OverviewResponsibilitiesPurpose: The Registered Nurse (RN) utilizes the nursing process to assess, evaluate, plan and deliver comprehensive care to patients with specific dysrhythmias, particularly those requiring pacemakers and devices. The function of the Registered Nurse is to collaborate with the physician in providing care with the patient, including evaluation of pacemakers and device functions, battery life, need for program adjustments to optimize pacemaker/device performance, education of patients and family, and telephone triage of patients. Interacts with clinic physicians, referring physicians, clinical staff and community agencies to provide optimal care to the patient with arrhythmias. Performs professional nursing work of considerable difficulty including the care of patients as outlined by physicians and the objectives and policies of the organization. Is responsible for preliminary report generation and notification to providers (Physician and APP) for issues requiring further attention.
Duties and Responsibilities:- Working within scope of license, provide direct nursing care to patients by assessing their physical, psychological, and emotional status.
- Develop and implement nursing plan of care for patients.
- Communicate the plan of care to patients as prescribed by physician: test results, scheduling of specialized tests and treatment modalities, prescription drug instructions and other patient education including procedures and/or disease processes.
- Performs device interrogation procedures.
- Performs evaluation of pacemakers and device functions, battery life, and need for program adjustments to optimize pacemaker/device performance.
- Measure and record patients' vital signs/conditions, such as but not limited to height, weight, temperature, blood pressure, pulse and respiration. When in a preoperative unit, collects vital signs at the patient visit including heart rate, respirations, oxygen saturation, blood pressure and temperature. Performs and transmits 12 lead EKG according to Anesthesia guidelines. Completes medication reconciliation process.
- Using the nursing process, triage patient concerns in clinic as well as over the telephone and provide nursing advice. Receive phone calls relating to appointments, urgent care, inpatient admissions, prescription refills and test results in accordance with clinic protocols and coordinate proper disposition of each. Make pre and post procedure phone calls to patients.
- Follow guidelines for managing, addressing, and responding to IHIS in-basket tasks and communications received via other electronic means.
- Administers medications safely and assesses patient' responses. Documents all medications administered, diagnostic procedures and treatments performed; patient/family education provided; and patient responses observed.
- Observe patients and reporting changes in patients' conditions, such as adverse reactions to medication or treatment, and taking any necessary action.
- Help maintain patient flow and workflow. Work collaboratively as a team member of the clinic staff to provide a high quality and efficient service to patients and clinic.
- Under physician guidance, interrogate, interpret, and reprogram cardiac devices. Troubleshoot critical device issues and take immediate steps toward resolution.
- Collaborate with physicians regarding device status and accurately document device analysis in Paceart system.
- Document utilizing IHIS / PACEART, the patient's orders and CPT code(s) for charge capture. Collaborates with OSUP revenue cycle regarding CPT code changes and billing requirements.
- Schedules appropriate follow up for ongoing device management, per physician directive or established protocol as needed.
- Recognizes patient rights and provides for confidentiality of patient information and for dignity through own performance and in relationship with others.
- Collaborates with other disciplines; promotes and supports research activities; and utilizes available resources to provide and improve patient care. Promote a healthy clinical environment and good working relationships. Participates in positive, proactive inter- and intra-departmental communication.
- Participates in staff meetings and quality improvement team efforts, including meetings to discuss quality assurance improvement initiatives. Ability to maximize the equipment's quality assurance programs and to utilize quality improvement methods.
- Participate in special projects as needed including but not limited to development of nursing documentation forms, development or procurement of patient education forms, quality assurance activities, etc.
- Where assigned, responsible for ordering clinic supplies, making equipment recommendations, and assisting in ensuring appropriate billing of clinic services and supplies.
- Practices safety, environmental, and/or infection control methods. Identifies and/or communicates any safety issues for the clinical equipment, building, follows-up to ensure completion.
- Maintains patient areas and working spaces in a clean, neat and orderly manner. Monitors use of supplies/medications; restocks as necessary and informs appropriate persons of needs for additional supplies.
- Ability to perform functions using job-related software and systems.
- Travel to outlying clinics within a 2 hour radius and set up appropriate equipment. Travel may be required to accommodate staffing levels at other clinical facilities.
- Attendance, promptness, professionalism, the ability to pay attention to detail, cooperativeness with co-workers and supervisors, and politeness to customers, vendors, and patients.
- Other duties or special projects as assigned.
QualificationsRequirements:- Associate Degree in Nursing and current Ohio Registered Nurse license.
- BLS and ACLS certified.
- 5 years pacemaker/device experience.
- Thorough knowledge of cardiac dysrhythmias, cardiac anatomy, and electrophysiology procedures.
- Knowledge of patient assessment and triage procedures along with clinic, physician office and/or urgent care experience.
- Ability to maintain quality, safety, and/or infection control standards.
- Knowledge of appropriate procedures and standards for the administration of medications and patient care aids.
- Ability to educate and clearly communicate with patients and/or families as to the nature of disease and to provide instruction on proper care and treatment.
- Ability to convey information both in writing and verbally.
- High level of interpersonal skills to handle sensitive and confidential situations.
- Position continually requires demonstrated poise, tact and diplomacy.
- Analytical ability and critical thinking to gather and interpret data and develop, recommend, and implement solutions.
Preferences: Bachelor's Degree in Nursing.
Pay RangeUSD $32.21 - USD $47.60 /Hr.
