Performs initial assessment appropriate to the patient's clinical presentation/diagnosis, care setting, age, development level, and cultural and religious orientation in a timely manner as it pertains to diagnostic testing/scheduled procedure.
Performs completely and accurately including, but not limited to, physical (i.e. assessment for pain, skin breakdown, risk for falls), psychological (i.e. cognitive and communicative skills or development), social status and other patient needs prior, during and post invasive diagnostic testing/ procedure.
Identifies and prioritizes the need for further assessment based on the patient's clinical presentation/diagnosis and tolerance of diagnostic testing/scheduled procedure.
Reports abnormal findings or values to the physician(s)
Collaborates with the anesthesiologist and specialist
Performs interventions identified specific to the patient's individual needs to ensure safe, successful invasive diagnostic testing/ procedure.
Demonstrates the ability to effectively communicate patient care needs to all members of the multidisciplinary health care team.
Conducts patient/family education that:
Is appropriate to the patient's age, learning needs, level of understanding and readiness to learn.
Includes the family/significant others when appropriate.
Documents nursing intervention and patient teaching.
Evaluates and documents the patient's response to the invasive diagnostic testing/ procedure.
Revises and updates the Plan of Care as evidenced by documentation.
Documents patient's response to teaching.
Follows the five rights of medication administration and maintains transcription accuracy.
Administers blood products per hospital policy.
Administers IV therapy per hospital policy.
Able to function effectively during an emergency patient care situation.
Demonstrates knowledge of appropriate interventions regarding the use of restraints per hospital policy.
Assumes responsibility for maintaining a high level of clinical expertise and adapts to new information, technology, and changing trends in nursing practice.
Considered at expert level in cardiac rhythm analysis and hemodynamic waveforms.
Demonstrates appropriate pain management/moderate sedation assessment and policy compliance.
Performs waived testing following hospital policy.
Maintains required certifications.
Special Procedures Clinical Proficiency:
Demonstrates the ability to utilize monitoring system, assess findings, intervene as indicated and evaluate.
Demonstrates knowledge of Moderate Sedation policy and demonstrates expertise in providing asordered.
Able to titrate drugs according to unit policy in response to changing patient condition.
Ability to assist with any related processing of documentation within the department.
Provide on-call coverage as needed by the department.
Demonstrates knowledge of the step-by-step progress of specific sterile procedures for allspecial procedure examinations.
Anticipates Radiologist's/ Cardiologist's needs in regards to instrumentation, sutures, sponges, supplies, etc.
Displays dexterity in the use of the required instrumentation according to technique, procedure and special requirements.
Demonstrates ability to function in Special Procedures / Cath Lab situations requiring in-depth technical expertise and knowledge of anatomy and physiology.
Anticipates instrumentation/equipment for a wide range of simple and complex procedures.
Selects appropriate instrumentation, catheters, and supplies consistent with Radiologist's /Cardiologist's preference.
Sterile environment is set up and organized prior to patient's arrival into room.
Able to circulate and document procedure
Assesses patient prior to procedure reporting to physician all pertinent information.
Assess patient's pain, medicates as ordered and documents response.
Able to anticipate changes in patient and notify physician.
Demonstrates ability to conduct a time out at the beginning and end of the case utilizing the WHO universal protocol.
Ability to orient new staff to the department and act as a resource when necessary.
Actively participates in performance improvement practice and reports, and monitors activities.
Actively participates in the data entry for all registries.
Ensures that services are provided in a safe, cost-effective, and time-efficient manner.
Assures departmental compliance with all mandated state and federal regulations/laws by all regulatory bodies.
Actively participates in department Performance Improvement activities.
Actively identifies areas of concern and constructive ideas to the Director/Manager/Lead.
Knowledge of and adherence to all National Patient Safety Goals.
Provides for and respects the privacy of the patient at all times.Knowledge of and adherence to all Infection Control Practices and Policies.
Perform any other related duties as requested.
Maintains a positive relationship with the Medical Staff and identifies opportunities to improve service relationship.
Maintains Policies and Procedures that mirror current practices as well as the community standard.
Implements policies, procedures, and practices that increase physician satisfaction with the service.
Works with medical staff to ensure scheduling and patient flow for each day is optimum.
Critical Thinking Skills
Accountable for own conduct and independent decisions made in the course of job performance.
Participates in unit activities designed for improvement of services.
Acts as preceptor for new health care team members and student nurses when asked.
Effectively delegates tasks to appropriate health care team members.
Provides input for policy/procedure development.
Demonstrates sound judgment and effective decision-making in following the nursing process.
Identifies supplies, equipment, and additional personnel necessary to complete a given assignment.
Analyzes data collected, weighs alternatives, and acts appropriately.
Facilitates systems/processes in response to situations that have the potential to negatively impact patient/family outcomes.
Customer Service/Guest Relations- Coordinating and integrating interdepartmental services. Documents all customer service responses and consistently identifies ways to improve customer service and feedback while reducing customer/patient complaints.
Participation- Active member of Performance Improvement process for department and organization.
Patient Care- Continues to carry a full schedule of patient studies on a daily basis in addition to lead duties.
Regulatory Compliance- Assures departmental compliance with all mandated state and federal regulations/laws as mandated by all regulatory bodies.