The Cardiac Device Nurse provides direct care to patients with Cardiac Implantable Electronic Devices (CIEDs), in the Cardiac Device Clinic. The Cardiac Device Nurse utilizes knowledge of cardiovascular nursing, cardiac electrophysiology and biomedical engineering concepts to assess the technical function of the patient's CIED, perform testing and programming of the CIED, analyze and interpret device and patient diagnostics and perform accurate clinical documentation as determined by departmental and best practice standards.

* Demonstrates autonomous direct cardiac rhythm management patient care for patients with CIEDs by integrating a knowledge base from physiology, pathophysiology and the basics of electronics to perform competent device interrogations, diagnostic review, and overall analysis of device function with both in-person evaluations and remote monitoring.

* Performs post-operative CIED patient assessment and teaching regarding incision care as well as cardiac device function, ICD shock plans, and remote CIED monitoring.

* Utilizes critical thinking skills in addition to electrophysiology knowledge to programs device parameters autonomously in a safe manner to optimize functionality, promote appropriate pacing, rate modulation, safety, battery longevity, and optimally support overall electrophysiological needs of the patient.

* Recognizes abnormal functions of pacemakers, defibrillators, ILRs and CRT devices through in-person evaluation and remote monitoring. Employs strategies to address and correct issues.

* Professionally communicates with Cardiac Electrophysiologists and other providers regarding CIED function, diagnostic data, and overall patient status through accurate, professional and standardized documentation.

* Compliant with department and best practice scheduling protocols for remote monitoring and in-person CIED evaluations.

* Supports regulatory processes including billing, compliance, CIED tracking and advisory/ recall management.

* Promotes excellence in the care of patients with CIEDs and cardiac rhythm or heart failure disorders.

-In addition to the general RN physical requirement statement, please also include:

The position is based at Vanderbilt Medical Center's main campus, however travel to Vanderbilt Heart's offsite locations at the 100 Oaks, Franklin, TN, Murfreesboro TN, and Colombia, TN campuses may be occasionally required.

BSN Required. Previous Device Experience highly preferred.

1. Title: Registered Nurse 2
2. Job Code: 6643
3. Job Stream Description: Professional
4. Title: Registered Nurse 2
5. Job Code: 6643
6. Job Stream Description: Professional

• Collaborates in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the continuum.
• Analyzes comprehensive information pertinent to the patient's care and management to determine nursing diagnosis.
• Continually utilizes the nursing process to evaluate patient's progress towards goals and applies appropriate interventions to ensure effective outcomes.
• Employs strategies to promote health and a safe and healthy environment.
• The responsibilities listed are a general overview of the position and additional duties may be assigned.

TECHNICAL CAPABILITIES:

NURSING PATIENT ASSESSMENT & EVALUATION (NOVICE): - Possesses sufficient fundamental proficiency to successfully demonstrate the ability to assess and evaluate patients in practical applications of moderate difficulty. Conducts primary care patient interviews and physical examinations. Demonstrates sufficient acumen to recognize problems, ask questions and to contact the patient's primary care provider and other members of the healthcare team. Has experience in gathering pertinent clinical data that aid in referral, treatment, or other primary care pathways.

CARE PLANNING (NOVICE): - Demonstrates ability to anticipate resource needs, identify distinct tasks, set priorities, schedule activities, meet deadlines, and organize work within areas of direct responsibility. Competently handles multiple assignments often simultaneously by prioritizing work into manageable and measurable units. Ability to adapt to changes to patient care and area needs with minimal disruption and loss of productivity. Follows up to assure problems and issues are resolved.

NURSING PATIENT EDUCATION (NOVICE): - Possesses sufficient fundamental proficiency in providing patient education in practical applications of moderate difficulty.

EVIDENCE-BASED PRACTICE (NOVICE): - Possesses sufficient fundamental proficiency to successfully search for evidence to answer clinical questions. Generally works under the direction of others while accomplishing assignments.

• Organizational Impact: Executes job responsibilities with the understanding of how output would affect and impact other areas related to own job area/team with occasional guidance.
• Problem Solving/ Complexity of work: Analyzes moderately complex problems using technical experience and judgment.
• Breadth of Knowledge: Has expanded knowledge gained through experience within a professional area.
• Team Interaction: Provides informal guidance and support to team members.

CORE CAPABILITIES:

SUPPORTING COLLEAGUES (P2):

• - Develops Self and Others: Invests time, energy and enthusiasm in developing self/others to help improve performance and gain knowledge in new areas.
• - Builds and Maintains Relationships: Maintains regular contact with key colleagues and stakeholders using formal and informal opportunities to expand and strengthen relationships.
• - Communicates Effectively: Recognizes group interactions and modifies one's own communication style to suit different situations and audiences.

DELIVERING EXCELLENT SERVICES (P2):

• - Serves Others with Compassion: Seeks to understand current and future needs of relevant stakeholders and customizes services to better address them.
• - Solves Complex Problems: Approaches problems from different angles; Identifies new possibilities to interpret opportunities and develop concrete solutions.
• - Offers Meaningful Advice and Support: Provides ongoing support and coaching in a constructive manner to increase employees' effectiveness.

ENSURING HIGH QUALITY (P2):

• - Performs Excellent Work: Engages regularly in formal and informal dialogue about quality; directly addresses quality issues promptly.
• - Ensures Continuous Improvement: Applies various learning experiences by looking beyond symptoms to uncover underlying causes of problems and identifies ways to resolve them.
• - Fulfills Safety and Regulatory Requirements: Understands all aspects of providing a safe environment and performs routine safety checks to prevent safety hazards from occurring.

MANAGING RESOURCES EFFECTIVELY (P2):

• - Demonstrates Accountability: Demonstrates a sense of ownership, focusing on and driving critical issues to closure.
• - Stewards Organizational Resources: Applies understanding of the departmental work to effectively manage resources for a department/area.
• - Makes Data Driven Decisions: Demonstrates strong understanding of the information or data to identify and elevate opportunities.

FOSTERING INNOVATION (P2):

• - Generates New Ideas: Proactively identifies new ideas/opportunities from multiple sources or methods to improve processes beyond conventional approaches.
• - Applies Technology: Demonstrates an enthusiasm for learning new technologies, tools, and procedures to address short-term challenges.
• - Adapts to Change: Views difficult situations and/or problems as opportunities for improvement; actively embraces change instead of emphasizing negative elements.