Wentworth-Douglass Hospital, a subsidiary of Massachusetts General Hospital, is renowned as one of the largest acute care hospitals in the Seacoast region of New Hampshire and Southern Maine. At Wentworth-Douglass, we value people who contribute to patient-centered care that enhances community health; we recognize and reward those who share our values and transform our patients' lives. We invite you to explore opportunities, cultivate community wellness and professional growth.
1. Provides individualized age specific care that supports physical functioning.
a. Laboratory data- ensures that all pertinent information is relayed to nursing/physician before, during and after procedure.
b. Pain Management - Alleviates and reduces pain to a level of comfort acceptable to the patient
2. Provides individualized, age-specific care that supports homeostatic regulation
. Intravenous Therapy- assists in the sorting and preparation of IV administration.
a. Prepares patient - procedural preparation, completes pre-procedure chart and gathers all necessary equipment for specific procedure being done.
b. Assists procedural physician / monitors patient vital signs and ensures procedural efficiency.
c. Oxygen Therapy - Administers oxygen and monitors its effectiveness
d. Respiratory Monitoring- utilizes ACLS guidelines for insuring patent airway and emergency airway support.
e. Skin Surveillance- prepares patient for procedure, including shave and sterile skin preparation.
f. Surgical Preparation - Provides care to a patient immediately prior to surgery and verifies required procedures.
g. Sheath Access Device Maintenance-maintains arterial and venous sheath devices/or manual assistance, and is knowledgeable of complications
h. Wound Care - Prevents wound complications and promotion of wound healing
3. Provides age-specific, individualized care that supports psychosocial functioning and facilitates lifestyle changes
. Active Listening - Attends closely to and attaches significance to a patient's verbal and nonverbal message.
a. Emotional Support - Provides reassurance, acceptance and encouragement during times of stress
b. Teaching Disease Process - Assists patients to understand information related to a specific disease process
4. Provides age-specific, individualized care that supports protection from harm
. Code Management: Coordinates emergency measures to sustain life
a. Fall Prevention - Institutes special precautions with patient at risk for injury from falling
b. Infection Control - Minimizes the acquisition and transmission of infectious agents
c. Physical Restraint - Applies, monitors, and removes mechanical or manual restraining devices which are used to limit the physical mobility of the patient
d. Surveillance: Safety - Collects and analyzes information about the patient and the environment for use in promoting and maintaining patient safety
e. Vital Signs Monitoring - Collects and analyzes cardiovascular, respiratory and body temperature data to determine and prevent complications
5. Provides age-specific, individualized care that supports the family unit
. Family Involvement - Facilitates family participation in the emotional and physical care of the patient
6. Provides care that supports effective use of the health care delivery system.
. Delegation - Transfer the responsibility for the performance of patient care while retaining accountability for the outcome
a. Discharge Planning - Prepares for moving a patient from one level of care to another within or outside of the health care institution
b. Documentation - collects and files pertinent patient data in a clinical record/procedure computer (WITT)
c. Patient Rights Protection - Protects the health care rights of a patient, especially a minor, incapacitated, or incompetent patient unable to make decisions
d. Technology Management - Uses technical equipment and devices to monitor patient condition or sustain life
7. Acquires and maintains current knowledge and competency in cardiovascular professional practice
. Participates in ongoing educational activities related to practice area and professional issues.
a. Acquires knowledge and skills appropriate to the specialty area and practice setting
b. Maintains a personal portfolio that documents ongoing professional cardiovascular competence
c. Seeks certification when eligible
d. Seeks constructive feedback regarding his or her own practice
8. CARDIOLOGY SERVICES REQUIREMENTS
. Allergy Management - Identification, treatment, and prevention of allergic responses to food, medication, insect bites, contrast material, blood and other substance
a. Anxiety Reduction - Minimizing apprehension, dread, foreboding, or uneasiness related to unidentified source of anticipated danger
b. Dysrhythmia Management - Prevents, recognizes and facilitates treatment of abnormal cardiac rhythms
c. Airway Management - Facilitates patency of air passages
d. Emergency Care - provides life-saving measures in life-threatening situations
e. Examination Assistance - Providing assistance to the patient and another health care provider during a procedure or exam.
f. Teaching: Procedure/Treatment - Preparing a patient to understand and mentally prepare for a prescribed procedure or treatment.
g. Transport - Moving a patient from one location to another
9. CARDIAC CATH
. Cardiac Care - Limits complications resulting from an imbalance between myocardial oxygen supply and demand for a patient with symptoms of impaired cardiac function
a. Angioplasty/cardiac catheterizations- assists cardiologist and is familiar with all interventional/diagnostic equipment, supplies, procedures.
b. Bleeding Precautions - Reduction of stimuli that may induce bleeding or hemorrhage in at risk patients.
c. Bleeding Reduction - Limitation of loss of blood volume during an episode of bleeding.
d. Radiology- knowledgeable of concepts and principles of radiology exposure and protection/demonstrates ALARA
e. Circulatory Care: Arterial Insufficiency - Promotion of arterial circulation
f. Circulatory Care: Mechanical Assist Device - Temporary support of the circulation through the use of mechanical devices or pumps
g. Hemodynamic Regulation - Optimization of heart rate, preload, afterload and contractility.
h. Shock Prevention - Detecting and treating a patient at risk for impending
. Angiographic care- Limits complications resulting from contrast studies of the arterial, venous, lymphatic and pulmonary vasculature.
a. Radiography- Assists vascular surgeon/cardiologist and is familiar with all interventional/diagnostic equipment, supplies and procedures.
b. Bleeding Precautions- reduction of stimuli that may induce bleeding or hemorrhage in at risk patients.
c. Radiology- Knowledgeable of concepts and principles of radiology exposure and protection/demonstrates ALARA.
d. Circulatory Care- Arterial Insufficiency- Promotion of arterial circulation.
e. Circulatory Care- Mechanical Assist Device - Temporary support of the circulation through the use of mechanical devices or pumps.
f. Shock Prevention - Detecting and treating a patient at risk for impending shock.
Experience Minimum Required
• RCIS and/or ARRT credential.
• 2 years catheterization and angiography laboratory experience
• Electrophysiology experience
Education Minimum Required
• Graduate of an approved radiology/cardiology program or Military equivalent program
• BS in radiology/cardiology services or equivalent
Special Skills Minimum Required
• A working knowledge of all cardiology aspects desired.
• Computer manipulation, verbal and written communication skills, mechanical attitude.
• Ability to work in a collaborative manner.
• Make effective judgments and decisions based on objective criteria.
• BLS and ACLS
Licensure and/or Certifications Required
• NH State Medical Imaging License after December 31, 2018
• ACLS, BLS, ARRT and/or RCIS
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