HCA, Hospital Corporation of America Sr RN Cardiovascular in San Jose, California
The Cardiac Cath Lab Nursing team are dedicated, healthcare providers with excellent services for patients at Good Samaritan Hospital. Interested in joining this team? Apply online now.
Schedule: 1.0 (40 hours per week), Shift: Days with rotating weekends.
Internal Posting Period: 9/16/16 - 9/23/16
I. *GENERAL SUMMARY:*
Under general supervision, provides clinically expert, professional nursing care in accordance with the multi-disciplinary plan of care and physician orders. Uses nursing process, including assessment, diagnosis, planning, implementation and evaluation, to deliver and document patient care. Serves as resource to department and hospital patient care team. Meets and exceeds all performance expectations for Cardio-Vascular R.N.
I. *PRINCIPAL DUTIES AND RESPONSIBILITIES:*
1) Performs and documents comprehensive nursing assessment for patients with multiple, complex medical problems, establishes nursing diagnosis, identifies patient and family problems. Acts as resource to other departments in assessment skills of own area of practice and interpretation.
2) Functions as resource to staff in delivery of care to complex patients. Adheres to and interprets written policies and procedures in the administration and documentation of treatments, medications, IVs, and transfusions. Resource to other members of health care team in documentation of patient response and progress. Manages rapidly changing situations in patient conditions.
3) Functions as resource to other members of health care team in evaluating patient/family response to intervention. Assists peers in modifying the patient care to meet patient needs or patient responses. Identifies inappropriate care practices or orders, validates with team members, and takes corrective action. Assigns and delegates patient care based on patient need and staff ability. Assists in identifying new skills critical to area of practice.
4) Thoroughly understands all hemodynamic data collected in the Cath Lab. Acts as resource person to other team members for the interpretation and calculation of the hemodynamic data.
5) Proficient in all Cath Lab roles including scrub tech, monitoring tech and circulating tech for all procedures including complex interventional cardiac procedures. Uses advanced skills to assume lead role in the introduction of new technology and procedures to the Cath Lab.
6) Functions independently in the proper use of all Cath Lab equipment including but not limited to radiologic equipment, hemodynamic monitoring system, film processor, oximeter, ACT machine, etc. Proficient in and responsible for the care and cleaning of all equipment. Is a resource person to other team members for troubleshooting minor equipment problems.
7) Participates in the development, implementation and evaluation of the orientation program for new personnel and suggests specific changes in programs. Precepts orientees and students, and is resource for peers. Consistently function as a role model. Offers expertise and response to requests for consultation in specialty area and to other members of allied health team.
8) Functions as lead tech as assigned; resource to co-workers in developing lead tech skills. Explains expectations, responsibilities and accountability to team members; directs, guides and assists team members in completing assignments.
9) With concurrence of management, collaborates in the implementation of programs for changes.
10) Contributes to changes in patient care leading to improvement of delivery. Initiates problem solving process.
11) Acts as resource and consultant to peers for the problem-solving process. Evaluates effectiveness of problem-solving methods; mediates conflicts.
12) Interprets and clarifiesColumbia, GSH and department philosophies, standards, goals, policies and procedures for other staff members. Identifies deviations, reports findings and recommends appropriate changes. Presents information regarding changes in health care that affect area of practice.
13) Proposes and presents items at department staff meetings, communicating expected outcome.
14) Practices, promotes and assists Clinical Coordinator of Cardiac Services in implementation of changes to increase cost containment and appropriate utilization of staff, supplies and equipment resources.
15) Communicates patient care information and lab schedule to other team members and physicians to ensure effective operations. Is resource to Cardiovascular RN in developing judgment regarding confidentiality and appropriateness of communication.
16) Participates in the development of patient and family education materials. Evaluates and reinforces patient and family education. Ensures that patient and family are kept informed of procedure, actions and schedules.
17) Initiates, develops and maintains productive relationships within GSH systems. Adaps to needs of team. Recognizes and communicates need for assistance; offers and accepts assistance. 18) Accepts and acts on constructive feedback.
19) Assumes lead role in department continuous improvement projects.
20) Establishes goals for own professional development, communicates need for assistance and seeks educational and patient care assignment opportunities necessary to meet development goals. Provides co-workers with opportunities to meet their professional development goals.
21) Complies with hospital life-safety, quality and risk management policies, standards and procedures, and in doing so is responsible for identifying, reporting and initiating correction of a potentially harmful condition and/or behaviors.
22) Uses Meditech (Medical Information System) according to job requirements and confidentiality policies.
1) Actively applies methods to control costs without compromising patient safety, quality of care or the services delivered.
2) Demonstrates knowledge of the occurrence reporting system. Uses system to report potential patient safety issues.
3) Follows established guidelines for reporting a significant medical error or unanticipated outcome in the patient's care, which results in patient harm.
4) Attends in-service presentations, and completes mandatory education week, including but not limited to, infection control, patient safety, quality improvement, MSDS, and OSHA standards (PPE, First Aid and Blood borne Pathogens, Hazards Communications, Emergency Procedures and Job Safety)
5) Uses Performance Improvement Plan to improve patient safety.
III.MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
1) Professional knowledge of nursing theory and practice at a level normally acquired through completion of two years training at an accreditedSchoolofNursingin order to be eligible for licensure as a Registered Nurse.
2) Current California Registered Nurse license.
3) Current ACLS/BCLS certification.
4) Minimum of two years current Cardiac Cath Lab experience necessary in order to acquire and effectively utilize knowledge of unit and departmental policies and procedures, and to fulfill established quality and quantity standards for the job.
5) Ability to act as resource for other staff members in knowledge of and performance of advanced clinical skills specific to area of practice, including anatomy and physiology of the heart, hemo-dynamics and, its significance.
6) Interpersonal skills necessary in order to communicate effectively with patients, families, physicians, hospital staff and the public.
7) Ability to use teaching skills necessary in order to support patient and other staff learning and information needs.
8) Analytical skills necessary in order to prepare Cath Lab reports, provide support and suggestions during procedures to ensure safety and completeness.
9) Ability to concentrate and respond instantaneously, mentally, physically and verbally to appropriate stimuli for up to eighty percent of work time when planning and performing Cath Lab procedures, resolving patient care problems and dealing with patients and their families, often during difficult situations.
10)Ability to walk and stand continuously for long periods of time (up to eighty percent of work time) wearing protective lead aprons, occasionally (up to twenty percent of work time) lift patients, and occasionally (up to five percent of work time) lift patients, push them on gurneys and lift, push or carry heavy equipment and intermittently bend, twist and stoop.
11)Completion of Stage I and II tests with 80% or greater score on both.
12)Possessive of manual dexterity to handle intracardiac equipment and dark room processing duties.
13)Possessive of visual and aural acuity.
IV. WORKING CONDITIONS:
1) Frequent exposure (up to ninety percent of work time) to fairly cool (55-60°F) temperatures in the work area.
2) Dimly lit work area (up to fifty percent of work time) for visualization of fluoroscopic images.
3) Frequent exposure (up to fifty percent of work time) to communicable diseases due to exposure to blood and bodily fluids during procedures and patient care activities.
Title: Sr RN Cardiovascular
Location: California-San Jose-Good Samaritan Hospital
Requisition ID: 03360-16651