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IR Clinic Nurse, Tacoma, WA


TRA-MINW, P.S.

Nurse

Tacoma, WA

January 25, 2017


Link to Apply: https://home.eease.adp.com/recruit/?id=15528091

We are seeking an experienced Registered Nurse (RN) for the Interventional Radiology Clinic. The RN is responsible for assessing, planning, coordinating, evaluating, and delegating the delivery of patient care. Candidate must be able to demonstrate advanced knowledge and skills in the care of his/her patients/family. The RN serves as a patient advocate and performs delegated duties consistent with his/her scope of practice and functions within the philosophy and overall plan of care delivery at TRA-MINW, P.S.. They are directly accountable and responsible for the quality of care provided to patients and have the authority to direct care, provide education, seek resources at the department level, and delegate appropriate tasks. The RN has continuous contact with physicians, patients, families, community agencies, patient care staff, and management. Experience in Interventional Radiology is preferred. Candidate must have current RN Licensure in the State of Washington, current BLS & ACLS Certification, be a Graduate of an Accredited School of Nursing; BSN desirable, and 4 years of recent critical care in specialist unit (ICU, Emergency Department, PACU or Interventional Radiology)

Essential Job Functions

  1. Identify Patient/Family Needs
    1. Explain procedural process, (the who, what, why, & how long of the procedure).This can be started as a pre procedure phone call prior to the day of the exam.
      1. Inform families of waiting areas
      2. Update families of procedural progress, causes of delays.
      3. Use of sedation and recovery process.
    2. Assess patient’s level of understanding
      1. Modify teaching technique to accomplish patient comprehension.
      2. Make sure arrangements have been made for interpreter if needed to enhance understanding.
    3. Maintain patient privacy and ensure safety measures are in place.
      1. Radiation safety (gonadal shielding).
      2. Safety devices in place if needed, (safety belt, arm holders).
      3. Pull blinds when necessary, doors closed, required personnel only.
    4. Arrange for follow up procedural care or agency notification when indicated.
  1. Nursing Process
    1. Initiate physician order (sign & hold) and ensure H&P from referring physician 1-2 days prior to procedure.
    2. Review patient record for:
      1. Reason for procedure and physician order.
      2. Inform consent signed & witnessed
      3. Current H & P, clinical notes (including current medications)
      4. Allergies, prior contrast reaction.
      5. Knowledge of premed regime for prior contrast reaction.
      6. Lab values, (specifically CBC, PT, PTT, BUN, Creatinine/GFR)
      7. Ensure patient preparation completed. (IV, NPO, Antibiotics given, premed given, Glucophage and blood thinners held.)
      8. Age specific criteria identified. (Adult through geriatrics)
    3. Prepare patient for procedure
      1. Assess pain level and need for anxiolysis
      2. Attach monitors and record baseline VS.
      3. Begin documentation process.
      4. Assure O2 set up and available, suction equipment, emergency equipment available. Patent and running IV.
      5. Assist with patient prep and draping for sterile field, tray and supplies opened and ready for procedure.
      6. Provide procedural sedation according to TRA-MINW, P.S. sedation P&P guidelines.
    4. Assist Physician with procedure when appropriate.
      1. Knowledge of aseptic technique.
      2. Basic knowledge of equipment i.e. Wires, catheters, inflation devices.
      3. Knowledge of procedure (purpose, possible complications)
      4. Able to identify contrast reaction and initiate appropriate intervention.
    5. Initiate post procedure care/recovery.
      1. Stabilize patient, (assure hemostasis, stable VS, LOC )
      2. Assess patient’s sedation level for further recovery needs.
      3. Complete documentation.
      4. Ready patient for transport and assist with transport if needed to outlying hospitals
  2. Communication/ Professional Behavior
    1. Fosters Teamwork with medical, technical, and ancillary personnel throughout Imaging Services.
    2. Maintains openness with communication and ability to be flexible in response to changing work assignments and work load.
    3. Approaches work environment with enthusiasm, sense of humor, and positive attitude.
  3. Develop an understanding of Imaging Modalities, (CT, MRI, US, XRAY, PET and, Nuc. Med.)
  4. Locate and check emergency equipment and crash cart in the pre/post procedure area.
  5. Assessment & Analysis
    1. Initiates data collection and analysis that includes pertinent objective and subjective data regarding the health status of the patients
    2. Accepts on going responsibility for ongoing patient assessment, including assimilation of data gathered from other members of the health care team
  6. Nursing Diagnosis & Problem Identification
    1. Uses patient data and nursing scientific principles to develop nursing diagnosis and to identify patient problems in order to deliver effective nursing care
  7. Planning
    1. Plans nursing care which will assist patients and families with restoring health and wellness or supporting a dignified death
  8. Implementation
    1. Implements the plan of care by initiating nursing intervention through giving direct care and supervising other members of the care team
  9. Evaluation
    1. Evaluates the responses of individuals to nursing intervention and is responsible for the analysis and modification of the nursing care plans consistent with intended care outcomes
  10. Delegation & Supervision
    1. Accepts accountability for patients receiving nursing service
      1. Delegates selected nursing functions to others in accordance with their education, credentials, and demonstrated competence
      2. Supervises others to whom he/she has delegated nursing functions
      3. Evaluates the outcomes of care provided by licensed and other paraprofessionals
  11. Health Teaching
    1. Assesses learning needs including learning readiness for patients and families, develops plans to meet those learning needs, implements the teaching plan and evaluates the outcome.
  12. Other Accountabilities
    1. Communicates significant changes in the patient’s status to appropriate members of the health care team in a time period consistent with the patient’s need for care
    2. Documents on essential patient records, the nursing care given and the patient’s response to that care
    3. Acts as patient advocate in health maintenance and clinical care
    4. Contributes to the success of the organization by meeting organizational competency expectations, continuously learning, and by performing other duties as needed or assigned

