Registered Nurse - Pediatric Electrophysiology (BCH-Cross Bay)

University of California, San Francisco•San Francisco, CA

About The Position

The Registered Nurse for Pediatric Electrophysiology provides safe, therapeutic care using the nursing process to assess, plan, coordinate, implement, and evaluate patient care in ambulatory, procedural, and inpatient settings. Under general supervision and in collaboration with providers and administrative management, the nurse works autonomously while following Medical Center and Ambulatory Services policies and procedures. The role requires advanced knowledge and expertise in electrophysiology studies, cardiac implantable electronic device (CIED) implantation and interrogation, CIED remote monitoring, and inpatient bedside electrophysiology procedures. In the ambulatory setting, the nurse coordinates services and care for pediatric, adolescent, and young adult patients and their providers. Duties include independently interrogating CIEDs in clinic; reviewing, interpreting, and triaging remote monitoring; educating patients and families about CIED care, monitoring results, and cardiac rhythms; and supporting fellows and nursing colleagues with CIED education. The nurse also participates in quality improvement projects to improve patient safety and outcomes. In the inpatient setting, the nurse serves as a liaison to support continuity of care for patients and families following electrophysiology studies and CIED implants. Responsibilities include operating GE systems during EP procedures, supporting physicians with pacing and waveform interpretation, and assisting with CIED implantation and bedside EP procedures. The nurse collaborates with inpatient nursing and provider teams on patient and family education, complex care coordination, and comprehensive CIED care and management. The role also includes clinical assessment and care planning, telephone triage, coordination of patient evaluations and follow-up, documentation, patient advocacy, teaching, and collaboration with the health care team. The nurse must be able to prioritize multiple tasks and work effectively with staff, patients, families, and providers in a complex environment. A high degree of independence, initiative, assertiveness, and diplomacy is needed.

Requirements

Three or more years of recent clinical RN experience in a pediatric electrophysiology lab, within the last three years.
Completed CIED training course.
Recent and consistent participation in clinical quality projects and staff education.
Flexibility to orient and work at all UCSF Medical Center locations.
Current California Registered Nurse licensure.
Current American Heart Association CPR Certification.
Current American Heart Association PALS Certification.
CCDS (Certified Cardiac Device Specialist) certification.
RCES (Registered Cardiac Electrophysiology Specialist) certification.
Ability to perform and prioritize multiple tasks and work effectively with staff, patients, families, and providers.
Ability to work with a high degree of independence, initiative, assertiveness, and diplomacy.
Maintain required specialty certifications and present proof prior to expiration, per policy.

Nice To Haves

Database skills.
Research experience.
Recent and consistent leadership of clinical quality projects and staff education.
Clinical RN experience in an ambulatory setting.
BSN.

Responsibilities

Assess, plan, implement, and evaluate appropriate interventions for patients referred to Pediatric Electrophysiology.
Maintain clinical knowledge consistent with advances in Pediatric Electrophysiology treatment and perform technical procedures safely, legally, effectively, and efficiently.
Coordinate outpatient services and care for pediatric, adolescent, and young adult patients and providers.
Independently interrogate CIEDs in clinic and review, interpret, and triage CIED remote monitoring.
Educate patients and families on CIED care, remote monitoring results, and cardiac rhythms; support fellows and nursing colleagues with CIED education.
Participate in quality improvement projects to improve safety and patient outcomes.
Serve as a liaison for hospitalized patients and families following EP studies and CIED implants to support continuity of care.
Operate GE systems during EP procedures and support physicians with pacing and waveform interpretation.
Assist physicians with CIED implantation and inpatient bedside EP procedures.
Collaborate with inpatient nursing and provider teams on patient and family education, complex care coordination, and CIED care and management.
Manage telephone triage of patient symptoms, coordinate patient evaluations, assist with patient teaching, and coordinate timely patient care.
Advocate for patients and facilitate patient and family participation in care decisions.
Coordinate care requests and referrals; follow hospitalized patients and engage in disposition planning to support appropriate discharge.
Provide timely follow-up with patients, post-acute care providers, pharmacies, other providers, and insurance companies; communicate significant clinical changes and readmissions as appropriate.
Document assessments, plans, interventions, outcomes, and patient responses in accordance with Medical Center standards and maintain confidentiality.
Prepare and instruct patients about diagnostic and therapeutic procedures and treatments, and participate in managing emergency clinical issues.
Identify patient and caregiver learning needs and barriers, provide appropriate teaching, and evaluate responses to education.
Communicate respectfully and promptly with patients, providers, and care teams, using appropriate channels to resolve problems.
Maintain required professional development, licensure, certifications, and compliance with clinical, administrative, safety, and infection-control policies.
Participate in department committees, performance improvement, research activities, and other professional activities to enhance patient care.
Act as a resource and role model for staff and students, help resolve clinical problems, and guide personnel in safe, individualized patient care.
Perform other duties as assigned.