Registered Nurse, RN – PICC

Overview: Inserts and monitors peripherally placed central venous (PICC), mid-line, peripheral intravenous (IV) catheters. Acts as a resource and consultant for staff with regard to IV therapy assessment, products and procedures. Responsibilities: * Maintains competencies in the field

• Obtain ongoing education related to management of vascular access devices.
• Inserts PICC line and mid-line catheters, determines placement via Xray follow-up and documents procedure.
• Assist staff by monitoring PICC and mid-lines, declotting, performing dressing changes when needed, and discontinuing catheters.
• Assist with difficult peripheral IV insertions.
• Plans evaluated, and implements interventions for solving IV related patient care problems.
• Provides IV instruction and/or information to nursing staff, students, physicians, patients and their families.
• Participates in research and quality improvement studies related to IV therapy.
• Maintains an on-going logbook of PICC insertion data.
• Keeps current on advances in IV therapy.
• Performs initial and annual RN competency. Recommended training ACLS.
• Attends an educational course including theoretical components and hands on practicum with clinical supervision conducted by a competent nurse expert in the field of vascular access device insertion. This course includes: anatomy, physiology, care and maintenance, pharmacology, patient education, patient selection, emergency and non-emergency complication management, sterile technique, insertion with ultrasound, quality assurance management, and data collection.
• Initial clinical competency is assessed by a competent, qualified, and knowledgeable RN observing 5 successful insertions.
• Annual clinical competency is assessment by a competent, qualified, and knowledgeable RN by observing 1 successful insertion. In addition the RN must:
• Must maintain competency by inserting several PICCs each month.
• Participate and review performance improvement data, review of manufacturer information, and evidence based practice.

DCH Standards:

• Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
• Performs compliance requirements as outlined in the Employee Handbook
• Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
• Requires use of electronic mail, time and attendance software, learning management software and intranet.
• Must adhere to all DCH Health System policies and procedures.
• All other duties as assigned.

Qualifications:Current Alabama RN licensure. Two years or clinical experience. Must have demonstrated competency and proficiency in intravenous therapy. Professional Infusion Nursing certification preferred.Demonstrated positive relationship with co-workers and effective communication skills.Must be able to read, write legibly, speak, and comprehend English.WORK CONTEXT

• Demonstrate leadership skills
• Requires decision making that will affect others
• Responsible to achieve outcomes
• Must be able to communicate clearly and accurately
• Ability to delegate to team members and students
• Must be able to receive delegation
• Address conflict and stressful situation
• Communicate with different personalities and engage in face to face discussion
• Dealing with unpleasant or verbally/physically aggressive personalities
• Must be able to use electronic mail, telephone and texting
• Must be able to work in groups
• Must be able to perform structured and unstructured work
• Must be meet time pressure and time lines
• Includes possible exposure to human body fluids, disease, infection, lab chemicals and hazardous materials and/or cleaning solutions
• Requires wearing of common protective and safety equipment such as gloves, safety glasses, mask, gowns, etc.

PHYSICAL FACTORS

• Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

• Must be able to tolerate prolonged periods of standing and walking

• Must be able to reach reasonable distances in any direction

• Must be able to stand, walk, kneel, bend, sit and stoop

• Must be able to run in an emergency

• Must have the ability to exert maximum muscle force to lift, push, pull and carry objects

• Must be able to move fingers in a coordinated manner and must be ablet o feel and perceive temperature, texture, shape and size with fingertips

• Must be able to perform the duties with or without reasonable accommodation

• Must possess stamina to work prolonged shifts

• Hearing and vision must be normal or corrected to within normal range.

• Physical presence onsite is essential.

PSYCHOLOGICAL:

• Includes demonstrating leadership skills, delegating to team members, addressing conflict, communicating with all types of personalities, and being responsible for outcomes/results.

DCH Health System