Lafayette Hospital + Clinics (LH+C) – Cardiopulmonary Registered Nurse (RN)

Job Title: Cardiopulmonary RN
Reports to: Cardiopulmonary Director
Supervisory Responsibilities: None

Position Qualifications:
• Ability to work under the Cardiopulmonary Director.
• Strong interpersonal skills.
• Ability to anticipate needs, change goals and direction quickly, requiring strong multitasking skills.
• Demonstrates self-motivation in accomplishment of goals, and a strong sense of responsibility.
• Strong work ethic, job reliability, diligence, dedication, and excellent attention to detail.
• Ability to remain compliant with Hospital-Wide Education.
• Ability to attend meetings as instructed.
• Ability to flex shifts worked or assigned; including night, weekends, and holidays.

Educational Requirements:
• Maintains a Valid Register Nurse license in the State of Wisconsin
• Two or more years’ experience is preferred
• BLS, ACLS, PALS, and NRP Certified
• No Exclusion from participation in Medicare, Medicaid or other Federal healthcare programs.

Essential Functions:
• Demonstrates professional responsibility in their role.
• Demonstrates strong leadership skills.
• Demonstrates strong communication skills with other professionals, patients, and family.
• Ability to follow departmental policies and guidelines.
• Provide professional leadership and direction within the department.
• Responsibility for self-development and professional growth.
• Responsible for team building and maintaining an effective and efficient working environment.
• Demonstrate fiscal responsibility.
• Ability to comply with all health and safety standards and guidelines.
• Demonstrates advocacy towards patient/family.
• Ability to identify policies/procedures related to healthcare ethics and monitors their implementation,
including awareness of customer satisfaction, an understanding of patient rights and responsibilities,
confidentiality, informed consent, advanced care planning, withholding/withdrawing life sustained treatment (End-of-Life Decisions), organ/tissue donation, process for resolution of conflict in care or treatment decisions, organizational ethics (Code of Ethics), and Do Not Resuscitate (DNR)/Resuscitation Plan.
• Complies with Compliance Standards’ Information Access & Confidentiality Agreement & Code of Conduct.
• Maintain knowledge of EMR.
• Performs assessments designed to gather data relevant to the patient’s individual needs.
o Cardiovascular assessment, adult and pediatric
o Pulmonary assessment, adult and pediatric
o Effectiveness of therapy
o Risk factor assessment
o Social/Economic assessment
o Age-specific assessments
o Abuse assessment
• Ability to develop and implement patient care plans.
o Determine individualized interventions.
o Participate in patient care conferences and discharge planning.
o Provide education to patient and family members.
• Ability to manage patient care therapy for adult and pediatric patients
o Ability to provide cares to patient on oxygen therapy
o Ability to provide cares to patient requiring respiratory treatments
– Cough enhancements
– Directed cough procedure/instruction
– Deep breathing enhancements
– Nebulizer treatments
– Continuous Nebulizer therapy
– Chest physical therapy
– Flutter valve
– Metered dose inhaler (MDI) treatments
– Dry powder inhaler treatments
– Incentive spirometry
– Positive expiratory pressure (PEP)
– Intermittent positive pressure breathing (IPPB)
– Continuous positive airway pressure (CPAP)
– Bi-level positive airway pressure (BiPAP/B-level)
– Aerosol therapy (cool and heated)
– Ultrasonic nebulizers
– Cardiac and Pulmonary Rehab
Professional Functions of the Cardiopulmonary Director in regards to rehab patients:
• Ability to provide leadership and direction to the patient care team.
• Ability to perform age specific physical, psychological, and social assessments; utilizing that information to develop a plan of care to include individualized treatment strategies.
• Ability to manage, organize, and provide direct patient care; incorporating clinical decision making and prioritizing of activities.
• Ability to educate the patient, appropriate family members, and other healthcare team members; to include the incorporation of health maintenance, disease process, and discharge planning.
• Ability to organize, within the specific work period, those aspects of care for which he/she is accountable, and coordinate the patient care with other health team members.
• Ability to document patient intake on Electronic Health Record (EHR).
• Ability to complete daily age appropriate assessments on all patients to include:
o Respiratory System
o Cardiovascular System
o Neurological System
o Gastrointestinal System
o Musculoskeletal System
o Pain Management
• Ability to complete patient blood sugar monitoring as appropriate.
• Ability to provide appropriate patient education upon discharge.
• Ability to enter quality data statistics.
• Ability to perform initial new participant assessments; assisting with new participant orientations and the development of a plan of care, working as a team with other staff members.
• Ability to ensure that all required documentation is in EHR prior to a new participant admissions into Cardiac or Pulmonary Rehab including:
o Signed Physician Referral
o Signed Orders
o Recent EKG
o Consent Form
o Patient History
o Patient Assessment
o Patient Care Plan
• Ability to supervise exercise sessions, monitor participants for inappropriate responses to exercise.
• Ability to perform blood pressure checks on all participants pre and post exercise, watching for abnormal responses on telemetry.
• Ability to assess participants’ pre, during and post exercise, making appropriate referrals and/or recommendations to the participant, other staff members, and provider.
• Ability to monitor blood pressure, rate of exertion, and telemetry, before, during and after exercise.
• Ability to perform glucometer testing on participants with diabetes.
