Overview
The RN will have a thorough understanding/knowledge all Stress Lab and Pacemaker Clinic procedures and equipment. Must have a comprehensive working knowledge of Cardiac Arrhythmias and advanced Cardiac Arrhythmias interpretation. The nurse will assess, prep, monitor, record procedural testing data, and initiate follow-up on all patient responses to stress testing. The nurse will coordinate and conduct all Pacemaker Clinic procedures to include: patient enrollment with a 'follow-up service', and checking/adjusting pacemaker setting using the manufacturer's programmer.
Responsibilities
- Maintains applies standards of care in caring for patients with medical and surgical conditions/diagnosis.
- Utilizes the nursing process in taking care of the patient.
- Assesses condition of the patient and documents findings in EMR.
- Utilizes principles of Infection Control in the delivery of care.
- Implements appropriate nursing interventions to facilitate recovery of patient and prevent complications.
- Evaluate patient’s response to interventions and communicates with other healthcare team members the need to revise or maintain plan of care.
- Assumes responsibility for all phases of patient testing and patient care in conjunction with physicians’ requests.
- Evaluates and assesses patients for total physical, physiological and clinical condition in relation to his/her disease using the spectrum of accepted measurement techniques and clinical assessments to determine if the patient is fit to undergo the physician ordered test. If there is a question of the patient’s fitness, this is communicated to the physician.
- Organizes the results of the assessment and effectively communicates these results to the patient. If necessary modifies existing protocol to assist individual needs of the patient.
- Initiates appropriate actions effectively in an emergent situation.
- Prioritizes tasks and adjusts priorities, maintain orderly, efficient, and timely flow of patients.
- Starts’ IV’s as necessary and prepares equipment, secures electrodes and administers exercise test to a patient following established protocol.
- Continuously evaluates the patient’s progress, including all physiological and clinical parameters and records these interpretations as per protocol.
- Assess patient’s psychosocial status and needs including sleep patterns, anxiety, grief, anger and support systems.
- Recognizes and reports errors or unusual occurrences, and initiates corrective action when appropriate.
- Makes accurate, complete, and timely entries into the patient medical record addressing all steps of the nursing process.
- Responds to lifesaving situations using current nursing standards and protocols for treatment.
- Communicates with staff physician and other medical personnel to exchange information about patient’s physiological, physical and emotion tolerance and achievement of test goals.
- Start standard interventions to stabilize the patient.
- Basic cardiac rhythm monitoring techniques, interpretation, and treatment.
- Recognizes lethal arrhythmias and acts appropriately. Initiates corrective action whenever information from monitoring equipment shows adverse symptomatology.
- Recognize the signs and symptoms of cardiopulmonary and respiratory emergencies and knowing how to start standard interventions to stabilize the patient.
- Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications. Reports adverse reactions to medications or treatments in accordance with the policy.
- Calculate drug dosage, administering continuous medication infusion, and monitoring patients for effects of medication.
- Applies policy of HIPPA Regulations/Patient confidentiality by safeguarding the Protected Health Information (PHI).
- Collect specimens for lab tests.
- Prepares equipment and assists physician during examination and treatment/procedures of patient at the bedside.
- Initiates patient education plan, as prescribed by physician. Teach patients and significant others how to manage their illness/injury, by explaining: post-treatment home care needs, diet/nutrition/exercise programs, self-administration of medication and rehabilitation.
- Performs Stress Testing for both Inpatients and Out Patients. Assist during TEE; assist with Cardioversion (Inpatient and Out patients); assist with stress TEES- N5-10; assist with tilt table testing and other non-invasive procedures.
- Coordinates scheduling of patients. Receives and provides handoff.
- Provides nursing care in consideration of patient’s culture and ethnic affiliation.
- Maintains competency and updates knowledge of standards of practice in critical care nurse scope of practice.
- Consistently applies the Mission, Vision, and core values of Brookdale University Hospital and Medical Center.
- Applies the philosophy, mission, and vision of the nursing department.
- Maintains current nursing knowledge to assure a safe working environment.
- Participates in assigned departmental or organizational committees, meetings and/or conferences.
- Participates in the department’s performance improvement initiatives to continuously improve the quality of patient care.
- Participates in the formulation, review and or revision of departmental policies.
- Ensures that equipment and devices are properly stores after use.
- Identifies and reports malfunctioning equipment /device.
- Demonstrates efforts in the prevention of hospital acquired conditions (HAC) and falls.
- Performs other duties as assigned within the RN scope of practice.
Qualifications
Education:
Internal & 1199 SEIU:
- Graduate of accredited nursing program(s).
- Bachelor's degree in Nursing preferred.
Non 1199 SEIU Candidates:
- Bachelor’s degree in Nursing or equivalent to BSN program.
- Master's degree in Nursing, preferred.
Experience:
- Minimum two (2) years' in a Cardio diagnosstic laboratory.
Knowledge and Skills:
- Knowledge of critical lab values and takes appropriate nursing actions when indicated.
- Critical thinking, math, and computer skills; Works as a team player.
- Demonstrates respect and professionalism in all interactions.
- Excellent oral and communication skills.
- Decision making and problem solving.
- Able to read, write, see and hear English.
Licenses, Certifications:
- Current NY State RN License, required.
- Basic Life Support (BLS) required.
- Advanced Cardiovascular Life Support (ACLS) required.
- Basic Arrhytmia Class with Certification required.
Physical Requirements:
- Physically demanding, high-stress environment requiring prolonged periods of standing, reaching, walking throughout the working day.
- Position will be required to stoops, bends, lifts, carry items weighing up to 35 pounds for routine performance of essential functions.
- An individual in this position may be exposed to: Adverse indoor environmental conditions, Blood borne pathogens, Blood and body fluids, Physical hazards (e.g., needle pricks, etc.), communicable diseases, chemical hazards, radiation, and repetitive motions.
- Full range of body motion, able to lift up to 100 pounds, if necessary, to assist lifting and moving patients.
- Manual and finger dexterity, as well as hand and eye coordination.
- Corrected vision and hearing to within normal range
- Frequently sitting at desk working on computer
- Ability to flex working hours.
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and can be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., site, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The statements herein are intended to describe the general nature and level of work being performed by employees and are not to be construed as an exhaustive list of responsibilities, duties, and skills required of personnel so classified. Furthermore, they do not establish a contract for employment and are subject to change at the discretion of One Brooklyn Health (OBH).
OBH is an equal opportunity employer, it is our policy to provide equal opportunity to all employees and applicants for employment without regard to race, color, religion, national origin, marital status, military status, age, gender, sexual orientation, disability or handicap or other characteristics protected by applicable federal, state, or local laws.
