REGISTERED NURSE – Operating Room/Cardiovascular Lab - BTL Technologies Inc.

OUR CLIENT

The VA Long Beach Healthcare system provides health care services at 8 locations in Los Angeles and Orange counties. Facilities include our Tibor Rubin VA Medical Center in Long Beach and 7 community-based outpatient clinics in Anaheim, Gardena, Laguna Hills, Long Beach, Santa Fe Springs, and Santa Ana.

The VA Long Beach Healthcare System is one of the leading health care systems serving Veterans in the VA Desert Pacific Network. They are an innovative care center within the Veterans Integrated Service Network 22 (VISN 22). VISN 22 includes medical centers and clinics in Arizona, California, Colorado, and New Mexico

POSITION DESCRIPTION:

In support of the Veteran Affairs Long Beach Health Care System, the Registered Nures will perform a variety of nursing duties at the various VA facilities in the greater Long Beach area.  Duties of the position include but are not limited to:

• Provides direct and indirect nursing care by contributing to the patient’s assessment, determining priorities, identifying nursing measures and therapeutic objectives and evaluating outcomes.
• Performs scrub and circulating duties n the Cardiovascular Lab and Operating Room
• Circulates, assists, and operates equipment for all the various Cardiac Cath, Electrophysiology Lab and Noninvasive Cardiology Lab procedures. These procedures include, but are not limited to, diagnostic and interventional procedures performed within the Cardiology Labs.
• Monitors patients during Cardiac Cath, Electrophysiology and Noninvasive procedures, including continuous ECG and hemodynamic monitoring, identification of cardiac arrhythmias, response to medications and titration of vasoactive IV medications in appropriate labs.
• Interviews patient/family appropriately reporting concerns and needs and/or systems issues during preoperative assessment
• Collaborates with physicians and ancillary services to determine desired postoperative outcomes; issues, and institutes a plan of care to achieve outcomes
• Obtain patient history and pertinent family history
• Assess patient and plan appropriate nursing care.
• Document plan of care and care given in patient’s medical record.
• Verify transcription of physician’s orders, no verbal orders are to be accepted.
• Carry out prescribed physician’s orders and document inpatient medical record.
• Communicate pertinent patient data to charge nurse and/or physician as appropriate.
• Re-assess patient’s condition and revise plans of care based on identified nursing problem.
• Administer medication and Intravenous (IV) therapies.
• Possess knowledge of actions and usual dosages of most commonly used emergency drugs and their location on crash cart.
• Assess and document patient response to medication that has been administered.
• Be able to interpret cardiac rhythms and their implications
• Reorganize and initiate appropriate measures in emergencies/therapies and surgical/diagnostic procedures that shall be accomplished.
• Instruct patient/family regarding prescribed medications/therapies and surgical procedures that shall be accomplished.
• Assess patient/family knowledge level, implement plan of instructions and record patient/family demonstrated level of understanding.
• Operate defibrillator, EKG, machines and cardiac monitor and other emergency technical equipment.
• Care for patients with Swan-Gans catheters, central venous catheters, arterial lines and mechanical ventilators.
• Participate in discharge planning as appropriate.
• Be able to initiate life saving measures in the absence of physicians.
• Assure content and correctness of a prepared report and sign the document to validate the content.
• Maintain neat, personal appearance and maintain professional decorum.
• Consistently demonstrate helpful, courteous, and respectful conduct at all times.
• Respect patient’s privacy including but not limited to visual and auditory privacy.
• May accept a verbal order in compliance with the liability policy.
• Intake and output are assessed every shift, and more frequently if indicated by specific standard nursing drug care.
• Review all laboratory data and electronic medical records.
• Responsible for feeding tubes which are aspirated for gastric residual prior to every intermittent feed and every four (4) hours for continuous tube feedings.
• Perform urinary catheter care bu using soap and water cleaning techniques every twelve hours or as required.
• Perform central line and ventilator care in compliance with HCS policy.
• Perform skin assessment and initiate measures to prevent Hospital Acquired Pressure Ulcer (HAPU).
• Ensure that medication orders from the previous shift have been noted and either carried our or transcribed onto the medical records appropriately.

MINIMUM REQUIREMENTS:

• Graduate of approved nursing program through an accredited nursing school approved by the State at the time the program was completed
• Must possess current nursing license in at least one (1) state, territory, or commonwealth in the U.S. or the District of Columbia
• Minimum 1 year direct patient care experience within the last three years
• Ability to be favorably credentialed
• Current BLS issued through the American Heart Association
• Must be willing to work 8- or 12-hour shift
• Must be willing to work any day or shift Monday-Sunday
• Must be willing to work various shifts as required
• Must be proficient in spoken and written English.
• Proficiency with computer and common office equipment, as well as with MS Office products required.
• Must be able to multi-task, be detail oriented, organized, and demonstrate excellent oral and written communication skills.
• Must be able to perform duties in a stressful and high paced environment without physical limitations.
• Must be able to exercise independent judgement, flexibility, organizational skills, and the ability to utilize an interdisciplinary approach in the provision of nursing care
• Ability to adapt to sudden changes and flexibility in work requirements to include potential shift changes based on operational needs and/or command priorities
• Must be able to lift up to 40 lbs. and carry up to 10ft
• Must be authorized to work in the US without sponsorship