Rn, Cardiac Cath Lab

Patients in the Cardiac Cath Lab are cared for by a multidisciplinary team including: Cath Lab Registered Nurses, Registered Radiologic Technologists, Anesthesia providers, Interventional Cardiologists, and Cardiologists. Patients require continuous cardiac monitoring, frequent physician, nursing and ancillary service intervention, and other specialized treatment and/or procedures such as: hemodynamic monitoring, intra-aortic balloon pumps, Impella, pericardiocentesis, insertion of permanent and temporary pacemakers, cardioversion, defibrillation, pain management, sedation and titration of intravenous medications including vasoactive agents, cardiac agents, anticoagulants, and anti­platelet agents. The department is open Monday through Friday from 0730 to 1800 for routine, urgent, and emergent cases. An on-call team is available 7 days a week after routine hours of operation.

Hiring Bonus up to $10,000 DOE and Relocation Package Available. Must begin work by March 31, 2024 to qualify. and Relocation Package Available

 

$49.16-$78.18 per hour, based on RN Degree and level of experience

 

The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.

1. Scientist
2. • Evaluates knowledge of self and others:
     • Evaluates own knowledge and nursing practice in relation to professional practice standards and evidence-based knowledge; identifies areas of strength and professional growth; sets and achieves professional development goals.
     • Evaluates knowledge and nursing practice of peers, recognizing strengths, providing constructive feedback and maintaining caring and compassionate relationships
   • Identifies complexities within OHSU systems and participates in identifying and resolving work flow barriers to effective, efficient, and fiscally responsible care delivery.
   • Evaluates patient outcomes against quality goals or benchmarks.   Promotes innovation through participation in data collection, data analysis, evidence-based performance improvement plans, nursing or interdisciplinary research, and education about change methods. 
3. Leader
   • Uses an evidence-based decision making process to determine the patient’s priority goals and care activities in relation to:
     • Nursing’s independent scope of practice (safety, comfort, hygiene, restorative measures, and health promotion)
     • The interdisciplinary plan of care
     • Documenting decision making in the patient’s plan of care and hand-off  communication
   • Protects and advocates for patient safety, health and wellbeing:
     • Communicates and formally reports concerns and/or seeks change where individual or institutional behavior in the practice setting jeopardizes the well-being of patient, families, or team members. (e.g. Patient Safety Net report, chain of command).
     • Speaks up and intervenes when an individual’s actions or practice is not in alignment with patient safety. The nurse speaks directly to the responsible party, and takes responsibility to support those who identify potentially questionable practice.
   • Keeps the patient as the focus  when exercising judgment in accepting responsibilities, seeking consultation, and assigning activities to others who carry out nursing care:
     • Assigns or delegates tasks based on the needs and condition of the patient, potential for harm, stability of the patient’s condition, complexity of the task, predictability of the outcome, availability to monitor and supervise, and competency of the individual being delegated to.
     • Allocates resources based on identified patient and family needs
     • Speaks up immediately about concerns regarding assigned responsibilities
4. Practitioner
   • Acts as a patient advocate by partnering with the person, family, significant others, and caregivers, as appropriate, to implement and evaluate the plan of care.  Assures that the plan is aligned with the patient’s physical, spiritual, and psychosocial goals, initiating changes as appropriate.
   • Delegates and supervises tasks consistent with other caregivers’ scope of practice, adhering to standards, regulations, and role expectations including self-care and collaborative teamwork.
   • Delivers care in a manner that preserves and protects patient autonomy, privacy, dignity, confidentiality and rights.
   • Implements direct and indirect nursing care consistent with evidence-based practices, hospital policies and procedures, and scope and standards of practice.
5. Knowledge Transfer
   • Develops a therapeutic relationship with patients and families, effectively transfers information about disease, health and recovery, Engages patients and families in decision-making about the plan of care.   Evaluates capacity for self-care and addresses concerns about transition to next level of care, different healthcare facility or home.
   • Communicates evaluation of patient’s stability, progress, discharge plan and recommendation for continuity of the medical and nursing plan to other members of the health care team, including through accurate and timely documentation of the patient’s electronic record.
   • Effectively transfers knowledge to other members of the team to support the safety of their practice (e.g. educating students, precepting, in-services, giving and receiving feedback during handoffs).  Seeks knowledge from other members of the team to ensure safety of own practice.  Engages in collaborative and effective decision-making with other members of the team while maintaining caring and compassionate relationships.

Department Specific Working Conditions:

• Requires ability to push patient in a stretcher around corners throughout the shift.
• Requires the ability to ride the aerial tram throughout the day
• Requires the ability to work in a dark procedure room.
• Requires weekend, holiday, and after hours call and ability to report to work within 30 min of being called – not required for Resource Nurses.
• Ability to stand up to 4 hours without sitting
• Ability to tolerate moving throughout entire shift.
• Ability to wear up to 20lbs of leaded aprons for 4 hours.
• Ability to move and turn sedated patients using provided safe patient mobilization devices.
• Must have the ability to apply and maintain manual pressure to femoral arterial and venous access sites.
• Must be able to perform the essential functions of the position with or without accommodation

• Associate or Baccalaureate Degree in Nursing from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA)
• BSN preferred
• Associate Degree Nurses required to enroll in BSN program within 3 years of hire and complete within 5 years of hire.
• Current, unencumbered Oregon State Registered Nurse License
• BLS at time of hire and must be issued by the American Heart Association (AHA) or Military Training Network branch of AHA (upload documentation with online application)
• BLS must not expire during orientation or probation period, and must have the same expiration date (upload documentation with online application)
• Must be able to perform the essential functions of the position with or without accommodation
• Communication skills including fluency in oral and written English.
• Basic computer skills including the ability to send/receive email, navigate information technology associated with the position, and use Electronic Health Record information and tools. 

Department Specific Requirements (competencies, equipment, certifications, etc.):

• Experience with administering moderate sedation and patient management during sedation procedures within the past year.
• At least 2 years’ experience working in critical care, PACU, emergency room or procedural area setting.
• Experience with EKG monitoring required.
• IV skills required.
• BLS, ACLS, and PALS required.
• Excellent communication skills including active listening, the ability to engage with a diverse set of patient populations, and success with conflict management.
• Ability to work independently and as part of a team while being collaborative in resolving problems.
• Serve as a role model in supporting and promoting OHSU’s vision and mission.

• Current OHSU employees: BSN preferred

Department Specific Preferences (competencies, certifications, etc.):

• Knowledge/experience related to arterial and venous femoral access/sheath removal/management. Completion of sheath removal competency upon hire; maintenance of competency thereafter.
• Knowledge/experience with radiation safety, fluoroscopy
• Knowledge/experience related to moderate/conscious sedation administration and recovery, as well as anesthesia recovery.  Annual completion of moderation/deep sedation competency and continued demonstration of skills and knowledge.
• Knowledge/experience related to TEE/Cardioversion procedures.
• CCRN or RCIS certification preferred for external and internal candidates   

Usual Orientation Time:  

• Specialty Experience: 3-4 months
• Experience, but not in specialty area: 4-6 months
• Resource Nurse: 2-3 weeks and limited exposure to roles within the department dependent on experience.

*Bonus Disclaimer: current ONA OHSU, Adventist and Hillsboro Medical Center employees are not eligible

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.