Nurse Cardiac Stress Test - RN

Confluence Health•Wenatchee, WA
•Onsite

About The Position

The Cardiac Stress Test RN provides professional nursing support and services for patients undergoing cardiac stress testing and coordinates patient care activities and other cardiology procedures. The role evaluates patients scheduled for cardiac stress testing and coordinates communications with patients, the care team, and providers. The nurse supervises and performs exercise and pharmacological stress tests, including Exercise ECG Testing, Stress Echocardiography, and Stress Radionuclide Cardiac Imaging, under the direct supervision of the supervising cardiologist as applicable. The position requires knowledge of indications and contraindications for exercise and pharmacologic stress testing, review of test orders for appropriate-use criteria, and competency in non-invasive cardiac testing techniques. After completing the competency checklist, the nurse may administer cardiac stress test isotopes in accordance with institutional policies, radiation safety principles, and documentation requirements. The role floats between Confluence Health Moses Lake Clinic and Central Washington Central Campus Cardiology. The nurse prepares charts, provides pre-procedure teaching, assesses patient needs, uses clinical judgment to implement nursing actions, and coordinates care with other disciplines. The position also tracks patient information before, during, and after visits; triages urgent or emergent care situations; and provides phone consultations within the scope of licensure. The position reports to the Practice Manager. A sign-on bonus of up to $10,000 is offered to external candidates and requires a two-year commitment to Confluence Health.

Requirements

  • Two years of experience as an RN in an ambulatory or inpatient setting.
  • Current RN licensure in Washington State or licensure through the Multistate Nurse Licensure Compact.
  • Advanced Cardiovascular Life Support (ACLS) certification within six months of hire; the posting also states ACLS within three months of hire.
  • Current CPR certification.
  • Competency in technical aspects of non-invasive cardiac testing, including treadmill operation, ECG lead placement, ECG monitoring, rhythm identification, and treatment.
  • Ability to apply clinical judgment and knowledge of cardiac disease, cardiovascular and exercise physiology, and hemodynamic responses to exercise.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).
  • Previous experience in a cardiac area.
  • Previous experience with cardiac stress testing.

Responsibilities

  • Supervise administration of exercise ECG testing, stress echocardiography, and stress radionuclide cardiac imaging.
  • Assess indications and contraindications for exercise and pharmacologic stress testing and review orders for appropriate-use criteria.
  • After successful completion of the competency checklist, administer cardiac stress test isotopes in accordance with institutional policies, radiation safety principles, and documentation requirements.
  • Perform exercise and/or pharmacological nuclear stress tests and stress studies under the direct supervision of the supervising cardiologist.
  • Operate treadmills; place ECG leads; monitor ECGs; identify rhythms; and provide treatment as needed.
  • Recognize and respond to complications during testing using knowledge of cardiac disease, cardiovascular and exercise physiology, and hemodynamic responses to exercise.
  • Prepare charts for procedures and conduct pre-procedure teaching.
  • Assess patient condition and needs, implement appropriate nursing actions, and collaborate with other disciplines to meet patient needs.
  • Facilitate and supervise tracking of patient information throughout cardiac care before, during, and after each visit.
  • Triage and coordinate care for unplanned urgent or emergent patient situations.
  • Provide phone consultations within scope of license and ensure appropriate follow-up.
  • Float between Confluence Health Moses Lake Clinic and Central Washington Central Campus Cardiology.
  • Maintain active CPR/Basic Life Support and ACLS certification.
  • Perform other duties as assigned and adhere to behavior standards and the Code of Conduct.

Benefits

  • Medical, dental, and vision insurance.
  • Flexible Spending Accounts and Health Savings Accounts.
  • Paid time off.
  • Generous retirement plans.
  • Life insurance.
  • Long-term disability.
  • Tuition reimbursement.
  • Employee Assistance Program.
  • Adoption assistance.
  • Shift differential.
  • Sign-on bonus up to $10,000 for external candidates, requiring a two-year commitment.
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