Cardiac Device Specialist

3 hours ago


Fontana, California, United States Kaiser Permanente Full time
Job Summary:

The ICD Nurse Specialist role at Kaiser Permanente Southern California Region is a critical element of expert clinical practice. This advanced practice nursing role is built around the five role subcomponents as regulated by the California Board of Registered Nursing: Clinical Practice, Research, Education, Leadership, and Consultation.

Key Responsibilities:
  • Develop and implement standards of practice, policies, and procedures for cardiac device patient populations, ensuring consistency with professional practice standards.
  • Implement methods and processes to support change in nursing practice, care programs, and clinical innovation, achieving 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, performing 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 populations to coordinate care, providing nursing and medical services to individuals, families, and groups, with a focus on health promotion and disease prevention.
  • Round on hospital patients with implanted cardiac devices, including 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, participating 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, reviewing work of lower-rated employees who interface with device patients, including 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, identifying clinical quality indicators for cardiac device populations.
  • Conduct systematic reviews when required, setting and developing 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, facilitating evaluation of records by physicians, peers, and quality standards, according to protocols and receiving and implementing constructive directives.
  • Make recommendations on cost/quality strategies, working within budget, assisting physicians and management in coordination of ICD and/or Pacemaker Service, including communicating and consulting with referring medical center physicians and personnel on ICD and/or Pacemaker issues and patient care.
  • Serve as a clinical/technical resource for referring medical centers on implanted devices, training and evaluating nursing personnel from other medical centers on devices and operation of device clinics.
  • Maintain device databases, assist with device recalls affecting Southern California region, develop, implement/coordinate, and evaluate specialty education programs for cardiac device patients and their families, nursing staff, and other medical centers.
  • Provide educational assistance to Cardiology and EP Fellows and Family Practice/ Internal Medicine Residents on cardiac devices, coordinate ICD patient/family support groups, schedule, coordinate, and perform interrogations, 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 plans based on patients' conditions, consult and collaborate with physicians and other healthcare providers as needed regarding patient care management issues and in the development of comprehensive patient care plans.
  • 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, JCAHO, 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 physical examinations, initiate drug therapy, take responsibility for such therapy when performed prior to consultation with a physician, establish and document the healthcare plan and prognosis.


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