About The Position

The RN Ambulatory works in Cleveland Clinic’s Main Campus Thoracic Surgery Department in a specialized cardiac surgery environment. The role works directly with cardiothoracic surgeons and the Cardiac Pre-Op team, serving as the final step in preparing cardiac surgery patients. The nurse reviews patient histories, pathology reports and diagnostic results; initiates additional testing when needed; communicates pre-surgical instructions; and collaborates with surgeons to address concerns before surgery. This detailed, patient-facing position requires critical thinking, independent decision-making and strong communication. The caregiver provides professional nursing care in an ambulatory setting, including assessments, telephone triage, care planning, medication administration, treatments, emergency response, patient education and support for specialized diagnostic and therapeutic procedures. The role is full-time, with 10-hour day shifts from 7:00 a.m. to 5:30 p.m., and no weekends or holidays. Regional travel to support physician clinics and surgical procedures may be needed.

Requirements

  • Graduate from an accredited School of Nursing (Diploma, ADN or BSN program).
  • Current state licensure as a Registered Nurse (RN).
  • Basic Life Support (BLS) certification through the American Heart Association or American Red Cross.
  • For areas performing moderate sedation procedures and/or cardiac stress testing, current Advanced Cardiac Life Support (ACLS) certification through the American Heart Association is required within six months of hire.
  • One year of recent experience as an RN; alternatively, specified current Cleveland Clinic caregivers transferring into an RN role in the same ambulatory setting or specialty area may qualify with experience as an LPN, Medical Assistant or other unlicensed clinical healthcare worker.
  • Strong critical-thinking, independent decision-making and communication skills.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).
  • Previous RN experience with a strong cardiac care background; CVICU experience.
  • Ability to review and interpret patient reports, recognize abnormal findings and understand pathology outside normal ranges.
  • Strong clinical judgment and ability to identify abnormal readings and promptly notify the surgeon when appropriate.
  • Experience collaborating with all members of the patient care team throughout the pre-assessment process.
  • Ability to thrive in a highly detailed and comprehensive clinical role.
  • Demonstrated excellent work ethic, professionalism and accountability.
  • Nursing background in CVICU or Cardiac Stepdown; candidates with extensive ICU and/or HVTI experience.

Responsibilities

  • Provide professional nursing care in an ambulatory setting.
  • Assess health status, complete nursing assessments, perform telephone triage and establish care plans.
  • Administer medications and treatments.
  • Initiate CPR and other emergency measures.
  • Notify the physician and/or Licensed Independent Provider of abnormal findings.
  • Assist with specialized diagnostic and therapeutic procedures and specialized patient care equipment.
  • Develop, evaluate, adapt and document health education for patients and families.
  • Cover other nursing roles within the department.
  • Travel within the region to support physician clinics and surgical procedures, as needed.
  • Review patient histories, pathology reports and diagnostic results; initiate additional testing when needed.
  • Communicate pre-surgical instructions to patients and collaborate with surgeons to address concerns before surgery.
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