APRN: Nationally certified licensed healthcare provider who provides primary and/or specialty nursing and/or medical care in a variety of healthcare settings. Functions in collaboration with a physician according to a standard care arrangement and specialty certification. Provides advanced nursing care to patients with complex acute, critical, and chronic health conditions, including the delivery of acute care services. Practice with a variety of specialty-based populations including neonatal, pediatric, and adult. Practices in any setting in which patients require complex monitoring and therapies, high intensity nursing intervention, or continuous nursing vigilance within the range of high-acuity care.
PA: Nationally certified licensed healthcare provider who provides primary and or specialty medical care (the practice of medicine) in a variety of healthcare settings. Functions the collaboration agreement of a Physician, (as per O.R.C. 4730) performs complete histories and physicals on patients of all ages to establish and record patient's current health status and to develop a working diagnosis and treatment plan to provide continuing medical care, including daily examinations, writing orders, chart notes, discharging patients and completing discharge summaries. This medical care may be in a variety of clinical settings. PA's are privileged by the Board of Governors. PA's in this role provide advanced care to patients with in any setting in which patients require complex, acute, critical and chronic health conditions. Practice in a setting that requires complex monitoring and therapies and high intensity medical/surgical interventions and/or continuous vigilance within the range of high-acuity care.
Conducts thorough medical histories, performs complete physical examinations (where indicated), initiates appropriate lab, radiology tests or other special tests required for evaluation of illness, and scrutinizes lab data on new and former clinic patients and hospital admissions to establish a record of the patient's current health status and to develop a working diagnosis and treatment plan.
Must be able to work with collaborating physician.
Become privileged in Pediatric Institute and HVI.
May prescribe and monitor medications as allowed by prescriptive authority through applicable state Board of Nursing and CCF policy.
Collaborative inpatient and outpatient management of all pediatric and adult congenital patients with heart rhythm disorders managed by our team
Outpatient visits and medical management.
Developing office protocols for triaging calls for the nurses to follow.
Review plan of care for the patient from previous visit.
Home medication management; Complete refills if needed
Seeing the patient in clinic, developing a plan of care, and billing for the service, etc.
Hospital follow-ups. Seeing the patient following a hospital admission, developing a plan of care, and billing for the service, etc
Seeing patients for an acute visit, developing a plan of care, and billing for the service, etc.
Admit patients to the Cardiac Floor. Complete H&P, Daily notes, order and interpret lab work/imaging. Working in collaboration with Inpatient providers
Develop protocols to manage EP patients in the PICU and the RNF.
Daily rounds with inpatient attending physician/fellows/residents on treatment plan. Billing when appropriate.
Continuity of care to transition to outpatient care.
Complete consults to the EP service in conjunction with the EP provider. Follow consults through their inpatient stay. Document daily consult progress note and bill appropriately.
Work with the Maternal-Fetal Team to coordinate care for fetuses with heart rhythm disorders including post-natal management.
Coordinate pediatric EP care to meet recommended care guidelines. Coordinate other subspecialty consultation: as needed. Laboratory evaluation. Procedures EP & Cardiac Cath; Place order pre & post EP. Evaluate patient pre & post EP. Complete an H&P if needed. Discharge patient after procedure
Participate in existing research projects including informed consent for active protocols
Participate in self-driven projects with the mentorship of EP physicians.
Work with HVI counterparts to improve the quality of care for adolescents/adults with heart rhythm disorders
Manage continuity of patient care during the transition from Pediatric to Adult care
Collaborate with other team members regarding the following specific issues: QI, research, guidelines, and policies.
Attend Continuing education on adult congenital heart disease.
Support to attend CME meetings (particularly Heart Rhythm and SADS annual conference) pending department approval
Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards.
Participates in medical team rounds; collaborates with nursing, medical and other healthcare team members regularly to ensure quality patient care
Refers patients to specialists as appropriate for consultation or for specialized health resources and treatment.
Ensures continuity of care by serving as a liaison between patient and other members of the multi-disciplinary care team or with other specialty areas as necessary.
Performs research follow-up studies.
Assists in data analysis.
Participates in quality monitoring thru the review of records and treatment plans for patient outcomes on a periodic basis to assure quality care.
Facilitates appropriate length of stay, discharge planning and compliance with regulatory standards for inpatient management.
May serve as clinical preceptor for PA/APRN students and other health professionals.
May serve as Faculty for onboarding new employees.
Demonstrates a high standard of moral and ethical behavior.
Demonstrates compassion and professionalism and a commitment to excellent patient care.
Special procedure privileging may be required as needed.
Other duties as assigned.
APRN: EDUCATION: Effective 05/01/2014: MSN required upon hire or within 5 years of hire for external hires and internal hires moving from a non-APRN licensed role to an APRN licensed role.
Graduate of an accredited ARPN training program.
APRN: Currently licensed as a Registered Nurse and Advanced Practice Registered Nurse in applicable state.
National certification as Advanced Practice Registered Nurse by nationally accredited organization recognized by state Board of Nursing; current licensure by applicable state Board of Nursing, (including certificate to prescribe if applicable).
Basic Life Support (BLS) through the American Heart Association (AHA) required.
Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS) through the American Heart Association (AHA); or Neonatal Resuscitation Program (NRP) through the American Academy of Pediatrics (AAP) may be required based upon work setting.
Must have Prescriptive authority or eligible to apply for licensure to prescribe from the State Medical Board within the first 6 months of hiring.
Competencies (Complexity of Work):
APRN: Excellent analytical and decision making skills are required.
Strong written and verbal communication skills.
Ability to work as a member of a multi-disciplinary team.
Demonstrated competency and the ability to perform advanced assessment and diagnosis.
Demonstrated ability to utilize the electronic medical record.
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
Must be able to work in a stressful environment and take appropriate action.
Depending on practice, surgical fields may require surgical experience.
APRN: Two years clinical nursing experience preferred. Must have some cardiology experience as RN or APRN.
Will consider new graduates.
APRN: Typical physical demands include the ability to walk and stand for long periods of time.
Manual and finger dexterity and eye/hand coordination to perform physical examinations.
Requires corrected vision and hearing to a normal range.
Occasionally lifts and carries items weighing up to 50 pounds.
May require exposure to communicable diseases and/or body fluids.
Personal Protective Equipment:
The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic's Smoking Policy will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility.
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