REGISTERED NURSE, CARDIAC REHAB, PER DIEM

POSITION SUMMARY: The Cardiac Rehab Staff Nurse reports to the MMH Cardiac Rehabilitation Site Manager.# The Registered Nurse supervises medically prescribed exercise therapy appropriate to client#s age, medical and emotional/mental status.# The RN provides education classes, concentrating on client#s understanding of the cardiovascular system and heart-healthy life style modifications necessary to maintaining optimum health.# The Cardiac Nurse is accountable for staffing in all areas of patient services under Cardiac Rehab/Cardiac Stress/TEE and is responsible for marketing of program, orientation of the cardiac patient and participating in Quality Improvement. The Cardiac Nurse will participate in the operational duties of the department, such as but not limited to:# Quality Improvement, Policy and Procedure maintenance, revising and development of billing, gathering of statistical data, developing departmental educational opportunities and participating in the on-going growth and maintenance of the excellent customer services provided to all that ECHN serves. # EDUCATION/CERTIFICATION The Registered Nurse must be a graduate of an accredited professional nursing education program Have a current Connecticut license. Required education includes Certification in cardiovascular clinical care (coronary care course) and current BCLS and ACLS certification.# # EXPERIENCE Must have a minimum of two years recent acute/emergent care experience. # COMPETENCIES The incumbent must be proficient in cardiac monitoring and be sedation conscious and IV competent. # ESSENTIAL DUTIES and RESPONSIBILITES: Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job.# They are intended to be accurate reflections of the principal duties and responsibilities of this position.# These responsibilities and competencies listed below may change from time to time. # # # Job-Specific Competency Participates in Cardiac Rehabilitation marketing functions. ##### Answers all questions from potential clients about Cardiac Rehabilitation Program in a clear and################## complete manner.# Collaborates with, financial resource personnel and potential clients, about insurance coverage.# Actively markets to potential clients who are referred to the Cardiac Rehabilitation Program. Exemplary:# Markets directly to physicians or physician office to facilitate client entry into Cardiac######### Rehabilitation Program. Participates in community education by interacting regularly with the community thereby increasing awareness of the prevention and treatment of heart disease.# Actively represents ECHN at rehabilitation related professional organizations. Exemplary:# Seeks opportunity to represent ECHN Cardiac Rehabilitation Department as a public speaker to community organizations. 3. Assesses the patient#s condition and care needs by collecting accurate and thorough data on admission and on an ongoing basis through the performance of cultural and psychosocial assessment, including review of the medical record as per department policy. Exemplary:# Anticipates changes in the patient#s condition, based upon patient assessment data and recognizes subtle abnormalities in the patient#s condition and anticipates the effect on outcomes. 4. Accurately identifies actual and potential nursing diagnoses and/or problems. Exemplary:# Groups and analyzes assessment data to identify specific patient issues or needs with consideration of interdisciplinary issues in the formulation of nursing diagnoses. 5.# Assesses patient and/or family learning needs, including the ability and readiness to learn and# identifies and arranges appropriate resources to assist in the educational process. Exemplary:# Anticipates specific educational needs, including specialized discharge concerns. 6.# Accurately completes necessary documentation of all aspects of the nursing process on an ongoing basis, in a timely manner, as per departmental policy and regularly acts as a resource to others regarding documentation issues. Exemplary:# Makes specific recommendations to improve the documentation process. 7. Plans nursing actions to ensure individualized patient-centered care by integrating# the patient, family, and/or multidisciplinary staff assessments in order to develop a comprehensive plan of care. Exemplary:# Integrates and arranges for collaborative meetings as needed. 8.## Begins discharge planning on admission and updates it throughout the hospitalization in addition to updating the discharge plan frequently and keeping the Case Manager well informed of patient needs. Exemplary:# Anticipates complex discharge needs and intervenes appropriately. 9.# Appropriately delegates duties and tasks to team leaders by developing opportunities to promote growth of subordinates and/or peers. Exemplary:# Mentors team members to develop their maximum potential within their scope of practice. 10.# Implements prescribed medical and psychosocial interventions appropriately to the patient#s plan of care and applys advanced nursing skills as required, in a variety of settings. Exemplary:# Participates in the development of standards, procedures, and/or policies. 11.# Provides and/or coordinates patient/family education, based on assessed needs, by creatively adjusting education to the patient#s needs thus ensuring adequate needs are met. Exemplary:# Analyzes trends in the patient#s needs, researches literature, contributes to the development of patient education resources. 12.# Consistently prepares and administers medications and IV fluids accurately, according to departmental policies while collaborating with the healthcare team to provide appropriate medication for patient#s condition(s).## Exemplary:# Identifies potential problems in medication administration and makes recommendations for quality improvement measures. 13.# Consistently anticipates emergency situations and takes action to prevent or minimize a negative outcome by demonstrating the ability to organize and delegate appropriately in emergency situations. Exemplary:# Takes appropriate action to improve the emergency response system. 14.# Evaluates the patient#s response to planned interventions and makes appropriate modifications to the plan of care by collaborating and communicating with the other members of the healthcare team regarding changes in the plan of care. Exemplary:# Creatively designs and implements interventions to minimize the patient#s length of stay and maintain positive outcomes.#

