EP RN Device Nurse

Trinity Health•West Des Moines, IA

3d•Onsite

About The Position

This full-time Day Shift position involves acting as a problem solver for patient, family, and physician issues related to cardiac implantable electronic devices (CIEDs). The role requires anticipating patient needs, understanding potential consequences of CIED evaluations and programming, and communicating effectively with industry representatives, patients, and families regarding CIED function, therapies, and end-of-life matters. The nurse will also facilitate home wellbeing checks, maintain practice standards, operate a vehicle for duties, and perform general and cardiac nursing care, including administering medications and treatments. A key responsibility is performing in-person interrogations and reprogramming of pacemakers, ICDs, and ILRs, as well as reviewing remote CIED transmissions and triaging calls. The position also involves assisting the Electrophysiology (EP) provider, providing guidance on device management, educating patients and families, and documenting care. Marginal functions include attending meetings, serving as a clinical resource, maintaining crash cart supplies, and participating in professional development.

Requirements

Three years of RN nursing experience required.
Two years of critical care experience preferred or clinical cardiac equivalent experience required.
Current licensure as R.N., state of Iowa or compact state.
Valid Iowa Driver’s/Chauffeurs License required, must meet Mercy’s Motor Vehicle Safety Standards, must be at least 18 years of age and be eligible to drive per Iowa state law.
Proof of completion of Mandatory Reporter abuse training specific to population served within three (3) months of hire.
Basic Life Support (BLS) for the Healthcare Provider certified or obtained by the end of the orientation period (approximately six (6) weeks). Acceptable credentialing bodies and certifications include American Heart Association Basic Life Support for Healthcare Providers.
ACLS within 6 months of hire
Level I Cardiac Arrhythmia class completion within 6 months
Level II 12 Lead EKG class completion within 1 year
Level III Advanced 12 Lead EKG class within 18 months
International Board of Heart Rhythm Examiners (IBHRE) Cardiac Device Remote Monitor Specialist (CDRMS) certification examination following 1 year following device training, prior to the end of the 3rd year of performing CIED in-office evaluations

Nice To Haves

IBHRE Certified Cardiac Device Specialist (CCDS) certification encouraged following 3 years of CIED follow-up and successful completion of the CDRMS examination with a passing score

Responsibilities

Acts as a problem solver as it relates to patient, family, physician issues according to protocol.
Anticipates need for wearable defibrillators
Anticipates potential symptomatic consequences of CIED evaluations and programming.
Communicates with industry sales, clinical support and technical services representatives regarding CIED function, safety and battery longevity.
Communicates with patient and family members regarding CIED lifesaving therapies including fielding patient’s and family’s questions regarding end-of-life matters related to CIED therapy.
Facilitates home wellbeing checks by public services and recognizes the potential for discovering patient death on remote CIED follow-up
Maintains practice standards in regard to Quality Improvement and OSHA.
Operate required vehicle(s) in a safe manner to perform required duties of the position.
Performs general and cardiac nursing care to patients. Administers prescribed medications and treatment in accordance with nursing standards.
Performs in-person interrogation and any needed reprogramming on all cardiac implantable electronic device (CIED) models of pacemakers, ICDs and Implantable Loop Recorders (ILRs) and documents according to IHC protocols.
Provides assistance to Electrophysiology (EP) provider in office, and facilitates office schedule.
Provides guidance on peri-procedural, peri-surgical and MRI device management
Provides patient and family education and documents in medical records.
Reads and researches patient records, charts and Practice Manager System for other pertinent information. May dictate history and physical, consults and other professional related letters.
Reviews and reports pertinent test(s) results, outside examination results and patient symptoms; scrutinize for needed follow-up; communicates to provider.
Reviews CIED remote transmissions and completes documentation according to IHC protocol.
Triages phone calls and significant device evaluation findings, gives carries out verbal and written orders according to standing orders or established protocols.
Clinical resource for the Heart Rhythm Center’s Arrhythmia services Technicians.
Monitors and maintains supplies on crash cart.
Participates in professional development.