Salary Range
$67.31 - $81.73
Summary
Provides appropriate specialized health care services to hospital and clinic patients. Performs examinations and provides treatment to routine clinical problems; performs or orders diagnostic testing; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care.
Position Reports To: Practice Manager.
Essential Functions
- Outpatient Practice Duties
- Staff outpatient office clinic in Wenatchee
- Staff outpatient office clinic in satellite locations (either Moses Lake or Omak)
- Provide comprehensive history and physical examinations on new cardiology patients
- Provide comprehensive history and physical examinations for pre-operative clearance of non-cardiac surgery
- Provide comprehensive history and physical examinations prior to cardiac procedures, in conjunction with cardiologist performing procedure
- Provide post-operative evaluation (i.e after cardiac operations/procedures)
- Order and/or perform pertinent diagnostic tests-ECG, echocardiogram, nuclear stress test, exercise stress test, chest x-ray, etc
- Evaluate cardiac patient's medical history, physical exam findings and diagnostic/laboratory data
- Formulate cardiac care plan using established guidelines from ACC/AHA/NHLBI/HFS, and under the direction of a cardiologist
- Initiate hospital admission orders after consulting with on-call cardiologist, including admission history and physical, on cardiac patients that require admission
- Provide education and counseling to cardiac patients, patients families, and community groups on prevention and treatment of cardiovascular disease
- Provide care in Areas of special interest may be assigned (ie HF, Lipid management, EP clinic)
- Act as preceptor for physician assistant/nurse practitioner students
- Actively recruit patients for cardiology-oriented research studies
- Educate and communicate with patients and families regarding cardiac procedures, including cardiac catheterization, PCI, CABG, Pacemaker/ICD implantation, cardioversion, stress testing, echocardiography, etc
- Educate Cardiac Rehab participants on cardiovascular disease and prevention
- Participate in Community Wellness events, as schedule allows, with focus on cardiovascular disease Place referrals to other healthcare professional/specialties as needed
- Participate in telemedicine clinic to outreach/satellite locations as needed and when travel is not possible
- Inpatient Practice Duties
- Staff hospital services as assigned, 4-10-hour shift rotation, including weekends
- Complete comprehensive health history and physical examination of patients with acute or chronic cardiac conditions
- Order and/or perform pertinent diagnostic studies, including ECG, echocardiograms, treadmill stress tests, nuclear stress tests (pharmacologic and exercise), stress echocardiograms (pharmacologic and exercise), chest x-rays, etc
- Perform cardiac patient's medical history, physical exam findings, and evaluate diagnostic/ laboratory data
- Assist the on-call cardiologist with daily rounds, new consults, NSTEMI/STEMI triage in the ED
- Generate daily progress notes to be used as shared-visits with on-call cardiologist
- Notify on-call cardiologist of any change in patient condition
- Evaluate and formulate treatment plan for new consults, in conjunction with on-call cardiologist
- Generate discharge summaries, discharge orders, plus complete patient education and follow-up plans for NSTEMI/STEMI patients
- Admit and perform History and Physical on Antiarrhythmic therapy patients
- Monitor QTc interval on Antiarrhythmic patients, as directed by supervising physician
- Perform medication reconciliation between hospital discharge and home medications, writing new prescriptions as appropriate
- Complete daily patient education on cardiac conditions, treatment options, medications, and prognosis
- Assist on-call cardiologist with triage of patients consults and needs
- Communicate effectively with on-call cardiologist, hospital service, nursing staff, and other support staff
- Order cardiovascular procedures (cardiac catheterizations, pacemaker implantations, etc.) as directed by attending cardiologist
- Take weekend calls from nursing staff and from outpatient clinic cardiology line from Friday 1700 through Monday 0700
- Assist in ACLS/BLS codes, as directed by supervising physician(s)
- Perform device interrogations, reprogramming and deactivation of ICDs in the setting of end-of-life care, per physician recommendations
- Perform Pacemaker interrogations and interpretation of rhythm data, as directed by supervising physician(s)
- Assist in suturing pacemaker pockets and implanting loop recorders, as directed by supervising physician(s)
- Stress Testing Practice Duties
- Possess knowledge/competency of appropriate indications/contraindications for exercise and pharmacologic stress testing, plus review stress test orders, to assess for appropriate use criteria by non-cardiology providers
- Possess knowledge/competency to promptly recognize and treat complications of exercise and pharmacologic stress testing
- Possess knowledge/competency of appropriate contraindications, risk assessment of testing
- Possess knowledge/competency of BLS/ACLS on an annual basis
- Possess knowledge/competency of Cardiovascular and Exercise Physiology
- Possess knowledge/competency of Exercise and Pharmacologic Stress testing Protocols
- Possess knowledge/competency of Cardiac Arrhythmias, at rest and during exercise
- Other duties as assigned
Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.
Qualifications
Required:
- Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date.
- CPR/ACLS Certification.
Desired:
- Related experience.
- Cardiology Specialty Certification.
Physical/Sensory Demands
O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday.
F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday.
C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.
Physical/Sensory Demands For This Position:- Walking - F
- Sitting/Standing - F
- Reaching: Shoulder Height - F
- Reaching: Above shoulder height - O
- Reaching: Below shoulder height - O
- Climbing - O
- Pulling/Pushing: 25 pounds or less - O
- Pulling/Pushing: 25 pounds to 50 pounds - O
- Pulling/Pushing: Over 50 pounds - O
- Lifting: 25 pounds or less - F
- Lifting: 25 pounds to 50 pounds - O
- Lifting: Over 50 pounds - O
- Carrying: 25 pounds or less - O
- Carrying: 25 pounds to 50 pounds - O
- Carrying: Over 50 pounds - O
- Crawling/Kneeling - O
- Bending/Stooping/Crouching - O
- Twisting/Turning - O
- Repetitive Movement - O
Working Conditions:- Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others.
Job Classification:- FLSA: Exempt
- Hourly/Salary: Salary
Physical Exposures For This Position:- Unprotected Heights - No
- Heat - No
- Cold - No
- Mechanical Hazards - No
- Hazardous Substances - Yes
- Blood Borne Pathogens Exposure Potential - Yes
- Lighting - No
- Noise - No
- Ionizing/Non-Ionizing Radiation - No
- Infectious Diseases - Yes
