Heart specialist job description

Among our many accolades, we have been designated 8 times the only A-Rated for Safety Hospital, awarded M a g n et Recognition for superior nursing, named Best Regional Hospital by US News and World Report and ranked among the 100 best places to work in healthcare (nationally). Jersey City Medical Center is also ideally located in the vibrant Jersey City waterfront community overlooking the harbor, just 10 minutes from New York City, with a grand view of the Statue of Liberty.

Job Description

Assists nursing and surgical staff with direct patient care activities. Assumes responsibility for providing technical assistance in the environment of the operating room. Plans and evaluates care provided. Assists in the delivery of quality patient care through utilization of technical skills. Performs technical duties relating to scrub personnel, including smooth, precise, and efficient reaction to all situations, and assists with departmental work as assigned. Participates in staff, patient and/or family education to a degree consistent with personal knowledge base. The Open Heart Specialist surgical tech will be fully competent, independent and autonomous in all specialties with a primary focus on open heart. Responsible for the open heart specialty including but not limited to: training current and new staff, managing par levels and supplies, checking supplies for outdates, work with SPD to manage instruments and develop needed trays to keep up with volume.

Additional Requirements

• High school graduate.
• Completion of an OR Technician training program or equivalent.
• Previous Open Heart Experience
• Certification by the Association of Surgery Technologists desired.
• Successful completion of all Orientation Programs.

We are committed to High Reliability and consistent demonstration of our Safety Together behaviors and tools:

S - Speak up for Safety

A - Accurately communicate

F - Focus on the task

E - Exercise and accept a questioning attitude

T - Thoughtfully interact

Y - You and Me Together

RWJBarnabas Health offers excellent-provided benefits which include: competitive compensation, comprehensive medical/dental benefits, 403 (B) savings plan, Flexible Spending Plans, PTO program, tuition reimbursement and so much more.

Equal Employment Opportunity

APP, New England Heart Institute, Cardiology - (2201419) Description Performs diversified, clinical duties in support of the New England Heart and Vacsular Institute inpatient, out-patient and satellite operations. Collaborates with the New England Heart Institute cardiologists in the delivery of cardiology care and treatment to patients and family members.
PRINCIPAL DUTIES AND RESPONSIBILITIES:

Under the general supervision of the Director of NEHVI Advanced Practice Providers and the clinical supervision of the Executive Medical Director of the New England Heart and Vascular Institute and within established Catholic Medical Center departmental policies and procedures, the incumbent performs the following functions:

Essential Functions:

Gathers pertinent information, interviews patients and performs physical examinations on patients in collaboration with the attending New England Heart and Vascular cardiologist. Develops, manages and executes a patient plan of care.

Promptly reports this information to the cardiologist, formulates a differential diagnosis and plan based on this assessment.

Documents history and physicals findings promptly, in the electronic medical record patient chart. .

Performs inpatient, outpatient office and satellite office assessments, consultations and follow up care of patients, to include relevant interval history, physical exam and review of objective data diagnostic and procedural testing and develops plan of care. Documents visits in EMR.

Performs Cardiology Consultations when requested, reviews findings, assessments and plan of care with the attending NEHVI cardiologist. Documents consultation in the EMR,

Admits patients for procedures in collaboration with the procedural cardiologist. Assesses patient readiness and appropriateness to proceed with the procedure. Discusses any concerns and makes recommendations to procedural cardiologist.

Reviews planned procedure with the patient and family providing procedural education including review of risks and benefits of the planned procedure.

Determines and completes orders including orders for diagnostic testing and medications within the EMR in accordance with institutional policy and procedures.

Visits patients after procedures to assess their status, discuss procedural findings, answers appropriate questions and provide educational and emotional support to patients and family members. Records these visits in the hospital EMR .

Manages and executes patient discharges includes prescribing medications, determining and arranging follow up care, collaborating with consultant providers, nurses, social work and case management. Documents discharge summaries and other required documents in EMR. Requests all discharge information and need for followup care is sent to referring providers.

