Chenega Corporation Critical Care Nurse-Rad/Va-CHS in Fort Lewis, Washington

CHENEGA HEALTHCARE SERVICES

Company Job Title:

Critical Care Nurse – Radiology / Vascular

Clearance:

NACI

Location:

Fort Lewis, WA

Reports To:

Program Manager

FLSA Status:

SCA, Non-Exempt, Full Time, Hourly

Prepared Date:

06-26-2017

Approved Date:

06-26-2017

Executive Order 13495, The Non Displacement of Qualified Workers Under Service Contracts provide first right of refusal to incumbents on contracts. If the position is accepted by the incumbent on the job, other application/resume of non-incumbents will not be reviewed.

Summary: TheCritical Care Nurse shall provide nursing care services in the Department of Radiology, Vascular Interventional Radiology at Madigan Army Medical Center (Ft Lewis),

Essential Duties and Responsibilities:(Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position)

· Provides professional nursing care in the Interventional Radiology and Diagnostic Imaging Service (IT/MRI/CT) to acute, chronic and critically ill patients with cardiac, vascular, pulmonary, genitourinary, gastrointestinal and neurological diseases, undergoing specialized diagnostic, laboratory and surgical procedures. Patients are characterized by life threatening health problems and require continuous observation and intervention by the radiology nurse to prevent complications and restore health is the standard.

· Provides critical nursing care to patients requiring high-risk diagnostic and interventional procedures for acute, chronic and critically ill patients to include but are not limited to diagnostic angiographic procedure (pulmonary arteriography, thoracic and abdominal aortography, mesenteric angiography, renal angiography, selective small vessel angiography, upper and lower extremity venography, venography of inferior vena cava, upper and lower extremity arteriography, carotid/vertebral arteriography and cerebral angiography), Vascular Interventional procedures (intra-arterial thrombolysis, extremity and renal balloon angioplasty, embolotherapy of gastrointestinal hemorrhages, tumors involving other organs, intracranial and peripheral vascular malformations, percutaneous placement of inferior vena cava filters, foreign body retrievals, intra-arterial vascular stent placement and atherectomy, shut or TIPS placement, hepatic chemo-embolization and placement of indwelling venous access devices), nonvascular procedures (percutaneous nephrostomies, biliary drainage and stenting procedures, percutaneous biopsy, percutaneous drainage of abdominal abscesses and fluid collections, transhepatic cholangiograms, lymph-angiograms, percutaneous renal stone extractions, myelograms and lumbar punctures) and cardiac procedure(computerized axial tomography of the heart which includes administering cardiovascular drugs and providing moderate sedation.

· Initiates life-saving measures which include but are not limited to ACLS. These measures include calculating dosage and mixing vasoactive drugs prior to the arrival of the physician, administering these drugs upon the physician’s directive, preparing the patient for endotracheal intubation, administering oxygen therapy, defibrillating the patient, regulating and monitoring the infusion of intravenous fluids, blood volume expanders and blood infusions to maintain blood pressure and prepare the patient as needed for surgical intervention. In absence of the physician, selects and directs technicians and/or nurses in the administering of emergency procedures and/or medications taking independent action, as appropriate in the event of life threatening emergencies.

· Establishes invasive intravenous lines and safely administers moderate sedation. Continuously observes, monitors, and assess patient’s condition in accordance with MAMC Conscious Sedation Policy. Interprets signs and symptoms of deterioration and takes corrective action. Consults with physicians regarding medical and nursing management. Starts intravenous lines if line is lost or none is available. Maintains and enforces infection control policies and procedures IAW section and department standard operating procedures (SOPs).

· Assists the physician with complex life-threatening procedures such as insertion of arterial and central venous catheters, chest tubes and endotracheal tubes. Monitors vital signs utilizing cardiac monitoring equipment. Prioritizes patient care needs and assists in transport of critically ill patients. Recognizes electrocardiogram changes. Care for critically ill patients with tracheotomies and/or chest tubes. Uses special equipment such as cardiac monitors, continuous suction devices, oxygen saturation monitors, IV pump and respirators. Documents care according to appropriate regulations and standards. Assists in the treatment of life-threatening arrhythmias.

· Perform venipuncture for collection of blood samples and type and cross match for blood transfusion. Monitors patient’s fluid intake and output, and performs urinary catheterizations as the need arises.

· Monitors vital signs, peripheral vascular perfusion, and levels of consciousness. Performs continuous respiratory ventilation assessments. Prepares, mixes and administers a wide range of medication especially intravenous medications for sedation and pain control as ordered by a radiologist. Also, monitors patients while on dobutamine, dopamine, norepinephrine, epinephrine, nipride, aminophylline, nitroglycerine, pronestyl, and lidocaine. Is knowledgeable of correct dosage and potential side effects of these drugs. Administers contrast media or dye into the mesenteric, thoracic, peripheral or abdominal vessels as directed by protocol or by radiologist. Assesses and diagnoses contrast media reactions (respiratory compromise, cardiovascular collapse, contrast induced nephropathy) and assists with treatment.

