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RVH's Cardiac Intervention Unit (CIU) is a 16-bed, 14,300 square-foot space which includes two procedure rooms featuring first-in-Canada technology to perform cardiac angiograms, angioplasty and pacemaker implantation. 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/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 required
Previous Cardiac Intervention Unit experience is required for vacancies in the Cath Lab
Previous pre and post experience is required for vacancies in pre & post area
Intra-Aortic Balloon Pump experience is preferred
Strong background in cardiovascular physiology, electrocardiography and rhythm interpretation is required
Experience with aortic hemodynamic monitoring is required
Groin management experience is required
Experience with pacemaker device analyzing/programming is required
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 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)
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