Cardiac Device RN
Company: Franciscan Medical Group
Location: Auburn
Posted on: May 16, 2022
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Job Description:
Overview Up to a $5,000 Sign on Bonus for qualifying new
external Clinic RNs Lump sum payment within 30 days of start date 2
year commitment Bonus amount prorated by FTE (min 0.6 FTE required)
CHI Franciscan and Virginia Mason are now united to build the
future of patient-centered care across the Pacific Northwest. That
means a seamlessly connected system offering quality care close to
home. From basic health needs to the most complex, highly
specialized care, our patients can count on us to meet their needs
with convenient access to the region's most prestigious experts and
innovative treatments and technologies. As a part of our
organization, we currently offer the following additional benefits:
Competitive starting wages (DOE) and training to grow within the
company Paid Time Off (PTO) Health/Dental/Vision Insurance Flexible
health spending accounts (FSA) Matching 401(k) and 457(b)
Retirement Programs Tuition Assistance for career growth and
development CareWork premium account for additional support with
children, pets, dependent adults, and household needs Employee
Assistance Program (EAP) for you and your family Voluntary
Protection: Group Accident, Critical Illness, and Identify Theft
Adoption Assistance Wellness Program Responsibilities Franciscan
Medical Group is currently seeking a full-time RN-Clinic Cardio
-DEVICE for our Franciscan Heart and Vascular in Auburn, WA. We are
seeking a motivated individual to join our patient centered team.
This individual will support a fast paced Cardiovascular care team.
Independant work with paid training. Day shift, no weekends, no
organizationally recognized holidays required 4 10s work week
schedule. Job Summary: This job responsible for providing
professional nursing care focused on the testing, retrieval and
analysis of information stored in implantable cardiac devices (e.g.
loop recorders, pacemakers, defibrillators, etc.) in an ambulatory
care setting consistent with CHI Franciscan Health (CHI-FH)
standards/values, Franciscan Medical Group (FMG) Scope of Practice
policy and applicable regulatory requirements. Work is performed
following established standards, protocols and practices, and
within scope of RN licensure, including providing pre- and
post-procedure counseling and education to patients/families with
respect to arrhythmia interpretation and management of implanted
cardiac devices. Work, as ordered by a physician, includes: 1)
providing perioperative recommendations regarding programming of
patient's implanted device relative to scheduled procedures; 2)
performing in-clinic interrogation and reprogramming of implantable
loop recorders, pacemakers and automatic implantable cardiac
defibrillators (AICD); 3) performing routine remote interrogation
and monitoring for daily device alerts; 4) developing initial
device analyses and generating preliminary reports; 5) triaging and
conducting visits to patients post-device insertion; and 6)
alerting practitioners to urgent issues requiring further action.
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 performing
cardiac device activities. 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.
Work requires the ability to apply professional nursing skills to
evaluate patients with arrhythmias and the technical skills to
evaluate patients with cardiac rhythm management devices as well as
the ability to program settings and troubleshoot devices in
collaboration with cardiology providers and device representatives.
Work also requires the expertise to assess data from patients and
cardiac equipment/tests to collaborate effectively with providers
on appropriate treatment protocols/decisions relating to current
and future health status. This position functions in a highly
specialized and unique area which requires a high level of clinical
acumen and independence. 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. 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. 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. 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. Documents studies, procedures, and
interactions in patient's electronic medical record in accordance
with established procedures; enters, pends and signs orders as
appropriate. Device: Provides technical, clinical and related
services in the areas of Cardiology and Electrophysiology (EP)
relative to Cardiac Implantable Electronic Devices (CIED); performs
interrogations of implanted cardiac pacemakers, defibrillators and
loop recorders in an ambulatory setting, or through remote
transmission review, in accordance with established clinical
protocols and guidelines. Performs interrogation, evaluation, and
reprogramming of all manufacturers' models of cardiac rhythm
management devices; triages phone calls and completes programming
orders according to established protocols; performs in-office
device checks, applying considerable knowledge of device
reprogramming steps per established protocols. --- Sets up,
operates, and troubleshoot various CIED programmers and deciphers
complex cardiac device data elements; provides Implantable
Cardioverter Defibrillator (ICD), Pacemaker (PM), Cardiac
Resynchronization Therapy Defibrillator (CRTD), Cardiac
Resynchronization Therapy-Pacemaker (CRTP) checks in-clinic and via
remote follow-up. --- Manages device data in all available
applications and patient medical records; communicates all findings
to include indications found during testing; training and educating
patients on all aspects of the proper use of transmitting devices;
troubleshoots patient compliance issues; schedules appointments for
pacemaker monitoring and facilitates appropriate in-office follow
up. --- Performs clinical review and interpretation of in-office or
transmitted data and informs EP/Cardiology providers of any urgent
device issues; identifies opportunities for process improvements as
well as positive problem resolutions. --- Examines post-implant
wound site and performs associated patient care, including suture
removal for post-procedure and implanted device patients. ---
Performs follow up testing of all cardiac rhythm management
devices, including remote monitoring under the direction of the
physician. Manages and coordinates pre- and post-procedure patient
education, scheduling and procedural nursing follow-up for all
implantable device procedures. --- 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. --- Educates
patients and family members on device-related topics and remote
transmitters; communicates various cardiac device applications to
patients in a coherent manner. --- Coordinates and provides pre-
and post-operative instructions on multiple different device
implantations and LAAC procedure as well as evaluations for wound
infections post-procedure. --- Provides post-procedure instructions
to patient regarding what to do and who/when to call with questions
or concerns. Performs cardiac device-related 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. --- Applies professional clinical judgment
in assessing complex patient problems/needs in accordance with
established protocols; 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;
visits patients who are post-device insertion to monitor
status/progress. --- 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; applies professional clinical judgment in
making recommendations --- Provides guidance and mentoring for
peers on device-specific protocols and technologies. Documents
studies, procedures, and interactions in patient's electronic
medical record in accordance with established procedures; enters,
pends and signs orders as appropriate. --- Reviews remote and
in-office evaluations and completes documentation according to
protocols. --- Acts as backup to enroll patients into approved
research studies as instructed by principal investigating physician
and follows study reporting and monitoring requirements. --- 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. MISSIONCRITICAL Qualifications
Education/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. Work experience in med/surg,
telemetry and/or a cardiology-related field is preferred.
License/Certification: Current licensure as a Registered Nurse by
the Washington State Board of Nursing. Current Advanced Cardiac
Life Support (ACLS) certification.
Keywords: Franciscan Medical Group, Auburn , Cardiac Device RN, Healthcare , Auburn, Washington
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