Tucson, AZ, USA
Tenet Healthcare
Carondelet St. Mary’s Hospital is looking to both Cath Lab Technologist and a Registered Nurse with specialty in Cath Lab.
Register Nurse Description:
Full time Days in Cath Lab requiring prior Cath Lab Experience.
JOB SUMMARY:
Provides direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization.
RESPONSIBILITIES:
1.1 Implements and monitors patient care plans. Monitors, records and communicates patient condition as appropriate.
1.2 Serves as a primary coordinator of all disciplines for well-coordinated patient care.
1.3 Notes and carries out physician and nursing orders.
1.4 Assesses and coordinates patient's discharge planning needs with members of the healthcare team.
1.5 Assessment - An RN uses a systematic, dynamic way to collect and analyze data about a patient, the first step in delivering nursing care. Assessment includes not only physiological data, but also psychological, sociocultural, spiritual, economic, and life-style factors as well.
-Initial assessment
-Re-assessment
-Focused assessment based on patient condition, setting and population
Problem Identification - Problem identification is the nurse’s clinical judgment about the patient’s response to actual or potential health conditions or needs.
1.6 Planning and Outcomes – Based on the assessment and problem identification, the nurse sets measurable and achievable short- and long-range goals in collaboration with the patient and family. Assessment data, problem identification, and goals are written in the patient’s care plan so that nurses as well as other health professionals caring for the patient have access to it.
-Establishing daily goals with the patient and family
-Formulating a plan of care
-Transition or Discharge planning
1.7 Implementation – Nursing care is implemented according to the care plan, so continuity of care for the patient during hospitalization and in preparation for discharge is assured. Care is documented in the patient’s record.
-Ensures patient safety
-Medication administration
-Provision of ordered treatments
-Patient/Family education
-Provision of nursing care
-Documentation in healthcare record
1.8 Evaluation – Both the patient’s status and the effectiveness of the nursing care must be continuously evaluated, and the care plan modified as needed.
Care Coordination – Actions initiated by nurses with patients, families, and/or members of their healthcare team to manage and correct the sequence, timing, and/or effectiveness of patient care from admission to discharge.
-Delegation
-Supervision
-Prioritization
CATH LAB TECHNOLOGIST POSITION SUMMARY:
The Special Procedures Technologist working in the Cardiac Cath lab demonstrates the knowledge and skills necessary to provide care appropriate to any age-related needs of adults and adult-geriatric patients. Under direction, assumes responsibility for patient specimen testing, quality control, quality improvement, and equipment maintenance. Assists physicians in diagnosing and treatment of patients within the Cardiac Cath Lab department.Performs a broad spectrum of radiographic procedures utilizing established radiation safety practices. Maintains thorough knowledge of radiation physics, anatomy and radiological techniques in the areas of fluoroscopy, interventional procedures, and surgical techniques. Understands and contributes to the vision/mission and goals of the department. Accountable for performing and providing quality customer service throughout CHN.
Perform diagnostic imaging procedures and therapeutic vascular procedures following established radiation safety practices.
Greet patient with positive attitude, introduce self. Explain procedure to patient prior to study. Explain post-procedure care to patient.
Check for accuracy of ordered exams. Check all armbands/D.O.B.
Collect pertinent patient history and document on requisition.
Document patient education on requisition/worksheet as appropriate.
Complete consent forms as indicated per procedure. Complete pregnancy forms, oxygen transportation forms, medication reconciliation forms.
Demonstrate understanding of patient prep and protocols and comply with all departmental processes regarding patient care, filing, etc. Maintain patient confidentiality as regulated by the HIPPA policy.
Complete all exams in accordance with department protocols. Assess patient to assure exam completeness.
Assure patient safety: stretcher locked, bed rails when patient in bed/stretcher, patient transfer/slide boards, armband in place.
Perform I.V. using proper technique.
Demonstrate understanding and complete contrast form.
Ensure film history file is made available.
Organize work to assure optimal service and to meet deadlines.
Maintain proper oxygen therapy on patients who require oxygen. Maintain skills required to change oxygen tank. Must be able to use masks and nasal canula. Adjust rate of O2 flow with mask/nasal canula according to written physician orders. Secure, transport, and secure e-cylinders.
Maintain clean work/patient care environment.
Communicate to manager/supervisor all procedure schedule changes.
Pediatrics: Maintain safe environment, involve child in care and educate parents/caregivers at same time.
Adolescent: Maintain safe environment, involve patient in procedure. Allow time for and encourage questions. Explain all test and procedures thoroughly to patient before performing procedure. Maintain patient confidentiality with parental/caregiver involvement and education.
Adult: Maintain safe environment related to equipment, bed rails, and mental status. Involve patient in treatment and procedures. Explain rationale for all treatments and procedures, explaining to patient prior to performing procedure. Encourage participation in care.
Geriatric: Maintain safe environment related to equipment, bed rails, fall precautions, mobility needs, aspiration potential, and mental status. Involve patient in treatment and procedures. Allow patient to maintain control, involve patient in decision making and planning of participation in care. Assess and monitor for potential skin breakdown. Allow for possible hearing and/or vision lost, speaking in lower, louder tones as necessary. Provide all patient instructions slowly, speaking distinctly and assess for patient understanding.