The Cardiac Cath Lab Cardiovascular Prep and Recovery Unit (CPRU) RN, under the direction of physician and unit nurse leadership, is responsible for professional nursing care and related assistance to pediatric patients with a broad range of cardiac conditions.
The CPRU Registered Nurse provides total pre- and post-procedure care, including patient discharge, care plan and family/caregiver education.
The successful applicant will have at least 2 years of PACU RN experience in a complex setting, cardiac and/or pediatric experience strongly preferred.
Our cardiac catheterization team not only performs cardiac catheterization procedures but helps develop new techniques that lead to safer, more accurate treatments and better patient care. We perform more than 600 catheterization procedures every year, giving us a superior level of experience and expertise.
Cardiac Catheterization at Children’s National Hospital
Features of our cardiac catheterization program include:
· : We perform over 600 procedures every year, including electrophysiology procedures, interventional procedures, and diagnostic procedures. This high volume translates to an unparalleled depth of experience and skill for our team.
· : We have access to the latest cardiac catheterization devices and procedures, including the Medtronic© Melody™ transcatheter pulmonary valve, the world’s first transcatheter valve. This technology allows us to treat children who have valvular disease without needing an invasive surgery.
· : We treat patients with complex heart, blood vessel, and valve conditions, including severe pulmonary artery stenosis. Our cardiac catheterization outcomes are at or close to 100 percent survival.
· : Our new Cardiac Magnetic Resonance Imaging suite allows us to perform MRI and catheterization procedures on the same day, reducing the need for multiple procedures and sedation. Learn more about .
At Children’s, our team of diagnostic and interventional cardiac catheterization specialists performs catheter-based treatments for patients with congenital or acquired heart disease.
We have special expertise in using intravascular stents to treat conditions such as severe pulmonary artery stenosis. Intravascular stents are small tubes that remain in the blood vessel permanently, to help support and strengthen the vessels.
Other catheter-based procedures we perform include:
· for certain types of congenital heart disease, such as:
o Atrial septal defects (ASD)
o Ventricular septal defects (VSD)
o Patent ductus arteriosus (PDA)
· of the lungs, liver, and extremities (hands and feet)
Working Toward Better Outcomes: IMPACT Registry™
We are committed to providing our patients with the highest level care available.
To help us improve our methods and our outcomes, we participate in the IMPACT Registry (Improving Pediatric and Adult Congenital Treatment). This is a national data registry that collects data on patients with congenital heart disease who undergo cardiac catheterization procedures. The goal of the IMPACT registry is to collect and analyze the data so it can be easily accessed and used to:
· Improve treatments and outcomes
· Prevent potential complications
Children's National Hospital, based in Washington, DC, celebrates 150 years of pediatric care, research and commitment to community. Volunteers opened the hospital in 1870 with 12 beds for children displaced after the Civil War. Today, 150 years stronger, it is among the nation's top 10 children's hospitals. It is ranked No. 1 for newborn care for the fourth straight year and ranked in all specialties evaluated by U.S. News & World Report. Children's National is transforming pediatric medicine for all children. In 2020, construction will be complete on the Children's National Research & Innovation Campus, the first in the nation dedicated to pediatric research. Children's National has been designated twice as a Magnet® hospital, demonstrating the highest standards of nursing and patient care delivery. This pediatric academic health system offers expert care through a convenient, community-based primary care network and specialty outpatient centers in the D.C., metropolitan area, including the Maryland and Northern Virginia suburbs. Children's National is home to the Children's National Research Institute and Sheikh Zayed Institute for Pediatric Surgical Innovation and is the nation's seventh-highest NIH-funded children’s hospital. It is recognized for its expertise and innovation in pediatric care, and as a strong voice for children through advocacy at the local, regional and national levels.
Associate's Reguired, BSN strongly preferred
Specific Requirements and Preferences
Graduated from an approved school of nursing.
Minimum Work Experience
2 years in a PACU or Prep and Recovery setting
Specific Requirements and Preferences
PACU experience required or related clinical nursing experience in a comparable setting such as critical care or Peds ED. (Required)
The licensed Registered Nurse will successfully complete the hospital and nursing orientation at Children’s National.