Qualifications:

Education/Work Experience

  • A minimum of four years Critical Care experience or five years Interventional Radiology experience
  • Bachelors of Science Nursing preferred
  • Licensed as a Registered Nurse required
  • Current Registered Nurse Licensure in the State of Washington
  • Current Health Care Provider level CPR certification
  • ACLS certification, as required by facility or department
  • Certification in specialty area preferred

Job Knowledge & Skills

  • Knowledge and understanding of disease entities commonly seen within Interventional Radiology
  • Patient Assessment and Care- Knowledge of and ability to assess ailments and injuries of patients and implement a treatment plan.
  • Knowledge and understanding of age related care needs for pediatric, adult, and geriatric patients and/or families
  • Clinical Policies and Standards- Knowledge of and ability to use industry standards, policies and procedures relevant to function and organization.
  • Patient Rights- Knowledge of principles and practices associated with the rights and responsibilities of patients and caregivers.
  • Health Information Documentation- Knowledge of the relevance of health information and appropriate documentation methods; ability to record medical histories, symptoms, vital signs, medications, diagnoses, treatment plans, procedures, tests, and medical results in written or electronic format. Healthcare Knowledge- Knowledge of the operating principles, major issues, governmental regulations, and code of ethics for the healthcare industry; ability to apply this understanding appropriately to healthcare related situations. Skill in organization of work assigned
  • Ability to deal efficiently with constant change

Physical Requirements

Work is classified as moderate in physical requirements. Must be able to support or lift patients of varying weight. Ability to stand, walk or sit for extended periods of time. Reaching by extending hand(s) or arm(s) in any direction. Also requires manual dexterity sufficient to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard. Possible exposure to communicable disease. Ability to see within normal range.

Mental Requirements

Work requires high attention to detail and the ability to handle mentally stressful situations. The ability to maintain high level of sensitivity towards confidential information is also required.

Working/Environmental Conditions

Work environment consists of clinical procedure, exam and recovery rooms. Possible exposure to: Biological agents to include, but not limited to, body fluids and wastes such as urine, sputum, blood, stool, etc. Other possible exposures may be to chemicals, some medications, and antiseptic and disinfectant agents.


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