HCA, Hospital Corporation of America Registered Nurse (RN) Cardiac Rehab Days in Round Rock, Texas

St. David’s Round Rock Medical Centeris part ofSt. David’s HealthCare, one of the largest health systems in Texas, which was recognized with aMalcolm Baldrige National Quality Awardin 2014. With 171 beds, the hospital’s comprehensive services include advanced cardiac care at the Heart Hospital of Austin at St. David's Round Rock—the first specialized cardiac facility in Williamson County—with the only Hybrid Operating Room (OR) in the county; as well as emergency services in a 24-hour emergency department, including advanced trauma care with a Level II Trauma Center; St. David's Urgent Care Round Rock; and St. David's Emergency Center in Cedar Park. St. David’s Round Rock Medical Center is also known for providing advanced orthopedic and robotic services, among other complex specialties. In 2016, the hospital received the Distinguished Hospital Award for Clinical Excellence fromHealthgradesand also earned a national distinction for patient safety fromThe Leapfrog Group.

_ _ _Position Summary _ The cardiac rehabilitation nurse is a registered nurse who possesses advanced knowledge and skill in the area of cardiac nursing. The nurse will cover and assist with immediate responsibilities for the daily operations pertaining to the delivery of out-patient Cardiac Rehab in either the absence of or with the cardiac rehab coordinator.

_Essential Job Function_ Assists in the delivery of Cardiac Rehab Services. Plans, coordinates and provides on-site supervision for the delivery of out-patient Cardiac Rehab.

  • Assures that all out-patient are appropriately prepped for telemetry prior to the start of their exercise session.
  • Assures that each patient is assigned to an appropriate exercise physiologist for monitoring during each session.
  • Monitors telemetry during out-patient exercise sessions.
  • Assures that exercise area is set-up and orderly, both before and after sessions.
  • Coordinates physician attendance at sessions, and discusses patient progress with attending physician, and primary physician as necessary.
  • Meets regularly with each patient, formally and informally as needed, to assess progress in program and provide appropriate cardiac education.
  • Refers appropriate patients for consultations with Dietary, Social Services, Pastoral, and Pharmacy, as needed.
  • Communicates problems or concerns of the patient to the referring physician by phone that occurs during an exercise session.

Responds to referrals and begins the process for each patient entry as necessary.

Contacts the referred out-patients by telephone and provides a brief overview of the program.

  • Collects insurance information, completes the insurance verification form, and gives to the admission’s registrar.
  • Schedules an initial evaluation and mails out the intake questionnaire.
  • Begins the chart process, request of medical records, chart label, and all entry documentation.

Documents patient treatment regularly and accurately according to departmental policy.

  • Documents legible and concise entries in the medical record.
  • Documents complete medical history on each patient on initial session.
  • Documents exercise progress notes on each patient participating in class and submits accurate charges daily for cardiac services.
  • Assures that patient’s exercise record is current and accurately reflects patient’s progress.
  • Sends written correspondence and discharge summary with program outcomes to physician as appropriate on request of the program coordinator.

Initiates advanced cardiac life support measures according to RRMC’s protocols in the event of a cardiac emergency.

Provides appropriate education to all phase II patients during exercise sessions.

  • Teaches patients and families understanding, treatment, and management of cardiovascular disorders.
  • Documents patient’s education, the patient’s understanding and/or a follow-up plan.
  • Facilitates family participation in the teaching plan
  • Familiar with current standards of practice and clinical protocols.
  • Adheres to exercise protocols and responds to adverse reactions appropriately.\
  • Makes recommendations to the cardiac rehab coordinator the need for program changes, updates or revisions to promote continuous quality care.
  • Assists the cardiac rehab staff in representing/promoting the cardiac rehab program to the community and hospital/ medical staff.
  • Assists the cardiac rehab staff in staying with budgetary guidelines. Demonstrates effective communication and organizational skills and evidence of professional developmen Promotes interdepartmental cooperation and acts as a liaison in problem solving for assigned programs.
  • Delegates appropriate tasks to support staff daily as needed to assure schedule efficiency.
  • Reacts appropriately to patient behavior.
  • Maintains required certification and actively seeks further development in the area of cardiac rehab through the use of hospital and outside resources.
  • In a timely manner, clearly communicates identified problems with the Cardiac Rehab Coordinator or patient problems with the appropriate referring physician.

Performs miscellaneous job duties as assigned in the absence of the cardiac rehab nurse coordinator.

Maintains a flexible working schedule to allow for PRN coverage in cardiac rehab.

Assists in the delivery of Inpatient Cardiac Rehab services.

  • Teach the patient/family about modification of risk factors.
  • Initiate behavior change through patient/family education regarding cardiac disease, exercise, and healing after a cardiac event.
  • Initiate an understanding of the importance of exercise in decreasing the incidence of heart disease and improving quality of life.
  • Give instructions on exercise guidelines and self-monitoring, and provide an exercise program when appropriate.
  • Foster an understanding of the disease process.
  • Provide progressive supervised ambulation for the patients, as tolerated.
  • Serve as a referral base for outpatient cardiac rehabilitation.

*_Education


Required:* Graduate of an approved school for registered nurses. Current license to practice nursing in The State of Texas. Basic Cardiac Life Support (BCLS) certification Preferred: Advanced Cardiac Life Support (ACLS) certification.

*_Experience


Required:* Minimal 3 years experience as an RN with 1-2 years experience working with cardiac patients, preferably on a telemetry unit or coronary care unit. Has been directly involved in education to the patient with coronary heart disease including myocardial infarction, coronary artery bypass surgery and angina and has some knowledge regarding the effects of exercise on the cardiovascular system.

*_Credentials


Required:* Current license to practice nursing in the state of Texas; BCLS, Basic Cardiac Life Support current certificate

Job: *Nursing - Professional

Title: Registered Nurse (RN) Cardiac Rehab Days

Location: Texas-Round Rock-Round Rock Medical Center

Requisition ID: 06240-59014