Cardiac Rehabilitation Registered Nurse/Exercise Physiologis

Weeks Medical Center Lancaster , NH 03584

Posted 2 months ago

Position SummaryA registered professional nurse or certified exercise physiologist who is responsible for coordinating the Cardiac Rehabilitation Program, directing and guiding patient teaching and activities for Cardiac Rehabilitation patients and supervision of ancillary personnel while maintaining standards of the American Association of Cardiovascular and Pulmonary Rehabilitation.QualificationsGraduate of an accredited and approved school of Nursing or Exercise Physiology program.Current Registered Nurse New Hampshire license or National Certification in Exercise Physiology.Current ACLS Certification or successful completion of ACLS course within 6 months of hire.Current BLS certification.Recent relevant clinical experience in cardiac care required.Successful completion of Cardiac Rhythm Strip competency.Essential Functions of the JobRequired skills and competencies. Has competency checklist been completed with all competencies met (i.e. job skills / knowledge, equipment knowledge)?Responsible for the initial intake assessment of new participants, including insurance screening and pre-authorizations if needed, and assists in their orientation and care plan development.Supervises exercise sessions, monitoring participants for inappropriate responses to exercise.Reports any significant participant conditions to the supervising physician immediately.Initiates BLS/ACLS measures and/or emergency care according to hospital policy.Leads participant education sessions in areas recommended by the AAVCPR (and/or similar professional organizations); consults with other professionals accordingly when necessary.Checks emergency supplies and equipment for proper function and adequate supply on a regular basis.Responsible for implementation and monitoring of CQI Process in conjunction with the Manager of Rehabilitation ServicesIn conjunction with the Manager of Rehabilitation Services, submits participant session charges on a monthly basis.Prepares and submits monthly participant report to the Cardiac Rehabilitation Medical Director and discharge summaries per participant to the referring provider.Coordinates monthly supervision session of Cardiac Rehabilitation Medical Director for each participant.Manages time effectively to ensure that deadlines are met and that personal priorities support organizational objectives.Performs all other duties as assigned.

  • Position Summary

  • A registered professional nurse or certified exercise physiologist who is responsible for coordinating the Cardiac Rehabilitation Program, directing and guiding patient teaching and activities for Cardiac Rehabilitation patients and supervision of ancillary personnel while maintaining standards of the American Association of Cardiovascular and Pulmonary Rehabilitation.

  • Qualifications

  • Graduate of an accredited and approved school of Nursing or Exercise Physiology program.

  • Current Registered Nurse New Hampshire license or National Certification in Exercise Physiology.

  • Current ACLS Certification or successful completion of ACLS course within 6 months of hire.

  • Current BLS certification.

  • Recent relevant clinical experience in cardiac care required.

  • Successful completion of Cardiac Rhythm Strip competency.

  • Essential Functions of the Job

  • Required skills and competencies. Has competency checklist been completed with all competencies met (i.e. job skills / knowledge, equipment knowledge)?

  • Responsible for the initial intake assessment of new participants, including insurance screening and pre-authorizations if needed, and assists in their orientation and care plan development.

  • Supervises exercise sessions, monitoring participants for inappropriate responses to exercise.

  • Reports any significant participant conditions to the supervising physician immediately.

  • Initiates BLS/ACLS measures and/or emergency care according to hospital policy.

  • Leads participant education sessions in areas recommended by the AAVCPR (and/or similar professional organizations); consults with other professionals accordingly when necessary.

  • Checks emergency supplies and equipment for proper function and adequate supply on a regular basis.

  • Responsible for implementation and monitoring of CQI Process in conjunction with the Manager of Rehabilitation Services

  • In conjunction with the Manager of Rehabilitation Services, submits participant session charges on a monthly basis.

  • Prepares and submits monthly participant report to the Cardiac Rehabilitation Medical Director and discharge summaries per participant to the referring provider.

  • Coordinates monthly supervision session of Cardiac Rehabilitation Medical Director for each participant.

  • Manages time effectively to ensure that deadlines are met and that personal priorities support organizational objectives.

  • Performs all other duties as assigned.

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Attends team huddles consistently to promote and facilitate communication of patient safety and risk concerns. * Ensures proper and economical use of equipment and supplies for patient care. Makes recommendations to improve the cost effective use of supplies. Makes recommendations on new products to the Value Analysis committee. * Assesses new admissions immediately upon arrival. Conducts a thorough primary and secondary survey of the patient and documents findings. Immediately recognizes abnormalities in airway, breathing and circulation and intervenes quickly and appropriately. Accurate and thoroughly completes the Admission Assessment for each patient. Completes a Plan of Care according to unit specific standards and utilizes this plan of care as a part of shift report and handoff communication. * Engages patients in plan of care through bedside shift report, communication of the care plan, attending IDT meetings and family conferences when scheduled. * Reassesses each patient (frequency according to unit standards) and following treatments, medications and interventions. Reassesses all patients with abnormal vital signs. Documents findings and outcomes of interventions. * Plans for the admission, discharge and transfer needs of each patient. Communicates with the House Coordinator (or Manager) regarding admissions, discharges and ALL acute care transfers. Discusses discharge planning needs with Case Management as appropriate. * Recognizes and reports changes in patient condition. Implements physician orders promptly. Signs off orders and verifies medications in the EMAR. Initiates prn orders, based upon protocols and nursing judgment. * Accurately administers medications (all routes) and IV fluids. Follows all medication and IV policies and procedures including scanning of the barcodes and obtaining a witness for barcode overrides. Demonstrates knowledge of medication protocols (i.e. cardiac medications, post-anesthesia medications, oncology medications). Obtains a weight on each patient and accurately calculates drip rates for vasoactive medications based upon the patient's weight. When indicated based upon unit standard practice, prints a medication chart from the monitoring system to correspond to the weight-based dosing of medications. * Accurately interprets ECG rhythms and responds appropriately. Interprets the rhythm strip based upon actual human analysis, not relying on the machine interpretation. Notifies the physician for significant rhythm changes and obtains orders as appropriate. Demonstrates the ability to recognize ischemia, injury and infarction on a 12 lead EKG. Demonstrates the ability to rapidly intervene when these signs are present. Anticipates physician orders. * Assists physicians with treatments and interventions (ie central line insertion, cardioversion, etc). Anticipates needs related to the treatment or intervention and thoroughly prepares the patient and the room. Applies Holter monitors and Loop monitors as ordered. Scans Holter monitor tapes with a high degree of accuracy and interprets results. Notifies physicians of significant arrhythmias. Processes charges and reports. * Provides education to patients and family members related to their health condition and treatment plan. Works in collaboration with the physician to provide patient education and discharge planning. * Adhere to Medication Safety policies in regards to appropriately bar-coding medications and patient ID bands. Obtaining a witness whenever a barcode override for a medication to be administered is necessary. Meeting this standard would be using barcode override 3% (or less) of the time. Exceeds = 1.9% or less Meet = 2.0% - 3.9% of barcode administration override Needs Improvement = 4% or more * Accepts and satisfactorily completes miscellaneous duties as requested by the Department Manager and/or CNO. Weeks Medical Center Lancaster NH

Cardiac Rehabilitation Registered Nurse/Exercise Physiologis

Weeks Medical Center