Confluence Health
Nurse Practitioner - Moses Lake Cardiology
Confluence Health, Moses Lake, Washington, United States, 98837
Salary Range:
$64.90 - $78.37
Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.
Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation.
Medical, Dental & Vision Insurance
Flexible Spending Accounts & Health Savings Accounts
CH Wellness Program
Paid Time Off
Generous Retirement Plans
Life Insurance
Long-Term Disability
Gym Membership Discount
Tuition Reimbursement
Employee Assistance Program
Adoption Assistance
Shift Differential
For more information on our Benefits & Perks, click here!
Summary Provides appropriate specialized health care services to hospital and clinic patients. Performs examinations and provides treatment to routine clinical problems; performs or orders diagnostic testing; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care.
Position Reports To:
Practice Manager
Essential Functions
Outpatient Practice Duties
Staff outpatient office clinic in Wenatchee
Staff outpatient office clinic in satellite locations (either Moses Lake or Omak) 1-4 days per month
Provide comprehensive history and physical examinations on new cardiology patients
Provide comprehensive history and physical examinations for pre-operative clearance of non-cardiac surgery
Provide comprehensive history and physical examinations prior to cardiac procedures, in conjunction with cardiologist performing procedure
Provide post-operative evaluation (i.e after cardiac operations/procedures)
Order and/or perform pertinent diagnostic tests—ECG, echocardiogram, nuclear stress test, exercise stress test, chest x-ray, etc
Evaluate cardiac patient’s medical history, physical exam findings and diagnostic/laboratory data
Formulate cardiac care plan using established guidelines from ACC/AHA/NHLBI/HFS, and under the direction of a cardiologist
Initiate hospital admission orders after consulting with on-call cardiologist, including admission history and physical, on cardiac patients that require admission
Provide education and counseling to cardiac patients, patients families, and community groups on prevention and treatment of cardiovascular disease
Provide care in Areas of special interest may be assigned (ie HF, Lipid management, EP clinic)
Act as preceptor for physician assistant/nurse practitioner students
Actively recruit patients for cardiology-oriented research studies
Educate and communicate with patients and families regarding cardiac procedures, including cardiac catheterization, PCI, CABG, Pacemaker/ICD implantation, cardioversion, stress testing, echocardiography, etc
Educate Cardiac Rehab participants on cardiovascular disease and prevention
Participate in Community Wellness events, as schedule allows, with focus on cardiovascular disease Place referrals to other healthcare professional/specialties as needed
Participate in telemedicine clinic to outreach/satellite locations as needed and when travel is not possible
Inpatient Practice Duties
Staff hospital services as assigned, 4–10-hour shift rotation, including weekends
Complete comprehensive health history and physical examination of patients with acute or chronic cardiac conditions
Order and/or perform pertinent diagnostic studies, including ECG, echocardiograms, treadmill stress tests, nuclear stress tests (pharmacologic and exercise), stress echocardiograms (pharmacologic and exercise), chest x-rays, etc
Perform cardiac patient’s medical history, physical exam findings, and evaluate diagnostic/ laboratory data
Assist the on-call cardiologist with daily rounds, new consults, NSTEMI/STEMI triage in the ED
Generate daily progress notes to be used as shared-visits with on-call cardiologist
Notify on-call cardiologist of any change in patient condition
Evaluate and formulate treatment plan for new consults, in conjunction with on-call cardiologist
Generate discharge summaries, discharge orders, plus complete patient education and follow-up plans for NSTEMI/STEMI patients
Admit and perform History and Physical on Antiarrhythmic therapy patients
Monitor QTc interval on Antiarrhythmic patients, as directed by supervising physician
Perform medication reconciliation between hospital discharge and home medications, writing new prescriptions as appropriate
Complete daily patient education on cardiac conditions, treatment options, medications, and prognosis
Assist on-call cardiologist with triage of patients consults and needs
Communicate effectively with on-call cardiologist, hospital service, nursing staff, and other support staff
Order cardiovascular procedures (cardiac catheterizations, pacemaker implantations, etc.) as directed by attending cardiologist
Take weekend calls from nursing staff and from outpatient clinic cardiology line from Friday 1700 through Monday 0700
Assist in ACLS/BLS codes, as directed by supervising physician(s)
Perform device interrogations, reprogramming and deactivation of ICDs in the setting of end-of-life care, per physician recommendations
Perform Pacemaker interrogations and interpretation of rhythm data, as directed by supervising physician(s)
Assist in suturing pacemaker pockets and implanting loop recorders, as directed by supervising physician(s)
Stress Testing Practice Duties
Possess knowledge/competency of appropriate indications/contraindications for exercise and pharmacologic stress testing, plus review stress test orders, to assess for appropriate use criteria by non-cardiology providers
Possess knowledge/competency to promptly recognize and treat complications of exercise and pharmacologic stress testing
Possess knowledge/competency of appropriate contraindications, risk assessment of testing
Possess knowledge/competency of BLS/ACLS on an annual basis
Possess knowledge/competency of Cardiovascular and Exercise Physiology
Possess knowledge/competency of Exercise and Pharmacologic Stress testing Protocols
Possess knowledge/competency of Cardiac Arrhythmias, at rest and during exercise
Other duties as assigned
Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.
