Registered Nurse - Cardiac Cath Lab

ERP International is seeking a Registered Nurse (RN) for a full-time position in support of the Cardiopulmonary Clinic and Cath Lab at Mike O'Callaghan Military Medical Center, Nellis AFB, NV. Apply online today and discover more about this outstanding employment opportunity.  www.erpinternational.com

Be the Best! Join our team of exceptional health care professionals across the nation. Come discover the immense pride and job satisfaction ERP Employees have in caring for our Military Members, their Families and Retired Military Veterans!

* Excellent Compensation & Exceptional Comprehensive Benefits!

* Relocation Assistance Available!

* Paid Vacation, Paid Sick Time, Paid Federal Holidays!
* FREE Medical/Dental/Vision and Health Savings Account available!
* Company Paid STD, LTD and Life Insurance!
* Matching 401K!
* Annual CME Stipend!

About ERP International, LLC: ERP is a nationally respected provider of health, science, and technology solutions supporting clients in the government and commercial sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states. Founded in 2006, ERP is headquartered in Laurel, MD and maintains satellite offices in Montgomery, AL and San Antonio, TX - plus project locations nationwide. ERP is an Equal Opportunity Employer - Disability and Veteran.

Work Schedule:

Monday - Friday, 8 to 12 hour dayshifts as needed

Occassional overtime (over 40 hours in a week)

On-Call required, up to 2 weeks per month, with very minimal call-back

No holidays or Weekends, unless on-call

Job Specific Position Duties:

This position will support the Cardiopulmonary Clinic, as well as the Cardiopulmonary Lab.  Core duties include, but are not limited to the following:

