Full Job Description
General Summary of Position:
Functions as an experienced nursing practitioner providing direct and indirect patient care utilizing the nursing process in assisting with invasive cardiovascular procedures in the Cardiovascular Lab and non-invasive procedures in the echocardiography areas. These functions are performed in accordance with all applicable laws and regulations and MedStar Georgetown University Hospital's philosophy, policies, procedures, and standards.
About MedStar Georgetown’s Cardiovascular Pulmonary Lab:
Join the nation's largest marrow harvesting program. The Cardiovascular Pulmonary Department at MedStar Georgetown is a procedural department with 3 pre-procedural bays and 4 state-of-the-art procedural rooms. The Cardiovascular Pulmonary Lab nurse will assist expert members of the interdisciplinary team in performing advanced therapeutic procedures, such as diagnostic heart caths, electrophysiology studies, device implants (pacemakers and AICDs—single, dual and biventricular), peripheral vascular arteriogram, angioplasty/stenting, cutting edge procedures in bronchoscopy from cryo spray of tumors to fiducial placement for CyberKnife, and bone marrow collection. Cardiovascular Pulmonary Lab nurses will work closely with patients to perform medical intake in preparation for procedures and assist during the procedures by administering IV moderate sedation, monitoring patients' safety and comfort, intra-op electronic documentation, and specimen collection.
EDUCATION/TRAINING: Graduate of an accredited school of nursing. BSN degree preferred.
EXPERIENCE: Five years of experience inclusive of a minimum of one year of ICU or CCU experience required and three years of experience in a general medical or surgical unit. Cardiology experience preferred.
LICENSE/CERTIFICATION/REGISTRATION: Current D.C. licensure as a Registered Professional Nurse. Current certification in BCLS and ACLS required.
KNOWLEDGE, SKILLS & ABILITIES: Experienced in all aspects of interventional procedures preferred, including dobutamine stress echo, transesophageal echo and assisting physicians in all aspects of invasive cardiovascular procedures. Must have current knowledge of techniques of ICU nursing care, including cardiac monitoring, starting IVs and patient teaching. Must be able to learn principles/procedures associated with assisting in hemodynamic monitoring, cardiac angiography, identification of ischemic changes during procedures, and use of radiographic equipment. Must be able to act quickly and independently and to remain calm in stressful and emergency situations.
Consideration will be given to an appropriate combination of education/training and experience.
Primary Duties and Responsibilities:
Provides direct patient care, incorporating the nursing process (assessment, planning, implementation, and evaluation) prior to, during and after all clinical procedures. Participates in the ongoing evaluation of quality assurance.
Evaluates and interprets clinical information from diagnostic equipment for invasive cardiac procedures, including R/L coronary angiography, PTA, atherectomy, peripheral stent placement, pacemaker insertion, IABP, indwelling catheter insertion, dobutamine stress echo, transesophageal echo, etc., for adult patients.
Administers routine medications during invasive cardiovascular procedures and non-invasive cardiac procedures, and delivers appropriate drug and therapeutic interventions during emergency situations.
Maintains standards that ensure a safe, therapeutic environment for Cardiovascular Lab patients and personnel.
Participates in the orientation, training and in-service education of all personnel/students assigned to the department and pursues professional growth through ongoing continuing education.
Participates in research protocols for the evaluation of investigational devices/procedures/drug therapy through patient observation and data collection during Cardiovascular Lab procedures.
Assists with administering the daily operations of the Cardiovascular Services Labs, including case completion; ensures that all rooms are prepared appropriately for clinical procedures; and oversees adjunct services. Assumes responsibility for the Cardiovascular Lab in the absence of the Director.
Coordinates with the Director to ensure that the lab equipment is properly maintained through appropriate quality control and quality assurance programs by closely coordinating with Biomed Department, Central Lab and Information Systems.
Coordinates with the Director and Radiation Safety Officer on tracking employee radiation badges and ensuring that staff radiation is kept at a minimal and acceptable level. Ensures that annual inspections are done on X-ray equipment as required.
Administers and maintains all department services in accordance with standards and criteria established by The Joint Commission and state, local and federal agencies to ensure compliance with those external requirements.
Assists with inventory, ordering and stocking of supplies and equipment for the Cardiovascular Lab as assigned.
Performs other duties and responsibilities that are delegated and are appropriate to the position and area.
These responsibilities are a general description of the level and nature of work assigned to this classification and are not to be considered as all-inclusive.