Staff RN - Cardiac Cath Lab Procedural Lab - PT Days

Core Competencies

• Adheres to infection prevention guidelines
  
  
• Adheres to policies, procedures, and standards of practice to deliver safe and optimal care
  
  
• Assesses patient history, physiological, and psychosocial status
  
  
• Communicates with the patient, family, medical staff and others during the continuum of care
  
  
• Complies with Joint Commission’s national patient safety goals
  
  
• Complies with organizational quality dashboard/benchmarking goals
  
  
• Interprets common variables affecting patient care and follows reporting process
  
  
• Maintains regulatory compliance consistent with quality standards and ethical obligations of the profession
  
  
• Participates in activities in alignment with the Magnet Model
  
  
• Participates in organizational activities
  
  
• Participates in Peer Review
  
  
• Participates in professional development activities
  
  
• Performs as a preceptor in an active and engaged manner
  
  
• Provides age-specific individualized care that supports protection from harm and complies with patient safety centered interventions/bundles
  
  
• Provides patient and family education throughout the care of patient
  
  
• Uses critical thinking to formulate and carry out a care plan according to patient needs
  
  
• Utilizes resources in an economical manner
  
  
• Utilizes safe administration of medications
  
  
• Utilizes Safe Patient Handling
  
  

Department Specific Competencies

• Monitors and manipulates the physical environment to promote safety.
  
  
• Demonstrates knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of adolescent, adult, and geriatric patients.
  
  
• Promotes interdisciplinary collaboration between and among nurses, physicians, and other members of the health team to meet the specific care needs of patients.
  
  
• Electrolyte Monitoring, Acid-Base Monitoring and Fluid Monitoring. Collects and analyses the patient data to regulate fluid and electrolyte balance. Intervenes appropriately to correct imbalances. ((KNOWLEDGE/SERVICE)
  
  
• Respiratory Monitoring and Airway Management: Collection and analysis of patient data to ensure airway patency and adequate gas exchange (SERVICE/EXCELLENCE/KNOWLEDGE)
  
  
• Interprets ABGs and intervenes based on results and physicians orders.
  
  
• Maintenance of ventilated patient during procedure (KNOWLEDGE).
  
  
• Assists with intubation.
  
  
• Understands pathophysiology related to a patient with imbalance between myocardial oxygen supply and demand resulting in impaired cardiac function (KNOWLEDGE/EXCELLENCE).
  
  
• Understands pathophysiology related to patients experiencing arrhythmias, both atrial and v ventricular (KNOWLEDGE).
  
  
• Cardiac Care: Assesses and intervenes based on patients signs and symptoms, correlated diagnostic test results.
  
  
• Administers medications safely and understands indications and expected outcomes.
  
  
• Understands indications for procedural interventions and how these alter patient pathophysiology, thus changing patient plan or care.
  
  
• Interprets diagnostic information obtained during procedures and communicates/assesses/intervenes appropriately, ie: Information from hemodynamic parameters, pressure wires, EKG interpretation.
  
  
• Administers vasoactive drugs, antiarrhythmic and other cardiac and emergency medications.
  
  
• Monitor patients with thrombolytic agents including intra-arterial and recognize possible complications.
  
  
• Manages coagulation of patient accurately, pre, intra and post procedure.
  
  
• Assist with the insertion of the IABP (EXCELLENCE).
  
  
• Monitors patient and maintain IABP and titrate drips as needed.
  
  
• Exhibits knowledge of indication, application and use of pacemakers, external, transcutaneous and permanent when applicable (KNOWLEDGE).
  
  
• Can set up equipment for procedures performed in Cath Lab quickly and accurately (KNOWLEDGE).
  
  
• Troubleshoots diagnostic equipment, ie hemodynamic monitoring equipment, EKG equipment, pacers, etc.
  
  
• Acts to re-establish and maintain hemodynamic stability in patients experiencing hypovolemic, septic or cardiogenic shock.
  
  
• Admits patients pre procedure and appropriately assesses and prepares them for procedure (SERVICE/KNOWLEDGE).
  
  
• Recovers patients post procedure according to policy and procedure.
  
  
• Removes arterial line post procedure per order. (* per standardized procedure. See competency) (Service/Knowledge/Excellence)
  
  
• Provides appropriate procedural explanation, pre, intra and post procedure.
  
  

Education

Experience

License / Certification Requirements