Heart Center Electrophysiology Ventricular Tachycardia Device Nurse Coordinator
Duke University

Duke University Hospital

Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 1,048 licensed inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 65 operating rooms; an endo-surgery center; a separate hospital outpatient surgical department with nine operating rooms and an extensive diagnostic and interventional radiology area. For 2021-2022, U.S. News and World Report ranked Duke University Hospital nationally in 11 adult specialties: cancer, cardiology & heart surgery, diabetes & endocrinology, ear, nose & throat, gastroenterology & GI surgery, gynecology, neurology & neurosurgery, ophthalmology, orthopedics, pulmonology & lung surgery, and urology. Duke University Hospital is also ranked first in North Carolina and first in the Raleigh-Durham area.

In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance!

*Current Sign on Bonus Available $15,000 - Experienced Nurse

The Duke Heart Center Electrophysiology (EP) Device Nurse/VT Coordinator is responsible and accountable for patient and staff education around implantable devices and procedures, device interrogation and documentation. Ensuring appropriate follow-up for patients with implanted rhythm management cardiac devices (pacemakers, defibrillators, implantable loop recorders) and post ablation procedures for ventricular arrhythmias.. The incumbent functions are as clinical nurse, educator, investigator, and consultant. Clinical judgments are based on a synthesis of data from current and emerging research, concepts, principles, theories, and outcomes to solve complex problems. The Cardiology EP Device Nurse/VT Coordinator provides direct patient care services and education to patients in the post procedural, and monitoring phase of rhythm management and cardiac device implantation and follow-up primarily at Duke University Hospital. The Cardiology EP Device Nurse/VT Coordinator will work primarily with cardiology patients who are being evaluated for cardiac rhythm management, devices in post implant care including setting up appropriate follow-up at Duke University Hospital (DUH) as well as patients undergoing specific EP rhythm management procedures. The Cardiology EP Device Nurse performs post procedural screenings, educates patients and their families on device-specific care and ongoing monitoring requirements and procedures, and coordinates and performs implantable device interrogation, programming, and documentation in the electronic medical record under the supervision of the Electrophysiology Cardiologist rounding on the inpatient service. The Cardiology EP Device Nurse/VT Coordinator partners with the inpatient and outpatient clinical care teams to coordinate and expedite transitions of care including admissions and discharges for patients with implanted devices/VT ablations and may provide direct patient care services, such as wound assessment and dressing changes as well as follow-up of patients post arrhythmia treatment procedures, such as ablations. The

The Cardiology ED Device Nurse/VT Coordinator will assist in the development and implementation of general policies and procedures designed to effect efficiency of operations.

Position Requirements

Education:

Work requires graduation from an accredited nursing program with a minimal requirement of a BSN and at least one year of experience

Licensure:

RN: Current licensure or eligible for licensure as a Registered Nurse in the state of North Carolina.

Experience:

Strongly prefer candidate with at least three years of experience as an RN in an inpatient cardiology setting, including care of patient with implantable rhythm management cardiac devices and competency in basic rhythm interpretation. Expertise and clinical competency in implantable cardiac device interrogation and programming required.

Certifications:

Must have American Heart Association BLS certification

International Board of Heart Rhythm Examiners (IBHRE) device certification preferred

Hours

Primary hours will be Monday thru Friday dayshift. Schedule may be changed by administrative or clinical leadership to meet departmental needs.

Physical and mental requirements:

• Able to clearly articulate scope of practice, and practices within those guidelines as an RN in the state of North Carolina and within the Duke University Hospital

Able to independently seek out resources and work collaboratively to solve complex problems

• Able to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership, and others
• Able to use sensory and cognitive functions to process and prioritize information, perform health assessments, treatment, and follow-up

• Able to use fine motor skills

• Able to record activities, document assessments & interventions; prepare reports and presentations
• Able to use computer and learn new software programs, including device programmers
• Able to provide leadership in clinical area of expertise and in meeting organizational goals
• Able to navigate the Hospital and DUHS to provide clinical expertise to specific patient populations

• Able to withstand prolonged standing and walking with the ability to move or lift at least fifty pounds
• Able to remain focused and organized
• Able to work collaboratively with all levels of personnel

Responsible to

Reports directly to the Reports directly to Nurse manager EP lab with clinical responsibility to the inpatient rounding Cardiac Electrophysiologist. In addition, s/he will be accountable to the Division of Cardiology and the Duke Heart Center for clinical outcomes, defined quality indicators and to the standards set forth by the Duke Heart Center, the Division of Cardiology, and the Chief of the Section of Cardiac Electrophysiology.

Process of Evaluation

Annual and midyear evaluations will be conducted by the Nurse Manager or their delegate with input from the Chief of the Section of Cardiac Electrophysiology and multidisciplinary team members who work with the device/VT nurse.

