Registered Nurse 2 - Vascular Access - Nights

gbmc; United States; On-site; USD 85,000 - 110,000; Full time

Job summary

GBMC HealthCare in Baltimore, MD seeks an experienced Registered Nurse to manage vascular access including PICCs and peripheral IVs for assigned patients, perform IV starts, and provide patient education.

Candidates must hold a Maryland RN license, an Associate Degree in Nursing, three years of RN experience with vascular access, and strong communication with physicians and staff. This is a full-time, on-site role at GBMC with opportunities for ongoing professional development.

Qualifications

• Associate degree in nursing required.
• Three years RN experience with vascular access competence.
• Maryland RN license required.
• BLS certification from an affiliated AHA training site.
• PICC insertion, care and maintenance competency initially and annually.

Responsibilities

• Assess patients for vascular access needs based on diagnosis and history.
• Place peripheral IVs and start IVs; assist with mid- to long-term VAD placement.
• Place peripherally inserted central lines and manage complications.
• Troubleshoot difficult VAD complications and de-access as needed.
• Maintain detailed medical records of patient care and outcomes.
• Provide 1:1 staff education on vascular access assessment, insertion, and maintenance.

Skills

Critical thinking

Analytical skills

Independent work

MST technique

Ultrasound guidance

Clinical communication

Learning mindset

Education

Associate Degree in Nursing

Job description

Provides vascular access, care, maintenance and evaluation of vascular access sites and vascular access devices for specific patients.

Education

Associate Degree from an accredited School of Nursing required

Experience

Three years experience as a Registered Nurse with demonstrated competence in placement of peripheral IV catheters.

Skills

• High level skills in critical thinking and assessment related to vascular access device selection
• Analytical skills appropriate to resolve complex patient care problems and prepare comprehensive plans of care.
• Ability to work independently
• Willingness to learn new techniques including the usage of Modified Seldinger Technique with a wire and scalpel and portable ultrasound
• Excellent communication and teaching skills
• High level clinical communication skills with physicians and other clinical staff
• Willingness to maintain and improve knowledge level related to vascular access with seminars, magazines, books

Licensures, Certifications

• PICC insertion, care and maintenance competency initially and annually thereafter.
• Current Maryland Registered Nurse license.
• Current Healthcare Provider BLS certification from an affiliated American Heart Association training site
• Additional Certifications (i.e. ALS, PALS, NRP) are required upon hire for specialty areas

Principal Duties and Responsibilities

• Assess patients with regard to vascular access need based on diagnosis, medication regime, medical history and length of stay.
• Recognizes abnormal conditions or potential problems and takes appropriate action and notifies appropriate personnel.
• Implements provider's orders according to needs and established nursing policies and procedures. Contact physicians for medical orders to discuss placement of a mid- to long-term VAD.
• Performs IV starts, phlebotomy associated with IV starts and placements of extended dwell catheters proficiently.
• Place peripherally inserted central lines
• Troubleshoot difficult complications of VAD's or assist staff in troubleshooting
• Declot VAD's or assist staff as a resource in declotting
• Place difficult peripheral catheters
• Provide patient teaching regarding PICC line care and maintenance
• Available as a resource for accessing and/or de-accessing implanted ports
• Maintains detailed medical records pertaining to the patient care rendered.
• Documents procedures, outcomes and complications appropriately.
• Evaluates patient response to care provided and informs health care team of changes in condition.
• As needed, provides 1:1 education of staff with regard to all aspects of vascular access assessment, insertion, care and maintenance. Follows up with unit manager if there is repeated lack of response from specific staff.
• Participate in quality assurance programs/audits to promote efficient and quality patient care.

Physical Requirements

• Ability to walk and stand for extended periods of time.
• Ability to utilize the equipment necessary to perform IV access successfully

Working Conditions

• Normal patient care environment with possible exposure to excessive noise, dust, temperature.
• Exposure to adverse working conditions due to performance of patient care activities

Conditions of Employment

Maintain current and valid licensure and certification

All roles must demonstrate GBMC Values

GBMC Values

• Respect
  • I will treat everyone with courtesy. I will foster a healing environment.
  • Treats others with fairness, kindness, and respect for personal dignity and privacy
  • Listens and responds appropriately to others' needs, feelings, and capabilities
• Excellence
  • I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.
  • Meets and/or exceeds customer expectations
  • Actively pursues learning and self-development
  • Pays attention to detail; follows through
• Accountability
  • I will be professional in the way I act, look and speak. I will take ownership to solve problems.
  • Sets a positive, professional example for others
  • Takes ownership of problems and does what is needed to solve them
  • Appropriately plans and utilizes required resources for various job duties
  • Reports to work regularly and on time
• Teamwork
  • I will be engaged and collaborative. I will keep people informed.
  • Works cooperatively and collaboratively with others for the success of the team
  • Addresses and resolves conflict in a positive way
  • Seeks out the ideas of others to reach the best solutions
  • Acknowledges and celebrates the contribution of others
• Ethical Behavior
  • I will always act with honesty and integrity. I will protect the patient.
  • Demonstrates honesty, integrity and good judgment
  • Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers
• Results
  • I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.
  • Embraces change and improvement in the work environment
  • Continuously seeks to improve the quality of products/services
  • Displays flexibility in dealing with new