Qualifications Required:
Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date.
CPR/ACLS Certification.
Desired:
Related experience.
Cardiology Specialty Certification.
Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday.
F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday.
C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.
Physical/Sensory Demands For This Position:
Walking - F
Sitting/Standing - F
Reaching: Shoulder Height - F
Reaching: Above shoulder height - O
Reaching: Below shoulder height - O
Climbing - O
Pulling/Pushing: 25 pounds or less - O
Pulling/Pushing: 25 pounds to 50 pounds - O
Pulling/Pushing: Over 50 pounds - O
Lifting: 25 pounds or less - F
Lifting: 25 pounds to 50 pounds - O
Lifting: Over 50 pounds - O
Carrying: 25 pounds or less - O
Carrying: 25 pounds to 50 pounds - O
Carrying: Over 50 pounds - O
Crawling/Kneeling - O
Bending/Stooping/Crouching - O
Twisting/Turning - O
Repetitive Movement - O
Working Conditions
Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others.
Job Classification
FLSA : Exempt
Hourly/Salary : Salary
Physical Exposures For This Position
Unprotected Heights - No
Heat - No
Cold - No
Mechanical Hazards - No
Hazardous Substances - Yes
Blood Borne Pathogens Exposure Potential - Yes
Lighting - No
Noise - No
Ionizing/Non-Ionizing Radiation – No
Infectious Diseases - Yes
#J-18808-Ljbffr
$64.90 - $78.37
Overview Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.
Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation.
Medical, Dental & Vision Insurance
Flexible Spending Accounts & Health Savings Accounts
CH Wellness Program
Paid Time Off
Generous Retirement Plans
Life Insurance
Long-Term Disability
Gym Membership Discount
Tuition Reimbursement
Employee Assistance Program
Adoption Assistance
Shift Differential
For more information on our Benefits & Perks, click here!
Summary Provides appropriate specialized health care services to hospital and clinic patients. Performs examinations and provides treatment to routine clinical problems; performs or orders diagnostic testing; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care.
Position Reports To:
Practice Manager
Essential Functions
Outpatient Practice Duties
Staff outpatient office clinic in Wenatchee
Staff outpatient office clinic in satellite locations (either Moses Lake or Omak) 1-4 days per month
Provide comprehensive history and physical examinations on new cardiology patients
Provide comprehensive history and physical examinations for pre-operative clearance of non-cardiac surgery
Provide comprehensive history and physical examinations prior to cardiac procedures, in conjunction with cardiologist performing procedure
Provide post-operative evaluation (i.e after cardiac operations/procedures)
Order and/or perform pertinent diagnostic tests—ECG, echocardiogram, nuclear stress test, exercise stress test, chest x-ray, etc
Evaluate cardiac patient’s medical history, physical exam findings and diagnostic/laboratory data
Formulate cardiac care plan using established guidelines from ACC/AHA/NHLBI/HFS, and under the direction of a cardiologist
Initiate hospital admission orders after consulting with on-call cardiologist, including admission history and physical, on cardiac patients that require admission
Provide education and counseling to cardiac patients, patients families, and community groups on prevention and treatment of cardiovascular disease
Provide care in Areas of special interest may be assigned (ie HF, Lipid management, EP clinic)
Act as preceptor for physician assistant/nurse practitioner students
Actively recruit patients for cardiology-oriented research studies
Educate and communicate with patients and families regarding cardiac procedures, including cardiac catheterization, PCI, CABG, Pacemaker/ICD implantation, cardioversion, stress testing, echocardiography, etc
Educate Cardiac Rehab participants on cardiovascular disease and prevention
Participate in Community Wellness events, as schedule allows, with focus on cardiovascular disease Place referrals to other healthcare professional/specialties as needed
Participate in telemedicine clinic to outreach/satellite locations as needed and when travel is not possible
Inpatient Practice Duties
Staff hospital services as assigned, 4–10-hour shift rotation, including weekends
