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Performs all hospital stress tests under the direct supervision of the supervising Cardiologist and coordinates the response to other patient care needs as identified. Uses knowledge of all stress protocols and follows established protocols. Utilizes knowledge of the condition for which the test is ordered, appropriate indications, contraindications, risks, screening, assessment, monitoring and oversight of exercise/pharmacalogical tests while serving as a resource to manage and direct abnormalities or emergent needs to the supervising cardiologist. Uses knowledge of cardiovascular/exercise physiology, hemodynamic response to stress, cardiac dysrhythmias, cardiac electrophysiology, cardiovascular drugs, effects of age and disease on hemodynamics and ECG responses to stress, end points of exercise/pharmacological stress testing, indications to terminate the stress test, ECG changes that results from stress and administers drugs utilized for reversal of adverse events per protocol. Is responsible for the provision and coordination of patient-centered care. Coordinates care to achieve desired outcomes, participates in patient and family teaching and provides leadership by delegating and working cooperatively and collaboratively with ancillary nursing and other patient team personnel in maintaining standards for professional nursing practice and professional nursing performance in the clinical setting. Must be able to demonstrate the knowledge and skills necessary to provide care and service appropriate to the age of the patients served in his/her area. Is accountable to practice in accordance with the Michigan Public Health Code Act 368 of 1978, Article 15 (Health Occupations), Part 172 (Nursing).

Pay: $34.00 - $49.18/hour

Employment Type: Limited Hours, 8 hours every 2 weeks

Schedule: Weekday shifts as needed 7:30am-4pm. On call every 4th weekend (Saturday and Sunday) from 8am-12pm.

Requirements: Graduated of accredited Registered Nursing program, Current Michigan RN license, Current BLS for the Healthcare Provider (or completed within 60 days of hire, ACLS certification (or completed within 1 year of hire)

STANDARDS OF PROFESSIONAL PERFORMANCE

Promotes patient safety by maintaining the policies and procedures of the hospital and nursing department, including maintaining the Patient's Bill of Rights.

Practices in accordance with the ANA Standards of Professional Performance including:

• QUALITY OF PRACTICE -- Systematically enhances the quality and effectiveness of nursing practice.
• EDUCATION -- Attains knowledge and competency that reflects current evidence-based nursing practice.
• PROFESSIONAL PRACTICE EVALUATION -- Evaluates one's own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulations.
• COLLABORATION -- Collaborates with patient, family and other members of the healthcare team in the conduct of nursing practice.
• ETHICS -- Integrates ethical provisions in all areas of practice.
• EVIDENCE-BASED PRACTICE and RESEARCH -- Integrates evidence and research findings into practice.
• RESOURCE UTILIZATION -- Utilizes appropriate resources to plan and provide nursing services that are safe, effective, and financially responsible.
• ENVIRONMENTAL HEALTH -- Practices in an environmentally safe and healthy manner.
• COLLEGIALITY - Interacting with and contributing to the professional development and training of peers, colleagues, and students.

STANDARDS OF PROFESSIONAL PERFORMANCE -- LEADERSHIP:

• Demonstrates leadership in the profession and in the professional practice setting.
• Appropriately directs and supervises support personnel in the performance of delegated nursing activities.
• Actively participates in or supports, on a regular basis, shared decision-making activities.
• Demonstrates awareness of and accountability to department/organization strategic goals and quality initiatives.

NURSING PROCESS:

• ASSESSMENT and DIAGNOSIS -- Collects and documents comprehensive data pertinent to the patient's health or the situation. Assessments are thorough, timely and accurate and include but are not limited to the physiological, socio-cultural, safety and spiritual needs of patients (including significant other). Demonstrates ability to use critical thinking skills to analyze assessment data to determine the pertinent diagnosis or issues. Responds appropriately to changing needs of patients, including response to emergency/life threatening situations.
• OUTCOMES IDENTIFICATION / PLANNING -- Identifies expected outcomes for a plan individualized to the patient or situation. Develops and documents an individualized plan of care which incorporates the patient's significant other as appropriate and that prescribes strategies and alternatives to attain expected outcomes. Identifies initial and ongoing discharge planning needs. Demonstrates the ability to identify, evaluate and document the patient's response to care given. Coordinates care across the continuum to meet the identified and anticipated needs of the patient and his/her support network.
• IMPLEMENTATION -- Functions as advocate for patient/significant other. Demonstrates skills needed to implement the identified plan of care, incorporating elements of Standards of Professional Performance (as described in Essential Functions #1) as appropriate. Demonstrates ability to prioritize and adjust priorities based on patient/unit needs.
• EVALUATION -- Demonstrates ability to evaluate and document patient's progress towards attainment of desired outcomes.

PATIENT EDUCATION:

• Demonstrates ability to optimize patient learning through evaluating a patient's learning abilities and carrying out the education of the patient.

Holland Hospital is an Equal Opportunity Employer, please see our EEO policy