The posting
Inspire health. Serve with compassion. Be the difference.
Job Summary
Provides clinical direction for all aspects of patient care, specifically diagnostic and interventional Radiology, Vascular or Neuro endovascular procedures. Supports the procedural team as circulator providing moderate sedation, scrubbing with the physician tableside or monitoring and documenting the case. Maintains competency in each role, utilizing evidence-based practices and research consistent with an acute care registered nurse. Performs procedures effectively during call back. Exercises appropriate judgement utilizing resources.
Bonus
This position is bonus eligible, follow this link for details.
Essential Functions
- All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
- Completes direct patient pre-procedure assessment for sedation. This includes the following: assessment of the patient's medical and surgical history, ASA classification, NPO status, pertinent labs, and sedation plan with primary documentation. Verifies Universal Protocol Part 1 is complete and notifies department and/or physician doing procedure of any missing information. Reports and documents findings. Gathers pertinent records needed for procedures such as: History and Physical, Lab reports, and Medication Record. Anticipates and/or predicts changes and modifies any care delivered to best meet the needs of the patient. Incorporates patient preferences, concerns, and special needs into daily work schedule. Establishes overt/covert needs as well as anticipated needs related to the diagnosis. Monitors patient throughout the stay. Utilizes ALDRETE score consistently. Follows Infection Control policies and procedures on all patients.
- Maintains safe working environment. Knows the location and use of emergency equipment. Demonstrated competency of annual departmental competencies. Performs inpatient/outpatient treatment procedures and physician orders. Operates applicable hospital equipment. Performs proper body mechanics. Takes immediate and appropriate action in life threatening emergencies and/ or crisis situations. Administers IV medication and other drugs as directed by the physician. Knowledgeable of all drugs used during procedures and emergencies as well as contraindications and side effects. Adheres to radiation safety guidelines. Employs proper hospital emergency procedures. Assures specimens are collected, handled properly, correctly labeled, and submitted to the appropriate department. Performs point of care testing.
- Communicates appropriately with hospital personnel, medical staff, patients, families, outside resources, and others verbally and in writing. Functions as a team player demonstrating willingness to help whenever necessary, displaying a positive image of the department and Prisma Health. Utilizes SBAR communication tools. Is discrete in the use of confidential information per HIPPA. Reports errors/incidents/problems to appropriate personnel promptly and documents correctly in Event Reporting online system. Ensures physician is informed of all pertinent patient information.
- Follows nursing documentation guidelines. Ensures all applicable permits/consents are correct. Performs sedation and procedural documentation per policy. Creates and maintains all records and charts. Documents procedures and patient care which reflect treatment. Documents education for patients and families.
- Ensures patient understands and consents to procedures to be performed; contact physician performing procedure as needed. Performs education to increase patient and family knowledge. Ensures patient and family are well informed; fulling explaining time frames to family members. Implements and/or assists in patient education regarding procedures and health maintenance. Acts as a resource person to other staff. Attends and participates in departmental staff meetings. Assumes responsibility for own continuing education, both formal and informal. Participates in development of self and other staff members. Attends scheduled departmental in-services.
- Demonstrates organizational ability using time/equipment/resources effectively. Establishes daily procedure schedule in accordance with patient/procedure priorities and physician preferences. Recognizes/analyzes/solves problems. Anticipates needs of physicians. Ensures that daily schedule is carried out through individual or cooperative efforts. Exercises analytical judgement on work to be done. Keeps physicians, patients and families informed of any delays in schedule.
- Proper care and cleaning of patient equipment and all items in patient room. Maintenance and stocking of supplies for smooth operation of department. Cleans equipment properly and documents; notifies appropriate department for repair and removes from service and place note on equipment not functioning correctly. Provides for safe and continued operable equipment. Communicates issues such as damaged or missing cables to manager.
- Obtains appropriate supplies and prepares room for patient.
- Assess patient’s condition and level of cooperation and makes appropriate judgment of proper care.
- Practices proper sterile technique. Conducts surgical scrub before invasive procedures. Demonstrates proper gowning and gloving technique. Demonstrates proper method of opening sterile tray to prevent contamination. Demonstrates proper opening and placing sterile supplies/items onto sterile tray. Wears appropriate protective covering (hat, mask, etc.). Demonstrates proper procedure for prepping and draping the patient. Is thoroughly familiar with patient's history and current lab data and informs procedure physician.
- Responds to codes and other emergency situations appropriately. Demonstrates proper technique for removal and management of arterial sheath.
- Responsible for accurate and timely documentation of events of the case. Interpretation and management of Hemodynamic monitoring. Anticipates potential issues and demonstrates clinical assessment and intervention, notifying physician and team of alterations in hemodynamics. Demonstrates accurate documentation of quality metric data fields and limited charging of procedures.
- Performs other duties as assigned.
Supervisory/Management Responsibility
- This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
- Education - Associate degree in Nursing. Bachelor's degree in Nursing preferred.
- Experience - Two (2) years of Critical Care, CCL or interventional experience
In Lieu Of
- In lieu of an AD N, will accept nursing diploma with RN licensure.
- In lieu of two (2) years of registered nurse experience, will accept successful completion of the Prisma Health Nurse Residency Program and one (1) year of related experience.
Required Certifications, Registrations, Licenses
- Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working.
- RCIS - Preferred
Knowledge, Skills and Abilities
- Knowledgeable of limited angiographic exams, interventional procedures, and the use of contrast agents.
- Knowledge of radiographic equipment operation and radiation safety.
- Knowledgeable of catheters, guidewires, balloon dilatation catheters, stents as well as other supplies.
- Knowledgeable of operation of physiological monitoring equipment and power injectors.
Work Shift
Night (United States of America)
Location
Richland
Facility
Richland Hospital
Department
Radiology Nursing Services
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
