About The Position

Duke Health Integrated Practice is seeking a Clinical Nurse II for its outpatient electrophysiology device clinic. The role is responsible for interrogation, preliminary interpretation, and programming of pacemakers, Implantable Cardioverter Defibrillators (ICDs), Implantable Loop Recorders (ILRs), and Cardiac Resynchronization Therapy (CRT) devices for a complex and diverse cardiovascular patient population. The position is located at Duke Cardiology Arringdon in Morrisville, North Carolina. The nurse performs clinic and remote device interrogations and management according to established protocols under physician supervision, identifies and reports abnormal findings, prepares remote reports for provider review, and troubleshoots device functions and arrhythmias. The role also includes patient and family education, remote-monitoring enrollment, follow-up coordination, clerical duties, regulatory and safety tracking, workflow improvement, and development of operating policies and procedures.

Requirements

  • Graduation from an accredited Associate's Degree in Nursing or Nursing Diploma program.
  • Twelve months of appropriate clinical experience.
  • Current North Carolina RN licensure or compact RN licensure.
  • BLS certification.
  • Registered nurses without a Bachelor's degree in Nursing or higher are encouraged to enroll in an appropriate BSN program within two years of their start date and must complete it within seven years, subject to the stated exceptions for certain hire dates.

Responsibilities

  • Perform clinic and remote interrogations and management of pacemakers, ICDs, CRT devices, and ILRs according to established protocols under physician supervision.
  • Recognize, document, and report basic abnormal findings to providers for assistance.
  • Prepare standardized remote reports for provider review and interpretation.
  • Troubleshoot abnormal functions for bradycardia, tachycardia, and CRT devices.
  • Identify basic and complex arrhythmias and device malfunctions and seek appropriate therapy.
  • Educate patients and families about device function, clinic follow-up scheduling, and home monitoring.
  • Enroll new patients and transfers in appropriate remote-monitoring sites.
  • Manage clerical tasks associated with device-clinic operations.
  • Collaborate with electrophysiologists, implanters, and mid-level providers to ensure appropriate patient follow-up.
  • Identify and manage device-related regulatory issues, including advisories, safety notifications, recalls, device tracking, and patients lost to follow-up.
  • Identify opportunities to enhance workflows in collaboration with clinic leadership.
  • Develop operating policies and procedures.
  • Manage mid- to high-level acute alerts.
  • Perform other related duties incidental to the work described.
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