Job Type: Full Time
Scheduled Hours per 2 Week Pay Period: 80
Daily Schedule: 8:30a-5p
Weekends Required: No
Location: Bremerton, WA
Franciscan Medical Group is currently seeking a full time RN Clinic Cardio for our Franciscan Cardiovascular in Bremerton, WA. We are seeking a motivated individual to join our patient centered team. This individual will support a fast paced Cardiovascular Consultants Clinic Care team. Day shift, no weekends, nights or major holidays!
CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits. We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country.
Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach — physical, emotional, and spiritual — is essential to healing the whole person. Come join our team! Job Summary:
This job is responsible for providing professional nursing services which focus on the provision of quality patient care for cardiac patients in an ambulatory setting consistent with CHI Franciscan Health (CHI-FH) standards/values, applicable regulatory requirements and Franciscan Medical Group (FMG) Scope of Practice policy. An incumbent is engaged in the direct care of cardiac patients within scope of RN licensure, including assessing, coordinating, triaging, evaluating and delegating work to members of the patient care team, and for providing specialized cardiac-related consultation and education to patients/families with regard to pending procedures and ongoing disease management.
Work also includes: 1) administering, monitoring and evaluating cardiovascular/pharmacological stress tests; 2) researching and completing risk assessment documentation relating to cardiac clearance for patients; and 3) scheduling nursing visits and performing nursing triage activities in accordance with established protocols. Work requires the expertise to assess data from patients and cardiac equipment/tests in order to collaborate effectively with physician providers on appropriate treatment protocols/decisions relating to current and future health status.
Work is performed under standards of safety and care that provide instruction/guidance for taking care of issues and patient needs in the absence of a physician/provider. Work requires the application of judgment and critical thinking skills in making decisions regarding patient care (within the scope of practice), including knowledge and integration of available standards, protocols and data, and in the efficient utilization of staff/resources. Work involves continuous contact with physicians/providers, patients, patient families and multidisciplinary care teams in determining appropriate referrals, diagnostic testing and interventions. An incumbent is accountable for the quality of care provided to patients, and has the authority to direct care, provide education, and delegate appropriate tasks. Essential Duties:
Administers cardiovascular and pharmacological stress tests with the use of imaging modalities and IV therapy as appropriate; interprets EKG findings in accordance with standard protocols.
• Performs diagnostic procedures intended to estimate prognosis, assess for coronary artery disease and heart rhythm irregularities; continually monitors patient's blood pressure/EKG throughout procedures to ensure patient safety and identify issues.
• Utilizes 12-lead ECG-Exercise treadmill-echocardiography-blood pressure and pulse oximetry equipment, IV equipment and pumps in administering, monitoring and evaluating patient stress tests.
• Executes the procedure hookups, performs a brief evaluation and obtains patient history/assessment prior to beginning of study.
• Starts IVs and administers inotropic and beta blocking pharmaceutical agents; assesses and evaluates patient condition as necessary during administration of IV and related therapies.
• Monitors and screens diagnostic information obtained during the study; halts study in accordance with established protocols and notifies physician of abnormal findings.
• Stocks and maintains crash cart to ensure rapid availability of equipment in the case of a code or other patient emergency.
Completes cardiac risk assessment forms in response to requests from internal/external providers for cardiac clearance for new/additional clinical/diagnostic tests/protocols; forwards assessments to Cardiologist for final determination.
• Researches patient charts to respond to questions that impact on clinical decision-making on the advisability of cardiac clearance requests.
• Complete multiple request forms for FMLA, disability, CDL and disability forms, FAA and other documentation.
Reviews protocols established for each procedure/study and provides patient with specifically-tailored training/information based on unique patient medical history and physician-specific protocols.
• Reviews patient medical records in detail to determine medication regimes (e.g. blood thinner medications, insulin, etc) and confirms what and how to take them prior to the procedure.
• Applies procedural guidelines as they relate to the patient's medical history and concomitant morbidities; orders pre-procedural lab tests and medications per protocols.
• Coordinates and provides pre- and post-operative instructions on multiple different device implantations, watchman procedure as well as evaluate for wound infections post-procedure.
• Provides post-procedure instructions to patient with regard to what to do and who/when to call with questions or concerns.
As initial point of patient contact, performs nursing triage activities based on direct patient contact or via phone within scope of licensure; independently triages cardiac patients/situations in accordance with standing orders/protocols; addresses more complex, urgent or emergent situations escalated from other clinic staff.
• Assess complex patient health problems/needs utilizing disease specific elements; identifies potentially emergent or critical issues which require immediate action or interventions; determines whether patient acuity/symptoms warrant a clinic visit and/or immediate referral to the ER or physician/provider.
• Executes nursing interventions and/or plan of care to facilitate the patient's achievement in acquiring their highest level of function.
• Applies professional clinical judgment in making recommendations to physician/providers for further testing and/or new/adjusted treatment modalities.
• Administers patient medications per written provider order; tracks and logs medication usage per established policies; inventories counts of controlled substances.
• In collaboration with physician providers, reviews and assesses data from tools/equipment/devices (e.g. ECG, Holter Monitors, lab studies, remote device interrogation, etc.) relating to patient current health status and makes appropriate treatment decisions (e.g. starting IVs, nebulizer therapies, EKGs, medication adjustments, ordering imaging studies, etc.).
Documents studies, procedures, and interactions in patient's electronic medical record in accordance with established procedures; enters, pends and signs orders as appropriate.
• Responds to/triages patient telephone calls using approved protocols, ensuring documentation of phone call meets standards.
• Takes verbal orders from a provider (in person or over the phone) and ensures orders are signed off in accordance with established procedures.
Cultural Sensitivity and Competence: Demonstrates proper use of communication tools/materials for effective communication and understands how the culture(s) of patient populations can affect communication, collaboration and the provision of care, treatment and services. Patient Population Served: Demonstrates knowledge and proper skills associated with the department's defined specific populations served. Performs related duties as required.
Education/ Work Experience:
Graduation from an accredited school of nursing approved by the Washington State Board of Nursing and two years of related work experience that would demonstrate attainment of the requisite job knowledge/abilities. Work experience in a cardiology-related field is preferred. Licensure/Certifications:
Current licensure as a Registered Nurse by the Washington State Board of Nursing.
Current Advanced Cardiac Life Support (ACLS) certification.
- Requisition ID: 2019-R0257594
- Schedule: Full-time
- Shift: Day Job
- Market: CHI-Franciscan Medical Group
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