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Day - 10 Hour (United States of America)

Job Summary

The Vascular Access Registered Nurse (RN) provides consultation and treatment for placement of Peripherally Inserted Central Catheters (PICC), midline catheters, and ultrasound guided peripheral IVs, practicing in an evidence-based manner, within the Scope of Practice of the California Nursing Practice Act, regulatory requirements, standards of care, and hospital policies. The Vascular Access RN performs the appropriate steps in providing consultation and assessment of the patient in placement of specialized IV accesses to include: assessing the patient, interpreting applicable data, providing requested treatment, and collaborating with the patient, nursing staff, and provider. Additionally, the Vascular Access RN coordinates care with other providers and acts as a teacher to the patient and family to provide the knowledge and skills needed to manage their central lines and prevent associated complications.

The vascular access RN is responsible for assessing and inserting the appropriate vascular access for patients who are unable to maintain a peripheral IV (PIV) or require long-term therapy not accomplished by a PIV.

Essential Functions

The essential functions listed below are general examples and not a description of comprehensive duties. Specific duties and responsibilities may vary depending on department or program needs without changing nature or scope of this position or level of responsibility. This role will not be given a routine patient assignment, rather this position is consultative in nature and provides a highly specialized service to all departments in the hospital. May be asked to perform other duties as assigned. In consultation with nursing staff and providers, the Vascular Access RN will

• Assess patients with difficult access or need for long term IV therapy for appropriate vascular access device.
• Works with staff nurses, physicians, case managers, and other team members to insure early assessment for VAD selection and implementation
• Participates in education with Vascular Access education with patient, family members, and staff
• Reviews physicians order
• Obtains consent
• Reviews medical records for any contraindication of peripheral vascular access
• Determine the best vascular access device for the patient based on medications, current access status, diagnoses, length of IV therapy, etc.
• Places Vascular access device, (PICC, Midline, or ultrasound guided peripheral IV) or recommends alternate means of access
• Reports directly to patient’s primary nurse and charge nurse or physician, if necessary
• Troubleshoots difficult complications of VAD’s or assists staff in troubleshooting
• Declots VAD’s or assists staff as a resource in declotting
• Is responsible for all central line dressing changes on a weekly cadence
• Documents completely and accurately in the patient’s permanent medical record
• Evaluates effectiveness of interventions and monitors patient for adverse responses and side effects.
• Assesses patient/family level of understanding and documents information on clinical records.
• Creates and maintains a climate conducive to healing through being present to patient & family, identifying and managing discomforts and providing emotional support and education.
• Teaches needed information for self-care and illness prevention to patient and family members.
• Recognizes and communicates to proper authority ethical and legal issues relative to patient care; completes incident report.
• Safety performs all provision of care for any age-related needs of the patients served on the unit, including growth and development principles
• Attends meetings and serves on departmental and/or hospital committees as assigned.
• Works to support the achievement of department strategic and organizational goals.
• Employee must perform all duties and responsibilities in accordance with the C-I-CARE Standards of the Hospital. C-I-CARE is the foundation of Stanford Healthcare – ValleyCare’s patient-experience and represents a framework for patient-centered interactions.

Job Qualifications

Education

• Graduate of an accredited School of Nursing, Bachelors of Nursing (BSN) preferred
• Successfully completed theoretical course with Didactic and supervised practicum

Experience

• Minimum of two years prior acute care Registered Nurse experience required
• Minimum of one year of experience or more caring for patient with central venous access devices
• Competency in the placement of vascular access devices

Licenses and Certifications

• Current CA R.N. License
• Advanced Cardiac Life Support (ALCS) within 6 months of hire
• Basic Life Support (BLS)
• Vascular Access Board Certification (VA-BC) within one year of hire

Knowledge, Skills, and Abilities

• Strong communication skills - Ability to read, write and understand the English language.
• Strong attention to detail
• Ability to problem solve and adapt to a changing environment
• Ability to use information and keep abreast of developments in technology to communicate, manage knowledge, mitigate error, and support decision-making in patient care
• Ability to work as a valued team member, but also autonomously
• Ability positively influences others to meet patient needs and achieve shared goals
• Ability to effectively prioritize to provide quality and valued patient care
• Knowledge of principles, practices and current trends in health care and hospital system organization and administration sufficient to provide clinical management, leadership, coordination, and operational direction for assigned areas of responsibility

Physical Demand and Working Conditions

The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job.

Equal Opportunity Employer

Equal Opportunity Employer Stanford Health Care - ValleyCare (SHC - VC) strongly values diversity and is committed to equal opportunity and non-discrimination in all its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $71.47 - $95.30 per hour. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.