Vascular Access Registered Nurse (RN) Full Time Days

Stanford Health Care Tri-Valley•Pleasanton, CA

12h•$71 - $95

About The Position

The Vascular Access Registered Nurse (RN) provides consultation and treatment for placement of Peripherally Inserted Central Catheters (PICC), midline catheters, and ultrasound guided peripheral IVs, practicing in an evidence-based manner, within the Scope of Practice of the California Nursing Practice Act, regulatory requirements, standards of care, and hospital policies. The Vascular Access RN performs the appropriate steps in providing consultation and assessment of the patient in placement of specialized IV accesses to include: assessing the patient, interpreting applicable data, providing requested treatment, and collaborating with the patient, nursing staff, and provider. Additionally, the Vascular Access RN coordinates care with other providers and acts as a teacher to the patient and family to provide the knowledge and skills needed to manage their central lines and prevent associated complications. The vascular access RN is responsible for assessing and inserting the appropriate vascular access for patients who are unable to maintain a peripheral IV (PIV) or require long-term therapy not accomplished by a PIV. Essential Functions The essential functions listed below are general examples and not a description of comprehensive duties. Specific duties and responsibilities may vary depending on department or program needs without changing nature or scope of this position or level of responsibility. This role will not be given a routine patient assignment, rather this position is consultative in nature and provides a highly specialized service to all departments in the hospital. May be asked to perform other duties as assigned. In consultation with nursing staff and providers, the Vascular Access RN will Assess patients with difficult access or need for long term IV therapy for appropriate vascular access device. Works with staff nurses, physicians, case managers, and other team members to insure early assessment for VAD selection and implementation Participates in education with Vascular Access education with patient, family members, and staff Reviews physicians order Obtains consent Reviews medical records for any contraindication of peripheral vascular access Determine the best vascular access device for the patient based on medications, current access status, diagnoses, length of IV therapy, etc. Places Vascular access device, (PICC, Midline, or ultrasound guided peripheral IV) or recommends alternate means of access Reports directly to patient’s primary nurse and charge nurse or physician, if necessary Troubleshoots difficult complications of VAD’s or assists staff in troubleshooting Declots VAD’s or assists staff as a resource in declotting Is responsible for all central line dressing changes on a weekly cadence Documents completely and accurately in the patient’s permanent medical record Evaluates effectiveness of interventions and monitors patient for adverse responses and side effects. Assesses patient/family level of understanding and documents information on clinical records. Creates and maintains a climate conducive to healing through being present to patient & family, identifying and managing discomforts and providing emotional support and education. Teaches needed information for self-care and illness prevention to patient and family members. Recognizes and communicates to proper authority ethical and legal issues relative to patient care; completes incident report. Safety performs all provision of care for any age-related needs of the patients served on the unit, including growth and development principles Attends meetings and serves on departmental and/or hospital committees as assigned. Works to support the achievement of department strategic and organizational goals. Employee must perform all duties and responsibilities in accordance with the C-I-CARE Standards of the Hospital. C-I-CARE is the foundation of Stanford Healthcare – ValleyCare’s patient-experience and represents a framework for patient-centered interactions

Requirements

Graduate of an accredited School of Nursing, Bachelors of Nursing (BSN) preferred
Successfully completed theoretical course with Didactic and supervised practicum
Minimum of two years prior acute care Registered Nurse experience required
Minimum of one year of experience or more caring for patient with central venous access devices
Competency in the placement of vascular access devices
Current CA R.N. License
Advanced Cardiac Life Support (ALCS) within 6 months of hire
Basic Life Support (BLS)
Vascular Access Board Certification (VA-BC) within one year of hire
Strong communication skills - Ability to read, write and understand the English language.
Strong attention to detail
Ability to problem solve and adapt to a changing environment
Ability to use information and keep abreast of developments in technology to communicate, manage knowledge, mitigate error, and support decision-making in patient care
Ability to work as a valued team member, but also autonomously
Ability positively influences others to meet patient needs and achieve shared goals
Ability to effectively prioritize to provide quality and valued patient care
Knowledge of principles, practices and current trends in health care and hospital system organization and administration sufficient to provide clinical management, leadership, coordination, and operational direction for assigned areas of responsibility

Responsibilities

Assess patients with difficult access or need for long term IV therapy for appropriate vascular access device.
Works with staff nurses, physicians, case managers, and other team members to insure early assessment for VAD selection and implementation
Participates in education with Vascular Access education with patient, family members, and staff
Reviews physicians order
Obtains consent
Reviews medical records for any contraindication of peripheral vascular access
Determine the best vascular access device for the patient based on medications, current access status, diagnoses, length of IV therapy, etc.
Places Vascular access device, (PICC, Midline, or ultrasound guided peripheral IV) or recommends alternate means of access
Reports directly to patient’s primary nurse and charge nurse or physician, if necessary
Troubleshoots difficult complications of VAD’s or assists staff in troubleshooting
Declots VAD’s or assists staff as a resource in declotting
Is responsible for all central line dressing changes on a weekly cadence
Documents completely and accurately in the patient’s permanent medical record
Evaluates effectiveness of interventions and monitors patient for adverse responses and side effects.
Assesses patient/family level of understanding and documents information on clinical records.
Creates and maintains a climate conducive to healing through being present to patient & family, identifying and managing discomforts and providing emotional support and education.
Teaches needed information for self-care and illness prevention to patient and family members.
Recognizes and communicates to proper authority ethical and legal issues relative to patient care; completes incident report.
Safety performs all provision of care for any age-related needs of the patients served on the unit, including growth and development principles
Attends meetings and serves on departmental and/or hospital committees as assigned.
Works to support the achievement of department strategic and organizational goals.
Employee must perform all duties and responsibilities in accordance with the C-I-CARE Standards of the Hospital.