Recognizes and reports relevant information that requires urgent attention to attending cardiologist promptly.

Works collaboratively and cooperatively with all members of the multi-disciplinary team.

Demonstrates courtesy, respect and caring to patients, families, physicians and coworkers and maintains professional rapport with external parties and organizations.

Provides and promotes effective and compassionate care for patients and their families.

Conducts noninvasive cardiovascular diagnostic pharmacologic and nonpharmacologic stress testing in a safe, professional manner in accordance with established standards of care and practice. Consistently uses sound clinical judgment in assessing the urgency of abnormal findings and collaborate with the attending cardiologist appropriately.

Documents test results on appropriate testing worksheets and electronic medical record.

Upon completion of an abnormal noninvasive test, collaborates with a cardiologist to formulate an appropriate plan of care based on test results.

Coordinates treatment for an abnormal noninvasive stress test with patient, family members and referring physicians after collaborating with cardiologist.

Communicates with referring physicians to review abnormal test results and make recommendations for follow-up and plan of care. Documents all interactions in the patient's medical record.

Contact patients with follow up information on abnormal testing.. Documents all interactions in the patient's medical record.

Contacts patients in response to questions and concerns. Documents all interactions in the patient's medical record.

Actively participates in clinical research projects assisting with study recruitment, when appropriate.

Maintains BCLS and ACLS authorization and membership in professional organizations.

Adheres to guidelines for appropriate billing and coding all patient encounters. Promptly submits billing information.

Provides backup for clinical emergencies when the rounding cardiologist is not immediately available during regular daytime hours.

Keeps knowledge base current by reading professional literature and attending educational programs.

Assists in developing protocols and treatment plans, which improve the delivery of cardiology care to New England Heart Institute patients.

Adhere to infection control, safety, and to Universal Precaution Procedures.

Secondary Functions:

Identify problems and function independently and when appropriate collaborate with others to seek resolution.

Actively participates in staff meetings.

Participates in Cath Conference, Journal Club, Echo and EP Conferences.

Participate in continuing education activities, read professional journals, maintain professional affiliations and licenses and strive to increase professional skill and knowledge.

Evaluate own practice, goals and skills, update as needed.

Participates in appropriate role in disasters, fire drills, fires and other emergency situations.

Exercises care in the operation and use of equipment and reference materials. Maintains work area in a clean and organized manner.

Performs similar or related duties as assigned or directed.

Collaborates with interventional physician, rounding cardiologist, and electrophysiologist each day before leaving to ensure service has been provided to all patients.

Ensures confidentiality of employee, legal, client/patient, budget and all company matters.

Submits vacation or CME requests at least 1 month in advance to the Clinical Director. Reviews request with peers and addresses potential conflicts before submitting the request.

KNOWLEDGE, SKILLS AND ABILITIES

Individuals must possess the knowledge, skills and abilities listed or be able to explain and demonstrate that the individual can perform the essential functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities and to possess the necessary physical requirements, with or without the aid of mechanical devices to safely perform the essential functions of the job:

Ability to deliver patient care in a manner that is appropriate to patient's age, physical ability and intellectual development. Must demonstrate proficiency in assessing treatment and responses and adapting care to meet the needs of the patient population; adult and geriatric.

Physical requirements include the ability to bend the body downward and forward by bending spine at the waist; bend legs at knee to come to rest on knee or knees; bend the body downward and forward by bending leg and spin; extending hand (s) and arm (s) in any direction; standing for sustained periods of time; moving about on foot to accomplish tasks; using upper extremities to exert force in order to thrust forward, downward or outward; use upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion; raising object from a lower to higher position or move objects horizontally from position-to-position; pick, pinch, type or otherwise working with fingers and palm; perceive attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips.

Ability to express or exchange ideas by means of the spoken and/or written word. Essential functions include activities in which incumbent must convey detailed or important spoken instructions to patients, physicians, families and other employees accurately, loudly or quietly.

