The RN assumes responsibility for the coordination of care in Cardiology which includes the transition through the continuum of care, patent and family education, patient self-management after discharge, follow up care and supporting factors that impact customer satisfaction. The RN assists the patient with navigation of the Cardiology section of the VA system and care coordination when receiving care in the community. The RN provides clinical support for the patient in conjunction with general cardiology fellows and attendings and interacts as part of the multidisciplinary team to manage the transition from inpatient to outpatient care while maintaining continuity of care as much as possible. The nurse is the primary point of contact for the General Cardiology service. The nurse assists with patient care needs throughout the Cardiology section including patient preparation, moderate sedation and other needs during procedures, and other duties as assigned. The Nurse maintains knowledge of the various VA Directives and Policies when managing cardiac procedure and clinic consults and will ensure that patients are scheduled in a timely fashion to meet their needs. Core elements of performance include knowledge and active participation in unit/program level quality improvement processes and initiatives, customer service programs, and involvement with research. The Nurse may be assigned to function as a team leader, charge nurse or acting Nurse Manager. The nurse is expected to function to their highest ability and in accordance with all aspects of their designated Functional Statement. They can perform nursing functions and the duties as assigned independently and will alter the daily duties to meet the population and/or service needs. The nurse demonstrates a high level of prioritization of patient care needs and critical thinking skills in providing care and resolving problems. Major Duties: Uses the nursing process to assess, plan, implement care and evaluate patients. Provides patient/family education needed for a procedure, including education on the procedure to be performed, pre-procedure instructions for prep and post procedural care. Collaborates with the Interventional team to ensure the correct procedure is scheduled and any special considerations or equipment is needed. Works collaboratively with the Cardiology providers by assisting with medication titration and adjustments to prevent additional ED and/or clinic visits, ensures patients complete recommended testing and receive testing results, and provides follow up telephone calls to assess blood pressures, lab results. Assists in ensuring encounters are completed within 7 days of the encounter to ensure accurate workload is documented. Serves as coordinator during the evaluation process, and collaborates with other service team members to manage the care of patients being followed by the Cardiology Clinic, which includes general Cardiology, Congenital Heart, and Cardiology Procedures. Identifies potential emergency/crisis situations and provides appropriate interventions. Ensures patients are scheduled appropriately and timely for Cardiology clinic and procedure appointments. Ensures patient records from outside providers and hospitals have been obtained prior to clinic appointments and/or procedures and sends records to be scanned into the patient medical record. Monitors the general Cardiology clinics for clinic utilization and missed opportunities to ensure access to clinic can be met. They assist with adjusting clinics to meet patient care needs such as obtaining approval for overbooks or identifying alternative creative measures to meet clinic needs. Assists with patient triage whether in person or via telephone to ensure their concerns and/or symptoms are addressed. Uses critical thinking/judgement skills to identify potential emergency/crisis situations and provides appropriate interventions. Triages all incoming Cardiology consults for cath, PCI, clinic, etc. Manages alerts in CPRS daily. Seeks out and participates on committees and task forces as needed/appropriate. Actively participates in unit/program level quality improvement processes and initiatives, customer service programs, and involvement with research. Coordinate plan of care with appropriate follow up care coordination in collaboration with provider for inpatient and outpatient Cardiology patients, especially the transition from inpatient to outpatient. Facilitate maintenance of care by contacting patients who miss appointments or who are not adherent to medication regimens, or scheduled follow up procedures Functions as the point of contact for the Cardiology service in collaboration with Cardiology Providers. Duties as assigned. Work Schedule: Monday through Friday; 7:00 a.m. to 3:30 p.m. or as agreed upon with supervisor, with the possibility of extended hours and weekends. Financial Disclosure Report: Not required
Internal Number: 599309200
About Veterans Affairs, Veterans Health Administration
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.