APRN/PA - HVC OUTPATIENT CLINIC

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New Haven, CT
Aug 23, 2019

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Job Description

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

EEO/AA/Disability/Veteran

Summary:
The Clinical Nurse Practitioner in the Heart and Vascular Center section of Electrophysiology, under the supervision of the Associate Director of Outpatient Programs for Heart and Vascular Center and in collaboration with the Clinical Director of Electrophysiology will work collaboratively with the interdisciplinary team that provides care to EP inpatients. The candidate will supervise cardioversions and patients with devices undergoing MRI exams. The APRN will also perform interrogation of devices and support the Cardiology Fellowship Program. The APRN will provide telemanagement with adjustment of medications as needed, in addition to providing on-going education with the goal of empowering patients to help them control and self manage their disease. Patients will be followed along a continuum of care. The APRN will also coordinate staff and system operations to ensure patient safety and the delivery of quality patient care, and collaborates with other clinical staff in achieving these goals.

Responsibilities:
  • 1. Clinical Practice
  • 1.1. Assist the cardiology physicians in the implementation and evaluate a program of specialized health care for a select group of electrophysiology patients both in the inpatient and outpatient hospital setting to manage acute and chronic health problems and promote physiologic stability and improved quality of life
  • 1.2. Utilize the nursing process based on an expanded knowledge base of pathophysiology and pharmacology to provide comprehensive health assessment, diagnosis and treatment of individuals with potential or actual cardiovascular health needs
  • 1.3. Provide education and emotional support as well as clinical expertise and assessment in the management of cardiac arrythmias
  • 1.4. Provide direct care including specialized procedures, physical assessments, evaluations and patient education
  • 1.5. Optimize drug therapy in accordance with current ACC standards/guidelines.
  • 1.6. Obtains comprehensive health histories, performs complete physical examinations and management plan, enters admission orders for appropriate laboratory and diagnostic imaging tests, and completes orders for therapy under the supervision of the Attending physicians
  • 1.7. Supervises and manages patient visits to clinic and telephone calls with patients. Ordering of appropriate lab tests, interpretation of the results, formulation of a treatment plan and arrangement of follow up appointments, procedures and tests as necessary. Maintains close follow up of patients by phone or office visit
  • 1.8. Communicates patients treatment plans and patient status information to referring physicians and interdisciplinary team
  • 1.9. Documentation in the form of notes and dictations in the patients chart concerning the patients progress and any care provided or clinical assessments made
  • 1.10. Document physical assessment findings, medical histories, risk stratification and plans of care
  • 1.11. Serves as a liaison to patients and their families. Education and explanation is provided to patients, family, and other staff members
  • 1.12. Monitoring and assessment of patient compliance, adverse medical events and planned surgical and non-surgical interventions
  • 1.13. Provide telemanagement with adjustment of medications as needed and on-going education, counseling and behavioral therapies to enhance adherence and prevent decompensation
  • 1.14. Encourage patients to be active partners in their care to improve symptoms and long term outcomes
  • 1.15. Provide interface by communicating with referring physicians when the attending cardiologist is not immediately available and arranging appropriate follow-up, new patient appointment, or transfer as necessary
  • 1.16. Collaborates not only with the attending cardiologist but also with office staff, other attending physicians, nurses, house staff, fellows, and other healthcare providers to ensure quality patient care
  • 1.17. Participates in quality control monitoring and quality collection and participates in defining and interpreting standards of clinical practice. Assures the application of standards by monitoring clinical practice and patient outcomes
  • 1.18. Assessment of group patient outcomes to identify directions for patient care that require additional attention
  • 1.19. Involvement in education, consultation and research at various levels; participates in research studies and clinical protocols and assists in data collection and data basing where necessary
  • 1.20. Performs interrogaton of devices, supervise cardioversions and supervises patients undergoing MRI exams and surgical procedures and is available to provide device advice after hours.
  • 1.21. Provides support to the Cardiology Fellows and the Cardiology Fellowship Program.
  • 1.22. Complete dictation summaries on patients discharged from the electrophysiology service, writing prescriptions, entering discharge orders, discharge instructions, and arranging follow-up as needed
  • 2. Education
  • 2.1. Serves as a resource for residents and fellows, and as a role model/preceptor for nurses and related staff in the electrophysiology program. Maximizes opportunities in the clinical setting for informal education of staff, patients, and families
  • 2.2. Lectures at conferences and seminars for health care professionals
  • 2.3. Is knowledgeable of regional and national clinical and operational trends of electrophysiology.
  • 2.4. Works both independently and with other healthcare departments/disciplines in developing, implementing and evaluating educational programs for patients, professionals and the community
  • 2.5. Develop, implement and evaluate patient education materials relative to the electrophysiology patient population
  • 3. Research
  • 3.1. Supports the research mission of the department through direct involvement and collaboration with investigators and protocol personnel
  • 3.2. Promotes research utilization through the dissemination of existing and new research findings in the clinical practice setting
  • 3.3. Promotes research through data interpretation, evaluation, and translation
  • 3.4. Promotes and participates in heart and vascular clinical studies, both inpatient and outpatient, and through cooperative groups
  • 4. Quality Improvement
  • 4.1. Manages relevant aspects of our outpatient/inpatient care delivery system for the electrophysiology program and in collaboration with the Heart and Vascular quality improvement manager

    Other information:

    EDUCATION:

    MSN. Graduate of Nurse Practitioner Masters Degree Program. Licensed and currently registered in the State of CT. ANA certification and prescriptive authority required. 3-5 years of experience in cardiology and in device interrogation preferred.

    EXPERIENCE:

    Three (3) to five (5) year experience in cardiology or related field ideal. Previous experience in an advanced practice role preferred.

    LICENSURE:

    Certification as an Advanced Practice Nurse, CT State licenses, APRN and RN

    SPECIAL_SKILLS:

    Excellent clinical, interpersonal and organizational skills. Knowledge of research methods. Computer skills including MS Word, Excel and Access. Some anticoagulation experience preferred.
    ACCOUNTABILITY:

    Accountable to conduct accurate and appropriate evaluation, care, and coordination of care of Electrophysiology patients.
    COMPLEXITY:

    Evaluates, manages, and coordinates care of a population of heart failure patients. Coordinates studies and interactions with other services as necessary. Works with the clinical director or an appropriate designee on special projects as assigned.
    PHYSICAL_DEMAND:

    APRN will work 1 weekend per month and will take call that weekend.

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    Job Info

    Job: 7113

    Department: HVC Outpatient Svc
    Category: Advanced Practice
    Status: Full Time
    Shift: DAYS
    Hours: 40.000

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