REGISTERED NURSE
Job Schedule:
Full Time / Part Time / Per Diem
Rhode Island Vascular Center, LLC, d/b/a: The Vascular Experts Rhode Island, is a community -based vascular surgeon practice with locations in Westerly, Wakefield and East Greenwich. We are looking for a Registered Nurse whose primary location will be in our Wakefield office working in our Office Based Lab.
The Registered Nurse's responsibility is to provide a team-based approach to patient care resulting in an exceptional patient experience. The Registered Nurse will exhibit excellent customer service skills and strong attention to detail.
POSITION SUMMARY:
The incumbent is responsible for procedure pre-op, admission to facility, intra procedural patient care as well as recovery and discharge from facility. Prepares and maintains accurate and timely documentation regarding all patients and procedures.
Principal Duties & Responsibilities:
Pre- Procedure:
- Completes the Pre-Call Checklist and calls patient prior to procedure.
- Completes pre assessment work sheet, obtains baseline vital signs; T, BP, HR & Rhythm, RR & O2 saturation, assessment of listening to lungs, heart, inspecting skin for wounds, swelling and discoloration and complete Mallampati class
- Insert peripheral IV, shave access site-bilateral groins.
- Reviews and confirms past medical history, medications and allergies to medication, latex, contrast and food
- Administers pre op medications and IV fluids for pre-hydration or treatment of hypotension per MD
- Obtain consent from the patient or patient representative.
- Reports any abnormal findings to MD and Conscious Sedation Nurse
- Gives hand off report to Conscious Sedation Nurse
- Performs other duties as assigned by Manager or other authorized TVE Manager or Executive.
Intra Procedural (Trained in Conscious Sedation):
- Monitor patient and administer conscious sedation as per MD orders.
- Documentation of procedural events.
- Time out participation/initiation.
- Vitals every five minutes or sooner if necessary.
- Respond to patient needs and reassess patient’s condition.
Post Procedure:
- Complete vital signs, vascular and groin checks every 15 minutes for the first hour, every 30 minutes for the second hour and every hour thereafter and reports abnormal finds to MD
- Performs thorough access site assessment for bleeding, swelling, bruising, pain, loss of pulse, change in color or temperature
- Applies manual pressure to stop bleeding or to initiate absorption of hematoma as required
- Documents any unexpected findings and interventions and promptly reports them to MD
- Keeps family informed and updated
- Removes IV, provides discharge instructions and discharge patient from the facility.
- Performs post procedural call to check on patients 24 hours following the procedure.
Required Experience, Education & Licensure:
The incumbent must have an A.S or B.S degree in Nursing and hold an active RI issued RN license that is free from any discipline or restrictions in practice, along with a minimum of two (2) years direct experience in a Cath Lab or Vascular & Interventional Radiology practice or lab, Emergency Department, or ICU critical care. Must be experienced in IV insertions and removals and be certified in both BCLS and ACLS.