- Monitors and manipulates the physical environment to promote safety.
- Demonstrates knowledge and skills necessary to recognize and provide age specific care in the treatment, assessment, and education of adolescent, adult, and geriatric patients.
- Promotes interdisciplinary collaboration between and among nurses, physicians, and other members of the health team to meet the specific care needs of patients.
- Electrolyte Monitoring, Acid-Base Monitoring and Fluid Monitoring. Collects and analyses the patient data to regulate fluid and electrolyte balance. Intervenes appropriately to correct imbalances. ((KNOWLEDGE/SERVICE)
- Respiratory Monitoring and Airway Management: Collection and analysis of patient data to ensure airway patency and adequate gas exchange (SERVICE/EXCELLENCE/KNOWLEDGE)
- Interprets ABGs and intervenes based on results and physicians orders.
- Maintenance of ventilated patient during procedure (KNOWLEDGE).
- Assists with intubation.
- Understands pathophysiology related to a patient with imbalance between myocardial oxygen supply and demand resulting in impaired cardiac function (KNOWLEDGE/EXCELLENCE).
- Understands pathophysiology related to patients experiencing arrhythmias, both atrial and v ventricular (KNOWLEDGE).
- Cardiac Care: Assesses and intervenes based on patients signs and symptoms, correlated diagnostic test results.
- Administers medications safely and understands indications and expected outcomes.
- Understands indications for procedural interventions and how these alter patient pathophysiology, thus changing patient plan or care.
- Interprets diagnostic information obtained during procedures and communicates/assesses/intervenes appropriately, ie: Information from hemodynamic parameters, pressure wires, EKG interpretation.
- Administers vasoactive drugs, antiarrhythmic and other cardiac and emergency medications.
- Monitor patients with thrombolytic agents including intra-arterial and recognize possible complications.
- Manages coagulation of patient accurately, pre, intra and post procedure.
- Assist with the insertion of the IABP (EXCELLENCE).
- Monitors patient and maintain IABP and titrate drips as needed.
- Exhibits knowledge of indication, application and use of pacemakers, external, transcutaneous and permanent when applicable (KNOWLEDGE).
- Can set up equipment for procedures performed in Cath Lab quickly and accurately (KNOWLEDGE).
- Troubleshoots diagnostic equipment, ie hemodynamic monitoring equipment, EKG equipment, pacers, etc.
- Acts to re-establish and maintain hemodynamic stability in patients experiencing hypovolemic, septic or cardiogenic shock.
- Admits patients pre procedure and appropriately assesses and prepares them for procedure (SERVICE/KNOWLEDGE).
- Recovers patients post procedure according to policy and procedure.
- Removes arterial line post procedure per order. (* per standardized procedure. See competency) (Service/Knowledge/Excellence)
- Provides appropriate procedural explanation, pre, intra and post procedure.
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