RN (Flex) -Noninvasive Cardiology

				Overview:

The RN will have a thorough understanding/knowledge all Stress Lab and Pacemaker Clinic procedures and equipment. Must have a comprehensive working knowledge of Cardiac Arrhythmias and advanced Cardiac Arrhythmias interpretation. The nurse will assess, prep, monitor, record procedural testing data, and initiate follow-up on all patient responses to stress testing. The nurse will coordinate and conduct all Pacemaker Clinic procedures to include: patient enrollment with a 'follow-up service', and checking/adjusting pacemaker setting using the manufacturer's programmer.

Responsibilities:

* Maintains applies standards of care in caring for patients with medical and surgical conditions/diagnosis.
* Utilizes the nursing process in taking care of the patient.
* Assesses condition of the patient and documents findings in EMR.
* Utilizes principles of Infection Control in the delivery of care.
* Implements appropriate nursing interventions to facilitate recovery of patient and prevent complications.
* Evaluate patient's response to interventions and communicates with other healthcare team members the need to revise or maintain plan of care.
* Assumes responsibility for all phases of patient testing and patient care in conjunction with physicians' requests.
* Evaluates and assesses patients for total physical, physiological and clinical condition in relation to his/her disease using the spectrum of accepted measurement techniques and clinical assessments to determine if the patient is fit to undergo the physician ordered test. If there is a question of the patient's fitness, this is communicated to the physician.
* Organizes the results of the assessment and effectively communicates these results to the patient. If necessary modifies existing protocol to assist individual needs of the patient.
* Initiates appropriate actions effectively in an emergent situation.
* Prioritizes tasks and adjusts priorities, maintain orderly, efficient, and timely flow of patients.
* Starts' IV's as necessary and prepares equipment, secures electrodes and administers exercise test to a patient following established protocol.
* Continuously evaluates the patient's progress, including all physiological and clinical parameters and records these interpretations as per protocol.
* Assess patient's psychosocial status and needs including sleep patterns, anxiety, grief, anger and support systems.
* Recognizes and reports errors or unusual occurrences, and initiates corrective action when appropriate.
* Makes accurate, complete, and timely entries into the patient medical record addressing all steps of the nursing process.
* Responds to lifesaving situations using current nursing standards and protocols for treatment.
* Communicates with staff physician and other medical personnel to exchange information about patient's physiological, physical and emotion tolerance and achievement of test goals. 
* Start standard interventions to stabilize the patient.
* Basic cardiac rhythm monitoring techniques, interpretation, and treatment.
* Recognizes lethal arrhythmias and acts appropriately. Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology.
* Recognize the signs and symptoms of cardiopulmonary and respiratory emergencies and knowing how to start standard interventions to stabilize the patient.
* Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications. Reports adverse reactions to medications or treatments in accordance with the policy.
* Calculate drug dosage, administering continuous medication infusion, and monitoring patients for effects of medication.
* Applies policy of HIPPA Regulations/Patient confidentiality by safeguarding the Protected Health Information (PHI).
* Collect specimens for lab tests.
* Prepares equipment and assists physician during examination and treatment/procedures of patient at the bedside.
* Initiates patient education plan, as prescribed by physician. Teach patients and significant others how to manage their illness/injury, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication and rehabilitation.
* Performs Stress Testing for both Inpatients and Out Patients. Assist during TEE; assist with Cardioversion (Inpatient and Out patients); assist with stress TEES- N5-10; assist with tilt table testing and other non-invasive procedures.
* Coordinates scheduling of patients. Receives and provides handoff.
* Provides nursing care in consideration of patient's culture and ethnic affiliation.
* Maintains competency and updates knowledge of standards of practice in critical care nurse scope of practice.
* Consistently applies the Mission, Vision, and core values of Brookdale University Hospital and Medical Center.
* Applies the philosophy, mission, and vision of the nursing department.
* Maintains current nursing knowledge to assure a safe working environment.
* Participates in assigned departmental or organizational committees, meetings and/or conferences.
* Participates in the department's performance improvement initiatives to continuously improve the quality of patient care.
* Participates in the formulation, review and or revision of departmental policies.
* Ensures that equipment and devices are properly stores after use.
* Identifies and reports malfunctioning equipment /device.
* Demonstrates efforts in the prevention of hospital acquired conditions (HAC) and falls.
* Performs other duties as assigned within the RN scope of practice.

Qualifications:

Education:

Internal & 1199 SEIU:

* Graduate of accredited nursing program(s).
* Bachelor's degree in Nursing preferred.

Non 1199 SEIU Candidates:

* Bachelor's degree in Nursing or equivalent to BSN program.
* Master's degree in Nursing, preferred. 

Experience:

* Minimum two (2) years' in a Cardio diagnosstic laboratory.

Knowledge and Skills:

* Knowledge of critical lab values and takes appropriate nursing actions when indicated.
* Critical thinking, math, and computer skills; Works as a team player. 
* Demonstrates respect and professionalism in all interactions.
* Excellent oral and communication skills. 
* Decision making and problem solving. 
* Able to read, write, see and hear English.

Licenses, Certifications:

* Current NY State RN License, required.
* Basic Life Support (BLS) required.
* Advanced Cardiovascular Life Support (ACLS) required.
* Basic Arrhytmia Class with Certification required.

Physical Requirements:

* Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day. 
* Position will be required to stoops, bends, lifts, carry items weighing up to 35 pounds for routine performance of essential functions.
* An individual in this position may be exposed to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions.
* Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients.
* Manual and finger dexterity, as well as hand and eye coordination.
* Corrected vision and hearing to within normal range
* Frequently sitting at desk working on computer
* Ability to flex working hours.
			

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The Brookdale Hospital Medical Center