Cardiac Registered Nurse
Company: Rhode Island Hospital
Location: Providence
Posted on: October 17, 2024
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Job Description:
Must have cardiac monitoring experience. - -Summary:
Under the general supervision of the Assistant Clinical Manager and
in collaboration with the Nuclear Medicine and Cardiac Non-Invasive
Cardiology Fellows Attending Cardiologists and according to
established guidelines evaluates patients referred for cardiac
stress testing. Reviews patients medical history and performs
focused cardiovascular assessment prior to testing. Administers
exercise and pharmacologic stress tests in Nuclear Medicine and
Cardiac Non-Invasive. Provides initial patient management of
arrhythmias or adverse events that may occur during stress testing.
Under the supervision of the Cardiology Fellow and Non-Invasive
Cardiology Attending administers moderate sedation and monitors
patients undergoing Transesophageal Echocardiograms and
Transesophageal Echocardiograms with Cardioversion.
-Responsibilities:
PRINCIPAL DUTIES AND RESPONSIBILITIES: Evaluates patients referred
for stress testing according to standard criteria and guidelines.
Identifies indications and contraindications for stress testing.
Safety concerns are communicated to the Cardiology Fellow prior to
proceeding Performs focused cardiovascular assessment on patients
referred for stress testing to detect evidence of any of the
following conditions: Heart Murmurs Congestive Heart Failure
Cervical Bruit Arrhythmias Edema Vascular Insufficiency. Interviews
patients referred for cardiac stress testing detailing previous and
present cardiovascular problems risk factors and other pertinent
medical history. Suggests appropriate stress testing protocol based
on patient assessment. Explains stress testing protocol and
acknowledges patient consent. Performs proper 12 lead EKG placement
and skin prep. Performs 12 lead EKG interpretation and compares
resting EKG to stress EKG tracings. Identifies patterns of ischemia
and infarction and other common EKG abnormalities. Understands the
effects of age disease physical condition and medications on
hemodynamic and EKG response to stress testing. Understands
conditions and circumstances that can cause false positive
indeterminate and false negative stress testing results. Recognizes
life threatening arrhythmias and initiates therapy according to
ACLS guidelines. Demonstrates effective intervention of
complications when they occur. Terminates stress test at
appropriate endpoint and monitors patient to ensure safety.
Documents nursing assessment and stress testing procedure
information in patients medical record. Understands and practices
ALARA principles of Radiation Protection including the use and
exchange of personal dosimeters. Administers moderate sedation to
patients undergoing Transesophageal Echocardiograms and
Cardioversion procedures. Monitors patients receiving sedation and
anesthesia for Transesophageal Echocardiograms and Cardioversion
procedures. Administers Definity/ Contrast Agents and Agitated
Saline/Bubble studies when indicated per protocol to patients
having echocardiograms.
-Other information:
Licensure as Registered Nurse in the State of Rhode Island by the
Rhode Island Board of Nursing or licensure as a Registered Nurse in
accordance with the Nurse Licensure Compact agreement of the
National Council of State Boards of Nursing.BASIC
KNOWLEDGE:Bachelors Degree preferred.Must have current licensure to
practice as a Registered Nurse in the State of Rhode IslandAdvanced
Cardiac Life Support certification.Professional and analytical
skills to evaluate patients to determine safety of administering
cardiac stress tests.Ability to recognize arrhythmias and intervene
appropriately.Analytical ability to interpret 12 lead
EKGs.Interpersonal skills to effectively communicate with patients
allay patient anxiety and elicit patient cooperation during
administration of stress test. Ability to communicate and exchange
information with physicians.Advanced physical assessment skills to
provide comprehensive patient history and focused physical
assessment on patients referred for stress testing.Ability to
administer sedation and monitor patients receiving moderate
sedation and anesthesia for Transesophageal Echocardiograms and
Cardioversion procedures.Demonstrated knowledge and skills
necessary to provide care patients with consideration of aging
processes human development stages and cultural patterns in each
step of the care process.EXPERIENCE:Minimum three years related
experience plus additional on the job training.WORK ENVIRONMENT AND
PHYSICAL REQUIREMENTS:Frequent walking and standing.Exposure to low
level radiation but little chance of injury when established safety
procedures are followed.INDEPENDENT ACTION:Performs independently
within department policies and practices. Refers specific complex
problems to supervisor where clarification of departmental policies
and procedures may be required.SUPERVISORY RESPONSIBILITY:None
-Brown University Health is an Equal Opportunity / Affirmative
Action employer. All qualified applicants will receive
consideration for employment without regard to race color religion
sex national origin age ethnicity sexual orientation ancestry
genetics gender identity or expression disability protected veteran
or marital status. - - Brown University Health is a VEVRAA Federal
Contractor. -Location: Rhode Island Hospital USA:RI:Providence
-Work Type: Part Time -Shift: Shift 1 -Union: UNAP
Keywords: Rhode Island Hospital, Waltham , Cardiac Registered Nurse, Healthcare , Providence, Massachusetts
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