Advanced Practice Nurse - Nurse Practitioner - Cardiology

The Advanced Practice Nurse (APN)/Certified Nurse Practitioner (NP) practices in Cardiology Service to provide a full range of Licensed Independent Practitioner (LIP) services emphasizing quality, timeliness, and the advancement of the Veterans Affairs (VA) mission. The NP provides advanced clinical practice, consultation, and management.

The NP is a LIP with advanced education and national certification who provides evidence­based care for a population of patients. Major duties and responsibilities of the position: - Independently manage a panel of patients with acute and chronic health conditions with an emphasis on health promotion and disease prevention using evidence-based practice. - Develop and implement an individualized plan to achieve optimal population health and disease management.

- Demonstrate leadership and work collaboratively with the interdisciplinary team. - Order and interpret labs, tests, and diagnostic studies. - Prescribe pharmacologic and non-pharmacologic interventions.

- Initiate referrals and consults to specialty services. - Provide education to patients and their families. - Assess and adjust the plan of care as needed to achieve optimal patient outcomes.

- Exemplify the ICARE core values of-Integrity, Commitment, Advocacy, Respect, and Excellence. CARDIOLOGY ELECTROPHYSIOLOGY/PACEMAKER SPECIFIC DUTIES/RESPONSIBILITIES Advanced Practice Provider (APP) in this role, functions independently and in collaboration with a multidisciplinary team, providing comprehensive guideline directed evidence based care to cardiology patients. This position is one of a group of Cardiology Advanced Practice Providers who respond to cardiology consult requests from within the hospital as well as from the VISN facilities. The APP provides care to Veterans in the Electrophysiology/Pacemaker/Cardiology Clinic, delivering care in the outpatient setting, by face to face, telephone and telemedicine visits.

Interacts with patients within acute care, emergency department, Cardiac Cath Lab/EP lab, and/or the community living centers (CLC). The population served includes male and female veterans across the adult lifespan, as well as active duty personnel. Patients managed in the Electrophysiology/Pacemaker clinic by the APP may have complex co­morbidities such as arrhythmias including atrial fibrillation/flutter, ventricular tachycardia, heart block, or other diseases including hypertension, COPD, diabetes, valvular diseases, coronary artery disease, cerebral vascular disease, auto immune disorders and renal impairment.

Primary functions of this role include: - Interrogate and evaluate device function and identify normal or abnormal function - Sound knowledge of device function and ability to reprogram as necessary - Identify rhythms and interpret all information - Download device interrogation by remote transmission and interpreting results - Complete cardiac procedural consults for pacemakers/defibrillators/lead extractions/ablations and other EP procedures for patients in the Pacemaker Clinic; make note with recommendations for peri-op device management for upcoming surgerical procedures - Evaluate patients for appropriate use of Life Vests, orders the vest through prosthetics; educates patients and caregivers on the use and care of a life vest and alternative therapies and follow these patients monthly in clinic - Evaluate and schedule patients for MRI, make sure device is MRI compatible, older than 6 weeks and that there are no additional or abandoned leads through an x-ray. iIterrogate and reprogramm devices prior to the MRI, and monitor the rhythm and pulse oximeter during the MRI - Interrogate and test device again post MRI and return to normal settings - Provide comprehensive guideline directed evidence based care to patients with pacemaker devices - Implement assessment, diagnosis and management of patients with complex co­morbidities - Prescribe individualized pharmacological and non-pharmacological interventions for treatment of heart conditions and related medical problems - Educate patient, significant others and affiliated medical center staff on health care issues (medications, diet, lifestyle changes, follow up). - Facilitate the completion of informed consents prior to the procedure - Admit and discharge patients to OBS status post invasive cardiac procedures.

- Mentor to APRN students. - Acts as consultant and resource to other departments. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: Monday thru Friday, 7:00 am to 3:30 pm Telework: Not Available Virtual: This is not a virtual position.

Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized