Np/Pa Cardiology (Inpatient)

Job Summary:

Responsible for providing direct patient care and supervising care of patients admitted to the Chest Pain/Heart Failure Observation Unit and any others as defined by the Collaborative agreement the NP has with the collaborating physician. Provides direct patient care for patients diagnosed with cardiovascular disease utilizing evidence based practice.

Responsible for prompt recognition of acute change in patient status necessitating emergent change in plan of care. Patient care includes daily rounds independent of physicians, performing detailed history and physicals on admission, diagnosing and treating patient within current scope of care, collaborating and consulting multidisciplinary team to optimize patient care and outcomes.

Formal consults will be made to Cardiology, Hospitalist team and other specialist(s) when deemed necessary. Will work closely with ancillary departments to ensure appropriate and timely work up and disposition of all patients.

Provide comprehensive discharge plan to facilitate proper transition of care. Serves as both role model and resource to nursing staff. Provides ongoing staff education as needed.

Provides patient education on ongoing basis. Maintain current credentialing/privileges, CEU requirements, licensure and certification as required. Serves as liaison between ED physicians, Cardiology, Hospitalist service and Primary Care physicians to coordinate patient care services in order to optimize patient care and maximize utilization of resources.

Education:

Required: Masters of Science degree in Nursing (MSN). Advanced Practice Nurse. Must be ACNP or AGACNP certified as this is for inpatient care.

Preferred:

Experience:

Required: Demonstrated competence in nursing specialty with minimum of 3 years experience as an RN in practicing specialty.

Preferred: Critical Care, Emergency Department or Cardiology experience

Position Requirement(s): License/Certification/Registration

Required:

Licensed as an Registered Nurse (RN) in the state of Tennessee

Licensed as an Advanced Practice Nurse (APN) in the state of Tennessee

National certification in a specialty (such as ACNP, ANP, CCNS, FNP)

Certificate of fitness from the state of Tennessee

BLS completed prior to going to the unit/department and maintained going forward

ACLS certification required for those involved in direct patient care

The Nurse Licensure Compact will not change how to obtain or renew a Tennessee license. However, the Tennessee nursing license will be a single state license for Tennessee Residents or non-compact state residents. Tennessee licensure or multistate licensure from a compact state must be obtained within three months of hire for non-Tennessee residents.

Preferred: N/A

Department Position Summary:

The CV Nurse Practitioners will work in the Chest Pain/Heart Failure Observation Unit for EHS. The position of the Advanced Practice Nurse for Cardiovascular services is to provide clinical expertise and continuity of care for patients admitted with the diagnosis of chest pain or ACS, cardiovascular disease, decompensated heart failure or cardiac dysrhythmia.

Care of this subset of patients is a continuum from the time of admission through discharge or final disposition. The CV Nurse Practitioner will work collaboratively with ED physicians, Cardiologists, and the Hospitalists. They will serve as patient/physician liaisons with all referring physicians.

The CV nurse practitioner must have a strong knowledge base of the cardiovascular system, advanced nursing principle, strong leadership skills, organizational functions, policies, evidenced based practice, AHA/ACC guidelines, and new developments. The CV Nurse Practitioner will:

Work collaboratively with Cardiology, ED, Hospitalists, and referring physicians.

Maintain and update policies, procedures, and algorithms in keeping with current evidence- based practice

Serve as both a resource and role model/mentor to RN staff

Keep current with all required Continuing education

Provide patient/family teaching to improve outcomes and patient satisfaction

Role Specific responsibilities include but are not limited to:

Perform detailed History and Physical

Order, interpret, and provide treatment as necessary: CXR, EKG, Laboratory studies, and other diagnostic radiologic studies

Provide staff education

Provide patient and family education

Provide physician referrals as needed

Recognize and treat acute changes in patient status

Collaborate with physician sponsor and ancillary departments as needed

Round on patients daily

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