What are the responsibilities and job description for the Cardiovascular Specialist-EP lab position at Penn Medicine Doylestown Health?
Job Description
the Cardiac Cath/EP Lab including assisting physicians, patient assessments and monitoring, patient education and operation of equipment and to execute the objectives and the policies of the hospital.
- PURPOSE OF JOB :
the Cardiac Cath/EP Lab including assisting physicians, patient assessments and monitoring, patient education and operation of equipment and to execute the objectives and the policies of the hospital.
- ESSENTIAL FUNCTIONS :
- Assesses, plans, implements, documents, coordinates, and manages patient care according to department and hospital standards and giving consideration to age-specific accommodations.
- Communicates and collaborates with patients, physicians, family members and other health care disciplines in order to achieve excellence in patient care during hospitalization.
- Promotes patient safety through adherence to protocols, policies, procedures, evidence-based guidelines and Joint Commission National Patient Safety Goals.
- Actively participates in and supports departmental and organizational quality initiatives and goals.
- Maintains clinical competency according to unit-specific standards.
- Assesses, plans, implements, documents, coordinates, and manages patient care according to department and hospital standards and giving consideration to age-specific accommodations.
- Has the knowledge base to be able to assist in performing the following diagnostic and interventional tests:
- Diagnostic Right & Left Heart Catheterizations
- Invasive Coronary Studies
- Diagnostic and Interventional Peripheral studies
- Diagnostic and Interventional Electro physiology studies
- Device implants
- Noninvasive testing: cardioversions,Tilt table testing & Defibrillator checks.
- Cross training between specialties. Late coverage and on call requirement.
- Provides patient care, which demonstrates a comprehensive knowledge of normal physiology and disease pathophysiology, appropriate nursing and medical interventions and knowledge of the principles of growth and development over the lifespan.
- Implements patient pre and post care based on evidence based practice.
- Documents patient response to treatment and effectiveness of care.
- Provides teaching and discharge planning based on assessment of self-care knowledge/ability on an ongoing basis.
- Insures appropriate completion of chart and other documentation, including transcription and implementation of physician orders, and computer entry.
- Insures that no unapproved abbreviations are used when documenting on patient's medical record.
- In collaboration with the physicians able to intervene as appropriate to prevent complications.
- Able to perform sheath removal with good hemostasis, using appropriate method for each patient: manual hold or any method of groin/radial closure being used in Cath or EP lab.
- Implements nursing/physician orders that result in achievement of patient, nursing, and physician goals. Evaluates, revises, and improves patient care using creative strategies, current research findings, and consideration of age-specific accommodations
- Demonstrates initiative and self-direction in completion of assigned responsibilities in accordance with department needs.
- Performs selected therapeutic interventions and diagnostic procedures according to department standards as ordered to include but not limited to:
- medication administration: under supervision of physician, such as: Lidocaine ,nitroglycerine, protamine, aspirin, heparin, contrast agents, IV fluids and any emergency medication. Can NOT administer any narcotics or hang any medication drips
- point of care testing
- initiation and maintenance of oxygen therapy
- specimen collection utilizing mobile lab when appropriate
- 12-lead ECG
- Insertion and maintenance of Intravenous IV's
- Flushing and maintenance of central lines:
- arterial or venous sheaths
- IABP
- Pericardial drainage
- shift refrigerator & code cart check to be completed at beginning of shift
- 2 patient identifiers will be utilized before performing these interventions and/or procedures
- Assists patients physically by providing physical support through pushing, pulling, lifting, reaching, turning, kneeling, standing, sitting and balancing, and psychologically by providing emotional intervention.
- Demonstrates ability to perform with clinical proficiency in crises and medical emergencies.
- . Staff will also be assigned late nights to cover cases or patient care that may need to occur after normal daily working hours, 7am to 530pm.
- Communicates and collaborates with patients, physicians, family members, and other health care disciplines in order to achieve excellence in patient care during hospitalization.
- Utilizes effective interpersonal skills including interaction with staff through understanding, talking, hearing, seeing and listening.
- Involves patient/significant other in all aspects of the plan of care, serving as advocate when necessary.
- Consistently and continuously communicates, consults and shares pertinent information regarding changes in patient status and patient care.
- Uses interpersonal communication techniques that show a willingness to accept and give constructive feedback for the purpose of promoting professional excellence.
- Effectively communicates pertinent patient/significant other information during hand off of care or between departments report according to SBAR standards.
- Demonstrates leadership skills in team building and interpersonal relationships to create a cohesive and productive environment.
- Promotes patient safety through adherence to protocols, policies, procedures, evidence-based guidelines and Joint Commission National Patient Safety Goals.
- Maintains safety precautions while providing patient care including infection control isolation, patient/bed positioning, side rails, restraint utilization, skin care, patient/specimen transport, physical environment, fall prevention, seizure precautions, and work injury prevention.
- Analyzes data and responds to unusual/undesirable clinical status by consulting appropriate healthcare team members, including Rapid Response Team, and taking appropriate action in a timely manner.
- Maintains equipment in good working order, reports equipment failure, and initiates corrective action. Where appropriate, adheres to defined computer generated quality monitorings or procedures for validation of equipment functionality.
- Safely administers medications and treatments as ordered according to hospital policy and formulary using the appropriate principles of safe medication administration, 2 patient identifiers.
- Safely handles various types of drugs and body fluids using knowledge of appropriate standard precautions.
- Actively participates in and supports departmental and organizational quality initiatives and goals.
- Identifies professional goals, which reflect own strengths and weaknesses and seeks assistance for improvement of performance.
- Attends and participates in meetings according to department standards.
- Supports and participates in department, hospital, and evidence based care quality initiatives, including core measures.
- Participates as a team member or in workgroups on department, hospital and/or ISLT evidence based care quality initiatives.
- Maintains clinical competency according to unit-specific standards.
- Demonstrates competency in maintaining specific technological skills required by job category and/or specialty area. See individual department competencies for unit specific requirements. Demonstrates a recognition of equipment or technological adaptations dependent on age-specific patient needs (See Scope of Practice as delineated in departmental standards and/or related Policy and Procedure in the Policy and Procedure Manual).
- Maintains technological competence through practice and ongoing participation in inservices and formalized professional conferences.
- Recognizes legal responsibilities and functions within limitations as specified by the Pennsylvania Nurse Practice Act.
- Education: Graduate of an accredited School of Cardiovascular Technology
- Experience: Experience in Cardiac Cath/EP Lab or Radiology Special Procedures Room preferred. New graduates will be considered.
- Very strong background required in Cardiovascular & Peripheral Anatomy, Physiology, Pathophysiology, Waveform Analysis, Arrhythmia detection & analysis and Cardiovascular pharmacology and computer experience.
- Other skills:
- Certified in B.L.S. for Healthcare Provider and ACLS
- .Excellent interpersonal and team building skills
- Encourage a certification of Registry credentials specific to Cath or Electrophysiology Laboratory such as: RCIS or RCES. If certified must maintain required 36 ceu's in 3 year period and report to CCI (Cardiovascular Credentialing International)
- Knowledge of computer functionality
VII. QUALIFICATIONS :