Registered Nurse - Specialty Procedure - Catheterization Laboratory

About the Role

The Registered Nurse (RN) is a professional practitioner who manages and directs nursing care activities in the areas of cath lab and interventional radiology. Must be energetic and highly motivated to support the success of Saint Louis University Hospital.

Responsibilities

• Performs comprehensive nursing assessment as the database.
• Completes assessment of new admission or transfer upon arrival to PACU.
• Accurately performs and documents patient assessments.
• Provides timely ongoing patient reassessment documenting pertinent observations.
• Establishes and coordinates a plan of care based on analysis of the initial assessment data, patient diagnosis, and physician orders.
• Identifies patient care needs.
• Formulates nursing interventions to achieve desired patient outcomes.
• Identifies and initiates individualized care plans.
• Collaborates with appropriate health team members for coordination of daily plan of care for assigned patients.
• Provides and documents nursing interventions based on assessed patient needs, plan of care, and changes in patient condition.
• Coordinates, communicates and documents patient care with other disciplines.
• Provides and documents patient education and discharge planning correctly on PACU flow sheet.
• Reviews and initiates physician orders in an accurate and timely manner.
• Recognizes changes in patient's condition, takes appropriate nursing actions.
• Adheres to medication/parenteral therapy administration and documentation per policy guidelines.
• Performs blood-drawing technique to obtain lab specimens including blood cultures.
• Anesthesia and surgical physicians notified of significant changes in patient condition.
• Assist physicians with procedures, examinations, and other processes related to patient care.
• Documents effectiveness of nursing care and modifies plan of care as patient progresses toward expected outcomes.
• Performs and documents ongoing evaluation of effectiveness of care based on assessment data, nursing interventions, patient response to medications, treatments and procedures.
• Evaluates and documents effectiveness of patient education including level of understanding.
• Evaluates plan of care and modifies as indicated.
• Evaluates effectiveness of pain medication and then takes appropriate nursing action.
• Demonstrates accountability for own professional practice.
• Participates in additional learning experience to increase professional competence including committee membership, staff meetings, mandatory in-services and other educational programs, and evaluation of self and peer performance by identifying strengths and areas for improvement.
• Is at work as scheduled and begins duties promptly at start of shift.
• Functions as a resource person to co-workers, patients/families, medical staff and ancillary personnel.
• Identifies problems, gathers pertinent data, suggests solutions, communicates using appropriate lines of authority, and works toward problem resolution.
• Directs care delivered by Care Partners.
• Adheres to and incorporates all customer service standards in patient care and work practices.
• Practices according to safety and infection control policies.
• Practices universal precautions and disposes of hazardous wastes per established guidelines.
• Maintains a safe, clean, comfortable and therapeutic environment for patients/families/employees in accordance with hospital standards, including maintaining clutter free environment, keeping conversations and background noise to a minimum, and adhering to dress code.
• Reports risk management concerns.
• Assumes responsibility for completing all annual mandatory requirements: Safety/Fire, Blood Borne Pathogen, Hazardous Communication, TB, Department Specific, Age Appropriate Care (for clinical staff only), and EMTALA.
• Works in a constant state of alertness and safe manner.
• Provides service excellence to the customers of Saint Louis University Hospital by delivering timely, high quality care in a courteous, and respectful manner.
• Demonstrates Care and Courtesy by providing prompt, respectful, courteous service; meeting physical, spiritual, psychological and emotional needs of patients and families; responding to patient needs promptly; and apologizing for mix-ups and delays.
• Communicates Effectively and Maintains Confidentiality by listening to patient/family concerns and addressing needs; explaining procedures and all education in a manner that patient/family understands; and allowing time for questions.
• Demonstrates Competence and Collaboration by providing accurate report; providing quality care in accordance to standards; and sharing knowledge with other departments to facilitate work flow and continuity.
• Provides Cost Effective Services by using resources wisely; recommending changes in practice that increases efficiency and minimizes waste; and minimizing overtime and utilizing time well.
• Incorporates Quality Assessment into one's daily work by assisting in developing unit based PI plan; collecting PI data as assigned; participating in discussion of PI outcomes; collaborating in developing and implementing action plans; and participating in research activities on the nursing unit.
• Provides age-appropriate care to Adolescent, Adult, and Geriatric populations.
• Demonstrates knowledge and skills of normal growth & development necessary to provide services to the age of the patient served by the department.
• Demonstrates ability to assess and interpret age specific data to identify patient needs.
• Utilizes communication skills necessary to interpret age specific responses to service and interaction.
• Involves family or significant other in decision making related to services provided.
• Demonstrates ability to provide service needed for the age groups routinely served by the department assigned.
• Provides specialized care to patients at high risk for injury, including Restraint Care and Pain Management.
• For Restraint Care: initiates/evaluates alternatives to restraint prior to application; applies restraints consistent with the approved procedure; monitors and assesses patient's response throughout the restraint period at the appropriate intervals; provides specified patient care (toileting, skin care, hydration, feeding, etc.) on a timely basis; and provides for trial release and removal of restraint as soon as possible.
• For Pain Management: assesses patient for presence of pain on admission and during assessments/reassessments; incorporates patient's cultural/spiritual beliefs regarding pain into pain management plan; implements pain management techniques with focus on prevention rather than treatment; includes patient and/or family members in developing a pain management plans; and considers other methods of pain control when developing plan of care: massage, repositioning, immobilization, and music therapy.
• For Abuse Assessment: is aware of abuse recognition criteria and incorporates it into assessments; and reports signs of possible abuse/neglect to the physician & Risk Management, and recommends appropriate consultations (psychiatric, Social Work) for evaluation.
• Performs other related duties as assigned or requested.

Requirements

• Graduate of accredited school of nursing or education equivalency for licensing.
• One year medical surgical experience required.
• Critical Care or Post Anesthesia Care experience preferred.
• Required course: ALS.

Qualifications

• Regular exposure to the risk of blood borne diseases.
• Contact with patients under wide variety of circumstances.
• Exposure to unpleasant elements (accidents, injuries, illness).
• Subject to varying and unpredictable situations.
• Handles emergencies or crisis situations. May perform emergency care.
• Subject to irregular hours.
• Pressure due to multiple competing demands.
• Exposure to latex, risk of developing.
• Prolonged, extensive, or considerable standing/walking.
• Lifts, positions, pushes, and/or transfers patients.
• Must be able to lift 50 pounds and pull 100 pounds.
• Considerable reaching, stooping, bending, kneeling, crouching.

Licenses and Certifications

State of Work Location: Illinois
Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA); Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR); and Advanced Life Support (ALS) - American Heart Association (AHA).

State of Work Location: Missouri
Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA); Registered Nurse (RN) - Missouri Division of Professional Registration or Registered Nurse (RN) Issued by Compact State; and Advanced Life Support (ALS) - American Heart Association (AHA).

State of Work Location: Oklahoma
Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA); Registered Nurse (RN) Issued by Compact State or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN); and Advanced Life Support (ALS) - American Heart Association (AHA).

State of Work Location: Wisconsin
Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA); Registered Nurse (RN) Issued by Compact State or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services; and Advanced Life Support (ALS) - American Heart Association (AHA).

Schedule

Variable Shift (United States of America)

Benefits

• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborn.