Vascular Access Team, Registered Nurse (RN)

Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report.

Vascular Access Nurse

Come grow with us and we start our own PICC team with pediatrics in a world class facility.

Schedule: 36hr/week, Nights, 3-4 shifts/week

Must have at least 1 year of RN experience

This professional provides the service of vascular access and care to all inpatients in need of establishing access for intravenous (IV) therapy. This professional starts peripheral IVs, including long PIVs, extended dwell catheters, and bedside midline catheter placement, provides dressing care for central and peripheral venous access lines, performs arterial blood draws when appropriate, and trains other professionals in vascular access skills. This professional is proficient in the use of ultrasound guidance for placement of difficult venous access lines. This professional participates in monitoring and data compilation for vascular access information. Understands and integrates into the delivery of patient care the needs of neonatal, pediatric, adolescent, and adult patients in regard to their growth and development process. Actively supports the Hospital and department's quality goals and service excellence principles.

Essential Job Functions:

Area Specific Job Accountabilities:

1. Peripheral Vascular Access

* Coordinates and consults with the patient's nurse and Licensed Independent Practitioner (LIP) to determine the purpose for the service, the type of device, the type of fluids/medications to be infused and the duration of the device need to assure appropriateness of the device.

* Coordinates vascular access with phlebotomy needs for the patient.

* Takes age-appropriate measures to minimize pain and anxiety (e.g. topical anesthetics, deep breathing, and distraction) during patient's vascular access experience.

* Labels and handles all phlebotomy specimens according to Lurie Children's policy.

2. Central Vascular Access

* Performs repair of central venous access lines as needed per Lurie Children's Policy.

* Coordinates and performs central venous access site assessment and dressing changes according to the applicable Lurie Children's policies.

* Acts as consultation provider for complicated central line associated skin injuries (CASI)

3. Arterial Lab Draw

* Coordinates and consults with the patient's nurse and LIP

4. Clinical Expertise

* Serves as the clinical resource and expert for vascular access, central or peripheral, throughout the hospital.

* Assesses the patient's venous system and therapy indications and collaborates with the multidisciplinary team to determine the most appropriate type of venous access, while considering length of therapy, vessel preservation, type of medication, and needs of the patient.

* Assesses requests and prioritizes service calls according to the patients' clinical status and the purpose for the service need.

* Acts as a patient advocate by collaborating with the patient's LIP to identify the appropriate vascular access device for the patient based on the anticipated use of the device and length of time the device will be in use.

* Communicates to the patient's care providers any findings that may be relevant based upon nursing assessment of the patient's clinical or psychosocial status.

* Acts as a patient advocate in the assessment of pain prevention, pain control and diversional techniques for use during vascular access or dressing changes

* Documents all vascular access services provided on the patient's medical record including consultative services, patient/parent teaching, and placement of a vascular access device, pain assessment and site checks.

* Acts as a preceptor and teacher for nursing and medical staff regarding aspects of vascular access and aseptic technique skills.

* Assists in policy and procedure review for all relevant policies

* Assists in product evaluations and decision-making for vascular access devices, dressings and related equipment.

5. Performance Improvement

* Collects and compiles daily data to provide records of vascular access team activities and service requests.

* Contributes to hospital quality assurance and improvement activities and participates in research activities as needed.

* Assures the necessary service coverage by reviewing and coordinating with fellow team members for staffing

* Participates in the design and production of worksheets, data collection tools, and teaching products.

* Meets regularly with immediate leadership member to review service line and improvement opportunities.

6. Education and Training

* Provides teaching on vascular access, aseptic technique, site & dressing care and assessment and venous access skills to nurses and physicians.

* Participates in central line rounding in the ICU settings, as well as acts as a unit liaison to a specific unit as their vascular access specialist.

* Participates in orientation of nurses and physicians regarding the above vascular access skills.

* Provides teaching to patients and families on monitoring their vascular access site and dressing change techniques.

* Assists in identification of professional learning needs and educational program design for vascular access topics for professional staff.

* Acts as a community resource to external customers.

7. Patient Safety

* Checks physician orders, verifies patient's identity using two identifiers prior to any procedure.

* Assesses patient for allergy history (including latex) or site restriction prior to vascular access procedure.

* Recognizes and takes appropriate action to treat adverse reaction to vascular access experience (e.g. fainting).

* Uses all related equipment according to manufacturer recommendations.

* Interviews/discusses the patient's past experience and parental/significant family member's knowledge of preferred methods to decrease anxiety and pain during the patient's vascular access experience.

* Engages parent/significant family member to comfort and encourage the patient during the vascular access experience.

* Takes age-appropriate measures to minimize pain (e.g. topical/injectable anesthetics, deep breathing, etc.) and anxiety during the patient's vascular access experience.

• Others duties as assigned.

This position provides Relationship Based Care for patients/families with acute and chronic diseases, disorders found in the pediatric and adolescent into young adult populations. Utilizes enhanced specialty knowledge and skills to provide nursing excellence to patients within designated patient care area(s). Utilizes the nursing process and performs responsibilities in five areas of nursing practice: clinician, clinical inquiry, teacher, professional development and leadership. Understands and integrates into the delivery of patient care the needs of neonatal, pediatric, adolescent and adult patients in regard to their growth and development process. Actively supports the Hospital and department's quality goals and service excellence principles.

KSA's:

1. Bachelor's degree in nursing or higher required. For positions that are identified as difficult to fill, CNO may allow approval for hiring of candidates with Associates degree in nursing with equivalent experience in lieu of BSN or above.
2. Current licensure as a registered nurse in the State of Illinois.
3. Basic Life Support certification from the American Heart Association.
4. Ability to effectively communicate with patients/families, physicians and hospital staff.
5. Special certifications may be required by the department.

Essential Job Duties:

1. Performs nursing assessments utilizing a variety of assessment methods and/or area-specific tools.
2. Develops or individualizes existing plans of care and develops goals relative to family needs. Evaluates and documents changes to the plan.
3. Develops or individualizes teaching plans/protocols to meet patient and family learning needs. Identifies patient preferences and needs including motivation to learn. Evaluates and documents changes to the plan.
4. Performs nursing care according to procedures/protocols. Anticipates impending emergent situations and intervenes effectively.
5. Communicates with the family and members of the multidisciplinary team to identify health care needs. Communicates changes in patient status. Utilizes appropriate resources for referral or consultations.
6. Keeps up to date in nursing practice by utilizing current nursing and healthcare literature for information and problem solving.
7. Incorporates current hospital and departmental quality initiatives into daily activities.
8. Adheres to communication, service excellence and professional image standards that support the hospital mission and philosophy.
9. Works cooperatively as a team member to foster achievement of unit/hospital goals.
10. Identifies learning needs and seeks resources to advance nursing practice and achieve professional goals.
11. Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others.
12. Demonstrates knowledge of pertinent aspects and competency with protocols related to the use of chemical disinfection, high level disinfection, and sterilization if required as part of the responsibilities of the role.
13. Bachelor's degree in nursing or higher required. For positions that are identified as difficult to fill, CNO may allow approval for hiring of candidates with Associates degree in nursing with equivalent experience in lieu of BSN or above.2. Current licensure as a registered nurse in the State of Illinois. 3. Basic Life Support certification. 4. Ability to effectively communicate with patient/families, physicians and hospital staff.5. Special certifications may be required by department.

Lurie Children's will consider visa sponsorship of qualified candidates for the registered nurse role, subject to all applicable law as well as business and budgetary limitations.

Education

Benefit Statement

For full time and part time employees who work 20 or more hours per week we offer a generous benefits package that includes:

Medical, dental and vision insurance

Employer paid group term life and disability

Employer contribution toward Health Savings Account

Flexible Spending Accounts

Paid Time Off (PTO), Paid Holidays and Paid Parental Leave

403(b) with a 5% employer match

Various voluntary benefits:

• Supplemental Life, AD&D and Disability

• Critical Illness, Accident and Hospital Indemnity coverage

• Tuition assistance

• Student loan servicing and support

• Adoption benefits

• Backup Childcare and Eldercare

• Employee Assistance Program, and other specialized behavioral health services and resources for employees and family members

• Discount on services at Lurie Children's facilities

• Discount purchasing program

There's a Place for You with Us

At Lurie Children's we embrace and celebrate diversity and equity in a serious way. We are committed to building a team with a variety of backgrounds, skills, and viewpoints - recognizing that diverse identities strengthen our workplace and the care we can provide to the Chicago community and beyond. We treat everyone fairly, appreciate differences, and make meaningful connections that foster belonging and allyship. This is a place where you can be your best, so we can give our best to the patients and families who trust us with their care.

Lurie Children's and its affiliatesare equal employment opportunity employers. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity or expression, religion, national origin, ancestry, age, disability, marital status, pregnancy, protected veteran status, order of protection status, protected genetic information, or any other characteristic protected by law.

Support email: candidatesupport@luriechildrens.org