Company: SSM Health
Posted on: March 17, 2019
Role Purpose: The Registered Nurse Cardiac Devices performs as a professional nurse in the area of patient care and education including: assessment, intervention, evaluation of patients, triaging phone calls, assisting with procedures, scheduling and educating patients, administering medications, sending lab letters and providing basic patient care. Responsibilities: 1. Utilizes the nursing process: assessment, planning, intervention, and evaluation in all patient encounters. 2. Performs nursing procedures. 3. Assists medical provider with processing of diagnostic results bringing significant values to the providers attention. Have knowledge of tests and procedures and their significance as related to patient care. 4. Administers medication by all routes. Demonstrates and understands administration techniques. Recognizes the implementation of dosages, interactions, side effects, adverse effects, routes of administration of drugs as they apply to individual patients. Uses knowledge of medications in instructing patients about medication therapy. 5. Triages/screens telephone call related to patient care. a. Obtains appropriate information with attention to detail and accuracy (i.e. using direct symptom related questions keeping patient focused.) b. Makes nursing assessment utilizing, theory and judgment, and patient information. c. Implements appropriate care using nursing assessment, protocols, and standing orders. 6. Performs delegated medical acts and provides supervision as needed in accordance with the Nurse Practice Act to the LPNs and unlicensed personnel. 7. Assesses patient status to determine need for treatment or intervention in life threatening situations. Participates using emergency standing orders if needed, or under the direct supervision of a medical provider. 8. Establishes working relationships teaching protocols for patient education, family counseling and general public information. 9. Takes a leadership role in the facilitation of department functions including mentoring new staff and ensuring policies & procedures are followed. 10. Leads and participates in site process and policy improvement teams. 11. Cross train and staff other departments as needed. 12. Assists in the development and implementation of policies, protocols, standing orders and quality assurance standards. 13. Performs other duties as required. 14. Healthcare Knowledge: a. Demonstrates advanced knowledge of cardiac anatomy and physiology, electrocardiogram interpretation and interventions, electrophysiology procedures, emergency procedures, and the special needs of cardiac patients. b. Current device technology including vendor specific products, programmers, and remote evaluation systems. c. Possesses a high degree of skill in the evaluation and programming of implantable cardiac devices. 15. Communication: a. Utilizes strong interpersonal, oral, and written communication skills. b. Facilitates collaboration and communication between co-workers, practitioners, and inpatient staff caring for cardiac device patients. c. Coordinates patient care and device interrogation, as necessary, with clinical allied health representatives from device manufacturers. d. Provides appropriate and accurate teaching to patients, families, and staff as necessary. 16. Technical Skills: a. Utilizes critical thinking, sound judgment, and decision-making skills; demonstrates independent thinking. b. Provides skilled assessment of patients with implanted pacemakers and/or defibrillators; includes technical assessment and adjustment of the device and/or lead systems, per protocol or physician guidance. c. Performs interrogation and trouble-shooting of pacemaker or implantable cardiac defibrillator (ICD) related patient problems occurring within the inpatient population as necessary. d. Over reads tracings obtained by pacemaker technician during trans-telephonic evaluations. 17. Professional Skills: a. Must be able to independently identify tasks requiring completion and proceed in an organized manner. b. Able to prioritize multiple simultaneous responsibilities. c. Evaluates patient status during clinic visit, providing ongoing assessment of patient verbal and physiologic response. d. Intervenes when status changes and provides pertinent information to responsible physician; directs appropriate emergency responses when physician is not immediately available. e. Administer medication and treatments according to the physicians instructions (Limited to RNs who have completed and are current with departmental and hospital competencies and polices). f. Assist department manager and Medical Director in establishing and maintaining protocols for pacemaker/ICD procedures and follow-up guidelines, clinic operations as related to patient care, and maintain best practice standards. g. Provides cardiac services staff education concerning pacemakers, ICDs, and specific related care issues as needed. h. May participate/chair Cardiac Services Whole System Shared Decision Making (WSSDM) council. i. Performs other job related responsibilities as requested. 18. Documentation: a. Appropriately utilizes and documents in the electronic health record (EPIC) as well as maintains clinic charting using Paceart. b. Appropriately uses EPIC for all patient appointments and charges all patients for services rendered. Required: 1. State Licensure or eligible for State Licensure as a Registered Nurse (RN) 2. Two (2) years cardiac patient care experience is required. Preferred: 1. Experience with an electronic medical record (i.e., Epic) 2. Prior experience with an implanted cardiac device patient population and various device interrogation/programmer units is preferred Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Ability to perform patient handling tasks 2. Ability to twist/bend, stoop/crouch when moving, working on equipment. 3. Ability to frequently perform fine motor tasks, such as when setting up equipment, computer, writing or phone tasks. 4. Ability to hear and converse on the phone and in person. About SSM Health Dean Clinic- Based in Madison, Wis., Dean Clinic consists of a network of more than 60 clinics in south-central Wisconsin. Our more than 500 physicians provide primary, specialty and tertiary care in the clinics as well as eye care through our Davis Duehr Dean locations. Dean Clinic also offers urgent care services and operates outpatient surgery centers. Dean Clinic joined SSM Health in 2013.
Keywords: SSM Health, Madison , RN-Cardiac Devices, Healthcare , Madison, Wisconsin
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