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.
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

• Current BCLS required

• Current ACLS 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

• Knowledge

• Application of knowledge

• Continued competence

• Professional behaviour and accountability/responsibility

• Ethics • 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:

• Physical assessments

• 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

• Transcription of orders

• 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)