POSITION SUMMARY:

The Cardiac Rehab Staff Nurse reports to the MMH Cardiac Rehabilitation Site Manager. The Registered Nurse supervises medically prescribed exercise therapy appropriate to client's age, medical and emotional/mental status. The RN provides education classes, concentrating on client's understanding of the cardiovascular system and heart-healthy life style modifications necessary to maintaining optimum health. The Cardiac Nurse is accountable for staffing in all areas of patient services under Cardiac Rehab/Cardiac Stress/TEE and is responsible for marketing of program, orientation of the cardiac patient and participating in Quality Improvement. The Cardiac Nurse will participate in the operational duties of the department, such as but not limited to: Quality Improvement, Policy and Procedure maintenance, revising and development of billing, gathering of statistical data, developing departmental educational opportunities and participating in the on-going growth and maintenance of the excellent customer services provided to all that ECHN serves.

EDUCATION/CERTIFICATION

* The Registered Nurse must be a graduate of an accredited professional nursing education program
* Have a current Connecticut license.
* Required education includes Certification in cardiovascular clinical care (coronary care course) and current BCLS and ACLS certification.

EXPERIENCE

* Must have a minimum of two years recent acute/emergent care experience.

COMPETENCIES

* The incumbent must be proficient in cardiac monitoring and be sedation conscious and IV competent.

ESSENTIAL DUTIES and RESPONSIBILITES:

Disclaimer: Job descriptions are not intended, nor should they be construed to be, exhaustive lists of all responsibilities, skills, efforts or working conditions associated with the job. They are intended to be accurate reflections of the principal duties and responsibilities of this position. These responsibilities and competencies listed below may change from time to time.

Job-Specific Competency

* Participates in Cardiac Rehabilitation marketing functions.

Answers all questions from potential clients about Cardiac Rehabilitation Program in a clear and complete manner. Collaborates with, financial resource personnel and potential clients, about insurance coverage. Actively markets to potential clients who are referred to the Cardiac Rehabilitation Program.

Exemplary: Markets directly to physicians or physician office to facilitate client entry into Cardiac Rehabilitation Program.

* Participates in community education by interacting regularly with the community thereby increasing awareness of the prevention and treatment of heart disease. Actively represents ECHN at rehabilitation related professional organizations. Exemplary: Seeks opportunity to represent ECHN Cardiac Rehabilitation Department as a public speaker to community organizations.

3. Assesses the patient's condition and care needs by collecting accurate and thorough data on admission and on an ongoing basis through the performance of cultural and psychosocial assessment, including review of the medical record as per department policy.

Exemplary: Anticipates changes in the patient's condition, based upon patient assessment data and recognizes subtle abnormalities in the patient's condition and anticipates the effect on outcomes. 4. Accurately identifies actual and potential nursing diagnoses and/or problems.

Exemplary: Groups and analyzes assessment data to identify specific patient issues or needs with consideration of interdisciplinary issues in the formulation of nursing diagnoses. 5. Assesses patient and/or family learning needs, including the ability and readiness to learn and identifies and arranges appropriate resources to assist in the educational process.

Exemplary: Anticipates specific educational needs, including specialized discharge concerns. 6. Accurately completes necessary documentation of all aspects of the nursing process on an ongoing basis, in a timely manner, as per departmental policy and regularly acts as a resource to others regarding documentation issues.

Exemplary: Makes specific recommendations to improve the documentation process. 7. Plans nursing actions to ensure individualized patient-centered care by integrating the patient, family, and/or multidisciplinary staff assessments in order to develop a comprehensive plan of care.

Exemplary: Integrates and arranges for collaborative meetings as needed. 8. Begins discharge planning on admission and updates it throughout the hospitalization in addition to updating the discharge plan frequently and keeping the Case Manager well informed of patient needs.

Exemplary: Anticipates complex discharge needs and intervenes appropriately. 9. Appropriately delegates duties and tasks to team leaders by developing opportunities to promote growth of subordinates and/or peers.

Exemplary: Mentors team members to develop their maximum potential within their scope of practice. 10. Implements prescribed medical and psychosocial interventions appropriately to the patient's plan of care and applys advanced nursing skills as required, in a variety of settings.

Exemplary: Participates in the development of standards, procedures, and/or policies. 11. Provides and/or coordinates patient/family education, based on assessed needs, by creatively adjusting education to the patient's needs thus ensuring adequate needs are met.

Exemplary: Analyzes trends in the patient's needs, researches literature, contributes to the development of patient education resources. 12. Consistently prepares and administers medications and IV fluids accurately, according to departmental policies while collaborating with the healthcare team to provide appropriate medication for patient's condition(s). Exemplary: Identifies potential problems in medication administration and makes recommendations for quality improvement measures. 13. Consistently anticipates emergency situations and takes action to prevent or minimize a negative outcome by demonstrating the ability to organize and delegate appropriately in emergency situations.

Exemplary: Takes appropriate action to improve the emergency response system. 14. Evaluates the patient's response to planned interventions and makes appropriate modifications to the plan of care by collaborating and communicating with the other members of the healthcare team regarding changes in the plan of care. Exemplary: Creatively designs and implements interventions to minimize the patient's length of stay and maintain positive outcomes.

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