminates donation appropriately.
*Labels donor sample tubes correctly IAW SOP and maintains positive link between donor, donor card, unit and samples.
*Prepares and packs units of WB and platelets properly for transport to laboratory.
PERFORMS THERAPEUTIC PHLEBOTOMY AND APHERESIS PROCEDURES AND PROGENITOR CELL COLLECTIONS AS PRESCRIBED BY PHYSICIANS.
*Performs skilled therapeutic apheresis procedures and progenitor cell collections, as prescribed by staff physicians.
*Operates apheresis therapeutic/progenitor cell devices IAW operator instructions, FDA/OSHA regs, AABB/FAHCT standards.
*Maintains accurate records to document patient treatments and fully participates in QA/QC activities.
*Incorporates patient physiology and pathophysiology with laboratory results.
*Observes donors for adverse reactions, gives appropriate treatment, documents event, and notifies MD as necessary.
ASSISTS WITH APHERESIS SCHEDULING AND HELPS MAINTAIN SUFFICIENT BLOOD AND PLATELET INVENTORY LEVELS.
*Communicates effectively with Production and TS laboratories to maintain sufficient platelet inventory levels.
*Maximizes professional flexibility to meet needs of the department, donors, and patients.
*Works in cooperative manner with DR supervisor to support unanticipated scheduling needs, conflict resolution, on-call.
*Assists with evaluation of new techniques to augment quality and quantity of components for transfusion.
*Reviews cumulative data for platelet donors to ensure compliance with current regulations.
Bryan/College Station ACS:
ABLE TO FUNCTION PROFICIENTLY IN ONE OF THE FOLLOWING ROLES FOR THEIR ASSIGNED AREA: ADMISSION NURSE; PRE-OP NURSE; PACU NURSE; DAY STAY NURSE; PAIN CLINIC NURSE; CIRCULATOR, SCRUB NURSE; MONITOR NURSE; LASER NURSE; STERILE PROCESSING AREA; FLOATS TO CLINIC AREAS TO PROVIDE COVERAGE (EXCEED REQUIREMENT).
DEVELOPS, DISCUSSES, AND COMMUNICATES A REALISTIC PROBLEM LIST (PLAN OF CARE) FOR EACH PATEINT IN COLLABORATION WITH EACH PATIENT/FAMILY/SIGNIFICANT OTHER TO ADDRESS ALL IDENTIFIED NEEDS.
*Follows procedures for surgical interventions along with preferences of surgeon.
*Assembles necessary instruments, supplies, and equipment prior to start of case.
*Checks proper condition of necessary instruments, supplies, and equipment.
*Develops patient/family/significant other teaching and discharge plan as per unit standard.
DEMONSTRATES THE SKILLS/JUDGMENT NECESSARY TO IMPLEMENT MEDICAL PLAN OF CARE/ NURSING INTERVENTIONS/ PROCEDURES AS NECESSARY FOR THE CARE OF THE PATIENT.
*Assesses and documents IV site per unit standard.
*Provides emotional support and comfort measures.
*Applies and monitors principles of aseptic technique during the perioperative period.
*Performs sponge, needle, and instrument counts according to policy and procedure.
*Ensures safety of patients during the use of electrical equipment.
*Preps the surgical site using aseptic technique.
*Correctly collects and accurately labels specimens and all necessary paperwork.
*Confines and contains sources of contaminations.
*Revises physician's preference cards and communicates changes to coworkers.
*Performs "Time Out" procedure following organization policy and procedure.
*Correctly labels all medications/solutions removed from the original container.
MAINTAINS ACCURATE DOCUMENTATION OF NURSING CARE PROVIDED TO ENSURE THE INTEGRATION OF INFORMATION FOR USE BY THE HEALTH CARE TEAM, TO ENSURE QUALITY CARE.
*Demonstrates proper documentation of narcotics.
*Accurately and promptly documents unusual occurrences during the perioperative period.
*All areas of the perioperative record are complete.
PERFORMS ALL RESPONSIBILITIES/DUTIES REQUIRED BY THE PERIOPERATIVE UNIT AS DEFINED IN THE SCOPE OF SERVICE, TO ENSURE THAT THE UNIQUE NATURE OF THE CLIENT IS ADDRESSED.
ATTENDS ALL REQUIRED SAFETY TRAINING PROGRAMS AND CAN DESCRIBE HIS/HER RESPONSIBILITIES RELATED TO GENERAL SAFETY, DEPARTMENT/SERVICE SAFETY, AND SPECIFIC JOB RELATED HAZARDS.
*Operates assigned equipment and performs all procedures in a safe manner as instructed.
*Maintains work area and equipment in condition required by department standards.
DEMONSTRATES RESPECT AND REGARD FOR THE DIGNITY OF ALL PATEINTS, FAMILIES, VISITORS, AND FELLOW EMPLOYEES TO ENSURE A PROFESSIONAL, RESPONSIBLE, AND COURTEOUS ENVIRONMENT.
*Maintains open communication using appropriate chain of command regarding issues.
*Conducts activities with respect for rights/wishes of patients/visitors/families/fellow employees.
PROMOTES EFFECTIVE WORKING RELATIONS AND WORKS EFFECTIVELY AS PART OF A DEPARMENT/UNIT TEAM INTER AND INTRADEPARTMENTAL TO FACILITATE THE DEPARTMENT'S/UNIT'S ABILITY TO MEET ITS GOALS AND OBJECTIVES.
*Utilizes automated system to communicate inter- and intradepartmental, as appropriate.
ASSUMES ALL OTHER DUTIES AND RESPONSIBILITIES AS NECESSARY.
*Participates in the evaluation of new supplies, equipment, and/or instruments.
*Ensures all patient charge items are identified and documented.
COMPLETES ALL REQUIREMENTS FOR THE PROCEDURE NURSE CAREER LADDER AS ESTABLISHED BY THE CLINIC.
REQUIRED SKILLS, KNOWLEDGE AND ABILITY:
*Must have two years full time experience as a RN at Scott & White; or, five years full time nursing experience as a RN; or two years full time experience in area of specialty.
*Assists team members in providing care to patients or administers direct care when professional nursing skills and judgment are required.
*Provides effective leadership in emergency and stressful situations.
*Takes personal responsibility to understand, complete and maintain the professional and technical licensure/certifications required of the position and furnishes Scott & White with the necessary documentation to substantiate compliance.
*Completes unit-specific and age-specific competencies annually.
*Completes examinations and skills checklists within three months of hire.
*Maintains membership in professional nursing organization.
*Serves as preceptor for new staff, ancillary staff and students in a professional and supportive manner.
Cath:
*Maintains current certification in Advanced Cardiac Life Support.
*Maintains current CITI research certification.
Endo:
*Completes and passes procedural sedation testing.
Bryan/College Station:
*Demonstrates knowledge of commonly used meds: action; dose, and side effects.
*Facilitates problem resolution among peers as observed by nurse manager and peers.
*Demonstrates a constructive approach during interactions with others toward the organization.
*Displays a positive attitude to contribute to the overall customer service program within the organization.
*Readily accepts/completes assignments as observed by the nurse manager.
Qualifications
Experience: 2+ Years
Degree: Registered Nurse
License/Certificate: Basic Cardiac Life Support LifeSupCert 30d aft exp if req Registered (Professional) Nurs
Other Information
Department: MnCCln E P Lab
Standard Hours Per Week: 40
Grade: N08
Shift: 1
293436

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