Complete comprehensive health history and physical examination of patients with acute or chronic cardiac conditions
Order and/or perform pertinent diagnostic studies, including ECG, echocardiograms, treadmill stress tests, nuclear stress tests (pharmacologic and exercise), stress echocardiograms (pharmacologic and exercise), chest x-rays, etc
Perform cardiac patient’s medical history, physical exam findings, and evaluate diagnostic/ laboratory data
Assist the on-call cardiologist with daily rounds, new consults, NSTEMI/STEMI triage in the ED
Generate daily progress notes to be used as shared-visits with on-call cardiologist
Notify on-call cardiologist of any change in patient condition
Evaluate and formulate treatment plan for new consults, in conjunction with on-call cardiologist
Generate discharge summaries, discharge orders, plus complete patient education and follow-up plans for NSTEMI/STEMI patients
Admit and perform History and Physical on Antiarrhythmic therapy patients
Monitor QTc interval on Antiarrhythmic patients, as directed by supervising physician
Perform medication reconciliation between hospital discharge and home medications, writing new prescriptions as appropriate
Complete daily patient education on cardiac conditions, treatment options, medications, and prognosis
Assist on-call cardiologist with triage of patients consults and needs
Communicate effectively with on-call cardiologist, hospital service, nursing staff, and other support staff
Order cardiovascular procedures (cardiac catheterizations, pacemaker implantations, etc.) as directed by attending cardiologist
Take weekend calls from nursing staff and from outpatient clinic cardiology line from Friday 1700 through Monday 0700
Assist in ACLS/BLS codes, as directed by supervising physician(s)
Perform device interrogations, reprogramming and deactivation of ICDs in the setting of end-of-life care, per physician recommendations
Perform Pacemaker interrogations and interpretation of rhythm data, as directed by supervising physician(s)
Assist in suturing pacemaker pockets and implanting loop recorders, as directed by supervising physician(s)
Stress Testing Practice Duties
Possess knowledge/competency of appropriate indications/contraindications for exercise and pharmacologic stress testing, plus review stress test orders, to assess for appropriate use criteria by non-cardiology providers
Possess knowledge/competency to promptly recognize and treat complications of exercise and pharmacologic stress testing
Possess knowledge/competency of appropriate contraindications, risk assessment of testing
Possess knowledge/competency of BLS/ACLS on an annual basis
Possess knowledge/competency of Cardiovascular and Exercise Physiology
Possess knowledge/competency of Exercise and Pharmacologic Stress testing Protocols
Possess knowledge/competency of Cardiac Arrhythmias, at rest and during exercise
Other duties as assigned
Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.
Qualifications Required:
Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date.
CPR/ACLS Certification.
Desired:
Related experience.
Cardiology Specialty Certification.
Physical/Sensory Demands O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday.
F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday.
C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.
Physical/Sensory Demands For This Position:
Walking - F
Sitting/Standing - F
Reaching: Shoulder Height - F
Reaching: Above shoulder height - O
Reaching: Below shoulder height - O
Climbing - O
Pulling/Pushing: 25 pounds or less - O
Pulling/Pushing: 25 pounds to 50 pounds - O
Pulling/Pushing: Over 50 pounds - O
Lifting: 25 pounds or less - F
Lifting: 25 pounds to 50 pounds - O
Lifting: Over 50 pounds - O
Carrying: 25 pounds or less - O
Carrying: 25 pounds to 50 pounds - O
Carrying: Over 50 pounds - O
Crawling/Kneeling - O
Bending/Stooping/Crouching - O
Twisting/Turning - O
Repetitive Movement - O
Working Conditions
Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others.
Job Classification
FLSA : Exempt
Hourly/Salary : Salary
Physical Exposures For This Position
Unprotected Heights - No
Heat - No
Cold - No
Mechanical Hazards - No
Hazardous Substances - Yes
Blood Borne Pathogens Exposure Potential - Yes
Lighting - No
Noise - No
Ionizing/Non-Ionizing Radiation – No
Infectious Diseases - Yes
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