Every breath, every heartbeat matters to you. Each day, you tend to the individual needs of cardiac rehab patients, planning, implementing and evaluating specialized care plans for the best possible outcomes. In your work, you embody the Legacy mission of making life better for others and personally feel a tremendous sense of pride seeing your patients get back to the life they enjoy. If this describes you, we invite you to consider a future as part of the Legacy team.

This is a OP Cardiac Rehab position

PATIENT CARE: Age-appropriate therapy is provided to patients and families integrating knowledge of the cardiac nursing process to achieve desired outcomes in appropriate and consistent collaboration with Cardiac Rehab RNs and Physical Therapists.

Assessment:

Performs age-appropriate intake and on-going assessments which include bio-psycho-social status, subtle and overt findings and evaluation of patient/family participation and communicates findings in a timely manner.

Reassesses patient prior to each therapy session.

Determines and communicates patient/family's desired level of participation in care.

Analyzes support systems and potential discharge needs.

Documents the assessments.

Analyzes assessment findings to identify/clarify clinical problems.

Independently seeks assistance/guidance as needed.

Planning:

Establishes and maintains a realistic plan of care in collaboration with patient, family, and health team members.

Identifies and individualizes appropriate interventions for each clinical problem in congruence with the treatment plans of other health team members.

Provides for patient safety by recognizing subtle changes and initiating appropriate interventions.

Implementation:

Implements therapeutic interventions with knowledge and competence in accordance with written standards of practice.

Achieves desired patient outcomes through collaboration with health team members and use of appropriate resources (skill, knowledge, equipment, standards).

Communicates and documents interventions and patient responses clearly and concisely according to standards.

Initiates and implements changes to patient care plan in collaboration with Cardiac Rehab RNs and Physical Therapists.

Evaluation:

Evaluates the patient's response to intervention and modifies the plan of care accordingly.

Establishes appropriate care priorities based on patient response to treatments and interventions.

PLANNING AND COORDINATION OF CARE: Age-appropriate therapy is planned and coordinated in collaboration with patient/family and other members of the healthcare team to maximize patient outcomes and use of resources.

Formulates, evaluates, and modifies individualized, age-appropriate interventions for each clinical problem in collaboration with Cardiac Rehab RNs.

Establishes and maintains plan of care that:

reflects realistic and measurable outcomes;

addresses short and long-term goals;

involves the patient and family in plan development and revision;

begins at designated timeframe.

Establishes appropriate care priorities based on patient developmental needs and response to treatments and interventions.

Achieves desired patient outcomes through collaboration with health team members and use of appropriate resources (skill, knowledge, equipment, standards).

Communicates status of plan and patient responses on an ongoing basis.

Prepares the patient/family for discharge in a timely and systematic manner through:

assessment of readiness;

education of patient/family;

coordination of equipment/supplies and services;

communication with other health team members;

Integrates principles of CQI action plans with daily practice through effective problem solving and utilization of resources.

PATIENT/FAMILY EDUCATION: Age-appropriate education is provided that facilitates recovery, self-care, health maintenance, health promotion and wellness.

Assesses the education needs, ability to learn, and desired level of participation of patient and/or family.

Identifies individual learning needs and delivers age-appropriate teaching.

Implements and documents the formal teaching plan and provides informal teaching as need and opportunity arise.

Recognizes and incorporates patient's/family's belief system (cultural, spiritual, psycho-social).

Evaluates the effectiveness of the teaching, adjusting the plan based on the response of the patient/family.

COMPETENCY: Clinical competency is demonstrated through the optimal implementation and evaluation of therapeutic processes.

Demonstrates knowledge of patient conditions encountered and understands the physiological basis for the therapy delivered.

Maintains current competency checklist including mandatory components (CPR, universal precautions, ACLS.)

Fulfills educational requirements regarding role in safety, infection control and internal/external disaster plans and procedures, risk management & Quality Improvement.

Demonstrates proper body mechanics to protect self and patient using sufficient help when task exceeds personal capabilities.

Seeks clarification of unclear verbal or written orders.

Demonstrates competence in assembly, use, and care of equipment.

Carries out all treatments in accordance with unit guidelines and protocols.

Seeks and utilizes input and guidance of Cardiac Rehab RNs and Physical Therapists wisely.

PROFESSIONAL DEVELOPMENT: The practice of cardiac rehab therapy is demonstrated through patient advocacy and promoted through professional development and contribution to the professional growth of others.

Demonstrates awareness of hospital, department and unit goals. Participates in activities to constructively facilitate change.

Supports hospital/departmental/unit standards and operations.

Identifies clinical practice issues and uses appropriate channels of communication to obtain evaluation and promote resolution.

Keeps abreast of recent changes in unit and hospital standards by reading transmittals/communications within a month of distribution.

Complies with changes in department and hospital standards.

Assists in the completion of evaluations/checklists.

Participates in department activities, projects and committees.

Actively participates in quality improvement activities.

Promotes department-based activities and assists in identifying targets.

Participates in Continuous Quality Improvement orientation and training sessions as appropriate.

Advocates for Continuous Quality Improvement with peers, patients/family and medical staff.

Reviews regular Continuous Quality Improvement reports.

Acts as patient advocate by providing patient privacy and promoting patient confidentiality.

Implements patient Bill of Rights.

Facilitates implementation of Patient's Self-Determination Act.

Demonstrates flexibility in workload assignments and scheduling.

Participates in professional development and education activities.

Develops and implements a plan for meeting own learning needs.

Assists in the orientation of students, new staff and float personnel.

Contributes to education of nursing staff.

Attends and documents job related in-services/conferences.

Participates with other colleagues in identifying and discussing ethical conflicts

Education:

M.S. or BS degree from an accredited program of Exercise Physiology or Exercise Science or B.S. or M.S. degree from an accredited school of Physical Therapy, with successful completion of the National Board Examination.

Experience:

Experience in clinical delivery of cardiac rehab services preferred. Basic familiarity with computers preferred.

LEGACY'S VALUES IN ACTION:

Follows guidelines set forth in Legacy's Values in Action.

Equal Opportunity Employer/Vet/Disabled

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