Job Description

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Reporting to the Cardiac Intervention Unit & Cardiac Care Unit Manager, the Registered Nurse (RN) is a professional caregiver who is responsible for the provision of optimal care for Cardiology patients undergoing various procedures within a cardiac intervention unit pre and post procedure area. Education

• Current registration in good standing with the Ontario College of Nurses

• Critical Care Certificate preferred or completion within two years of hire

• Coronary Care I & II required

• Current BCLS required

• Current ACLS required

• Must pass a screening arrhythmia quiz obtaining an 80% to move onto interview phase

Experience

• Must have a minimum of one (1) year of critical care experience or equivalent experience in ED/CCU or ICU is preferred

• Previous Cath lab pre and post experience preferred

• Intra-Aortic Balloon Pump experience preferred

• Strong background in cardiovascular physiology, electrocardiography and rhythm interpretation an asset

• Experience with aortic hemodynamic monitoring is preferred

• Groin management experience preferred

• Experience with pacemaker device analyzing/programming an asset

Competencies

• Excellent organizational, interpersonal and communication skills

• Demonstrates excellent critical thinking, decision-making and problem-solving skills

• Demonstrates ability to function both independently and as a member of a multidisciplinary team

• Ability to adapt in a fast paced and stressful environment

• Commitment to patient and family-centered care

• Commitment to professional practice, continuing education and lifelong learning

• Excellent attendance, punctuality and work record required

• Demonstrates technical skills-computer software and audio-visual equipment

• Demonstrates ability to energize, coach, encourage and support other team members

• Demonstrates ability to manage change and to foster an environment which promotes professional development and best practice.

Responsibilities Practices capable and competently within the Professional Standards for Registered Nurses in Ontario as defined by the College of Nurses of Ontario in the following standards areas:
Professional Expectations:

• Professional service to the public

• Knowledge

• Application of knowledge

• Continued competence

• Professional behaviour and accountability/responsibility

• Ethics

• Maintains clinical competence

• Adheres to legal and ethical principles relevant to nursing practice

• Keeps current relative to trends and professional/health care related issues

• Provides the daily direct care for assigned patients(s) in the Cardiac Intervention Unit pre and post area

• Communicates any changes in status of patient with MRP and Resource/Charge Nurse

Professional Care Expectations:

• Assess, plans, implements and evaluates patient care in compliance with the scope of practice

• Evaluates patient outcomes in reference to identified goals

• Continuously modifies practice and plan of care based on evaluation of outcomes

• Collaborates with multidisciplinary team to develop, review, modify and update the patient’s plan of care

• Responsible and accountable for patient outcomes where the patient’s outcome is unpredictable

• Provides care in a compassionate and empathetic manner within a diverse cultural environment

• Provides a safe and secure environment for patients and their families and staff

• Utilizes infection prevention and control best practices

• Identifies and prioritizes for the physical, psychological, social and spiritual needs of the patient

• Provides care in a compassionate and caring manner within a diverse cultural environment

• Acts as a patient advocate

• Incorporates current validated research and evidence-based practice into clinical practice

• Collaborates with other members of the health care team to ensure standards of care and practice are met

• Assists in the development and the delivery of the nursing unit orientation program

Professional Development Expectations:

• Participates in life long professional learning

• Participates in continuing education programs and certification, as appropriate, in accordance with unit specific requirements

• Participates in Reflective Practice

Organizational responsibilities:

• Supports the mission, values, philosophy and objectives of the hospital

• Participates in department and hospital committees

• Participates in Nursing Professional Practice activities

• Supports a culture that encourages learning from students, staff, patients and families

• Creates and/or provides input into Nursing policies and procedures

• Ensures supplies, equipment, space and human resources are effectively utilized

Unit responsibilities:

• Physical assessments

• Prepares and administers medication and provides treatments as prescribed or as required according to professional standards and medication policies, then evaluates and documents outcomes

• Provision of direct patient care

• Transcription of orders

• Checks and verifies physician orders

• Receives physician telephone orders

• Intravenous initiation and maintenance

• Accepts in-charge responsibilities as required

• Provides and receives report to oncoming staff

• Documents the care and assessments of patients in the clinical record as per RVH policies and procedures and College of Nurses standards

• Completes workload measurement

Patient flow Management:

• Ensures timely acceptance of patients (PULL methodology) to Unit/department and other referring centres

• Works with service departments to reduce barriers to patient flow

• Participates with interprofessional team

• Rounds/Communication Boards/ Daily Communication occurs as per department/unit requirements

• Identifies situation in department/unit which present barriers to daily patient flow

• Participates as a member of the inter-professional team to implement plans for patients to meet the Expected Date of Discharge (EDD)

Health and Safety Responsibilities: Adheres to Occupational Health & Safety responsibilities under Section 28 of the Occupational Health and Safety Act including:

• Works in compliance with the provisions of the Occupational Health and Safety Act and the regulation;

• Uses or wears the equipment, protective devices or clothing that the worker’s employer requires to be used or worn;

• Reports to his/her supervisor the absence of or defect in any equipment or protective device of which the worker is aware and which may endanger himself, herself or another worker; and

• Reports to his/her supervisor any contravention of the Occupational Health and Safety Act or the regulations or the existence of any hazard of which he/she knows

Participates in a culture of safety which encourages prevention, reduces errors and safeguards patients from harm. Completes the Ontario Ministry of Labour “Worker Health & Safety Awareness in 4 Steps” training, and provides proof of completion. Exhibits the core values of Royal Victoria Regional Health Centre: Work Together, Respect All, Think Big, Own it, Care