Registered Nurse Special Procedures

• Assist the physician in practicing Invasive Coronary Angiography.
• Provide quality nursing care on a continuous basis.
• Demonstrate thorough knowledge of Cardiac Intensive Care Nursing.
• Documentation of hemodynamics before and after medications administered.
• Wear the radiation monitoring badge at the thyroid level at all times during procedures.
• Adhere to the Personal Protective Equipment/Standard Precautions policies by wearing a lead apron and thyroid collar when working in the procedure room.
• Administer medications at the correct rate and dosage under the direct supervision of the physician.
• Apply firm, steady pressure on access sites until the clotting process is complete, at least 15 minutes.
• Communicate with patients throughout the procedure in order to evaluate their status and to maintain a level of relaxation.
• Document each medication is given during the procedure.
• Ensure that report is given to Nursing Unit upon patient's return.
• Ensure that the Nursing Unit is given 20 minutes to get patients prepared for the procedure on a constant basis.
• Ensure that the patient is delivered to the department 20 minutes prior to each procedure.
• Ensure that the patient's comfort and dignity are respected.
• Ensure that the patient's safety is maintained at all times according to the hospital policy on Risk Management, Infection Control, and Safety Management.
• Flushes, balances, and calibrated transducers for each procedure by the scheduled "Doctor Ready" time.
• Give each patient complete post-procedure instructions and receives a return demonstration from the patient to acknowledge comprehension.
• Has the patient "Doctor Ready" at the scheduled time consistently.
• Inform the Registered Nurse and/or physician of any abnormal laboratory results immediately.
• Label intravenous lines properly with date, time, medication, and amount.
• Maintain a patent intravenous access line.
• Maintain strict sterile technique.
• Maintain the area fully stocked and in an orderly fashion.
• Notify the physician immediately of any difficulty while holding pressure.
• Prepare equipment and medications in advance of every procedure.
• Prepare the patient's skin properly in order to achieve clear, legible EKG monitoring.
• Properly labels indwelling lines and apply a sterile, secure dressing for each patient.
• Retrieve any piece of equipment immediately upon request of the physician and/or team.
• Transport patient back to Nursing Unit according to hospital policy.
• Verify that each patient's chart is complete with the following items immediately upon arriving at the department for a procedure.
• PT, PTT, CBC and SMA-7 within 14 days.
• EKG and Chest X-Ray within 3 months.
• Informed consent signed.
• Ensure that all charges for the case are submitted at the end of the procedure
• Ensure that film is transferred to PACS once the procedure is finished and that case is completed in PACS

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