RN- CNIII Non Invasive Cardiodiagnostic NW Valley
The Clinical Nurse III in the non-invasive Cardio diagnostics department provides direct care to patients undergoing outpatient cardiac procedures and cardiac evaluation. The Clinical Nurse III will be responsible for supervising Stress Echos, Treadmills, Dobutamine and Bubble Studies as ordered by staff physicians. Nurse may provide coverage at other UCLA cardiac stress labs in Thousand Oaks, Agoura, Ventura and Santa Clarita.
BSN required, California Registered Nursing license, current BLS and ACLS card. A minimum of 2 years or greater experience in an acute care unit and at least 6 months cardiology experience required.
Ability to perform patient care in an appropriate fashion, depicting all protocols consistent with appropriate diagnostic requirements.
Ability to provide timely information to the physicians (both referring and reading).
Ability to depict lethal diagnostic information that should be considered emergent and communicate with the appropriate entities. Ability to push heavy equipment to do portable studies.
Ability to adhere to infection control initiatives as they pertain to the use of all equipment.
Ability to adhere to policies and standardized procedures that govern practice.
Ability to utilize computer applications to review information consistent and necessary for providing continuity of care (Epic, Syngo).
Ability to work under considerable pressure and in the modification of ongoing patient care assignment.
Ability to work as a team, taking and giving direction to other team members as appropriate.
Ability to obtain informed consent. Knowledge of consent process.
Ability to supervise and perform exercise and pharmacological cardiac stress testing in the absence of a physician. Initiate and direct interventions in accordance with ACLS guidelines for patients with or without physician present under the following circumstances: life threatening or symptomatic dysrhythmias, symptomatic hypotension, and acute chest pain and provide preliminary test results.
Identify high-risk patients and alert the supervising physician.
Knowledge of appropriate indications for exercise testing.
Knowledge of alternative physiological cardiovascular tests.
Knowledge of appropriate contraindications, risks, and risk assessment of testing.
Knowledge to promptly recognize and treat complications of exercise testing.
Knowledge of various exercise protocols.
Knowledge of basic cardiovascular and exercise physiology, including hemodynamic response to dobutamine. Knowledge of cardiac arrhythmias and the ability to recognize and treat serious arrhythmias.
Knowledge of cardiovascular drugs and the impact on exercise performance, hemodynamics, and the ECG. Knowledge of the effects of age and disease on hemodynamic and ECG responses to dobutamine.
Knowledge of principles and details of exercise testing, including proper lead placement and skin preparation. Knowledge of end points of exercise testing and indications to terminate dobutamine testing.
Knowledge of specificity, sensitivity, and diagnostic accuracy of dobutamine testing in different patient populations.
Knowledge to interpret test results.
Knowledge of electrocardiography and changes in the ECG that may result from exercise, hyperventilation, ischemia, hypertrophy, conduction disorders, electrolyte disturbances, and drugs.
Knowledge of conditions and circumstances that can cause false-positive, indeterminate, or false-negative test results.
Knowledge or prognostic value of dobutamine testing.
Knowledge of alternative or supplementary diagnostic procedures to exercise testing and when they should be used responsible for the maintenance and upkeep of this equipment and for ensuring that all devices are properly calibrated to be able to collect valid and reliable data.