Must have strong skills of airway management and knowledge of anesthetic agents.
Excel in organizational skills, adjust for changes and be able to complete assignment on time.
Role model critical thinking skills by problem-solving patient care and unit/system issues.
Demonstrate a collegial and respectful relationship with peers, physicians and other departments.
Care will incorporate best practices based on benchmarks and evidence within the literature.
Required Licenses and Certifications
Registered Nurse in District of Columbia Req
Post-Anesthesia Clinical Care Activities
1. Evaluate and manage patient's airway postoperatively including breakthrough laryngospasms; apply knowledge of the physiological changes to the airway postoperatively as a consequence of anesthesia and surgery .
2. Perform manual intermittent positive pressure ventilation (IPPV).
3. Be aware of the risk factors that contribute to the condition and make decisions when caring for patients and families.
4. Monitor cardiopulmonary function, airway patency, and oxygen saturation; provide prompt care to minimize the incidence of emergence delirium; maintain safety environment while patient experiencing emergence delirium; monitor complications associated with administration of analgesics and act promptly to minimize adverse incidents.
5. Manage patients with central neuraxial and peripheral nerve blocks.
6. Manage epidural administration of local anesthetics and opioids; evaluate and treat post-operative pain in a timely manner with appropriate intervention.
1. Contribute to Magnet re-designation as evidenced by independent involvement or leadership in: committees, task force and/or community outreach.
2. Communication reflects development of plan of care and ability to advocate to meet patients’ needs; make suggestions for resolution of system issues.
3. Role model procedures for escalation of issues and utilize chain of command.
4. Demonstrate proper use of identified hand off processes; follow up on inconsistent practice related to handoff.
5. Take the lead in implementing change and support management decisions.
6. Role model behavior reflecting empathy, concern and a desire to help others.
1. Independently maintain regulatory requirements e.g. license, BLS.
2. Initiate professional activities to enhance nursing practice.
3. Engage in active review of peers giving constructive feedback through timely participation in evaluations.
4. Role model adherence to national safety standards and service excellence standards; champion advancement of education and certification.
5. Orchestrate involvement of the healthcare team and role model professional behavior and teamwork with co-workers.
6. Serve as a resource as needed and know when to escalate to next level.
Exemplary Professional Practice
1. Analyze assessment data gathered from patient and family to ensure completion of database and plan of care within identified timeframes.
2. Role model excellent clinical skills with complex patients; care will reflect analysis of patient status and appropriate interventions.
3. Direct prioritization and organization for complex patient with rapidly changing needs.
4. Documentation will exemplify adherence to the highest standards of practice.
5. Anticipate and proactively plan for educational needs verify with patient and family throughout the hospital/outpatient stay and prior to discharge.
6. Role Model care in all encounters with patient and family as evidenced by feedback from parents and an increase in patient satisfaction scores.
1. Initiate ways to improve operations through quality improvement and implement related solutions.
2. Identify self-learning needs and take initiative to meet those needs.
3. Serve as a resource for current, new information or changes in specialty area.
Organizational Accountabilities (Staff)
1. Anticipate and responds to customer needs; follows up until needs are met
1. Demonstrate collaborative and respectful behavior
2. Partner with all team members to achieve goals
3. Receptive to others’ ideas and opinions
1. Contribute to a positive work environment
2. Demonstrate flexibility and willingness to change
3. Identify opportunities to improve clinical and administrative processes
4. Make appropriate decisions, using sound judgment
Cost Management/Financial Responsibility
1. Use resources efficiently
2. Search for less costly ways of doing things
1. Speak up when team members appear to exhibit unsafe behavior or performance
2. Continuously validate and verify information needed for decision making or documentation
3. Stop in the face of uncertainty and takes time to resolve the situation
4. Demonstrate accurate, clear and timely verbal and written communication
5. Actively promote safety for patients, families, visitors and co-workers
6. Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance