RN Cardiac Catheterization Lab (Full Time, Days)

Nicklaushealth; Miami (FL); On-site; USD 75,000 - 105,000; Full time

Job summary

Nicklaushealth in Miami seeks an experienced Registered Nurse for the Cath Lab to plan and deliver care using nursing processes, assess and implement plans, and uphold quality aligned with Magnet standards for pediatric and adult patients.

The role requires FL RN licensure, BLS, PALS, ACLS, and 1 year of acute care experience. BSN preferred; Cerner EMR proficiency and strong communication are essential to collaborate with the care team.

Qualifications

• BSN degree preferred or currently enrolled in BSN program.
• Proficiency in computers, EMR (Cerner preferred).
• National Certified Pediatric Nurse (CPN) and/or equivalent certification within 5 years of hire preferred.
• Able to analyze and interpret data to make judgments regarding patient care.
• Effective verbal and written communication skills.
• Ability to collaborate and hold self and others accountable.
• Knowledge of operating external defibrillator/pacemaker.
• Ability to apply evidence-based practice, analytical thinking, and service excellence in practice.
• Able to take call in the Cath Lab and deliver high quality service.

Responsibilities

• Performs pre-op assessments and documents vitals, weight, height, and labs.
• Verifies parental consents for medications per policy.
• Completes discharge planning per department and hospital policies.
• Plans and implements the care plan in collaboration with other disciplines.
• Administers and reconstitutes medications per policy; adheres to six rights of medication administration.
• Collaborates with a multi-disciplinary team to provide safe, efficient care.
• Monitors patient status during procedures and notifies physician of changes.
• Prepares medications required for surgical field as per procedure.
• Stays with patient during emergence and assists anesthesia.
• Ensures Universal Protocol compliance and completes required documentation.
• Performs surgical counts and checks implant expiration dates.
• Monitors labs during cases (ACT, ABG, O2) and assists with positioning.
• Interprets EKGs and responds to patient needs.
• Maintains IV drips, intra-cardiac lines, central lines, chest tubes, and Foley catheters.
• Communicates with physician about patient progress and discharge planning.
• Provides patient/family education on health needs and safety.

Skills

Verbal communication

Written communication

Team collaboration

Analytical thinking

Evidence-based practice

Safety and patient care

Education

BSN degree preferred

Tools

Cerner EMR

Medical computer skills

Job description

Job Summary

Responsible for the planning and delivery of care utilizing nursing processes: assessment, implementation, and evaluation. Oversees the plan of care, utilizes effective problem solving strategies, and applies evidence based practices. Supports and upholds quality standards of a Magnet designated hospital and Patient Bill of Rights. Practices under the supervision of the Nursing Manager/Director and has passion for learning. Provides compassionate and family centered care for Cath Lab patients.

Job Specific Duties

• Ensures completion of pre-op assessment of patient, measures and documents weight and height, checks lab completion and vital signs.
• Verifies parental consents are completed and signed for medication administered per policy.
• Ensures completion of patient admission history. Prepares and accurately completes the discharge planning process per department and hospital policies and procedures.
• Plans and implements the plan of care in collaboration with other disciplines and services to assure safe and efficient care.
• Follows physician’s orders and administers and reconstitutes medications as needed. Adheres to six rights of medication administration per medication administration policy.
• Collaborates with a multi-disciplinary team (ICU, Child Life, Med-Surg, etc.) in daily care planning as appropriate. Fosters a Family Centered Care Environment.
• Monitors child continuously during procedure and reports any status changes. Immediately notifies physician and takes action on findings.
• Prepares all medication required for surgical field as determined by the procedure.
• Stays with the patient during emergence and extubation; assists Anesthesia as needed.
• Ensures advanced directives are complete, secures blood consents, documents Time-Out procedures, and administers antibiotics as per Universal Protocol.
• Performs surgical counts and proper use of cautery machines throughout surgical procedures.
• Circulates throughout cases and ensures all expiration dates of implants are checked prior to use of any implant during a case.
• Ensures specific labs are run during cases (ACT, ABG’s, and O2 saturation) and supports with positioning patient prior to procedure/surgery.
• Interprets EKG throughout the case and takes appropriate actions based upon patient needs.
• Assesses/maintains all IV drips and intra-cardiac lines, central lines, chest tubes, and Foley catheters.
• Assists in a collaborative manner with the transportation of all patients per policy and standard procedures.
• Communicates with physician regarding patient’s progress including: critical findings, critical lab results, and changes in the patient’s condition. Performs & documents discharge plan per policy.
• Ensures all surgical procedure documentation (labs, consents, advance directives, and custody documentation) is obtained in a timely and accurate manner.
• Accesses Electronic Medical Record (EMR) and performs charge reconciliation according to hospital policy. Completes accurate and timely documentation in the patient’s EMR.
• Communicates with patients and families to review plan of care, solicits input, and communicates any patient and family concerns to physician.
• Provides education and documents on patient/family teachings on health related needs (i.e. disease, medications, treatments, pain, discharge, safety, nutrition, skin care, etc.).
• Promotes an "error free" working environment by consistently providing high-quality safe care as prompted (as per Universal Protocol Policy).
• Provides patient information and effectively completes the hand off process at reassignments. Utilizes Same Day Surgery checklist.
• Assesses all body systems, ensures safe, effective, and efficient care delivery with emphasis on the absence of medication errors, avoidance of falls, and reduction of pain post-procedure.

Minimum Job Requirements

• Registered Nurse RN Licensure within the State of Florida or Multi-State Enhanced Nursing License Compact (eNLC) – maintain active and in good standing throughout employment
• American Heart Association BLS maintain active and in good standing throughout employment
• American Heart Association PALS maintain active and in good standing throughout employmentAmerican Heart Association ACLS maintain active and in good standing throughout employment
• 1 year of adult/pediatric RN experience (including charge experience) in an acute care environment.

Knowledge, Skills, and Abilities

• BSN degree preferred or currently enrolled in BSN program.
• Possesses proficiency in computers, (EMR) Electronic Medical Record, and Cerner preferred.
• Career Development: National Certified Pediatric Nurse (CPN) and/or equivalent certification within 5 years of hire preferred.
• Able to analyze and interpret data and utilize the information to make judgments regarding patient care.
• Effective verbal and written communication skills.
• Ability to positively influence, hold self, and others accountable.
• Able to work effectively in a collaborative environment.
• Knowledge of operating external defibrillator/pacemaker.
• Ability to apply principles of evidence-based practice, analytical thinking, and service excellence in practice.
• Ability to take call in the Cath Lab and deliver high quality service.

Job: Nursing - Clinical

Department: CATHETERIZATION LAB-2100-702011

Job Status: Professional