Brigham and Women's Hospital
Arrhythmia Services Triage Nurse
Brigham and Women's Hospital, Boston, Massachusetts, us, 02298
Ambulatory Staff Nurse - 24 hour Variable Day - BWH Cardiovascular Service Supporting the Electrophysiology Service
GENERAL OVERVIEW:
The Registered Nurse is a professional nurse registered in Massachusetts who is responsible and accountable for planning and providing patient care for assigned patients in accordance with Nursing Standards of Care as set forth in the Nursing Department's Clinical Practice Manual. The Registered Nurse demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. The Registered Nurse demonstrates the ability to effectively manage patients by assuming full responsibility for the assessment, plan, implementation and evaluation of patient care and is directly responsible to a designated nurse manager, or supervisor.
At the Brigham, we place great value on being a diverse and inclusive community. Brigham Health and the Department of Nursing are dedicated to diversity, equity and inclusion as we aim to reflect the diversity of the patients in our local community. We have a dedicated focus on equity. Thus, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum or human diversity: race, gender, sexual orientation, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.
PRINCIPAL DUTIES AND RESPONSIBILITIES
1. Provides telephone triage for patients with implanted cardiac devices. Including: conveying plans of care, disability/medical forms, handling patient medical concerns, checks voice mail messages regularly throughout the day and addresses/responds to all inquiries by the end of each day.
2. Collaboration with Watkins Cardiology Access Center, Clinic, and Arrhythmia Services Ambulatory RN for cross-training and coverage as needed.
3. Communication with patients via electronic health information exchange Patient Gateway/MyChart, phone, fax, mail, and email as necessary.
4. Gathers patient data and follow up on requests/review consults with MD/NP to develop care plan.
5. Communicate with providers using SBAR methodology: Situation, Background, Assessment, and Recommendation.
6. Completes post-hospital discharge phone calls including medication reconciliation
7. Education of patients and family regarding cardiovascular/arrhythmia disease and management to patients telephonically and in the ambulatory setting.
8. Assists with management and maintenance of the remote monitoring program (Carelinkâ, Latitudeâ, Merlinâ, Biotronikâ). Responsibilities include:
* Triaging reports on a daily basis * Patient notification of follow-up * Assists patients with transmissions over the phone * Troubleshoot issues with the remote monitoring systems * Assists with device advisories/recalls * Seeks assistance from device industry representatives as needed.
9. Maintains communication with device company personnel and MD/NP regarding specific device issues.
10. Assists with management of patient database including, return intervals, missed appointments and active/inactive list.
11. Perform post-procedure wound checks as indicated
12. Set up consults with specialty providers, follows up on consult recommendations, and communicates results to patient and providers.
13. Assistant with communication and correspondence to/from patients, employers, pharmacies, and insurance providers.
14. Willingness to cross train to perform cardiac device interrogation for implanted diagnostic loop recorders, pacemakers, internal cardiac defibrillators, and heart failure resynchronization devices based on established guidelines. Allowing the ability to cross-cover device clinics on an "as needed" basis.
15. Performs all other duties as required or assigned within the scope of the position.
Schedule
This is a 24-hour position with a schedule of Monday, Tuesday and Thursday. However, this is subject to change based on the needs of the service.
WORKING CONDITIONS
Works in a variety of patient care environments where there may be exposure to communicable diseases and hazardous materials such as chemotherapeutic agents, radioisotopes, and radiation. Work entails walking and lifting.
QUALIFICATIONS
A. Education: Graduate of an approved school of nursing with current registration in Massachusetts. For newly licensed nurses a Bachelor of Science Degree in Nursing is required.
B. Experience:
* Minimum 5 years current RN experience required. * Minimum 2 years nursing experience in an ambulatory setting with demonstrated telephone triage experience required. * Minimum 2 years nursing experience caring for a cardiology focused patient population required.
C. Other: Membership in professional organizations is recommended and certification in a specialty area is encouraged.
SKILLS AND ABILITIES REQUIRED
The RN must show evidence of the basic analytic thinking necessary to care for a group of patients. Must demonstrate observational skills and the ability to set priorities. Must be able to function under stress with good interpersonal and communication skills. Must demonstrate effective skills in applying hospital standards in area of service, teamwork, communication, respect for others, and time/priority.
