Cardiovascular Invasive Specialist Cardiac Catherization Lab

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The Cardiovascular Invasive Specialist (CVIS) will utilize professional cardiovascular theory, technology and processes to implement direct patient care on adult patients that require diagnostic or therapeutic procedures within the cardiovascular service. Demonstrates role-specific competence and assists physicians in diagnosing and treating cardiac and peripheral vascular disease and cardiac arrhythmias in the CathLab, EP Lab, and Hybrid ORspecializing in the care of patients undergoing angioplasty, stent placement, vascular procedures, mechanical support device placement (IABP, non-durable ventricular assist device, etc.), EP devices, cardiac ablations, and tilt table exams. Duties and Responsibilities of this Level

• Meets the duties and responsibilities of Cardiovascular Invasive Specialist I
• Plan, provide and document care of cardiovascular invasive labs patients in accordance with physician orders and established policies and procedures.
• Use professional clinical judgment in assisting the provider to plan the care for the patient based on the assessment of the patient's diagnosis, needs and response to care.
• Work in an organized and timely fashion by prioritizing tasks to ensure efficient and efficacious patient care. Meets challenges of case volumes and patient care issues to ensure optimal care and outcomes.
• Ensure quality and accuracy of dataand reportsvariances to provider.
• Equipment Operation: Operate, inspect, troubleshoot and perform routine maintenance for variety of invasive lab equipment. Effectively operate all devices utilized in procedures. Initiate maintenance or service request for equipment that is damaged or malfunctioning.
• Daily Room Preparations: Prepare procedure room and equipment for daily use and each procedure. Ensure enough stock on hand to accommodate routine daily case volumes. Conduct in-room inventory and supply management. Is aware of and stores all patient care products according to TheJoint Commission regulations.
• Data Collection: Document, retrieve and verify data necessary for patient records.
• Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
• Support the development of other staff and formal learners.
• Participate in performance improvement activities.
• Adhere to standards including but not limited to unit and health system policies and procedures, regulatory standards, and patient safety goals.Resource for others in use of advanced skills and collaborates with team to individualize the plan ofcare.
• Refer to CVIS clinical ladder policy for specific information related to professional advancement.

Required Qualifications at this Level Education A graduate of an associate or baccalaureate academic program in health science (including, but not limited to, cardiovascular technology, ultrasound,radiologic technology, or respiratory therapy) Or A graduate of an associate or baccalaureate academic program in an unrelated field along with graduation from a certificate program in cardiovascular technology, ultrasound, radiology technology or respiratory. Experience Level II: One year of experience as a Cardiovascular Invasive Specialist plus ladder requirements Provisional II Status: External hires into the CVIS II must meet the ladder requirements within one year of hire. Level III: Two years of experience as a Cardiovascular Invasive Specialist plus ladder requirements Provisional III Status: External hires into the CVIS III must be approved by DUHS Cardiac Catheterization and Electrophysiology Labs Operations Leaders. If approved, ladder requirements must be met within one year of hire. Degrees, Licensure, and/or Certification Level II: RCIS, RCES, ARRT - RTR, ARRT - Radiography (R), ARRT - Cardiac Interventional Radiography (CI) , ARRT - Cardiovascular Interventional Radiography (CV), ARRT - Vascular Interventional Radiography (VI) or IBHRE certification within 36 months of employment. Basic Life Support Certification required. Advanced Cardiac Life Support Certification required within 6 months of employment (Adult Cath, Adult EP, & Hybrid OR only). Duke employees in the CVIS job classification as of January 1, 2016 who were not eligible for certification will be exempt from the certification requirements of the CVIS II. See ladder document for additional information. Level III: RCIS, RCES, ARRT - RTR, ARRT - Radiography (R), ARRT - Cardiac Interventional Radiography (CI) , ARRT - Cardiovascular Interventional Radiography (CV), ARRT - Vascular Interventional Radiography (VI) or IBHRE certification required Basic Life Support Certification required. Advanced Cardiac Life Support Certification required within 6 months of employment (Adult Cath, Adult EP, & Hybrid OR only). Knowledge, Skills, and Abilities

• Must demonstrate skill in applying and modifying the principles, methods, techniques of professional cardiovascular technology to implement patient care.
• Must have skill in identifying problems and aberrations in patient process including the ability to recommend appropriate solutions.
• Should have knowledge of medical and cardiovascular equipment, technology including awareness of safety hazards, in order to establish and maintain a safe work environment.
• Demonstrate theability to perform, instruct, and troubleshoot technical skills.
• Ability to communicate in oral and electronic formats with team members, patients and providers. Exhibit knowledge of and leadership in clinical practice, staff development and departmental support roles.
• Ability to use fine motor skillsAbility to use sensory and cognitive functions to process and prioritize information, treatment, and follow- up
• Ability to use computer and learn new software programs
• Ability to establish and maintain effective working relationshipsAbility communicate effectively with patients, families, visitors, healthcare team, leaders, and othersAbility to withstand prolong standing and walking
• Ability to remain focused and organized
• Working knowledge of procedures and techniques involved in administering routine and special treatments to patients
• Working knowledge of infection control procedures and safety precautions
• Working knowledge and completion of appropriate accreditation and other regulatory requirements

Pre-employment Physical Capacity Testing required Distinguishing Characteristics of this Level N/A The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description. Duke University is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions:

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.

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