Cardiac Services Nurse Practitioner

18 hours ago

Fontana, United States Kaiser Permanente Full time
Job Summary

The ICD Nurse Specialist role at Kaiser Permanente Southern California Region is an advanced practice nursing position that requires expertise in clinical practice, research, education, leadership, and consultation. The successful candidate will work under the medical direction of the Electrophysiologist and/or Cardiologist to evaluate, educate, and perform device programming for patients with implantable cardiac devices (ICD and pacemaker).

Key Responsibilities
  • Develop and implement standards of practice, policies, and procedures for cardiac device patient population.
  • Provide 24-hour clinical leadership and ensure that nursing care needs of the cardiac device patient population are met.
  • Implement methods and processes to support change in nursing practice, care programs, and clinical innovation.
  • Achieve improved patient/family outcomes.
  • Independently assess cardiac device transmissions, including electrograms, from patients using knowledge and experience in device programming.
  • Function independently in the assessment and interpretation of cardiac device data from patients in outpatient clinic, inpatient hospital, and by remote interrogation.
  • Provide medical and/or technical programming recommendations and advice.
  • Perform interrogations and reprogramming as needed, on all types of implantable cardiac devices.
  • Evaluate clinical practice in cardiac device patients to ensure community/professional standards are met.
  • Effectively identify, evaluate, and address disease prevention and health promotion issues of the cardiac population with implanted devices, while administering quality patient care.
  • Follow selected patient population in order to coordinate care.
  • Provide nursing and medical services to individuals, families, and groups, with a focus on health promotion and disease prevention.
  • Rounds on hospital patients with implanted cardiac devices (includes community needs assessments).
  • Evaluate implantable device policies and procedures for clinical nursing practice for all areas of Cardiac Service.
  • Facilitate multidisciplinary collaboration based on clinical needs of patient/family.
  • Participate in basic science and clinical research projects conducted in Cardiac Services.
  • Prepare statistical reports and analysis setting forth progress, adverse trends, and appropriate recommendations or conclusions.
  • Participate in outcomes research.
  • Review work of lower-rated employees who interface with device patients, including, but not limited to: Care Managers, Nurse Educators, clinic nursing personnel, staff RNs, and technicians assigned to device clinics.
  • Oversee, coordinate, and evaluate information provided by vendor representatives from cardiac device companies.
  • Identify clinical quality indicators for cardiac device populations.
  • Conduct systematic reviews when required.
  • Set and develop standards of practice, policies, and procedures for a specialty population that are consistent with professional standards of practice.
  • Implement methods and processes to sustain change in nursing practice, programs of care, and clinical innovation.
  • Facilitate evaluation of records by physicians, peers, and quality standards, according to protocols, and receive and implement constructive directives.
  • Makes recommendations on cost/quality strategies, works within budget.
  • Assist physicians and management in coordination of ICD and/or Pacemaker Service, including but not limited to: Communicating and consulting with referring medical center physicians and personnel on ICD and/or Pacemaker issues and patient care.
  • Serve as clinical/technical resource for referring medical centers on implanted devices.
  • Train and evaluate nursing personnel from other medical centers on devices and operation of device clinics.
  • Maintain device database.
  • Assist with device recalls affecting Southern California region.
  • Develop, implement/coordinate, and evaluate specialty education programs for cardiac device patients and their families.
  • Develop, implement/coordinate, and evaluate specialty education programs for nursing staff, including nurses in the communities.
  • Assist in training and education of nursing/technical personnel assigned to ICD and/or Pacemaker.
  • Provide educational assistance to Cardiology and EP Fellows and Family Practice/Internal Medicine Residents on cardiac devices.
  • Coordinate ICD patient/family support group.
  • Schedule, coordinate, and perform interrogation.
  • Interpret, and evaluate therapeutic and diagnostic tests on cardiac device patients working with the Electrophysiologists and/or Cardiologists.
  • Explain necessity, preparation, nature, and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient.
  • Record physical findings and formulate plan, based on patients condition.
  • Consult and collaborate with physician and other healthcare providers as needed regarding patient care management issues and in the development of comprehensive patient care plan.
  • Submit healthcare plans and goals for periodic review by physicians.
  • Maintain accurate and confidential medical records.
  • Document all procedures, evaluations, treatments, outcomes, education, and referrals, consistent with NCQA (National Committee for Quality Assurance), JCAHO (Joint Commission on Accreditation of HealthCare Organizations), and state regulatory standards.
  • Analyze new knowledge gained from conferences, workshops, professional literature, or hands-on training and assimilate this knowledge into clinical practice.
  • Assist in interviewing staff and provide input into evaluations regarding clinical competence and provide coaching and counseling.
  • As an ICD-NP, perform additional duties including but not limited to: physical examinations, initiate drug therapy, taking responsibility for such therapy when performed prior to consultation with a physician, establish and document the health care plan and prognosis.
  • May be required to collaborate with physicians on general cardiac medications and anticoagulation.
  • Other duties as assigned.
Basic Qualifications
  • Experience: Minimum two (2) years experience in area of specialty required.
  • Education: Clinical masters degree in nursing required.
  • Graduate of an accredited RN and NP program.
  • License, Certification, Registration: Registered Nurse License (California), Nurse Practitioner Furnishing Number (California), Nurse Practitioner Certificate (California), Advanced Cardiac Life Support, National Provider Identifier, Drug Enforcement Administration Registration, Nurse Practitioner National Certificate, Basic Life Support.
Additional Requirements
  • Demonstrated clinical expertise in Cardiology and ability to collaborate with physicians on titration of arrhythmia-related medications.
  • Proficient in 12 lead ECG and arrhythmia interpretation.
  • Proficient computer skills to manage cardiac device data in spreadsheets, databases, and vendor programs.
  • Must be able to work in a Labor/Management Partnership environment.
Preferred Qualifications
  • ICD/pacemaker experienced RN.
  • Experience in cardiac services preferred.

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