Registered Nurse - Pediatric Electrophysiology (BCH-Cross Bay)
UC San Francisco (UCSF) · San Francisco, California, United States
Utilizes the nursing process for assessment, planning, implementation, and evaluation to provide safe, therapeutic care. Functions as a member of the interdisciplinary and nursing teams; carries out established nursing procedures and performs related duties as required; performs nursing care for patients with more complex needs with assistance and supervision. Assists with the management of patient care administered by other members of the nursing team.
Under general supervision, guided by the policies and procedures of the Medical Center and Ambulatory Services, and in collaboration with providers and administrative management, the Nurse for Pediatric Electrophysiology works autonomously, utilizing the nursing process, to assess, plan, coordinate, implement and evaluate patient care within the ambulatory, procedural, and inpatient settings. This clinician is experienced and highly skilled with an in-depth knowledge and expertise in electrophysiology studies, CIED implantation, CIED interrogation, CIED remote monitoring, and inpatient bedside EP procedures.
In the ambulatory setting, the Nurse for Pediatric Electrophysiology is responsible for coordinating outpatient services and needs for a panel of pediatric, adolescent, and young adult patients and providers. His/her responsibilities include independent CIED (cardiac implantable electronic device) interrogation in clinic. Reviewing, interpreting and triaging CIED remote monitoring. Educating patients and families on CIED care and remote monitoring results. Supports cardiology fellows and nursing colleagues with CIED education and lectures on interpretation of CIED interrogation results. Provides rhythm teaching to patients and families. Participates in QI projects to improve safety and quality of patient outcomes.
In the inpatient setting, the Nurse for Pediatric Electrophysiology will act as a liaison to ensure continuity of care for patients and their families who have undergone EP procedures including EP studies and CIED implants. Responsibilities include running the GE systems during EP procedures, including supporting physicians with pacing and waveform interpretation. Assisting physicians for CIED implantation, and inpatient EP bedside procedures. The Nurse will collaborate with the inpatient nursing and provider teams to assist with patient and family education as well as complex care coordination and management, including comprehensive CIED care and management.
The Nurse for Pediatric Electrophysiology must have the ability to perform and prioritize multiple tasks and work well with staff, patients, families, and providers. A high degree of independence, initiative, assertiveness, and diplomacy are necessary in dealing with faculty, staff, and patients in a complex environment.
%
of time
Essential Function (Yes/No)
Key Responsibilities
(To be completed by Supervisor)
5
YES
Responsible for maintaining the knowledge and abilities essential to the performance of stated behaviors. Carries out legal responsibilities within the scope of the Nurse Practice Act. Accountable to the NURSE SVC SUPV 2 for overall work performance.50
YESCLINICAL KNOWLEDGE/SKILLS MANAGEMENT
A. Clinical Knowledge
- Assesses, plans, implements, and evaluates appropriate interventions for patients referred to Pediatric Electrophysiology.
- Integrates nursing theory, research, and knowledge of Pediatric Electrophysiology.
- Maintains knowledge base consistent with the advances in treatment related to Pediatric Electrophysiology
B. Clinical Skill
- Performs required technical procedures and does so safely, legally, effectively, and efficiently.
- Utilizes computer technology for, and maintains confidentiality of data collection, documentation, communication and research. Proficient in Apex.
- Is competent, and participates, in research protocols as dictated by specific departments.
- Demonstrated ability to provide appropriate care based on the needs of a specific individual, including the patient’s age.
C. Clinical Organization
- Manages clinical situations with advanced skills, insuring the incorporation of patient and family physical, psychosocial, and cultural needs.
- Utilizes the nursing process in providing care for a group of patients in accordance with all Medical Center and Ambulatory Services Policies and Procedures.
- Establishes and/or revises priorities for job/patient care activities based on acuity, patient volume, resource availability, patient/family preference, and scheduled procedures.
- Seeks consultation, supervision, and/or assistance when unable to perform procedures effectively, safely, or independently.
- Manages telephone triage of patient symptoms, coordinates patient evaluations, assists with patient teaching and assisting in the overall coordination of timely patient care.
D. Patient Care Management
- Functions as patient advocate and facilitates patient/family participation in decisions regarding their care. Is a resource to patients and families.
- Supervises patient care and delegates appropriate components in a manner that promotes efficiency, teamwork and optimal patient care outcomes.
- Evaluates and provides consistent and timely feedback to members of the health care team and Manager regarding the quality of patient care.
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care agencies
- Functions as contact person to triage patient care requests and referrals.
- For hospitalized patients, follow the patient while hospitalized, and actively engage in potential disposition changes to assure an appropriate discharge.
- Provide timely ongoing contact and follow-up with patient to ensure understanding of condition/clinical status, procedure, plan of care, and need for follow-up care.
- Conduct ongoing contact and follow-up with post-acute care providers, pharmacies, other providers, and insurance companies on a timely basis and notify providers or readmissions and significant clinical status changes as appropriate.
20
YESNURSING PROCESS/DOCUMENTATION
Meets Medical Center documentation standards as evidence by documentation of the following:
A. Assessment
- Contributes to data collection associated with Pediatric Electrophysiology
- Screens and assesses patients for pain.
- Screens and assesses patients for complications.
B. Planning
- Prioritizes patient needs and helps patient formulate plan of care.
- Assists members of health care team in the formulation and implementation of the patient’s plan of care.
C. Implementing
- Prepares patients for and instructs them about specific diagnostic and therapeutic procedures and treatments.
- Responds and participates in the management of emergency clinical issues.
D. Evaluating
- Documents patient outcomes and responses to nursing interventions.
- Utilizes theoretical knowledge and clinical skill to develop alternate approaches to patient and family care.
E. Teaching
- Identifies patient, family and/or patient’s caregiver learning needs and potential barriers to learning
- Identifies patient, family and/or patient’s caregiver teaching interventions specific to patient’s diagnosis and ability to learn, collaborating with other disciplines as appropriate.
- Involves patient, family, and/or the patient’s caregiver in teaching.
- Participates in the evaluation and revision of patient education materials.
- Evaluates the patient, family and/or patient caregiver’s response to teaching.
10
YESCOMMUNICATION
- Responds to the emotional needs of patients, families and/or caregivers by demonstrating sensitivity to their sociocultural dynamics.
- Interacts with patients, families, caregivers and staff in a supportive, calm, and therapeutic manner.
- Demonstrates courtesy, common sense and follow through in all telephone communications, maintaining the telephone standards established be the Medical Center.
- Listens respectfully to the ideas, opinions and feelings