The Cardiology Flex Registered Nurse (RN) is responsible and accountable for providing patient care and services in the Pacer / Device Clinic, Cardiology Office, Stress Lab and other areas of Cardiology services as needed. The Registered Nurse reviews schedules, obtains/reviews medical records, obtains vital signs, starts IVs, monitors cardiac rhythms, provides patient education and in collaboration with a credentialed provider, interrogates pacemakers and other implanted cardiac devices. She/he will demonstrate proficiency while utilizing both the physician office EMR as well as the hospital EMR. This Registered Nurse collaborates with providers, cardiology staff members, and ancillary/support services. She/he provides care in compliance with hospital policies. In addition, the Registered Nurse possesses knowledge of CMS (HCFA) standards specific to Critical Access Hospitals and New Hampshire Department of Health guidelines.
Current RN license in the State of New Hampshire
Current BLS and ACLS certifications required
Basic Dysrhythmia course (minimum 27 hours) required; must pass written examination with a score of 80% or higher
Two years prior experience in cardiology / critical care Registered Nurse required
Computer software skills with Microsoft Word
Prior experience using electronic medical records in a hospital or healthcare office setting
Must be willing to travel to complete course work in pacemaker and cardiac device interrogation
Excellent interpersonal communication skills and organizational skills required
Essential Functions of the Job
Demonstrates current clinical competence and excellence in clinical practice in Cardiology services as outlined in skills competency tool. Serves as a role model for other staff. Accepts professional responsibility and accountability for the quality and level of care provided to patients. Reviews the Cardiology Schedule to plan the day. Manages time efficiently and effectively. Completes patient care and departmental requirements within established shift and reports off duty on time. Completes documentation in the electronic medical record (EMR) for each patient. Accurately administers medications and IV fluids. Follows all medication and IV policies and procedures. Demonstrates knowledge of medication protocols (i.e. cardiac medications). Accurately interprets ECG rhythms and responds appropriately. Interprets the rhythm strip based upon actual human analysis, not relying on the machine interpretation. Notifies the provider for significant rhythm changes and obtains orders as appropriate. Accurately completes interrogation of pacemakers and other cardiac devices. Collaborates with the provider for device reprogramming as appropriate. Demonstrates the ability to rapidly intervene when cardiac ischemic, dysrhythmia or other clinical issues are present. Anticipates physician orders. Evaluates the patientâ€™s response to testing and interventions. Documents patient outcomes following a treatment or intervention. Accepts responsibility and accountability to identify and report Risk Management situations. Completes occurrence and analysis reports and submits them to the Risk Manager within 24 hours of the event. Notifies the Chief Nurse Executive when risk related situations arise. Ensures proper and economical use of equipment and supplies for patient care. Ensures that proper charges are generated from Cardiology Stress Test patients, medications and supplies. Participates in orientation and / or mentoring of new personnel. Follows departmental protocol. Cleans and restocks patient care areas. Participates in the Quality Improvement process and projects for Cardiology. Participates in Cardiology policy/procedure formulation and decision-making. Accepts and satisfactorily completes miscellaneous duties as requested by the Department Manager and/or CNE.