Primary City/State:

Mesa, Arizona

Department Name:

Vascular Access Team-Hosp

Work Shift:

Day

Job Category:

Clinical Care

Banner Baywood Medical Center is a 332-bed hospital serving the health care needs of the dynamic and growing East Valley communities of metropolitan Phoenix, Arizona. We provide complete acute care services including cancer, stroke, women's health, rehabilitation, emergency medicine and surgery. In addition, our orthopedic unit has earned repeated recognition as having one of the Top 100 Orthopaedic Programs in the U.S. by The Health Network and HCIA, Inc.

POSITION SUMMARY
This position independently provides and maintains peripheral and central venous access. This position conducts patient assessments and provides recommendations regarding care, serves as a resource person and specialist and provides assistance with departmental activities, quality improvement and development of best practice guidelines.

CORE FUNCTIONS
1. Reviews labs, patient history and physician orders to determine appropriate line to be utilized for the procedure and/or identify potential issues that may arise or preclude the patient from being a viable candidate or require alternate form of vascular access. Collaborates with physicians to determine appropriate long-term access needs. Obtains patient's authorization to perform the procedure. Inserts peripheral venous and/or arterial catheters to provide access or more complex vascular access as indicated.

2. Inserts and maintains peripherally inserted central catheter (PICC) lines according to department policy and procedures to include dressing changes, line reviews and declotting. Utilizes ultrasound technology to ensure accurate insertion of the PICC line. Reviews chest x-rays to ensure accurate placement of the central venous catheter or device. Maintains sterile field throughout the insertion process to ensure quality outcomes. Maintains accurate, timely and appropriate documentation.

3. Inserts and maintains all central lines (simple and complex) in the neck and chest according to department policy and procedures to include dressing changes, line reviews, port access and declotting. Utilizes ultrasound technology, advanced knowledge of anatomy and specialized insertion techniques to ensure accurate and appropriate insertion of the central line. Reviews chest x-rays to ensure accurate placement of the central venous catheter or device. Maintains sterile field throughout the insertion process to ensure quality outcomes. Maintains accurate, timely and appropriate documentation.

4. Participates in ongoing monitoring of quality initiatives, department database, appropriateness and effectiveness of bundle compliance, acts as a change agent and participates in the development, interpretation, implementation and evaluation of quality goals/objective and quality management activities within the clinical service lines. May coordinate oversight of quality and safety standards, regulatory and accreditation requirements, as well as applicable professional standards.

5. Acts as a resource to therapists and other healthcare practitioners regarding patient status, equipment and operational issues. Participates in interdisciplinary rounding, making recommendations for changes in therapy dictated by the patient's condition.

6. Provides training, orientation and patient education to staff, patients and families, in accordance with policy and practice guidelines. Assists in the development of departmental policies and procedures based on best practice.

7. Assures the efficient operation of workflow of the department. Monitors and maintains an adequate inventory of supplies and material to ensure non-interruption of services. Provides maintenance of associated equipment as demonstrated through observation and documentation.

8. May, on occasion, provide respiratory therapy services as prescribed and in accordance with established department/hospital policies and procedures, including inserting and maintaining arterial lines, assisting in FDPAC and IAPB insertion and associated invasive cardiac outputs/profile and non-invasive cardiac outputs. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.

9. This position independently provides central and peripheral vascular access, and advanced clinical monitoring techniques to a diverse patient population. Serves as a resource person and may provide direction to staff. Internal customers: All levels of nursing management and staff, medical staff, and all other members of the interdisciplinary health care team. External Customers: Physicians and their office staff, payers, community agencies and regulatory agencies.

MINIMUM QUALIFICATIONS

Associate or technical degree. Successful completion of a training course in PICC and Banner Health Sims Lab training for CVC insertions.

Proof of good standing with the National Board for Respiratory Care (NBRC) as a Registered Respiratory Therapist (RRT). A current license in state practiced as required by state law. Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) required.

In-depth knowledge of clinical techniques, applications and equipment as typically obtained through 4 years of clinical experience as a RRT, including 1 year of independent PICC or CVC line insertions.

Must possess highly effective human relation skills necessary to interface with patients, families, staff and other healthcare personnel.

PREFERRED QUALIFICATIONS

CPUI and VA-BC certifications preferred.

Additional related education and/or experience preferred.