• Ability to report immediately, any significant participant condition (dysrhythmias, abnormal blood pressure responses, change in participants’ status etc. to the physician supervising the program.
• Ability to initiate ACLS measures and/or emergency care according to hospital policy.
• Ability to chart and document initial assessment and daily participants’ information and program.
• Ability to document exercise session in flow sheet with progress notes.
• Ability to schedule initial assessment visit with patient, schedule exercise and education sessions, with all patients.
• Ability to ensure the availability of an in-house physician to assume responsibility for the Cardiac Rehab program.
• Ability to ensure emergency supplies and equipment for proper function are available on a regular basis.
• Ability to check all equipment is in working order so there is no disruption of care.
• Ability to check that crash cart and other supplies are on hand, and defibrillator is tested before each session.
• Ability to report any significant event and/or situation to the Department Manager or Administration.
• Ability to perform Life Support measures for adult and pediatric patients
o Ability to perform cares for patients unable to maintain patient airway
o Ability to perform endotracheal intubation with the use of an I-Gel airway.
o Ability to perform cares for patients requiring endotracheal intubation.
o Ability to perform esophageal intubation with obturator.
o Ability to perform cares for patients requiring endotracheal suctioning.
o Ability to perform cares for patients requiring endotracheal suctioning via closed-suction system.
o Ability to perform cares for patients with an endotracheal tube.
o Ability to perform cares for patients requiring nasotracheal suctioning.
o Ability to perform cares for tracheostomy patients.
o Ability to perform cares for patients requiring mechanical ventilation.
o Ability to perform cares for patients requiring weaning from mechanical ventilation.
o Ability to perform cares for patients requiring cardiopulmonary resuscitation (CPR).
o Ability to operate mouth-valve-mask breathing apparatus.
o Ability to perform cares for patients requiring bag-valve-mask resuscitation.
o Ability to recognize life-threatening dysrhythmias.
o Ability to oversee cardiac rehab program including patient education, performance of assessments and monitoring, patience progress, identification patient emergent situations; ability to respond appropriately, and assist with re-credentialing process of cardiac rehab
program.
o Ability to oversee pulmonary rehab program including patient education, performance of assessments and monitoring, patient progress, and identification of patient emergent situations; ability to respond appropriately.
• Ability to perform Diagnostics
o Ability to perform cares for patients requiring pulse oximetry (Sp02 monitoring).
o Ability to perform cares for patients requiring overnight oximetry.
o Ability to facilitate scheduling for patients requiring overnight 4-channel sleep study.
o Ability to facilitate and schedule patient 16-channel sleep study with continuous positive airway pressure (CPAP).
o Ability to care for patients requiring capnography.
o Ability to facilitate scheduling for patients requiring stress test.
o Ability to perform Exercise Stress, Lexiscan Stress, and Cardiolite Stress tests.
o Ability to facilitate scheduling for patients requiring Holter monitoring.
o Ability to care for patients requiring Holter monitoring.
o Ability to analyze Holter report data.
o Ability to care for patients requiring EKG monitoring.
o Ability to care for patients requiring cardiac event monitoring.
o Ability to facilitate, schedule, and monitor patients requiring EEG monitoring.
o Ability to care for patients requiring Hemodynamic monitoring.
o Ability to care for patients requiring non-invasive blood pressure (NIBP) monitoring.
• Ability to perform Psychological Components.
o Ability to care for patients with altered body image.
o Ability to care for patients suffering from anxiety.
o Ability to care for patients suffering from depression.
o Ability to care for grieving patients/family members.
• Ability to demonstrate organizational skills.
o Ability to prioritize patient care responsibilities.
o Ability to give rationale for clinical decisions.
o Ability to adapt responses to unexpected events.
• Ability to demonstrate excellent communication skills.
o Ability to present reports to oncoming team clearly and concisely.
o Ability to prepare and present documentation per protocol.
o Ability to comply with policy for receiving written and verbal physician orders.
o Ability to participate in hospital and departmental functions other than those related to patient care, such as community education programs, budget preparation, etc.
• Ability to comply with health and safety standards and guidelines.
o Ability to maintain a safe environment.
o Ability to follow procedures for reporting and recording of health and safety-related incidents.
o Ability to comply with emergency plan.
o Ability to comply with fire safety policies and procedures.
o Ability to comply with electrical safety standards and guidelines.
o Ability to comply with fall prevention/protection standards and guidelines.
o Ability to comply with ergonomic safety standards and guidelines.
o Ability to manage and maintain equipment safety.
o Ability to comply with chemical safety standards and guidelines.
o Ability to comply with radiation safety standards and guidelines.
o Ability to comply with biohazard safety standards and guidelines.
o Ability to comply with blood borne pathogen exposure control standards and guidelines.
o Ability to comply with Tuberculosis (TB) standards and guidelines.
o Ability to comply with Respiratory protection standards and guidelines.
o Ability to comply with personal protective equipment (PPE) standards and guidelines.
o Ability to comply with physical restraint standards and guidelines.
o Ability to comply with workplace violence standards and guidelines.

