Cardiology Nurse Practitioner PRN

Interventional Cardiology Opportunity- Danbury Hospital

Summary:

Provides assistance to the cardiologists/vascular surgeons with diagnostic cardiac and endovascular procedures. Provides the highest level of pre and post procedure care under the direction of the supervising physician.

Responsibilities:

1. Provides pre-procedure patient management by reviewing the patient's medical record, obtaining a complete medical history, performing a physical examination, and documenting all findings. Writes pre-procedure orders.
2. Provides pre-procedure education, explains the risks, benefits, and alternatives to procedure, obtains consent, and completes paperwork.
3. Makes daily rounds independently or with the cardiologists/interventionalists on patients with known or suspected cardiac disease and writes daily progress notes.
4. Evaluates changes in patient status, initiates and orders appropriate medications, lab tests, radiographic, and cardiac imaging studies.
5. Consults with supervising physicians to insure patient and physician satisfaction.
6. Administers IV medications. Inserts and removes vascular sheaths, inserts/removes central venous and arterial lines by means of a surgical cutdown or percutaneous puncture. Reviews ECGs, inserts nasogastric tubes and indwelling urinary catheters.
7. Provides post-procedure follow-up, gives detailed discharge instructions, prepares written prescription orders for medications and controlled susbstances, and discharges patients after discharge criteria are met. Dictates discharge summaries.
8. Follows ACLS protocol in the event of a complication or code 99. Performs cardiac resuscitation and defibrillation, assesses the patient, establishes IV access, and administers drugs as needed.
9. Participates in the on-call schedule to provide coverage 24/7. Duties include assisting with procedure emergencies, patient evaluation amd management, and urgent transfers.
10. Supports other needs of the Cardiovascular Service Line as directed by the Cath Lab Director.
11. Assists staff, if needed, with patient flow pre and post procedure.
12. Assists cardiologist and/or surgeon, acting as first assistant, during cardiac catheterizations, PCI, Swan Ganz Insertions, Intra-aortic Balloon Insertion, endovascular/peripheral procedures, permanent pacemaker & ICD implants & other invasive procedures.
13. Assists surgical PA's, if needed, with cross-coverage across the service line.
14. Provides educational instruction, as needed, to other members of the team.
15. Assists with the collection of data, when requested, for ACC-NCDR registry and the Connecticut registry. May also assist in research studies or clinical trials.
16. Achieves the organization's established expectations with regard to quality service, teamwork, self-development, and community service.
17. Fulfills all compliance responsibilities related to the position.

Education: MASTER'S LVL DGRE

Other Information:

Required: APRN license or PA license. Skilled in taking medical histories, assessing medical condition, and interpreting findings. Skilled in all aspects of invasive cardiac and peripheral procedures including use of equipment. Highly complex conceptual thinking.
Minimum Experience: three years
Desired: Working knowledge of other major areas and the skill to integrate and communicate that information.

Working Conditions:

Manual: significant manual skills/motor coord & finger dexterity

Occupational: Significant occupational risk

Physical Effort: Very Heavy effort. May exert up to 50 lbs. force

Physical Environment: Significant exposure to dirt, odors, noise, human waste, etc.

Credentials:APRN

Company: Nuvance Health Med Practice CT

Org Unit: 507

Department: DB Interventional Cardiology

Exempt: No

Salary Range: $75.00 Hourly