Specific Job Responsibilities and Standards

Clinical ExpertThe Cardiology EP Device Nurse is responsible for providing/coordinating direct clinical care to cardiology patients on the Cardiac Electrophysiology service and other inpatient services, Emergency Department, or those requiring inpatient and hospital based outpatient procedures performed at Duke Hospital pre and post implant of a cardiac device. The Device Nurse is also responsible for maintaining the practice consistent with the rules and regulations of the North Carolina Board of Nursing and Duke Hospital Nursing Practice Standards. Standards

• The Cardiac EP Device Nurse will evaluate new patients, consults and established patients, provide education, arrange or personally perform device interrogations and reprogramming of device under direction of EP attending, maintain documentation and reporting around implantable device interrogations in partnership with the multidisciplinary team
• The Cardiology EP Device/VT Nurse provides direct patient care services and education to patients in the post procedural, and monitoring phase of rhythm management and cardiac device implantation and VT ablations and follow-up primarily at Duke University Hospital.
• Work closely with the inpatient rounding teams including attending, advanced practice providers (APPs), residents and Fellows to provide optimal support and care to patients with implantable cardiac devices
• Assist in the training of new employees, students and Fellow trainees, to the limits of competence, and actively participate in educational conferences
• Actively participate in the discharge process for all assigned admitted/procedural patients, including but not limited to, providing individualized patient and family education with discharge instructions including documentation, coordinating follow-up appointments and monitoring including remote monitoring, assuring documentation of device programming and interrogations, education, and patient wound care instructions
• Will provide Pre/Post Procedural follow up calls to patients for arrhythmia and device procedure patients
• Will develop standard work and algorithms around inpatient device interrogations and post ablation follow-up

Educator:

• Assess educational needs of the patient-care staff and provide one-on-one as well as formal education as needed
• Assess educational needs of the patients / families and provide culturally-sensitive patient/family education interventions as indicated. Use non-technical language when educating patients and families and document all education in patient's electronic medical record
• Develop and promote use of educational materials, including pamphlets, videos, and web-based content
• Implement and evaluate appropriate educational programs for DUHS patient care staff and other healthcare providers as appropriate, including speaking at conferences such as Heart Rhythm Society (HRS)
• Role model and precept healthcare learners through contractual agreements

Research Utilization and Investigation:

• Utilize current research and evidence-based decision-making in all clinical practice.
• Incorporate clinical research findings in the development and implementation of standards of care
• Support IRB approved clinical research/trials though a variety of activities including but not limited to: obtaining consent; ordering diagnostic tests; recording laboratory & diagnostic results; administering therapeutic interventions; and reporting patient outcomes including toxicities or adverse events
• Participate in interdisciplinary quality improvement and/or research activities.
• Participate in measuring and documenting outcomes

Consultant:

Provide expertise and resource information to other healthcare providers, patients and families, and the community at large regarding cardiac implantable electronic devices and heart rhythm disordersDevelop, implement and evaluate standards of care/practice guidelines/policies and procedures/care maps/protocols within area of specialization
• Develop programs and projects in areas of expertise to facilitate the attainment of the goals and objectives of the Duke University Hospital and Duke University Health System

Professional Leadership and Development:

• Role model nursing practice professionalism through conduct, communication, dress, leadership, ethical decision-making, critical thinking and problem solving skills.
• Demonstrate responsibility for professional practice through active participation in the Cardiology department
• Meet Continuing Education requirements as designated by the NC Nursing Board
• Maintain all professional requirements for licensure and certification(s)

Behavior Standards:

Excellence - We strive to achieve excellence in all that we do.

Standards:

• Acts - and makes decisions - in the best interests of patients and their loved ones, and willingly accepts accountability for outcomes
• Improves performance that enhances patient care and advances individual, team and organizational goals
• Effectively uses DUHS resources (time, budget and property) to support optional patient care and operational performance while adhering to organizational policies and procedures
• Seeks opportunities to improve service provided to patients and their loved ones related to clinical care and support

Safety - We hold each other accountable to constantly improve a culture that ensures the safety and welfare of all patients, visitors and staff.

Standards:

• Strictly adheres to all established patient and staff safety procedures.
• Contributes to an environment of safety and security for patients and staff through individual actions
• Speaks up about all risk of harm; reports patient, staff safety or injury events within twenty-four hours of incident or awareness of incident
• Actively participates in all mandatory patient and staff safety training

Integrity - Our decisions, actions, and behaviors are based are based on honesty, trust, fairness, and the highest ethical standards.

Standards:

• Is truthful and honest with patients, their loved ones, and co-workers, and consistently exhibits actions that reflect our values
• Is accountable for actions and decisions involving patient care or other operational activities, and strives to learn and improve from experience
• Follows through on commitments made to patients, visitors, co-workers, and others
• Conducts work positively while doing so in full compliance with all organizational policies, procedures, expectations and patient-centered values

Diversity - We embrace differences among people.

Standards:

• Applies cultural understandings and sensitivities to enhance patient care, and improves interactions with people of diverse backgrounds
• Treats all individuals - patients, visitors and co-workers - with courtesy, dignity and respect
• Contributes to a work environment that is welcoming to all - whether patients, visitors, staff or faculty
• Demonstrates a sensitivity and awareness of the needs of a diverse workforce and patient population

Teamwork - We have to depend on each other and work well together with mutual respect to achieve common goals.

Standards:

• Willingly shares expertise and information with others to improve patient care, unit or departmental performance without compromising individual responsibilities
• Celebrates the accomplishments of others in making a difference in the lives of patients and the success of the organization
• Takes ownership of decisions made by specific patient care or project teams, and team leaders, and the individual role needed to support them
• Manages multiple demands while maintaining quality and courtesy; acknowledges and resolves patient or visitor issues

Working conditions

The work environment involves risk discomforts that are typical of an acute care setting to include working with patients under isolation and universal precautions. It requires safety precautions, ongoing education, and health risk monitoring. Contact with specimens, chemicals, sharps, radiation, technical equipment and fumes are possible. Employees are required to wear personal protective attire according to hospital policies and OSHA guidelines. The work activity and patient acuity levels can create a stressful atmosphere.

Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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