Registered Nurse (RN) - Interventional Specialist, Radiology Nursing Services, FT, Day

About the Role

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.

This position is bonus eligible.

Responsibilities

• Completes direct patient pre-procedure assessment for sedation, including:
  • Assessment of the patient's medical and surgical history, ASA classification, NPO status, pertinent labs, and sedation plan with primary documentation.
  • Verification of Universal Protocol Part 1 completion and notification of any missing information to the department and/or physician.
  • Reporting and documenting findings.
• Gathers pertinent records needed for procedures such as History and Physical, Lab reports, and Medication Record.
• Anticipates and/or predicts changes and modifies care delivered to best meet patient needs.
• 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, utilizing ALDRETE score consistently.
• Follows Infection Control policies and procedures on all patients.
• Maintains a safe working environment, knowing the location and use of emergency equipment.
• Demonstrates competency of annual departmental competencies.
• Performs inpatient/outpatient treatment procedures and physician orders.
• Operates applicable hospital equipment and 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, including contraindications and side effects.
• Adheres to radiation safety guidelines and employs proper hospital emergency procedures.
• Ensures 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.
• Utilizes SBAR communication tools and maintains discretion with confidential information per HIPAA.
• Reports errors/incidents/problems to appropriate personnel promptly and documents correctly in the Event Reporting online system.
• Ensures the physician is informed of all pertinent patient information.
• Follows nursing documentation guidelines and ensures all applicable permits/consents are correct.
• Performs sedation and procedural documentation per policy.
• Creates and maintains all records and charts, documenting procedures and patient care which reflect treatment.
• Documents education for patients and families.
• Ensures patient understands and consents to procedures to be performed; contacts physician performing procedure as needed.
• Performs education to increase patient and family knowledge, ensuring they are well informed and 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 and 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.
• Ensures proper care and cleaning of patient equipment and all items in patient room.
• Maintains and stocks supplies for smooth operation of the department.
• Cleans equipment properly and documents; notifies appropriate department for repair and removes from service if malfunctioning.
• 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.
• Assesses patient’s condition and level of cooperation, making appropriate judgement of proper care.
• Practices proper sterile technique, including:
  • Conducting surgical scrub before invasive procedures.
  • Demonstrating proper gowning and gloving technique.
  • Demonstrating proper method of opening sterile tray to prevent contamination.
  • Demonstrating proper opening and placing sterile supplies/items onto sterile tray.
  • Wearing appropriate protective covering (hat, mask, etc.).
  • Demonstrating 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.
• Interprets and manages 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.

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 ADN, 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.
• 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.

Skills

• 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, and other supplies.
• Knowledgeable of operation of physiological monitoring equipment and power injectors.

Schedule

Day (United States of America)