Cardiovascular Invasive Specialist II/III - EP Lab
Duke University Health System
Location: Durham, North Carolina
Internal Number: 179297
Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.
U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.
Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
Duke Nursing Highlights:
Duke University Health System is designated as a MagnetÂ® organization
Nurses from each hospital are consistently recognized each year as North Carolinaâ€™s Great 100 Nurses.
Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
Duke University Health System has 6000 + registered nurses
Quality of Life: Living in the Triangle!
The EP Lab at Duke University Hospital is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time.
This position will assist the physician with EP studies involving a diagnostic procedure that produces a complex 3-D mapping of the electrical activity in the heart. The position also assists the physician with treatments that include implantable devices such as PPMs and ICDs as well as cardiac /radiofrequency ablations.
ICU/Cardiac and/or EP Lab experience strongly preferred.
Work Hours & Shifts:
Full Time: Four 10-hour day shifts per week with occasional evening hours as needed to complete cases. No nights, weekends or holidays!
The Cardiovascular Invasive Specialist (CVIS) will utilize professional cardiovascular theory, technology and processes to implement direct patient care on adult patients that require diagnostic or therapeutic procedures within the cardiovascular service. Demonstrates role-specific competence and assists physicians in diagnosing and treating cardiac and peripheral vascular disease and cardiac arrhythmias in the CathLab, EP Lab, and Hybrid ORspecializing in the care of patientsundergoing angioplasty, stent placement, vascular procedures, mechanical support device placement (IABP, non-durable ventricular assist device, etc.), EP devices, cardiac ablations, and tilt table exams.
Meets theduties and responsibilities of Cardiovascular Invasive Specialist I Plan, provide and document care of cardiovascular invasive labs patients in accordance with physician orders and established policies and procedures. Use professional clinical judgment in assisting the provider to plan the care for the patient based on the assessment of the patient's diagnosis, needs and response to care. Work in an organized and timely fashion by prioritizing tasks to ensure efficient and efficacious patient care. Meets challenges of case volumes and patient care issues to ensure optimal care and outcomes. Ensure quality and accuracy of dataand reportsvariances to provider. Equipment Operation: Operate, inspect, troubleshoot and perform routine maintenance for varietyof invasive lab equipment. Effectively operate all devices utilized in procedures. Initiate maintenance or service request for equipment that is damaged or malfunctioning. Daily Room Preparations: Prepare procedure room and equipment for daily use and each procedure. Ensure enough stock on hand to accommodate routine daily case volumes. Conduct in-room inventory and supply management. Is aware of and stores all patient care products according to TheJoint Commission regulations. Data Collection: Document, retrieve and verify data necessary for patient records. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Support the development of other staff and formal learners. Participate in performance improvement activities. Adhere to standards including but not limited to unit and health system policies and procedures, regulatory standards, and patient safety goals.Resource for others inuse of advanced skills and collaborates with team to individualize the plan ofcare. Refer to CVIS clinical ladder policy for specific information related to professional advancement.
Knowledge, Skills and Abilities
Must demonstrate skill in applying and modifying the principles, methods, techniques of professional cardiovascular technology to implement patient care. Must have skill in identifying problems and aberrations in patient process including the ability to recommend appropriate solutions. Should have knowledge of medical and cardiovascular equipment, technology including awareness of safety hazards, in order to establish and maintain a safe work environment. Demonstrate theability to perform, instruct, and troubleshoot technical skills. Ability to communicate in oral and electronic formats with team members, patients and providers. Exhibit knowledge of and leadership in clinical practice, staff development and departmental support roles. Ability to use fine motor skillsAbility to use sensory and cognitive functions to process and prioritize information, treatment, and follow- up Ability to use computer and learn new software programs Ability to establish and maintain effective working relationshipsAbility communicate effectively with patients, families, visitors, healthcare team, leaders, and othersAbility to withstand prolong standing and walking Ability to remain focused and organized Working knowledge of procedures and techniques involved in administering routine and special treatments to patients Working knowledge of infection control procedures and safety precautions Working knowledge and completion of appropriate accreditation and other regulatory requirements Pre-employment Physical Capacity Testing required
A graduate of an associate or baccalaureate academic program in health science (including, but not limited to, cardiovascular technology, ultrasound,radiologic technology, or respiratory therapy) Or A graduate of an associate or baccalaureate academic program in an unrelated field along with graduation from a certificate program in cardiovascular technology, ultrasound, radiology technology or respiratory.
Level II: One year of experience as a Cardiovascular Invasive Specialist plus ladder requirements Provisional II Status: External hires into the CVIS II must meet the ladderrequirements within one year of hire. Level III: Two years of experience as a Cardiovascular Invasive Specialist plus ladder requirements Provisional III Status: External hires into the CVIS III must be approved by DUHS Cardiac Catheterization and Electrophysiology Labs Operations Leaders. If approved, ladder requirements must be met within one year of hire.
Degrees, Licensures, Certifications
Level II: RCIS, RCES, ARRT - RTR, ARRT - Radiography (R), ARRT - Cardiac Interventional Radiography (CI) , ARRT - Cardiovascular Interventional Radiography (CV), ARRT - Vascular Interventional Radiography (VI) or IBHRE certification within 36 months of employment. Basic Life Support Certification required. Advanced Cardiac Life Support Certification required within 6 months of employment (Adult Cath, Adult EP, & Hybrid OR only). Duke employees in the CVIS job classification as of January 1, 2016 who were not eligible for certification will be exempt from the certification requirements of the CVIS II. See ladder document for additional information. Level III: RCIS, RCES, ARRT - RTR, ARRT - Radiography (R), ARRT - Cardiac Interventional Radiography (CI) , ARRT - Cardiovascular Interventional Radiography (CV), ARRT - Vascular Interventional Radiography (VI) or IBHRE certification required Basic Life Support Certification required. Advanced Cardiac Life Support Certification required within 6 months of employment (Adult Cath, Adult EP, & Hybrid OR only).
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