The Interventional and Invasive Procedures nurse utilizes expert skills and knowledge in a relatively independent manner in areas of patient care, education, research and consultation. The Interventional and Invasive Procedures nurse collaborates with the interdisciplinary health team to ensure continuity of care and to maximize the patient's response to treatment. Vacancy Identification Number (VIN): 11110532 Please refer to "Required Documents" section to ensure eligibility. The registered nurse provides care and counseling of persons or in the promotion and maintenance of health and prevention of illness and injury based upon the nursing process which includes systematic data gathering, assessment, appropriate nursing judgment, and evaluation of human responses to actual or potential health problems through such services as case finding, health teaching, health counseling; provision of care supportive to or restorative of life and well-being; and executing medical regimens including administering medications and treatments prescribed by a licensed or otherwise legally authorized provider. The nurse's primary commitment is to the patient, whether an individual, family, group, or community. The position requires knowledge of the technical methods and procedures related to the cardiovascular diagnostic and research laboratory Duties include but not limited to: Set-up, calibrate, perform quality assurance, and operate complex technical equipment used during invasive interventional and invasive procedures. These are to include but not limited to defibrillators, monitors/recorders, and angiographic systems. Sets up computers in order to acquire, reconstruct and analyze data using various computer software and peripheral devices to quantify coronary and vascular lesions and to generate ventricular analysis reports, cardiac output, gradients, valve areas and other diagnostic parameters for patient reports. Operates complex highly technical x-ray, recording, monitoring, data querying, and therapeutic equipment for invasive and non-invasive procedural areas. - Records all procedural data accurately using the Philips radiographic and hemodynamic monitoring system, EP systems recording, PACS imaging, and additional equipment in non-invasive areas. - Maintains working knowledge of all supplies used in the special procedures area. - Acts in sedation nurse, circulator or recorder position to assist physicians with all phases of diagnostic and interventional procedures in invasive and non-invasive areas. - Recognizes potential life threatening situations and deals effectively with same. This would include recognizing any complications, potential or real, and relating this information to the physician before, during, or post procedure. - Selects the required instruments, supplies, catheters, guide wires, stents, and necessary equipment for the prescribed procedure. This includes preparing highly technical equipment such as arterial and vascular balloon catheters, directional atherectomy balloon catheters, valvuloplasty balloon catheters for use during the diagnostic and interventional procedures. Sets up and assists in ultra-sound guided procedures and pathology specimen handling. - Maintains radiation safety at all times for patient as well as for staff. Anticipates patient safety needs and meets them at all times. - Welcomes patients to the department by identifying themselves and others as well as answering patient questions and providing comfort measures to patients. - Participates in official Time Out on each procedure using Universal Protocol. - Obtains patient assessments and vital history. - Confirms patient's understanding of proposed procedure; reviews patient record for proper consent documentation and lab results; reports abnormal results; and collaborates with other team members to assure patient is properly prepared for the procedureProvides patient care in holding area, recovery, and patient transportation. - Actively participates in staff in-service training and maintains/updates own knowledge of all diagnostic and interventional equipment, educational process of cardiac residents, cardiac fellows, and other educational affiliations of the William (Bill) Heffner VA. - Actively participates in Quality Assurance / Improvement processes - The work involves some physical exertion, such as regular and recurring standing, walking, bending, and lifting. Circulator and sedation nurse duties require standing for long periods of time. The position incumbent must push patients in stretchers with equipment; move and reposition patients, and hold pressure to puncture site for long periods of time. The work involves regular and reoccurring moderate risks or discomforts which require special safety precautions. The Interventional and Invasive Procedures nurses work in heavy lead protective garments for much of the day to protect from ionizing radiation. They are exposed to blood and other potentially infectious body fluids requiring the use of personal protective equipment (PPE). The work environment also involves stress from frequently being involved in situations where the patients' lives are at risk. Work Schedule: Compressed/Flexible work schedules Functional Statement Title/#: RN; INTERVENTIONAL AND INVASIVE PROCEDURES Financial Disclosure Report OGE Form 278e Filing: This position is NOT required to file the Public Financial Disclosure Report.
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.