Summary GENERAL SUMMARY: The Cardiac Rehabilitation RN is responsible for identifying patient needs and priorities for care through assessment, planning for and delegating care based on patients needs, executing therapeutic physician-and nurse-initiated interventions, and evaluating the patients response to care and progress toward outcomes. Whenever possible, the family or significant others are included in the plan of care of the patient. Coordinates care and communicates essential information between other professional disciplines as needed and uses available resources and innovative strategies to provide care. Empowers the patient and/or significant others to make informed changes in health related behaviors. The Cardiac Rehabilitation RN is responsible for the promotion of primary, secondary, and tertiary prevention. PRINCIPAL JOB FUNCTIONS: *Commits to the mission, vision, beliefs and consistently demonstrates our core values. *Initiates assessment based on the patients presenting problems or needs and the physicians medical diagnosis: a. Collects key information from patient, family, and medical reports. b. Determines nursing diagnosis and priorities for care with special consideration given to patient teaching, goal setting, psychosocial well-being, and functional status. c. Assesses tolerance of activity levels, collaborates with other team members and makes recommendations/referrals regarding appropriateness of return to work or ADLs. d. Assesses and applies interpretation of diagnostic/monitoring data to the plan of care. *Completes ongoing assessments according to LifePointe policy and/or as determined by patient condition: a. Re-prioritizes care and sets new goals based on new information. b. Continues to update nursing diagnoses/patient problems. c. Involves family and/or significant individuals in assessment activities. *Appropriately interacts with patients/families from a variety of developmental and sociocultural backgrounds; seeks interpreter assistance as appropriate. *Provides information to patients and families which reduces anxiety and conveys an attitude of acceptance, sensitivity, and caring. *Initiates communication with health care team members regarding treatment planning; informs appropriate health care team members (including physicians) of patients condition/rehab status. *Completes clinical/non-clinical assignments based on departmental workload and the qualifications and competencies of self and other staff members. *Collaborates with staff and appropriate resource person(s) to formulate and update treatment plans and to work toward positive outcomes. Initiates problem solving and conflict resolution skills to foster effective work relationships with health care team members and peers. Assesses individual educational needs, barriers for learning, and learning styles and provides appropriate learning experiences; reviews, develops and provides educational materials appropriate to patient needs. *Provides education to patients and significant others regarding disease entities, risk factor management and behavior modification and promotes primary, secondary, and tertiary prevention in individual and group settings. Advances work knowledge by participating in continuing education inservices, reading periodicals/literature and seeking ongoing development opportunities. Supports and is involved in the hospital/departmental quality improvement initiatives; responds to problems/opportunities to improve care and/or processes. Attends staff meetings and inservices as appropriate. Assists in employee, intern, and student observation/orientation. *Following orientation, provides assistance in related program functions such as Pulmonary Rehabilitation and Enhanced External Counterpulsation. Performs other related duties as assigned. REQUIRED KNOWLEDGE, SKILLS AND ABILITIES: Maintains clinical competency as required for position including but not limited to age-specific competencies relative to patients growth and development needs and annual skill competency verification. Knowledge of hospital, staff and community based agencies and resources necessary to support the patient/family education. Knowledge of federal and state regulations related to nursing applications and relative practice area. Knowledge of computer hardware equipment and software applications relevant to work functions. Ability to train, instruct and provide guidance to others. Ability to work in a fast-paced environment related to changing patient needs including working with patients with acute, chronic and complex disease processes and those who are dying. Ability to communicate effectively both verbally and in writing. Ability to maintain confidentiality relevant to sensitive information. Ability to establish and maintain effective working relationships with all levels of personnel, medical staff, volunteer and ancillary departments including diverse patient population. Ability to work with patients growth and development needs, particularly related to patients who are undergoing lifestyle changes, adjusting to a chronic illness and/or pursuing health promotion prevention behaviors. EDUCATION AND EXPERIENCE: Current Registered Nurse licensure from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act. Minimum of one (1) year critical care experience required. OTHER CREDENTIALS / CERTIFICATIONS: Basic Life Support (CPR) certification and certification required. Certified Foot Care Nurse certification preferred and/or Certified Anticoagulant Therapist certification per Manager pre-approval and work assignment. PHYSICAL REQUIREMENTS: (Physical Requirements are based on federal criteria and assigned by Human Resources upon review of the Principal Job Functions.) (DOT) Characterized as medium work requiring exertion of 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or a greater than negligible up to 10 pounds of force constantly to move objects.
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