• Knowledge of interpersonal relationships and the ability to maintain composure and react appropriately while relating to patients, families, physicians, coworkers and ancillary staff; and, maintain positive rapport with all individuals involved in patient care.
• Knowledge of a wide range of cardiac and vascular disorders and conditions as appropriate and seen in potentially critically ill patients (e.g., Acute Myocardial events, Chest pain, decrease in circulation to various areas of the body, and respiratory distress due to poor perfusion).
• Carry out prescribed physician orders and document in patient medical record.
• Communicate pertinent patient data to physician as appropriate.
• Assesses patients using the nursing process as a basis for professional practice. 
• Demonstrates proper preparation of patients for treatments and procedures, to include interventions.
• Provides proper care and evaluation of post procedural patients.
• Possess knowledge of a variety of pharmacological agents used in treatment of patients, the desired effects, side effects, complications and usual dosage of their use as well as the accurate administration of the pharmacologic agent, including dosage calculations as required. 
• Administer prescribed medications to include multiple medication drips and intravenous push drugs (e.g., sedatives, narcotics, vasoactive medications, neuromuscular blockades, antidysrythmics, antihypertensives, thrombolytics, and emergency drugs).  Administration consideration based on protocols, policy and recommendations by medical references.
• Assess and document patient response to medications administered and intervene if desired response is not achieved. 
• Instruct patient/family regarding prescribed medications/therapies and invasive/diagnostic procedures that must be accomplished.
• Maintains open communication lines, both intra-departmentally and interdepartmentally, to provide for total needs of the patient. 
• Conducts preoperative and postoperative visits.  Discusses Cardiac Catheterization and diagnostic cardiac testing procedures with patients and informs them of what to expect during procedures. Consults with the physician performing the procedure and establishes priorities of care for each patient.
• Coordinates with other hospital units, which include recovery room, intensive care, and nursing units, on patients’ progress and any special equipment or supplies that will be needed for the patient post procedure.
• Properly applies cardiac monitor leads and 12 lead EKG machine, analyze rhythm strips and notify Physician of any abnormal results (e.g., dysrhythmias for patient situation).  Be able to interpret cardiac rhythms and their implications, intervene on emergent changes.
• Skilled in setting up, operating and monitoring specialized medical equipment such as IV infusion pumps, cardiac monitoring devices, EKG units, oxygen analyzers, nebulizers, Ventilators, pacemakers, intra-aortic balloon pumps and other   unit specific equipment.
• Care for patients with a variety of hemodynamic monitors to include pressure lines/transducers, Swan Ganz catheters, central venous lines/sheaths and arterial lines.  Obtain hemodynamic parameters and interpret results.  Notify physician of any parameters outside of expected results.
• Participate in Discharge Planning as appropriate.
• Knowledge of professional care theories, principles, practices, and procedures to perform nursing assignments of critically ill patients. Demonstrates knowledge specific to the Catheterization Laboratory population to include all ages from young adult to geriatrics.
• Assess patients' conditions for potential or life threatening crises. Distinguish between normal and abnormal physical findings (from physical assessment and vital sign assessment).  Plan appropriate nursing care.  Notify physician if needed and carry out appropriate interventions as ordered.
• Coordinates patient care though a continuum and facilitates the achievement of optimal outcomes in relation to care, quality and cost effectiveness.
• Ability to react with alertness and skill in any emergency situation, (e.g., cardiac or respiratory arrest, hemorrhage, and shock). 
• Ensures compliance with standards of care and practice in accordance with all established policies, procedures, and guidelines used in the medical treatment facility, provides care within ethical and legal boundaries.
• Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding.
• Provides professional nursing care to patients undergoing Cardiac Catheterization Laboratory and diagnostic cardiac testing procedures.
• Prepares and maintains Cardiac Catheterization Laboratory for all routine and emergency procedures.
• Establishes and/or utilizes a checklist to monitor the physical plan of the Cardiac Catheterization Laboratory and equipment for conformity to all national standards for ensuring safety for the patient and all personnel.
• Assembles the type and quantity of material and special equipment needed for daily procedures and possible emergencies.
• Circulates for Cardiac Catheterization Laboratory procedures.
• Effectively communicates and collaborates with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization.  Effectively uses appropriate communication format in addressing professional issues.
• Obtain patient history, pertinent family history, and document in patient’s medical record.
• Utilize appropriate nursing personnel to assist in delivery of care when indicated (e.g., paraprofessionals).
• Transcribe or verify transcription of physician orders.
• Excellent written communication skills to perform accurate documentation, both written and electronic, of all activity in accordance with requirements.  Prepares all documentation to meet or exceed established standards of the MTF, to include, but not limited to, timeliness, accuracy, content and signature. Only MTF and Air Force-approved abbreviations shall be used for documentation of the patient health record.
• Must be knowledgeable of laboratory test values.
• Perform the procedure recovery and discharge procedures and teaching within established criteria.
• Participates and complies with quality and process improvement activities and events, including, but not limited to, post procedure follow ups, morbidity and mortality studies, and research studies to ensure compliance with national standards and guidelines.
• Serves and participates in committees, functions and other meetings as directed.  Provides relevant and timely information to these groups, and assists with decision-making and process improvement.  Participates in quality customer service.
• Be able to initiate life saving measures in the absence of a physician.
• Demonstrate competence in the administration of blood products IAW MTF guidelines.
• Completes orientation, competency verification, and educational programs in accordance with unit guidelines.
• Supports Cardiovascular or Interventional Radiology procedures or clinical care activities including, but not limited to, bronchoscopies, transesophageal echocardiograms, cardioversions, CT Guided Procedures, and Dobutamine stress echocardiograms that are performed outside the immediate Cardiovascular Catheterization Laboratory.
• During all procedures supported by the Cardiovascular Catheterization Laboratory, the RN will be responsible for pre-procedure preparations and assessments; managing intra-procedure vital signs/hemodynamics, assessments, and medication administration; and post-procedure recovery and transportation to MSU/CCU/PACU. 
• Support administrative roles in lab to include but not limited to:
  • Assist in preparing patient charts prior to the procedure and breaking down patients charts post procedure
  • Educate and train new Cardiovascular Laboratory Nurses and Staff
  • Assist in maintaining cardiac catheterization laboratory programs such as safety, infection control, supply, radiation safety, etc.
  • Ensures a safe work environment, employee safe work habits and patient safety IAW regulatory agencies, infection control policies, national and local standards and policies, and process improvement initiatives.

Minimum Qualifications:

* Degree/Education: Minimum ASN
* Experience: Minimum 2 years nursing experience, with at least 1 year Cath Lab experience within the past 2 years

* Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse from any state

* Life Support Certification: BLS/ACLS/PALS 
* Security: Must possess ability to pass a Government background check/security clearance.