Job Description:
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. This current opportunity is to support in the 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
- 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
- Professional behaviour and accountability/responsibility
- 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:
- 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
- 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)
