At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. The PICC Line Nurse will assess and perform an overall evaluation of the patient. Responsible for placement of the line and ensure the line placement is correctly inserted. **TASKS AND RESPONSIBILITIES:** + Ability to work independently. + Communicates effectively and appropriately to patient, family and other health care providers. + Provides patient education about the PICC (or midline) insertion and the care and maintenance issues post insertion + Participates in performance improvement activities + Demonstrates ability to assess patient past and current medical history including laboratory values, venous and muscle skeletal status that is pertinent in qualifying a patient as a candidate for PICC placement. + Assures physicians order on chart for PICC placement. + Assures Informed Consent has been obtained. + Performs time out; correct patient identifier prior to initiating PICC procedure. + Demonstrates ability to perform PICC placement maintaining aseptic technique utilizing measures that prevent patient discomfort and trauma related to procedure. + Demonstrates high level skills in critical thinking and assessment related to vascular access devices. + Maintains clinical competency by inserting a minimum of six PICCs/year + Documents insertion of PICC (or midline) per ministry standards **Summary of Primary Function/General Purpose of Position** The Infusion Registered Nurse (RN) provides, coordinates, plans and evaluates the care of the patient within established nursing process framework. Evaluation is done through data collection, assessment, identification and prioritization of patient problems/needs including evaluating process/outcome of nursing care, intervention and teaching. The RN coordinates, provides and directs patient teaching activities. **Essential Job Function** • Conducts and analyzes initial and ongoing patient assessment, creates plan of care, implements treatments and evaluates treatment effectiveness. • Administers medication and blood products in a safe manner consistent with the State of Practice and Bon Secours Mercy Health policies and procedures. • Serves as a point of contact for patients care coordination, acts as a patient safety advocate by participating in ongoing quality improvement, and collaborates with spiritual care, palliative and ethics when needed. • Incorporates the professional practice model in care delivery and serves as a point person for care coordination for family members or caregivers. • Restores, supports, promotes, rehabilitates, or palliates to maintain the physiologic, psychologic and psychosocial stability of patients across the lifespan. • Synthesizes and prioritizes information in order to take immediate and decisive evidenced-based, patient focused action using clinical judgement and clinical inquiry. • Anticipates and responds with confidence and adapts to rapidly changing patient conditions. • Responds to the unique needs of the patients and families coping with unanticipated illness or injury and treatment and advocates for their choice in quality of life. • Assists in creating an environment that promotes educational growth opportunities for nursing peers. • Administers chemotherapy and other medication, starts IV's, transfuses blood and blood products and performs therapeutic phlebotomies. • BSMH nurses are expected to practice and deliver care in accordance with the core concepts and intention of the BSMH Nursing Professional Practice Model. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. **Licensing/Certification** Current RN License in the state in which they are working or covered by compact (required) BLS Basic Life Support (preferred upon hire, must obtain from approved source prior to direct patient care; ACLS Advanced Cardiac Life Support acceptable in lieu of BLS) ONS Oncology Nursing Society Chemotherapy Certification (required within 6 months of hire) ACLS Advanced Cardiac Life Support (preferred) ONCC Oncology Nursing Certification Corporation (preferred) INCC Infusion Nurses Certification Cooperation (preferred) CRNI Certified Registered Nurse Infusion (preferred) **Education** Bachelor of Science Nursing (preferred) **Work Experience** 1 year of medical/surgical or oncology experience (preferred) **Training** EPIC Electronic Health Record (EHR) (preferred) **Skills** • Assigns patient care according to the nursing skill, knowledge, and scope of practice of staff. • Orients, facilitates learning experience, and provides education (based upon quality improvement indicators, outcomes, and implementation) to nursing staff and others. • Possesses clinical knowledge, skills, and competency to provide evidence-based patient care in accordance with the current standards of practice, policy and procedure, and BSMH mission. • Performs comprehensive assessment of patient's clinical condition and psychosocial needs of the patient and their supportive resources. • Safely and efficiently develops, implements, and prioritizes plan of care. • Application of the nursing process in patient care delivery. • Assesses patient's physical and emotional responses to treatment to evaluate effectiveness of intervention and patient outcomes; revises plan of care accordingly. • Assists patient and family in coping with patient's illness. • Collaborates with others in the delivery of coordinated patient care. • Strong interpersonal and verbal/written communication skills. • Applies cultural diversity and inclusion principles when caring for patients and their support resources. • Recognizes own limitations and seeks assistance and acquires information to perform safely. • Advances personal and professional growth through participation in educational programs, current literature, in-services, and workshops. • Exhibits professionalism through accountability for own and delegated actions. • Integrates cost-effective measures into practice and models effective stewardship of available resources. • Practices self-care and cultivates resilience in conflict and difficult circumstances. • Protects the safety and privacy of all persons. • Understanding and utilization of office and clinical technologies. • Ability to communicate with patients in a manner they can understand considering their personal preferences. • Compassionate, relationship-based approach to help find meaning in illness, suffering, pain, and existence. • Remains calm, adaptive, and collective during an emergency. • Performs intravenous (IV) injection/administration • Places peripheral and central lines **Working Conditions** Periods of high stress and fluctuating workloads may occur May be exposed to physical altercations and verbal abuse May be required to use physical restraints May be exposed to high noise levels and bright lights May be exposed to hazardous substances or body fluids* May be exposed to human blood and other potentially infectious materials* May have periods of constant interruptions _* Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control._ **Physical Requirements** Lifting/Carrying (0-50 lbs.): 34-66% Lifting/Carrying (50-100 lbs.) 34-66% Push/Pull (0-50 lbs.) 34-66% Push/Pull (50-100 lbs.) 34-66% Stoop/Kneel 1-33% Crawling 1-33% Climbing 1-33% Balance 1-33% Bending 34-66% Sitting 34-66% Walking 34-66% Standing 34-66% **Additional Physical Requirements/Hazards** Manual dexterity (eye/hand coordination) Perform shift work Maneuver weight of patients Hear alarms/telephone/tape recorder Reach above shoulder Repetitive arm/hand movements Finger Dexterity Color Vision Acuity - far Acuity - near Depth perception Use of Latex Gloves Exposure to toxic/caustic/chemicals/detergents Exposure to moving mechanical parts Exposure to dust/fumes Exposure to potential electrical shock Exposure to x ray/electromagnetic energy Exposure to high pitched noises Gaseous risk exposure **Patient Population** Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Pediatrics (1-12 years) Adolescents (13-17 years) Adults (18-64 years) Geriatrics (65 years and older) Many of our opportunities reward* your hard work with: Comprehensive, affordable medical, dental and vision plans Prescription drug coverage Flexible spending accounts Life insurance w/AD&D Employer contributions to retirement savings plan when eligible Paid time off Educational Assistance And much more *Benefits offerings vary according to employment status All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com