Specialty Registered Nurse - Cath Lab/IR - PRN

Stormont Vail Health; Topeka, Northern (KS, KY); Hybrid; USD 65,000 - 85,000; Full time

Job summary

Stormont Vail Health in Topeka, KS is seeking a Specialty Registered Nurse (RN) to provide direct patient care in ambulatory/acute care, including high-risk medications and sedations, under a non-exempt status.

You will work within the Cardiac and vascular nursing specialty, assess patients, administer meds, coordinate with the care team, document thoroughly, and participate in quality improvement, education, and float as needed.

Qualifications

• Bachelor's degree preferred.
• RN KSBN license required.
• BLS/ACLS/PALS certifications within 90 days of hire when applicable.
• Experience in a clinic or hospital setting preferred.
• Strong communication and math skills for medication administration.

Responsibilities

• Provides direct patient care as defined by the state nurse practice act.
• Administers prescribed medications and infusions per nursing standards.
• Formulates a prioritized plan of care based on patient problems and outcomes.
• Documents patient information accurately in records.
• Floats to the hospital as needed to perform RN duties.
• Participates in quality improvement and staff education.

Skills

Patient care

Medication administration

Communication

Safety awareness

Math for meds

Education

RN license KSBN

BSN preferred

Tools

BLS

ACLS

PALS

Job description

Job Information Exemption Status: Non-Exempt A Brief Overview Specialty Registered Nurse (RN) assumes responsibility and accountability for a group of patients for a designated time frame and provides care to these patients through the therapeutic use of self, the nursing process, the environment/instrumentation, and other health care team members. These nurses work in ambulatory/acute care setting administering hi-risk medications and/or sedations. These nurses provide care in the hospital setting. Cardiac and vascular nursing is a specialty within the nursing profession that encompasses the care of individuals across the life span who are undergoing a surgical procedure or procedure requiring sedation/anesthesia. Cardiac and vascular nursing incorporates the pre-procedure care, acute post-operative care, and care for a subset of inpatients. The Cardiac and vascular nurse will use a comprehensive, multidisciplinary approach to patient care. Nursing care can range from routine, elective procedures to highly complex procedures to direct admits and transfers. These nurses have adapted nursing process to include strict adherence to the procedural safety checklists, titratable infusions, post-operative airway, pain, nausea, and arterial and venous access site management. Cardiac and vascular nurses will educate patients about post-operative care management and provide same day discharge instructions for outpatients and continued care for inpatients. The delivery of professional nursing care at Stormont Vail Health is guided by Jean Watson's Theory of Human Caring and the theory of Shared governance, both of which are congruent with the mission, vision, and values of the organization. Education Qualifications* Bachelor's Degree Bachelor's of Science in Nursing (BSN) PreferredExperience Qualifications* Experience in a clinic setting. PreferredSkills and Abilities* Demonstrates awareness and sensitivity to rights of patient/significant other, as identified within the institution. (Required proficiency)* Demonstrates awareness and application of safety issues as identified within the institution. (Required proficiency)* Demonstrates awareness of legal issues in all aspects of patient care and departmental functioning. Strives to manage situations in a manner, which minimizes risk to the patient and the institution. (Required proficiency)* Demonstrates competency in selected psychomotor skills. (Required proficiency)* Ability to communicate effectively using verbal, non-verbal and written methods. (Required proficiency)* Ability to perform mathematical calculations related to medication administration and equipment calibration. Ability to work with mathematical concepts such as probability and statistical inference, and fundamentals of plane and solid geometry and trigonometry. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. (Required proficiency)Licenses and Certifications* Registered Nurse - KSBN Required* Basic Life Support - BLS RQI or other certifications may be required in lieu of or in addition to BLS depending on department. Must have within 90 days of hire.* Advanced Cardiovascular Life Support - ACLS Must have within 90 days of hire.* Pediatric Advanced Life Support - PALS Must have within 90 days of hire.What you will do* Provides direct patient care as defined within the scope of the state’s nurse practice act. Performs assessment/data collection in an ongoing and systematic manner, focusing on physiological and cognitive status. Administers prescribed medications, infusions, titrate cardiac and anticoagulant infusions, and/or treatments in accordance with nursing standards.* Formulates a prioritized and goal directed plan of care for inpatients, which is based on patient’s presenting problems and projected outcomes. Implements care in a knowledgeable, skillful, consistent manner, while promoting the continuum of care.