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: Optional/PRN

Job Requirements:

New hires required to obtain BSN within 5 years of hire. 
BLS/CPR (Basic Life Support for Healthcare Providers)
Registered Nurse
Proficient in peripheral IV placement. Desired experience in placing ultrasound guided peripheral IV (USGPIV) and/or peripherally inserted central catheters (PICC). Preferred not required. 
Preferred membership in related professional organization
2-3 Years clinical nursing, Minimum 2 years experience required
Nursing Certification to be obtained in vascular access within one year of hire
 

Job Responsibilities:

Professionalist: 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. 

Leadership: 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. 

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, 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. 

Quality: 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. 

Customer Service: 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.

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.

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 and other health care professionals. Demonstrates knowledge and is supportive of organizational and unit changes. Supports organizational activities by participating in activities such as committees, staff meetings, and councils. Utilizes chain of command appropriately. Builds collegial relationships with physicians and other health team members. Demonstrates autonomy in identifying opportunities for process improvement. 

Other Related Information: 

The TriHealth Nursing Vision, Mission, and Philosophy speaks to professional development, collaboration, and our nursing culture. To achieve excellence in nursing care, TriHealth encourages: pursuit of improved knowledge through continuing education classes, formal education leading to advanced degrees, and the attainment of specialty certification; nurse membership in local, regional, and national nursing organizations related to the appropriate nurse specialty; involvement in activities that better the health of our community; nursing research activities and use of evidence-based practice, and all nurses to foster, support, and personally model collaborative relationships amongst nurses, physicians, and other caregivers for the betterment of patient care.

Working Conditions 

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

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