ARNP - CARDIOLOGY
US-WA-Wenatchee
External APP
Req #: 13434
Type: Full-Time
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Overview: 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. Responsibilities: * Outpatient Practice Duties * Staff outpatient office clinic in Wenatchee * Staff outpatient office clinic in satellite locations (either Moses Lake or Omak) * 1-4 days per month * 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.
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