Provides direct and indirect patient care to both outpatients and inpatients requiring evaluation and management of their cardiac pacemaker, defibrillator, or loop recorder. Communicates with physicians and co-workers, as appropriate, about changes in patient's clinical condition including results of diagnostic studies and symptomatology and is able to respond quickly and accurately to changes in condition or response to treatment. Additionally, is able to perform general nursing duties in all departments with adequate supervision.
DUTIES AND RESPONSIBILITIES:
Perform a head-to-toe assessment on all patients and reassessments. This includes the, geriatric and general patient population. Identifies physical symptoms and changes and takes appropriate actions in a timely manner.
Conducts a variety of device tests to troubleshoot function/malfunction of a wide variety of implantable devices in many settings including clinics, hospitals, and outreach sites.
Revise plan of care as indicated by the patient's response to treatment and as needed based on patient clinical symptoms.
Performs, understands, and interprets AV optimizations, V-V optimizations and able to provide assistance to provider during cardioversions and non-invasive electrophysiology studies.
Collects, investigates, analyzes, and interprets data as he/she extracts it from any and all pacemaker and defibrillator devices and then presents information with recommendations to Electrophysiologists, Cardiologists, surgeons and other physicians.
Evaluates the function and effectiveness of Cardiac Resynchronization Therapy (CRT) devices making programming changes as deemed necessary to optimize effectiveness.
Analyzes Implanted Loop Recorders (IRL) with a complete understanding of waveforms and the knowledge to differentiate artifact and device anomalies from actual events that will provide accurate interpretation of arrhythmias and appropriate patient treatment.
Optimizes the function and effectiveness of each device for the enhanced benefit of the patient.
Reviews, interprets, schedules, and takes appropriate actions on transmissions for all assigned manufacturer databases.
Updates, reviews, interprets, deletes, and generates all information in the PC database including device identifiers, patient demographics, remote and in-clinic interrogations.
Assess for MRI conditionality, interrogate pre and post MRI, program device to meet MRI conditional standards, monitor telemetry during MRI for acute changes in rhythm.
Understand appropriate billing codes based on type of service and code appropriately for all technical fees.
Facilitate final report generation and ensuring data is present in EHR for documentation and billing/coding purposes.
Assess device management needs during surgical procedures and provide guidance to procedural staff on a case by case basis.
Coordinates visits with primary cardiology visits when applicable, works closely with cardiology staff to achieve this.
Assists provider with implantable loop recorder insertion, ILR device programming and home monitor patient education
Assist hospice provider/staff to determine appropriate management of device and make programming changes to prevent unwanted therapies.
Provide home monitor education including troubleshooting issues over the phone and in-person, appropriate use and distribute new monitors as needed.
Participate in a call rotation, will be crossed trained to cover other areas in the non-invasive cardiology department.
Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning. Family is included in teaching as appropriate.
Treats patients and their families with respect and dignity. Identifies and addresses psychosocial, cultural, ethnic, and religious/spiritual needs of patients and their families. Functions as liaison between administration, patients, physicians, and other healthcare providers.
Interacts professionally with patient/family and involves patient/family in the formation of the plan of care.
Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Able to interpret data about the patient's status in order to identify each patient's age specific needs and provide care needed by the patient group.
Identifies and addresses psychosocial needs of patients and family; communicates with Social Service/Discharge Planner regarding both in hospital and post discharge needs.
Documentation meets current standards and policies.
Performs other duties as assigned.
Manages and operates equipment safely.
Coordinates and supervises patient care as necessary.
Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations, and to be flexible, organized and function under stressful situations.
Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict.
Adheres to dress code.
Completes annual educational requirements.
Maintains regulatory requirements.
Wears identification while on duty.
Maintains confidentiality at all times.
Attends department staff meetings as required within the department.
Reports to work on time and as scheduled; completes work in designated time.
Represents the organization in a positive and professional manner.
Actively participates in performance improvement and continuous quality improvement (CQI) activities.
Coordinates efforts in meeting regulatory compliance, federal, state and local regulations and standards
Communicates and complies with the Benefis Health System Mission, Vision and Values as well as the focus statement of the department.
Complies with Benefis Health System Organization Policies and Procedures.
Complies with Health and Safety Standards and Guidelines.
Five years of recent cardiology experience (i.e. critical care nursing, cath lab, emergency room, etc.) preferred.
Knowledge of basic dysrhythmias to recognize abnormal data and other diagnostic testing results requiring physician notification.
Prefer experience with a variety of manufacturer's products, such as Medtronic, Boston Scientific, Abbott (St. Jude Medical) and Biotronik but not required.
Proficient at all Windows application systems including Microsoft Office
Current state Registered Nurse Licensure, within state of practice.
Current BLS and ACLS certification or able to obtain within 90 days of hire.
As a not-for-profit community health system, Benefis is driven to provide the highest level of care. We serve nearly 230,000 residents across a 15-county region that is bigger than Connecticut, Massachusetts, New Hampshire and Vermont combined. Benefis is the largest non-governmental employer in the Great Falls area, with more than 3,000 employees. Benefis has 530 licensed beds (that includes 146 beds in long-term care, 71 in assisted living and 20 beds at Peace Hospice of Montana) and partners with over 250 area physicians.
Our hospital has been recognized for its exceptional work in quality care by providing a wide range of programs and services to help you live the best life possible. We’re here to help you “Live well.”
Benefis Health System came about when two Christian-based hospitals became one. Our founders believed in providing good care to all in need, and trusted that this would be accomplished. The Benefis name was derived using Latin root words: "Bene-" meaning good, and "fis-" for faith and trust. It’s these same root words that make up such terms as ‘beneficial’ a...nd ‘confidence'. Benefis has been a trusted provider of care for more than 125 years. And our name speaks to our commitment: good care one can put faith in.
Benefis is consistently ranked among America’s top hospitals by the nation’s leading healthcare ratings organizations for a range of services, including cancer care, joint replacement, stroke treatment, wound care and home health.
To learn more about our services, continue looking through our website at WWW.BENEFIS.ORG or call 406.455.5000.