Registered Nurse Clin I- Cardiac Rehab- RN PRN- Memorial Regional Medical Center

Bon Secours
Mechanicsville, VA
Oct 25, 2021
Oct 27, 2021
Full Time
Thank you for considering a career at Bon Secours! JOB DESCRIPTION Primary Function/General Purpose of Position Responsible for the administration of specialized care to cardiopulmonary patients in the hospital and upon discharge from the hospital in the out-patient cardiac rehabilitation setting. Participates in cardiovascular education and screening in the Richmond community. Employment Qualifications Graduate of an accredited school of nursing Current License to practice nursing in the Commonwealth of Virginia or awaiting reciprocity. BSN required upon hire or within five years of start date. Minimum of three years of Cardiac care experience required including care of patient with: cardiac artery bypass, valve surgery, myocardial infarction, LVAD, life vest, PCI/Stents, internal cardiac defibrillator (ICD), pacemaker, heart failure and complex co-morbidities. Critical care experience preferred. Care of chronic respiratory disease. Currently certified in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS). Professional Cardiac Rehab Certification preferred. Experienced in acute care cardiology, prevention, and risk-factor intervention. ESSENTIAL JOB FUNCTIONS Out-patient responsibilities Manages caseload of patients enrolled in cardiac rehab with heart disease, acute and chronic, under the supervision of the medical director. Reviews in-patient medical record, MD office note, recent EKG, cardiac tests, lab work and pertinent medical history Performs the initial patient assessment Performs basic physical exam: heart sounds, lungs, pulses, range of motion or physical limitations with special attention to cardiac status and/or cardiac risk factors. Assess for fall risk using Schmidt Fall Risk Scale and flags Kardex if moderate-high risk for falls. Risk stratify patient according to ACC, AACVPR and AHA guidelines prior to beginning exercise. Improves healthcare access and promotes client knowledge and behavior change. Responsible for updating individualized treatment plan for assigned patients in collaboration with Dietitian and Exercise Specialist. Updates q Assesses psychosocial needs of patient/family and refers to appropriate MD, counselor or community service provider. Provides professional and competent nursing care in conformance with established policies, procedures, and standards of the Hospital and standards of care as they relate to the nursing process. Documents patient medications on intake to program and responsible for medication reconciliation every visit, ensuring medication compliance is met. Notifies PCP and/or referring provider when blood pressure, HR, cardiac rhythm, or sign and symptoms are not within normal limits. Communicates treatment changes to patient and/or family of medication changes and/or if other services are needed (office visit, ED, cath lab, etc) Assists with patient transfer to office or ED Leads and manages patient care during visits to cardiac rehab sessions Implements medical policies and procedures with emphasis on close adherence to exercise prescription and maintenance of safety standards. Documents patient response to exercise, heart rate, rhythm and any signs and symptoms patient may be having. Educates patient in self-monitoring target heart rate (THR) or rate of perceived exertion (RPE). Administers medications as need arises in emergency and non-emergencies in the department. Communicates patient progress and /or difficulties to the primary care/ and referring physician. Performs discharge along with dietitian and ES: reviews and documents patient progress and establishes new goals. Participates in the educational components of the cardiac rehab program.Is prepared to teach weekly 1-hr classes to small groups of 10-30 participants. Documents patient participation and response to risk factor, medication, CAD and stress management classes. Responsible for maintaining evidence based education for presentations made during classes and updated curriculum, as needed. (PowerPoint, handouts, and other teaching material). Leads small groups in discussions about heart disease, stress, social issues and emotional healing after a cardiac event, adapting to group dynamics. In-patient RN Responsibilities Responsible for identification and education of hospitalized patients who have a cardiac diagnosis of MI, Stable Angina, PCI, Cardiac Surgery (CABG, Valve, LVAD, etc), Heart Failure and signification cardiac arrhythmias Uses BNP and echo reports to assist with identification of heart failure patient using the daily BNP report. Collaborates with heart failure nurse navigator regarding patient needs for education and discharge planning. Uses troponin report to identify possible MI patient Collaborates with nursing staff on unit regarding education plan and follow-up. Places patient on follow-up call list. Evaluates and assesses all in-patient cardiac rehab referrals for education and out-patient cardiac rehab eligibility. Educates all patients with cardiac diagnoses explaining procedures and providing appropriate education material. Evaluates health literacy and readiness to learn to improve patient knowledge of health condition and impact self-care behaviors after discharge. Implements appropriate educational plan for healthcare team to maximize healthcare outcomes and facilitate wellness. Confirms use of correct pathway and education plan. Acts as an educational resource for the bedside RN for patient education and documentation. Provides in-services and education to SMH staff RN's and ancillary staff to ensure 24/7 education is documented appropriately in ConnectCare to meet criteria for disease specific certifications. Responsible for maintaining (ordering, accounting and updating) evidence based "cardiac" education materials for the hospital and ensuring material is available to patients and staff. Facilitates the transition of care from hospitalization, to home, to cardiac rehabilitation to reduce readmissions and prevent visits for care that would better be delivered in health centers or provider offices.Makes follow-up calls 48-78 hours post discharge, collaborating with nurse navigators, clinical resources lead, physician practices and other providers to ensure patient knows next steps and to avoid multiple inter-disciplinary calls to patient. Review discharge orders, reconcile medications, ensure discharge MD appointment are made and answer patient questions. Collaborates and manages out-patient referrals from physicians, determining eligibility and insurance coverage, scheduling patients for first visit to Cardiac Wellness. These patients may not be from BSR. Assist patient with obtaining primary care provider if they do not have one. Assist with making first appointment. Follow-up with patient on all labs, tests, and consults to ensure work is done prior to first visit to cardiac rehab. Other Job Functions Maintains the emergency system and readiness of equipment and participates in drills. Performs POC testing according to OSHA guidelines. (ie. Lipids, glucose). Demonstrates proficient computer skills and is able to function within the electronic medical record. Must demonstrate appropriate knowledge of the principles of growth and development from adult through the geriatric stage of the life span. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Provides patient care to adults and geriatric patient in the cardiac rehab setting. Proficient in Cadence to register and/or schedule in ConnectCare Can schedule patients for initial intake, goal setting session, clinic or exercise session Enters charges for billable services Assists in training of students, interns or volunteers as needed. Bon Secours is an equal opportunity employer. We'll also reward your hard work with: Comprehensive, affordable medical, dental and vision plans Prescription drug coverage Flexible spending accounts Life insurance w/AD&D An employer-matched 403(b) for those who qualify Paid time off Educational Assistance And much more S cheduled Weekly Hours: 0.01 Work Shift: Days/Afternoons Department: Cardiac Rehab - Memorial All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. 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