As-Needed Vascular Access Registered Nurse

Provides vascular access, care, maintenance and evaluation of vascular access sites and vascular access devices for specific patients.

Education:
Associate degree from an accredited School of Nursing required; BSN preferred. For all nurses hired after 2012, Bachelor’s degree required within 3 years of start date.
Licensures/Certifications:
• High level skills in critical thinking and assessment related to vascular access device selection
• Analytical skills appropriate to resolve complex patient care problems, and prepare comprehensive plans of care.
• Ability to work independently
• Willingness to learn new techniques including the usage of Modified Seldinger Technique with a wire and scalpel and portable ultrasound
• Excellent communication and teaching skills
• High level clinical communication skills with physicians and other clinical staff
• Willingness to maintain and improve knowledge level related to vascular access with seminars, magazines, books

· Healthcare Provider CPR biennial

Experience:
Three years experience as a Registered Nurse with demonstrated competence in placement of peripheral IV catheters.
Skills:
• High level skills in critical thinking and assessment related to vascular access device selection
• Analytical skills appropriate to resolve complex patient care problems, and prepare comprehensive plans of care.
• Ability to work independently
• Willingness to learn new techniques including the usage of Modified Seldinger Technique with a wire and scalpel and portable ultrasound
• Excellent communication and teaching skills
• High level clinical communication skills with physicians and other clinical staff
• Willingness to maintain and improve knowledge level related to vascular access with seminars, magazines, books

Principal Duties and Responsibilities:
• Assess patients with regard to vascular access need based on diagnosis, medication regime, medical history and length of stay.
• Recognizes abnormal conditions or potential problems and takes appropriate action and notifies appropriate personnel.
• Implements physician’s orders according to needs and established nursing policies and procedures. Contact physicians for medical orders to discuss placement of a mid to long term
• VAD
• Performs IV starts, phlebotomy associated with IV starts and placements of extended dwell catheters proficiently.
• Place peripherally inserted central lines
• Troubleshoot difficult complications of VAD’s or assist staff in troubleshooting
• Declot VAD’s or assist staff as a resource in declotting
• Place difficult peripheral catheters
• Provide patient teaching regarding to PICC line care and maintenance
• Available as a resource for accessing and/or de-accessing implanted ports
• Maintains detailed medical records pertaining to the patient care rendered.
• Documents procedures, outcomes and complications appropriately.
• Evaluates patient response to care provided and informs health care team of changes in condition.
• As needed, provides 1:1 education of staff with regard to all aspects of vascular access assessment, insertion, care and maintenance. Follows up with unit manager if there is repeated lack of response from specific staff.
• Participate in quality assurance programs/audits to promote efficient and quality patient care.

All roles must demonstrate GBMC Values:

Respect

I will treat everyone with courtesy. I will foster a healing environment.

• Treats others with fairness, kindness, and respect for personal dignity and privacy

• Listens and responds appropriately to others’ needs, feelings, and capabilities

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

• Meets and/or exceeds customer expectations
• Actively pursues learning and self-development
• Pays attention to detail; follows through

Accountability

I will be professional in the way I act, look and speak. I will take ownership to solve problems.

• Sets a positive, professional example for others
• Takes ownership of problems and does what is needed to solve them
• Appropriately plans and utilizes required resources for various job duties
• Reports to work regularly and on time

Teamwork

I will be engaged and collaborative. I will keep people informed.

• Works cooperatively and collaboratively with others for the success of the team
• Addresses and resolves conflict in a positive way
• Seeks out the ideas of others to reach the best solutions
• Acknowledges and celebrates th