The Staff Nurse in the Vascular Access Service at Boston Children's Hospital provides specialized vascular access care across various settings. Responsibilities include the insertion of PIVCs and PICCs, performing vascular access procedures, and collaborating with an interdisciplinary team. This role requires critical thinking, hands-on experience, and strong interpersonal skills to effectively manage patient care in a high-volume, fast-paced environment.

• Insertion of vascular access devices, including PIVCs and PICCs, using transillumination devices, ultrasound guidance, and ECG technology.
• Performing other vascular access procedures, including phlebotomy on DIVA patients, routine infant PICC dressing changes and complex dressings with skin complications, clearance of occluded central catheters, management of malpositioned PICCs, and other device-related complications.
• Demonstrating critical thinking skills to incorporate empirical knowledge of vascular access with an understanding of various clinical diagnoses and scenarios to make appropriate decisions.
• Working in a fast-paced, physically rigorous environment for the duration of a shift.
• Triaging a high-volume vascular access consults.
• Collaborating with the interdisciplinary team, including nursing, APRNs, house staff/attendings, child life specialists, respiratory therapists, pharmacy, etc., to coordinate care across multiple services.
• Facilitating learning and development of the healthcare team through 1:1 preceptorship, unit-based education, and informal knowledge sharing.
• Patient and family education.
• Active partnership with peers and leadership in policy development, quality improvement projects, and continuing education.
• Exhibiting flexibility and consistency in an expeditious, dynamic environment.
• Maintaining composure in high-pressure situations.
• Employing strong interpersonal skills to empathetically manage multi-faceted situations (i.e., succinct communication, problem-solving abilities, de-escalation techniques)
• Working 36 hours per week, 12-hour shifts, day/evening/night rotation and every third weekend.

• A Bachelor of Science in Nursing
• Minimum of 2 years acute care nursing experience, pediatric experience strongly preferred.
• Previous experience inserting and caring for vascular access devices strongly preferred.

Staff Nurse, Vascular Access, PIVC, PICC, Patient Care, Nursing, Healthcare, Acute Care, Interdisciplinary Team, Nursing Education