Nurse Practitioner - Cardiology
The Cardiology Department is seeking an experienced Nurse Practitioner to be responsible for pre and post operative/ procedure, patient evaluation, assessment and treatment of EP procedures. Specifically, he/she will follow the patients that have undergone endovascular procedures/ EP procedures up to the time of hospital discharge, provide discharge instructions and education and arrange follow-up in ambulatory setting. The Nurse Practitioner will provide ambulatory follow-up care in clinic setting during post-hospital discharge visit along with attending EP/ cardiologist, evaluating post-operative complications and assuring compliance with treatment regimen and secondary prevention. Maintain database for Quality Assurance/Quality Improvement. Assist in supervision of cardiovascular stress testing serving as a back-up for non-invasive RN/NP.
Essential Job Functions and Duties:
- Provides pre and post-procedure care to patients undergoing EP intervention.
- Helps coordinate the outpatient follow-up visit and assist the physician during the procedure by scrubbing and facilitate the patient hospital discharge.
- Provides counseling and education regarding risk factor modification and secondary prevention.
- Helps provide care to patients during follow-up ambulatory visit after the invasive procedure.
- Assesses patient’s pre-operative status through history taking, physical assessment, and laboratory interpretation as fitting his/her level of training.
- Formulates comprehensive care plans for patients with staff.
- Instructs patient and/or the patient’s family on disease process and appropriate therapy.
- Provides counseling in adapting to and coping with changing health status.
- Implements plans for utilizing appropriate resources.
- Provides ongoing follow-up care as necessary via ambulatory visits and telephone contact with patients, families and/or public health nurses.
- Documents medical care in the patient’s record utilizing the SBAR format.
- Acts as patient/family advocate in patient conferences.
- Ensures continuity of care by coordinating the patient’s health care and social services needs. Shares pager calls responsibilities with cardiology hospitalist and cardiology fellows.
- Treats, prescribes, diagnoses, and manages patient’s health care needs, with input from the collaborating physician as necessary.
Establishes the Standards of Nursing Care
- Collaborates with the nursing administrative leadership when indicated in establishing the policies and procedures necessary to provide quality patient care for EP patients.
- Assists in evaluating the quality of patient care through application of a quality assurance process.
- Contributes to the continuing education and professional development of health.
- Assumes responsibility for maintaining own competency and continuity education in area of specialization and in professional practice.
- Attends relevant workshops, conferences and seminars locally and nationally.
- Participates in independent and/or collaborative research projects.
- Attends and participates in team meetings and work with the director on EP service line expansion.
- Acquire skills for device clinic and interrogation for EP patients.
- Complies with standards and regulations of licensure, regulatory and accrediting agencies.
- Maintains a comprehensive record of all active patients on cardiology/
- EP services. This includes new consultations, patients that have already been consulted on and require continued input from cardiology consultant, patients in CCU/MCIU and SICU (including post-CABG patients) and patients on primary cardiology service.
- Following initial patient evaluations, reviews the medical data with the attending physician supervising the cardiology service, formulate a plan of action, make progress note entry into the medical record and discuss the same with the patient.
- Maintains an ongoing and open communication between the primary service (hospitalist attending physician, resident in-charge and the Primary Care Physician) and notify all concerned of recommendations made by cardiology service.
- Follows-up on all diagnostic testing ordered as a part of cardiology consultation, incorporates the results (preliminary in some cases) into the medical record and communicate with the primary service attending physician.
- Removes patients from the active list of cardiology/ EP patients as and when the cardiology service signs off from the case, including entry of sign-off note into the medical record.
- Schedules return visits in cardiology/ EP clinic at appropriate intervals depending on severity of symptoms in consultation with attending physician.
- Assists patients with application process for obtaining “Medical Assistance; Disability Benefits” or other such issues after being considered eligible by the attending physician.
- Assists in obtaining prescription drugs via several industry sponsored programs for eligible patients.
- Assists with secondary intervention preventive programs in targeted patient populations e.g. smoking cessation counseling in patients with coronary artery disease in conjunction with other services (smoking cessation counseling service.)
- Develops continuous quality improvement tools and QA database regarding JCAHO recommended parameters (e.g. aspirin, beta blocker, ACA-Inhibitor and statin use at admission and discharge in patients with CAD, documentation of risk factor modification at discharge etc.)
- Assists in ambulatory EP/cardiovascular clinic for following up patients discharged from the hospital.
- Assist cardiology hospitalist in triaging of telemetry twice daily and collaborating with bed nurse coordinator, charge nurse, emergency room director, and administration in ensuring efficiency in flow of telemetry beds.
- Provides appropriate referral of patients to the heart failure clinic, electrophysiology service, and cardiothoracic service.
- Provides collaborative and concurrent electrophysiology consultations and assistance as needed.
- Audits for proper billing/charging of cardiology consultants
- Develops and assists in development of patient educational tools and pamphlets including acute myocardial infarction folder, patient discharge contract, post cardiac cath discharge instruction sheet, heart failure clinic pamphlet.
- Performs other clinical duties as assigned by the Chief of Cardiology and or Director of Cardiology.
- Provides educational in-services and seminars to the nursing staff and quality improvement staff.
- Provides assistance and participation in research studies conducted by medicine residents on cardiovascular topics.
- Provides assistance in cardiovascular projects (e.g. Heart Failure Consortium)
- Collaborates with pharmaceutical industry representatives in obtaining guidelines, research, educational knowledge and support for implementation of quality improvement initiatives in cardiovascular care.
- Master’s Degree from an accredited nursing program.
- National certification and maintenance of certification as a cardiovascular nurse practitioner.
REQUIRED LICENSES and CERTIFICATION:
- Current RN Illinois license.
- Current Advanced Practice Illinois Licensure.
- Current DEA licensure
Special instructions on how to apply:
To apply for this position please email your resume to email@example.com with the position title in the subject line. You may also fax your resume to (773)257-6290 attention Marisa Robertson. Applications can also be obtained in person at 15th and California from the Human Resources department Monday - Friday from 8:30am - 4:30pm. Sinai Health System is proud to be an Equal Opportunity Employer M/F/V/D. TTY number: 773-257-6289.