Ability to receive detailed information through oral communication and to make fine discriminations in sound.

Ability to exert up to 50 pounds of force occasionally and/or up to 20 pounds of force frequently and/or constantly to lift, carry, push, pull or otherwise move objects.

Ability to wear safety glasses, gloves, gowns, masks and other safety equipment.

Ability to endure periods of heavy workload and stress.

Ability to work with frequent interruptions and respond appropriately to unexpected situations.

Ability to plan and perform a wide variety of duties requiring general knowledge of policies and procedures. Requires considerable judgment to work independently toward general results, devising methods, modifying or adapting standard procedures to meet different conditions, also making decisions based on precedent and policy.

Ability to communicate effectively and establish a cooperative, collaborative working environment.

Ability to accept constructive feedback and initiate appropriate actions to correct situations.

Ability to maintain good communications. Ability to establish and maintain positive working relationships with coworkers, physicians, patients, families and the public.

Visual acuity sufficient for work which deals largely with visual inspection involving small anatomic or physiologic details as well as the whole patient and sufficient for preparing and analyzing data and figures, accounting, transcription, computer terminal operation, extensive reading and visual inspection involving small parts/devices.

Individuals are required to refrain from participating in any activities that could be construed as fraud and abuse. Requires the ability to follow the Catholic Medical Center Code of Conduct in any instance where they feel there is suspicion of fraud or abuse.

OSHA RATING: Category I (Exposure to blood borne pathogens)

WORK SCHEDULE:

Generally Monday through Friday, work schedule may include eight to twelve hour per day with weekend coverage based on department and patient needs. Personnel are expected to cover for absences by rotating or working extra shifts.
Qualifications Education: Graduate of an accredited Physician Assistant/Nurse Practitioner Program.

Experience: Three (3) or more years as a Physician Assistant or Nurse Practitioner preferred with a minimum of one (1) year cardiovascular experience.

Licensure Certification: Licensed by the state of NH as a Physician Assistant or Nurse Practitioner. ACLS authorization.

Primary Location: US-NH-ManchesterJob: ProviderSchedule: Full-time Shift: Day Employee Status: RegularJob Type: StandardJob Level: Non Manager

Performs nursing procedures under supervision of doctor or nurse. Performs other duties as assigned by Manager/Physician.

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

+ Must possess good nursing assessment and judgment skills. Must have good communication and documentation skills. Must have the ability and desire to function well with faculty, resident physicians, nursing staff, other staff and outside health care agencies and providers. Must readily understand verbal and written instructions; must be able to explain them clearly to patients.
General Skill Requirements

In addition to the Essential Functions and Qualifications listed above, to perform the job successfully an individual must also possess the following General Skill Requirements.

+ Adaptability - Adapts to changes in the work environment; Manages competing demands; Accepts criticism and feedback; Changes approach or method to best fit the situation; ability to work with frustrating situations; work under pressure and on an irregular schedule such as unscheduled overtime, unanticipated changes in work pace; Works with numerous distractions.

+ Attendance and Punctuality - Schedules time off in advance; Begins working on time; Keeps absences within guidelines; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.

+ Communications - Expresses ideas and thoughts verbally; Expresses ideas and thoughts in written form; Exhibits good listening and comprehension; Keeps others adequately informed; Selects and uses appropriate communication methods.

+ Cooperation - Establishes and maintains effective relations; Exhibits tact and consideration; Displays positive outlook and pleasant manner; Offers assistance and support to co-workers; Works cooperatively in group situations; Works actively to resolve conflicts.

+ Job Knowledge - Competent in required job skills and knowledge; Exhibits ability to learn and apply new skills; Keeps abreast of current developments; Requires minimal supervision; Displays understanding of how job relates to others; Uses resources effectively.

+ Judgment - displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions; ability to work with and maintain confidential information.