· Operates and monitors sophisticated technical equipment and provide patient physiological needs, during a pre-procedural visits, by evaluating patients’ record and conducting patient/family interviews. With this information the incumbent alerts the physician of potential problems which may affect the procedure. Develops a plan of care tailored to the patient’s identified needs. Provides patient and family education concerning pre-procedure requirements, intra-procedure plans and post-procedure care. Educated the patients and their families by discussing and explaining the procedures with them. Reassures patient, providing emotional support and encouragement. Continually re-evaluates response to illness and makes adjustments to the care plan as dictated by changes in patient needs.

· Chronologically records steps during the process of the procedure, including changes in the patient’s metabolic state and electrocardiographic state. This record is utilized by the radiologist for his/her dictation of the case. After receiving instructions from the radiologist, the nurse provides post-operative instructions on patient’s medication care.

· Attends in-service training to keep abreast of new procedures, technology, techniques, etc. Participates in vascular and interventional research projects by performing nursing aspects of the protocol such as administering drugs and documenting the results. Assists in data collection process. Follows patients clinical course after the procedure and monitors patient for complication from the procedure, keeping radiologist informed of patient’s condition.

· Ensures adequate patient flow and prompt attention to patient’s individual conditions. Directs ancillary staff in various assignments such as making patient test data available to the attending physician, coordinating patient care with other departments, preparing necessary forms and ordering special medical supplies. Serves as consultant to the nursing staff on matters concerning radiology patients, and provides liaison between the patient wards, ICUs, Emergency Departments and the radiology staff for patient care issues.

Non-Essential Duties:

· Other duties as assigned.

Supervisory Responsibilities:

· NONE

Minimum Qualifications:(To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.)

· Be a graduate of an accredited RN Program or graduate from a college or university accredited by National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE).

· Must have a current, full, active, and unrestricted license to practice as a Registered Nurse and maintain all license and certification requirements and meet all continuing education requirements of the U.S. jurisdiction in which they are licensed to practice.

· Must have a current IV sedation certification.

· RN will have a minimum of two-year post-licensure experience in a critical care setting (Intensive Care Unit or Emergency Department) and have provided moderate sedation within the last 2 years to allow for demonstration of satisfactory performance of the duties required as stated elsewhere in the PWS.

· Must possess and maintain current course completion documentation for basic cardiac life support (BLS) and Advanced Cardiac Life Support (ACLS) through an American Heart Association approved training program.

Knowledge, Skills and Abilities:

· Shall be able to read, write, and speak English well enough to effectively communicate with all parties and other health care providers. In addition, if the position requires the use of computers, the contract HCPs shall be computer literate.

· Shall have the required education, training, experience and documented current competence in the required specialty position description.

· Shall possess sufficient initiative, interpersonal relationship skills and social sensitivity such that he/she can relate constructively to a variety of patients from diverse backgrounds.

Diversity:

· Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.

Ethics:

· Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.

Physical Demands:

· The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is frequently required to walk; use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to stand; climb or balance and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision.

Work Environment:

· The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

· The employee will normally work in a temperature-controlled office environment, with frequent exposure to electronic office equipment.

· During visits to areas of operations, may be exposed to extreme cold or hot weather conditions. Is occasionally exposed to fumes or airborne particles, toxic or caustic chemicals, and loud noise.

Chenega Corporation and family of companies is an EOE.

Equal Opportunity Employer Minorities/Women/Veterans/Disabled/Sexual Orientation/Gender Identity

Native preference under PL 93-638.

We participate in the E-Verify Employment Verification Program.

Minimum Qualifications:(To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.)

·Be a graduate of an accredited RN Program or graduate from a college or university accredited by National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE).

·Must have a current, full, active, and unrestricted license to practice as a Registered Nurse and maintain all license and certification requirements and meet all continuing education requirements of the U.S. jurisdiction in which they are licensed to practice.

·Must have a current IV sedation certification.

·RN will have a minimum of two-year post-licensure experience in a critical care setting (Intensive Care Unit or Emergency Department) and have provided moderate sedation within the last 2 years to allow for demonstration of satisfactory performance of the duties required as stated elsewhere in the PWS.

·Must possess and maintain current course completion documentation for basic cardiac life support (BLS) and Advanced Cardiac Life Support (ACLS) through an American Heart Association approved training program.

Job: Medical Services

Organization: Chenega Healthcare Services

Title: Critical Care Nurse-Rad/Va-CHS

Location: Washington-Fort Lewis

Requisition ID: 1700002011