Ability to Use the Following Equipment:
• Ability to use Respiratory Care equipment including ventilators, Cardiac Rehab program software, Stress test machine, Holter Monitor program software, and pulmonary function testing equipment.
• Ability to use standard office equipment, including phone paging system.

Typical Physical Demands:
• Full range of body motion and dexterity to allow for the significant handling, transferring, pushing/pulling, and lifting of materials and equipment.
• Ability to lift, carry, push or pull up to 50 pounds and occasionally lift, carry, push or pull over 50 pounds.
• Independent mobility.
• Ability to sit or stand for extended periods of time.
• Hand-Eye Coordination, finger dexterity, odor, color, and texture perception and discrimination, functional visual ability and depth perception, functional sound perception and discrimination, and functional verbal speech ability.
• Frequent bending, twisting, balancing, and reaching at or above and below shoulder level, as well as occasional kneeling and climbing.
• Ability to wear gloves and other protective equipment and know the appropriate time they should be worn.
• Ability to flex schedule to work irregular hours as assigned.

Working Conditions:
• Exposure to disagreeable orders, communicable diseases, and bodily fluids.
• Exposure to chemical compounds of medications and treatments.
• Exposure to chemicals such as disinfectants, cleaners, soaps, and other agents.
• Exposure to latex, plastic, and other materials used for personal protective equipment.
• Exposure to noise and distractions.
• Exposure to unpredictable behaviors.

Employee Responsibility in an Emergency:
As an employee of Lafayette Hospital and Clinics, you are expected to respond to emergencies involving the safety of patients, other employees, visitors and the facility. This includes the ability to assist with a possible evacuation of facility if that has been deemed necessary.

Management Statement:
This job description is not intended to be all inclusive. The employee will also perform other reasonable job related duties as assigned by the supervisor and/or other management personnel. Management reserves the right to change job responsibilities, duties and hours as needs prevail. This document is for management communication only and not intended to imply a written or implied contract of employment.

https://www.lafayettecountywi.org/hr/job-opening/lhc-full-time-cardiopulmonary-rn

Deadline Note: 11:59PM