David's South Austin Medical Center is part of St.
David's HealthCare, one of the largest health systems in Texas, which was recognized with a Malcolm Baldrige National Quality Award in 2014. St.
David's South Austin Medical Center is an acute care facility with 316 beds, offering a range of complex specialties and sub-specialties, including a nationally accredited oncology program with the area's only adult bone marrow transplant program; a trauma program that includes all of the capabilities and programmatic elements of a Level II trauma center to treat the most severely injured and critical patients; a comprehensive cardiac program; full-service maternity and newborn care with Level I and II nurseries; and two full-service emergency centers in the communities of Bee Cave and Bastrop.
The cardiac rehabilitation nurse supervisor is a registered nurse who possesses advanced knowledge and skill in the area of cardiac nursing. The relief will cover and assist with immediate responsibilities for the daily operations pertaining to the delivery of both in-patient and out-patient Cardiac Rehab in the absence of the cardiac rehab coordinator.
Makes decisions of moderate difficulty. Handles confidential information regarding patient records, personnel and system. Operates and analyzes telemetry cardiac monitors, exercise equipment and patient evaluation tools. May be required to make critical decisions concerning the initiative of emergency medical procedures.
provides on-site supervision for the delivery of in-patient and/or out-patient
1.1 Assures that all out-patients are appropriately prepped for telemetry
prior to the start of their exercise session.
1.2 Monitors telemetry during out-patient exercise sessions.
1.3 Assures that exercise area is set-up and orderly, both before and after sessions.
1.4 Coordinates physician attendance at sessions, and discusses patient progress with attending physician, and primary physician as necessary.
1.5 Meets regularly with each patient, formally and informally as needed, to assess progress in program and provide appropriate cardiac education.
1.6 Refers appropriate patients for consultations with Dietary, Social Services, Pastoral, Pharmacy, and Psychologist as needed.
1.7 Communicates problems or concerns of the patient to the referring physicians by phone that occur during an exercise session.
2) Responds to referrals and begins the process for each patient entry as
2.1 Contacts the referred out-patients by telephone and provides a brief
overview of the program.
2.2 Schedules an initial evaluation and mails out the intake questionnaire.
2.3 Begins the chart process, request of medical records, chart label, and all
3) Documents patient treatment regularly and accurately according to
3.1 Documents legible and concise entries in the medical record.
3.2 Documents complete medical history on each patient on initial session.
3.3 Documents exercise progress notes on each patient participating in class
and submits accurate charges daily for cardiac services.
3.4 Assures that patient's exercise record is current and accurately reflects
3.5 Sends written correspondence and discharge summary with program
outcomes to physician as appropriate on request of the program coordinator.
4) Initiates advanced cardiac life support measures according to SAH protocols in
the event of a cardiac emergency.
5) Provides appropriate education to all phase II patients during exercise sessions.
5.1 Teaches patients and families understanding, treatment, and
management or cardiovascular disorders.
5.2 Document patient's education, the patient's understanding and/or a
5.3 Facilitates family participation in the teaching plan.
6) Familiar with current standards of practice and clinical protocols.
6.1 Adheres to exercise protocols and responds to adverse reactions
6.2 Makes recommendations to the cardiac rehab nurse manager for
program changes, updates or revisions to promote continuous quality
6.3 Assists the cardiac rehab staff in representing/promoting the cardiac rehab
program to the community and hospital/medical staff.
6.4 Assists the cardiac rehab staff in staying with budgetary guidelines.
7) Demonstrates effective communication and organizational skills, and
evidence of professional development.
7.1 Promotes interdepartmental cooperation and acts as a liaison in problem
solving for assigned programs.
7.2 Delegates appropriate tasks to support staff daily as needed to assure schedule
7.3 Reacts appropriately to patient behavior.
7.4 Maintains required certification an actively seeks further development in
the area of cardiac rehab through the use of hospital and outside resources.
7.5 In a timely manner, clearly communications identified problems with the
cardiac rehab nurse manager or patient problems with appropriate referring
8) Performs miscellaneous job duties as assigned in the absence of the cardiac
rehab nurse manager.
9) Maintains a flexible working schedule to allow for PRN coverage in cardiac
LEVEL OF FORMAL EDUCATION REQUIRED: Graduate of an approved school for registered nurses and current license to practice nursing in the state of Texas.
LIST: Registered Nurse license by the Texas Board of Nurse Examiners. If compact license held, RN is required to obtain a Texas RN license within 90 days of their hire date.
EXPERIENCE REQUIRED: Minimal 3 years experience as a RN with 1-2 years experience working with cardiac patients, preferably on a telemetry unit or coronary care unit. Has been directly involved in education to the patient with coronary heart disease including myocardial infarction, coronary artery bypass surgery and angina and has some knowledge regarding the effects of exercise on the cardiovascular system.