* Functions to establish priorities of patient care based on essential patient needs and available unit resources of time, personnel, equipment and supplies. Prepares equipment and aids provider during treatment, examination and testing of patients.* Evaluates the effectiveness of the health care process (self, systems, environment, and instrumentation) in meeting outcomes. Observes, records, and reports patient’s condition and reaction to drugs and treatments to provider. Provides medication as directed.* Documents in patient and department records in a timely, accurate and concise manner according to department standards. Maintains and reviews patient records, charts, and other pertinent information. Compiles tests and examination results.* Monitoring patients’ level of consciousness throughout and side effects of sedation/anesthesia recovery, complications from cardiac, interventional and diagnostic radiology procedures, including bleeding. Monitoring for Assists Cardiologist, Radiologists, and APP’s to conduct laboratory test results, cardiac stress tests, stress echocardiograms, CT coronary cardiograms, and cardiac rhythm interpretation. Treating pain, nausea, and other post-procedure symptoms of anesthesia.* Evaluates the patient’s progress towards achieving outcomes.* Performs efficiently in emergency patient situations following established standards of care. Practices effective problem identification and resolution as a method of sound decision making.* Greets patients and prepares them for provider examination. Collects patient history information. Instruct patients in collection of samples and tests. Triages and refers incoming telephone calls. Instructs patient and family regarding medications and treatment instructions.* Participates in system wide/department patient care quality improvement activities as well as standards development.* Participates actively in clinical education activities, including orientation of new employees and teaching student nurses. Participates in nursing research activities.* Participates in development and attainment of system wide/department hospital goals.* Delegates tasks and duties in the direction and coordination of health care team members, patient care and department activities in accordance with the Kansas State Nurse Practice Act.* Seeks validation of knowledge base, skill level and decision making as necessary and assertively seeks guidance in areas of question.* As requested this position will float to the hospital to perform Registered Nurse duties. Adheres to staffing and scheduling practices.* Adheres to Universal Protocol and completes surgical safety checklists. Completes pre-operative care and tasks to pre procedure orders and safety protocols. Utilizes Aldrete score. Educates on post operative discharge instructions.Required for All Jobs* Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health* Performs other duties as assignedPatient Facing Options* Position is Patient FacingRemote Work Guidelines* Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.* Stable access to electricity and a minimum of 25mb upload and internet speed.* Dedicate full attention to the job duties and communication with others during working hours.* Adhere to break and attendance schedules agreed upon with supervisor.* Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.Remote Work Capability* On-Site; No RemoteScope* No Supervisory Responsibility* No Budget ResponsibilityPhysical Demands* Balancing: Occasionally 1-3 Hours* Carrying: Occasionally 1-3 Hours* Climbing (Ladders): Occasionally 1-3 Hours* Climbing (Stairs): Occasionally 1-3 Hours* Crawling: Occasionally 1-3 Hours* Crouching: Occasionally 1-3 Hours* Eye/Hand/Foot Coordination: Frequently 3-5 Hours* Feeling: Frequently 3-5 Hours* Grasping (Fine Motor): Frequently 3-5 Hours* Grasping (Gross Hand): Frequently 3-5 Hours* Handling: Frequently 3-5 Hours* Hearing: Frequently 3-5 Hours* Kneeling: Occasionally 1-3 Hours* Lifting: Occasionally 1-3 Hours up to 50 lbs* Operate Foot Controls: Occasionally 1-3 Hours* Pulling: Occasionally 1-3 Hours up to 25 lbs* Pushing: Occasionally 1-3 Hours up to 25 lbs* Reaching (Forward): Occasionally 1-3 Hours up to 25 lbs* Reaching (Overhead): Occasionally 1-3 Hours up to 25 lbs* Repetitive Motions: Occasionally 1-3 Hours* Sitting: Occasionally 1-3 Hours* Standing: Occasionally 1-3 Hours* Stooping: Occasionally 1-3 Hours* Talking: Occasionally 1-3 Hours* Walking: Occasionally 1-3 HoursWorking Conditions* Burn: Rarely less than 1 hour* Chemical: Rarely less than 1 hour* Combative Patients: Occasionally 1-3 Hours* Dusts: Rarely less than 1 hour* Electrical: Rarely less than 1 hour* Explosive: Rarely less than 1 hour* Extreme Temperatures: Rarely less than 1 hour* Infectious Diseases: Occasionally 1-3 Hours* Mechanical: Rarely less than 1 hour* Needle Stick: Frequently 3-5 Hours* Noise/Sounds: Frequently 3-5 Hours* Other Atmospheric Conditions: Rarely less than 1 hour* Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour* Radiant Energy: Rarely less than 1 hour* Risk of Exposure to Blood and Body Fluids: Occasionally 1-3 Hours* Risk of Exposure to Hazardous Drugs: Occasionally 1-3 Hours* Hazards (other): Rarely less than 1 hour* Vibration: Rarely less than 1 hour* Wet and/or Humid: Rarely less than 1 hour