RN - Vascular Interventional - Full Time - York

York, PA | Nursing | Tracking Code: 64690

General Summary:

If you are a Registered Nurse that cares about improving patient’s lives, the Advanced Procedural Suite is the place for you!  APS is a growing department caring for both outpatient and inpatient patients with vascular diseases, at York Hospital.  Care is provided under the general supervision of the Vascular and Neurovascular surgeons and Critical Care pulmonary physicians who perform a variety of invasive interventional procedures that treat patients with vascular peripheral artery disease, neuro endovascular disease and pulmonary disease.

The APS nurse performs a variety of specialized nursing skills utilizing the latest technology for interventional procedures.  Various duties, as they relate to the vascular peripheral artery disease, neuro endovascular and pulmonary interventional procedures include scrubbing, circulating, documenting and monitoring hemodynamic status, utilizing clinical knowledge, technical skills, and professional judgment in accordance with professional and departmental standards and protocols. The APS registered nurse also provides nursing assessment care prior, during and post-procedural including post procedure instructions to these patients.   

Under general supervision of the Vascular surgeons the APS nurse assists in various invasive peripheral procedures that include upper and lower extremity interventional vascular procedures.  Additionally, highly complex hybrid abdominal endovascular and thoracic aortic repair’s (EVAR and TEVAR) are performed for aneurysms.

Under general supervision of the Neuro Vascular surgeon the APS nurse assists in cerebral/carotid procedures using the latest technology for diagnosis of strokes and related conditions, including diagnostic cerebral angiography. York hospital has achieved Comprehensive Stroke Accreditation for their stroke program.  This is only achieved by 1% of hospitals nationwide.  This program is the most demanding stroke certification and is designed for those hospitals that have specific abilities to receive and treat the most complex stroke cases. These procedures include caring for patients who have suffered a stroke or have conditions that could lead to a stroke in the future. The Neuro endovascular program also offers advanced care in the form of aneurysmal repair for ruptured cerebral aneurysm, as well as elective endovascular aneurysm repair in the neuro endovascular suite.

Under general supervision of the Critical Care Pulmonologist the APS nurse assists in performing various bronchoscopy procedures.  Recently the York Hospital Pulmonologists have begun to perform cutting edge procedures such as EBUS (endobronchial ultrasound), navigational bronchoscopy with Veran Navigation  system (which allows for more accurate and faster diagnosis by using a 3D roadmap) and  bronchial thermoplasty for the treatment of asthma.  A bronchoscopy can be critical in diagnosing respiratory issues and staging for cancer diagnoses.

Hours of operation of the APS Suite is Monday to Friday 6:00am to 5:00pm with on call week evenings, weekends and holidays for emergent vascular and/or emergent strokes.

Duties and Responsibilities:

The following are essential job accountabilities:

  1. Assists Physicians in performance of diagnostic and interventional invasive procedures. Maintains operational knowledge of APS equipment according to manufacturer's specifications.
  2. Assist and performs diagnostic and interventional invasive procedures in the Vascular, Neuro and pulmonary suite. Provides care for patients prior, during and after procedures. Assists physicians as requested. Responds to patient distress situations and assists with equipment quality control and inventory management. Helps prepare sterile trays, instruments, supplies and equipment necessary for procedures, and maintains sterile field.  Provides all appropriate services to safely and efficiently complete patient’s procedures. Maintains knowledge of vascular, neuro and pulmonary concepts and clinical practices.
  3. Must possess the knowledge & skill level of basic and complex invasive procedures which may include: Interventions that include angioplasty, stents, atherectomy and thrombectomy related to peripheral interventions.  Responsible for patient safety in the APS and must be able to recognize cardiac arrhythmias and respond according to emergency protocols and intervenes with appropriate therapy in the event of any emergent interventions. .
  4. Monitors patients' hemodynamics and records and administers moderate sedation during procedures if general anesthesia is not required.
  5. Assumes “off premise” call responsibilities as required to assure complete call coverage. Performs other related duties as identified.
  6. Performs various tests of multiple blood samples obtained through catheterization or other means, from specific areas within the patient's heart or lung to determine the concentration of gases in order to aid in the physician's diagnosis and treatment.
  7. Acts as patient educator.  Explains procedure and answers questions prior to the procedure.
  8. Immobilizes patients as necessary and practices radiation safety procedures.
  9. Selects and operates equipment as needed to perform required exams.
  10. Prepares written documentation as required by the profession and the department, such as evaluation results, individualized treatment plans, progress reports, and other such reports.
  11. The following are common expectations:
  12. Demonstrates knowledge of the principles of growth and development over the life span of the assigned patient population.  Assesses and interprets patient age specific data and provides appropriate, age specific treatment.  Provides direct patient care to assigned patient age group(s).
  13. Demonstrates a commitment to patient, visitor and staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.
  14. Prepares and maintains written documentation as required by the profession and the department. Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
  15. Enhances professional growth and development through participation in educational programs, current literature, inservice meetings, and workshops.
  16. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
  17. Performs other related duties as identified.

Mandatory Requirements:
 Required skills and abilities:
 Fluent in medical terminology
 Demonstrates the principals of surgical asepsis
 Attention to details
 Understands cardiovascular pathophysiology
 Read a 12 lead EKG
 Identifies lethal arrhythmias

Qualifications:

Note: Other combinations of formal education, training and experience may be considered.

Preferred: Experience in Vascular, Neuro, OR, IR, Cath Lab, ED, or ICU.

Minimum Education: Associate's Degree

 Minimum Experience:           2 - 3 years 

Min Field Of Expertise:   EKG and physiologic monitoring; Knowledge of neuro and peripheral vascular procedures and related equipment.

Req Cert/Registration:  Registration and current RN license in PA; Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certification required.

Physical Demands:  Frequent prolonged standing/walking

     Lifts, positions, pushes and/or transfers patients

     Ability to wear lead protective gear for long periods.

Working Conditions:  Exposed to infection from disease-bearing specimens

Regularly exposed to the risk of bloodborne diseases

Exposed to hazardous anesthetic agents, body fluids and wastes

Maybe exposed to/occasionally exposed to patient elements

Frequently exposed to radiation hazards(Xray)

Occasionally subjected to irregular hours

Other Skills: Ability to function as a team member; excellent interpersonal skills

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Why WellSpan Health?

WellSpan Health is an integrated health system that serves the communities of central Pennsylvania and northern Maryland. The organization comprises a multispecialty medical group of more than 1,600 physicians and advanced practice providers, a regional behavioral health organization, a home care organization, eight respected hospitals, more than 20,000 employees and 200 patient care locations. WellSpan is a charitable, mission-driven organization committed to exceptional care for all, lifelong wellness and healthy communities. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

Employment Benefits

  • Sign-on incentives for new employees (click here for details)
  • Medical, dental and vision insurance
  • Life and accidental death insurance
  • Supplemental life insurance
  • Retirement savings plan
  • Paid time off (PTO)
  • PTO bridging
  • Short-term disability
  • Educational assistance
  • Forgivable loan
  • Flexible spending
  • Credit union
  • Employee recreational activities
  • Childcare
  • Complimentary medicine discounts

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Wellspan Health believes that diversity includes all the human characteristics that make each of us similar as well as different. We strive to make every person feel welcomed, respected, and valued while creating a safe and inclusive environment where we all have the individual freedom to express our uniqueness in a respectful manner.

WellSpan Health is an equal opportunity employer. Employment selection and related decisions are made without regard to sex, race, age, disability, religion, national origin, color or any other protected class. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.

Quality of Life

Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.

Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more — within an easy drive of major East Coast cities.

York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)