Staff RN - Cardiac Cath Lab Procedural Lab - Per Diem Days

Core Competencies

• Adheres to infection prevention guidelines
• Adheres to policies, procedures, and standards of practice to deliver safe and optimal care
• Affirms patient history, physiological, and psychosocial status
• Communicates with the patient, family, medical staff and others during the continuum of care
• Complies with Joint Commission’s national patient safety goals
• Complies with organizational quality dashboard/benchmarking goals
• Maintains regulatory compliance consistent with quality standards and ethical obligations of the profession
• Participates in activities in alignment with the Magnet Model
• Participates in organizational activities
• Participates in Peer Review
• Participates in professional development activities
• Performs as a preceptor in an active and engaged manner

Department Specific Competencies

• Maintains knowledge and skills necessary to recognize and provide age-specific care in the treatment, assessment, and education of adolescent, adult, and geriatric patients
• Promotes interdisciplinary collaboration between and among nurses, physicians, and other members of the health team to meet the specific care needs of patients
• Electrolyte Monitoring, Acid-Base Monitoring and Fluid Monitoring
• Collects and analyzes the patient data to regulate fluid and electrolyte balance
• Intervenes appropriately to correct imbalances
• Respiratory Monitoring and Airway Management
• Collection and analysis of patient data to ensure airway patency and adequate gas exchange
• Intervenes based on ABGs and physicians orders
• Maintains ventilated patient during procedure
• Assists with intubation
• Understands pathophysiology related to a patient with imbalance between myocardial oxygen supply and demand resulting in impaired cardiac function
• Understands pathophysiology related to patients experiencing arrhythmias, both atrial and ventricular
• Cardiac Care
• Assesses and intervenes based on patients signs and symptoms, correlated diagnostic test results
• Administers medications safely and understands indications and expected outcomes
• Understands indications for procedural interventions and how these alter patient pathophysiology, thus changing patient plan or care
• Interprets diagnostic information obtained during procedures and communicates/assesses/intervenes appropriately, ie: Information from hemodynamic parameters, pressure wires, EKG interpretation
• Administers vasoactive drugs, antiarrhythmic and other cardiac and emergency medications
• Maintains coagulation of patient accurately, pre, intra and post procedure
• Assists with the insertion of the IABP
• Maintains IABP and titrates drips as needed
• Exhibits knowledge of indication, application and use of pacemakers, external, transcutaneous and permanent when applicable
• Can set up equipment for procedures performed in Cath Lab quickly and accurately
• Troubleshoots diagnostic equipment, ie hemodynamic monitoring equipment, EKG equipment, pacers, etc.
• Acts to re-establish and maintain hemodynamic stability in patients experiencing hypovolemic, septic or cardiogenic shock
• Admits patients pre procedure and appropriately assesses and prepares them for procedure
• Recovers patients post procedure according to policy and procedure
• Removes arterial line post procedure per order