GENERAL OVERVIEW:
The Registered Nurse is a professional nurse registered in Massachusetts who is responsible and accountable for planning and providing patient care for assigned patients in accordance with Nursing Standards of Care as set forth in the Nursing Department's Clinical Practice Manual. The Registered Nurse demonstrates initiative, knowledge and clinical skills in caring for the patient with complex needs. The Registered Nurse demonstrates the ability to effectively manage patients by assuming full responsibility for the assessment, plan, implementation and evaluation of patient care and is directly responsible to a designated nurse manager, or supervisor.
At the Brigham, we place great value on being a diverse and inclusive community. Brigham Health and the Department of Nursing are dedicated to diversity, equity and inclusion as we aim to reflect the diversity of the patients in our local community. We have a dedicated focus on equity. Thus, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum or human diversity: race, gender, sexual orientation, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.
PRINCIPAL DUTIES AND RESPONSIBILITIES
1. Provides telephone triage for patients with implanted cardiac devices. Including: conveying plans of care, disability/medical forms, handling patient medical concerns, checks voice mail messages regularly throughout the day and addresses/responds to all inquiries by the end of each day.
2. Collaboration with Watkins Cardiology Access Center, Clinic, and Arrhythmia Services Ambulatory RN for cross-training and coverage as needed.
3. Communication with patients via electronic health information exchange Patient Gateway/MyChart, phone, fax, mail, and email as necessary.
4. Gathers patient data and follow up on requests/review consults with MD/NP to develop care plan.
5. Communicate with providers using SBAR methodology: Situation, Background, Assessment, and Recommendation.
6. Completes post-hospital discharge phone calls including medication reconciliation
7. Education of patients and family regarding cardiovascular/arrhythmia disease and management to patients telephonically and in the ambulatory setting.
8. Assists with management and maintenance of the remote monitoring program (Carelinkâ, Latitudeâ, Merlinâ, Biotronikâ). Responsibilities include:
* Triaging reports on a daily basis * Patient notification of follow-up * Assists patients with transmissions over the phone * Troubleshoot issues with the remote monitoring systems * Assists with device advisories/recalls * Seeks assistance from device industry representatives as needed.
9. Maintains communication with device company personnel and MD/NP regarding specific device issues.
10. Assists with management of patient database including, return intervals, missed appointments and active/inactive list.
11. Perform post-procedure wound checks as indicated
12. Set up consults with specialty providers, follows up on consult recommendations, and communicates results to patient and providers.
13. Assistant with communication and correspondence to/from patients, employers, pharmacies, and insurance providers.
14. Willingness to cross train to perform cardiac device interrogation for implanted diagnostic loop recorders, pacemakers, internal cardiac defibrillators, and heart failure resynchronization devices based on established guidelines. Allowing the ability to cross-cover device clinics on an "as needed" basis.
15. Performs all other duties as required or assigned within the scope of the position.
Schedule
This is a 24-hour position with a schedule of Monday, Tuesday and Thursday. However, this is subject to change based on the needs of the service.
WORKING CONDITIONS
Works in a variety of patient care environments where there may be exposure to communicable diseases and hazardous materials such as chemotherapeutic agents, radioisotopes, and radiation. Work entails walking and lifting.
QUALIFICATIONS
A. Education: Graduate of an approved school of nursing with current registration in Massachusetts. For newly licensed nurses a Bachelor of Science Degree in Nursing is required.
B. Experience:
* Minimum 5 years current RN experience required. * Minimum 2 years nursing experience in an ambulatory setting with demonstrated telephone triage experience required. * Minimum 2 years nursing experience caring for a cardiology focused patient population required.
C. Other: Membership in professional organizations is recommended and certification in a specialty area is encouraged.
SKILLS AND ABILITIES REQUIRED
The RN must show evidence of the basic analytic thinking necessary to care for a group of patients. Must demonstrate observational skills and the ability to set priorities. Must be able to function under stress with good interpersonal and communication skills. Must demonstrate effective skills in applying hospital standards in area of service, teamwork, communication, respect for others, and time/priority.