Registered Nurse - Vascular Access

Job Overview:

This position applies the nursing process in providing direct and indirect holistic care to patients and their families. The position also collaborates, in a collegial manner, with physicians and other health care team members in meeting the patient's needs. This position may delegate certain aspects of care to those under their direct supervision, within the scope of nursing practice. This position does float between GSH and BNH on a six-week advance schedule.

Shift: Part Time/Days (.6 FTE; 48 hrs/week)

Job Requirements:

Bachelor's Degree New hires required to obtain BSN within 5 years of hire. (Required)
2 - 3 years clinical nursing, Minimum 2 years experience required.  Vascular/PICC Line experience strongly preferred
Proficient in peripheral IV placement. 
Preferred membership in related professional organization 
Clinical Skills: Performs technical skills according to policy and procedure and accepted standards within their area of practice. 
Safely administers medications/treatments and monitors their effects. Uses all equipment in a safe,
Basic Life Support (BLS) Upon Hire Required and 
Other Cardiopulmonary Resuscitation (CPR) Upon Hire Required and 
Registered Nurse RN - Registered Nurse - State Licensure and/or Compact State Licensure Upon Hire Required and 
Other: certification within 1 Year Required

Job Responsibilities:

Demonstrates organizational responsibilities. Identifies areas for self-improvement through self-assessment and peer review. Functions in roles and provides leadership on the unit as needed and requested. Cooperates with instructor to facilitate learning experiences for students. Demonstrates knowledge and is supportive of organizational and unit changes. Supports organizational activities by participating in activities such as committees, staff meetings, councils. Utilizes chain of command appropriately. Builds collegial relationships with physicians and other health team members. Demonstrates autonomy in identifying opportunities for process improvement. Maintains and improves current knowledge in area of practice through activities such as continuing education, formal education, professional organization membership, and/or certification. Shares knowledge and skills with colleagues and others. Provides peers with constructive feedback regarding their practice. 
Provides a safe and therapeutic environment while maintaining patient's autonomy, dignity, and rights. Determines planning for vascular access based on ethical principles as outlined in the TriHealth Code of Ethical Business and Professional Behavior. Acts as a patient advocate. Delivers care in a non-judgmental and non-discriminatory manner that is sensitive to patient diversity. Seeks available resources to help formulate ethical decisions. Prioritizes the workload according to patient's needs, requests, and the needs of the unit/facility. 
Exhibits customer service skills consistent with TriHealth Mission and Vision. While interacting with patients, physicians, and staff, demonstrates effective communication as well as collaboration and teamwork with co-workers. Consistently gives patients and visitors an appropriate understanding of the PICC procedure as well as the perception that you are here to meet the patient's needs. Resolves conflicts effectively and independently. 
Consistently models quality and safety standards when participating in any patient care activities. This includes but not limited to the following activities: hand washing, control of sharps, use of full body drape, sterile technique with line insertions, and maintaining a safe, secure and clutter free environment post procedure. Participates in Quality Monitoring house-wide and provides direct feedback to staff and managers-reports through PICC Quality Council with TriHealth policy and procedure for insertion as well as care and maintenance of lines. Insertions are both accurate and timely. All documentation is accurate and complete. Is knowledgeable of the patient's vasculature and effectively troubleshoots difficult insertions. Demonstrates skill in the re-positioning of catheters, and the evaluation of clotted lumens by utilizing all available resources. 
Performs technical skills according to policy and procedure and accepted standards within their area of practice. Safely administers medications/treatments and monitors their effects. Uses all equipment in a safe, appropriate manner. Demonstrates proficiency with PICC insertions, consistent with CDC, AVA, and INS standards of care. Exhibits clinical skills consistent with TriHealth Policy and Procedure for insertion as well as care and maintenance of lines. Insertions are both accurate and timely. All documentation is accurate and complete. Is knowledgeable of the patient's vasculature and effectively troubleshoots difficult insertions. Demonstrates skill in the re-positioning of catheters, and the evaluation of clotted lumens by utilizing all available resources. 
Demonstrates leadership ability by acting as a preceptor and/or a mentor for the less experienced team member. Consistently displays professionalism, is supportive and encouraging to newer team members. Has take the lead in the department identifying areas of needed improvement and encouraging teamwork in resolving these issues. Has participated in activities outside the PICC team(clinical educator, committee involvement) which enhances your ability to achieve successful relationships with staff house wide. Demonstrates appropriate time management skills as well as the ability to prioritize patient needs. Is proficient in critical thinking when problem solving. Collaborates with the patient, family, and the interdisciplinary team to individualize the plan of care. Is able to confidently adapt to a changing environment. 
Maintains and improves current knowledge in area of practice through activities such as continuing education, formal education, professional organization membership, and/or certification. Shares knowledge and skills with colleagues and others. Provides peers with constructive feedback regarding their practice. Has met all mandatory unit and Trihealth Core requirements, which includes TB testing, flu vaccine, heart-code and fit testing. Has completed CBE and participated in team activities (i.e. schedule-QA-Supplies-staff and patient education). Has participated in a Trihealth or unit committee, which includes SLC. Has explored opportunities for specialized skills (A-line insertion). Is active in a National Organization (AVA or INS0. Has achieved certification in area of practice. Has submitted a Bright Idea for the department.

Working Conditions:

Bending - 
Climbing - 
Concentrating - 
Continuous Learning - 
Hearing: Conversation - 
Hearing: Other Sounds - 
Interpersonal Communication - 
Kneeling - 
Lifting <10 Lbs. - 
Lifting 50+ Lbs. - 
Lifting <50 Lbs. - 
Pulling - 
Pushing - 
Reaching - 
Reading - 
Sitting - 
Standing - 
Stooping - 
Talking - 
Thinking/Reasoning - 
Use of Hands - 
Color Vision - 
Visual Acuity: Far - 
Visual Acuity: Near - 
Walking -

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS... 
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello" 
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist 
• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS... 
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met 
• Offer patients and guests priority when waiting (lines, elevators) 
• Work on improving quality, safety, and service

Respect: ALWAYS... 
• Respect cultural and spiritual differences and honor individual preferences. 
• Respect everyone's opinion and contribution, regardless of title/role. 
• Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS... 
• Value the time of others by striving to be on time, prepared and actively participating. 
• Pick up trash, ensuring the physical environment is clean and safe. 
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS... 
• Acknowledge wins and frequently thank team members and others for contributions. 
• Show courtesy and compassion with customers, team members and the community