Physician's Vascular Services is one of the fastest growing peripheral vascular care clinics in El Paso, Las Cruces and the surrounding territory. With SIX convenient locations to serve, we specialize in the treatment of peripheral vascular disease.
PURPOSE: Assesses patients, review plans care, serves as patient advocate and assures optimal outcomes.
RESPONSIBILITIES: PVS expects job performance to be consistent with its mission and believes that each Employee contributes to improved performance by continuously searching for ways to increase efficiency and enhance fiscal performance and viability. Essential duties and responsibilities include but are not limited to the following:
The Registered Nurse and/or Paramedic will provide patient care by:
- Reviewing the patient chart by becoming familiar with orders including but not limited to lab orders and results, radiology orders and results, H & P’s and updates, consents
- Acting as patient advocate throughout perioperative stay
- Maintaining standards of professional care
- Explaining procedures/treatment/discharge to patient and family members to alley apprehension and to verify understanding of procedure/discharge
- Following all universal precautions and blood borne pathogen protocols
- Assuring needed supplies and equipment are available as needed for patient care
- Providing for the emotional/physical comfort and safety of patients and visitors
- Responding to life saving situations
- Providing individualized discharge education and teaching as appropriate.
The documentation of patient information will be completed by:
- Documenting patient assessment in the electronic patient record, and sedation record
- Ensuring that timely, accurate and complete supply’s are documented
- Giving a patient report for transfer of care that includes assessment, safety issues including allergies, alerts (falls, isolations, history) on the perioperative patient transfer sheet, or SBAR (if applicable).
Medication administration will be completed by:
- Administering prescribed medications in accordance with approved methods and techniques
- Accurately labeling all medications
- Completing medication reconciliation/charges
The patient will be assessed by:
- Preparing for needed supplies and equipment
- Maintaining awareness of patient’s safety needs at all times
- Continuously maintaining focus on patient’s condition
- Following up with patient phone calls following discharge
The RN and/or Paramedic will provide clinical expertise by:
- Sharing knowledge with other staff and students as appropriate
- Assisting with the orientation and education of staff and students
- Demonstrating ability to use critical thinking skills by assessing situation and adapting to changes
- Cross-training to other patient care areas
- Demonstrating clinical expertise and contributes to the advancement of professional perioperative practices by communicating current research and trends related to a specialty
- Expanding clinical expertise through appropriate education
Other duties as assigned QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education. Requires current, unrestricted license as a Registered Nurse and/or Paramedic. Interpersonal Skills. Builds relationships and respects others. Is able to communicate effectively in English and Spanish both verbally and in writing. Requires adaptability with regular interpersonal contact. Decision-Making Ability. Work defined by established practice. Plans and carries out work under general management direction. Unusual situations are reviewed with a manager. Analytical Ability. Apply basic clinical principles to routine and moderately complex problems. Concentrates and pays close attention to detail. Required Physical Effort. Exerts 20-50 lbs of force occasionally and/or 10-25 lbs of force frequently. Risks and Undesirable Workplace Conditions. May be exposed to body fluids, punctures and falls. Job requires protective equipment. Must use universal precautions. Pleasant, well illuminated area. Special Knowledge Required. Requires BLS, ACLS at time of hire, and Critical Care within one year.
Nursing or Paramedic personnel are involved with managing the care of patients receiving sedative or analgesic medications while undergoing invasive diagnostic or therapeutic procedures. Medication administration, patient monitoring, discharge instruction, family teaching and patient safety concerns are all critical care elements of patients undergoing conscious sedation.
Title: Responsibilities of the Registered Nurse and/or Paramedic related to Conscious Sedation.
Definition: Conscious, moderate or procedural I.V. sedation provides a minimally reduced level of consciousness in which the patient retains the ability to independently and continuously maintain an airway and respond appropriately to physical stimulation or verbal command.
Position: The registered nurse and/or paramedic must be trained and experienced in critical care; emergency and/or peri-anesthesia specialty areas may be given the responsibility of administration and maintenance of moderate or conscious sedation in the presence, and by the order, of a physician. The registered nurse or paramedic must have the knowledge and experience with medications used and skills to assess interpret and intervene in the event of complications. This registered nurse or paramedic is an asset to the physician and enhances the quality of care provided to the patient.
Because of the importance assigned to the task of monitoring the patient who is receiving conscious sedation, a second nurse or paramedic is required to assist the physician with those procedures that are complicated either by the severity of the patient’s illness and/or the complex technical requirements associated with advanced diagnostic and therapeutic procedures.
The registered nurse and/or paramedic must be knowledgeable and familiar with PVS guidelines as well as the Accreditation Association of Ambulatory Health Care (AAAHC), American Association of Nurse Anesthetists and the American Society of Anesthesiologists for patient monitoring, drug administration, and protocols for dealing with potential complications or emergency situations during and after sedation.
- Registered Nurse and/or Paramedic 4 year (Preferred)
- Sedation: 1 year (Preferred)
- Patient assessment, including acquisition of vital signs, physical exam, chest auscultation, history taking, electrocardiogram acquisition and interpretation, capnography, pulse oximetry, glucometry (Required)
- Airway management techniques including manual repositioning, suctioning, use of oropharyngeal and nasopharyngeal airway adjuncts, supraglottic airway insertion
- manual removal of obstructions via direct laryngoscopy, supraglottic airway insertion, tracheal intubation, surgical/needle cricothyrotomy, and rapid sequence induction (Required Paramedic)
- Oxygen administration and positive pressure ventilation via bag-valve-mask, CPAP device, or ventilator (Required)
- Bleeding control and management of shock (Required)
- Intravenous and intraosseous cannulation (Required)
- Fluid resuscitation (Required)
- Emergency Pharmacology (Required)
- Registered Nurse (RN) (Required)
- National Registered Paramedic (or)
- Texas Paramedic (current or within one year)
- New Mexico Paramedic (current or within one year)
- Critical Care (current or within one year)
Job Type: Full-time
Pay: $24.00 - $30.00 per hour
- Health insurance
- Dental insurance
- Paid time off
- Monday to Friday
- Weekends required
- Day shift