+ Problem solving - Identifies problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Resolves problems in early stages; Works well in group problem solving situations.

+ Quality - Demonstrates accuracy and thoroughness; Displays commitment to excellence; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality.

+ Quantity - Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly; Achieves established goals.

+ Concentration - Maintains attention to detail over extended period of time; continually aware of variations in changing situations.

+ Supervision - ability to perform work independently or with minimal supervision; ability to assign and/or review work; train and/or evaluate other employees.

Education and/or Other Requirements

Licensed Practicing Nurse license required. Previous experience in an ambulatory care setting is preferred.

Environmental Factors

Job duties involve the potential for exposure to blood and body fluids.

Physical Demands

The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job.

+ Little or no physical effort or strenuous activity other than incidental walking, standing, bending and reaching, and carrying of light loads (1 to 5 pounds).

Mental Demands

+ While performing the duties of this job, the employee must be able to work under stress and adapt to changing conditions.

+ Ability to adhere to strict confidentiality requirements.

Essential Functions and Job Duties

+ Collects and documents patient data (weight, vital signs, allergies, meds, chief complaint, pain) within the clinical standards.

+ Identifies signs or symptoms, which indicate a significant variance.

+ Reports variances to Physician.

+ Answers phones and assists patients with appropriate advice regarding symptoms, medications, device concerns and appointment. Schedules appointments for devices checks within the appropriate amount of time for payment.

+ Establishes priorities in clinic setting.

+ Offers input into the plan of care; educates patient in plan of care.

+ Screens telephone calls from patients and evaluates for referral.

+ Arranges outside laboratory tests.

+ Manages time wisely.

+ Performs as a team nurse. Works with physicians and nurses as clinic schedule dictates.

+ Medication reconciliation

+ Reports ideas, concerns, and problems to Manager/Physician.

+ Works with patient call backs, refills, results, referring doctor letters, pulling charts and filing charts, etc.

+ Under the supervision of a Physician, provides and documents care according to established standards and follows Physician orders.

+ Communicate test results and recommendations

+ Prepares equipment for diagnosis and treatment; prepares patients.

+ Performs tests, treatments, and screenings, and assists with examinations and minor surgery; sets up and assists with procedures; cleans and sterilizes instruments and equipment as needed.

+ Performs waived category lab test.

+ Administers medications and immunizations according to established guidelines.

+ Runs laboratory controls and keeps lab logs.

+ Assists inventory of clinical supplies; checks expiration dates; maintains clean, well-equipped exam rooms, laboratory and procedure room.

+ Supports and maintains joint commission standard. Demonstrates hospital and department specific competencies, including age specific competencies for all ages. Provides patient with education. Performs equipment checks and logs. Attends nursing in-service and continuing education programs.

+ Documents treatments, results, meds, procedures and instructions according to hospital policies and unit standards.

+ Demonstrates care and knowledge in medication administration.

+ Arranges for medication and medication refills.

+ Performs business office duties, charge entry, scheduling.

+ Collects history data; documents and reports abnormal physical findings to appropriate person.

+ Performs cardiology procedures according to established technique within the office, hospital and surgery setting.

+ Maintains strict confidentiality regarding patient information and reports.

+ Runs EKG's, Teletrace, and Device Clinic

+ Demonstrates specific device competencies including but not limited to education of reprogramming pacemakers and defibrillators for Boston Scientific, Medtronic and St. Jude.

+ Supports increased customer service score.

+ Establishes a Device clinic with the Electrophysiologist for all patients within DMH that need device interrogations and reprogramming.

+ Prioritizes work; schedules procedures; maintains equipment and supplies; maintains Teletrace and Device Schedules.

+ Completes continuing education hours for Device Interrogations.

+ Prepares for and explains procedures to patients.

+ Instructs patients and families in the use of equipment.

+ Offers reassurance to patients and family members.

+ Performs other duties as assigned.


External Company Name: Memorial Health

Street: 2300 N. Edward St.