Job Summary:
Provide oversight with regard to All Cardiac related Testing, such as Cardiac Echo, Exercise stress tests, Nuclear Medicine Cardiac Stress. Utilizing established institutional informed consent policy; indications/contraindications for testing; immediate pretest physical examination; confirmation of anticipated test endpoints; diagnosis; final clinical interpretation and report of stress results to appropriate cardiology for final interpretation.
Develop, supervise, and operationalize quality and safety protocols that are reviewed regularly with staff. Such protocols should serve to improve the quality and safety of the stress testing environment and the reliability of results obtained from the stress test.
The Cardiology APP supervising stress tests must demonstrate and maintain competency that includes:
• Knowledge of appropriate stress test indications and contraindications
• Knowledge of alternative exercise stress and pharmacologic protocols
• Cardiovascular and exercise physiology, including hemodynamic response to exercise
• Knowledge of the pathophysiology of the disease or condition for which testing is being performed
• Recognition of normal endpoints
• Abnormal clinical and ECG responses that should prompt termination of stress
• Prompt recognition and management of complications
• Cardiac arrhythmias and the ability to recognize and treat serious arrhythmias
• ECG interpretation
• Maintenance of certification in CPR and ACLS
• Cardiovascular drugs and how they can affect exercise performance, hemodynamics, and the ECG
• Effects of age and disease on hemodynamic and ECG responses to exercise
• Principles and details of exercise and pharmacologic testing, including proper lead placement and skin preparation
• Specificity, sensitivity and diagnostic accuracy of exercise testing in different patient populations
• Electrocardiography and changes in the ECG that may result from exercise, pharmacologic agents, hyperventilation, ischemia, hypertrophy, conduction disorders, electrolyte disturbances and drugs
• Conditions and circumstances that can cause false-positive, indeterminate or false-negative test results
• Prognostic value of exercise testing
• Concept of metabolic equivalent (MET) and estimation of exercise intensity in different modes of exercise.
If you're ready to embrace a career where your skills, compassion, and commitment to excellence are celebrated, apply today to join St. Mary's Cardiology. Together, we'll make a meaningful impact on our community's health and well-being.
