Specialty Care Nurse-HVI-Oral Anticoagulation/DOCT Ambulatory -60702
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POST DATE 8/25/2016
END DATE 10/28/2016
West Virginia University Hospital
JOB DESCRIPTIONPOSITION DESCRIPTION
JOB TITLE &CODE:
Specialty Care Nurse HVI-Oral Anticoagulation/DOCT Ambulatory (60702)
Heart and Vascular Institute
POSITION SUMMARY: The Specialty Care Nurse has coordination and clinical skills required for the comprehensive management of patients on oral anticoagulation including DOACs, (including biological, social and psychological assessments). The Specialty Care Nurse assists the team and coordinates involvement of medical/surgical specialty teams necessary to develop a comprehensive plan for the patient, and reviews the plan of care with the other members of the clinical team, participates in assisting with the care, organizes diagnostic/therapeutic procedures, peri-operative services, and coordinates discharge planning (as applicable). The Specialty Care Nurse participates in the education of employees, residents and medical/nursing students.
PROVIDE HEALTHCARE SERVICES CONSISTENT WITH STATE LAW AND THE REQUIREMENTS OF THE PROFESSIONAL LICENSING OR CERTIFICATION AUTHORITY AND/OR HOSPITAL PRIVILEGES, WHERE APPLICABLE. SUCH SERVICE MAY INCLUDE, BUT ARE NOT LIMITED TO.
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
Licensure as a professional Registered Nurse in West Virginia.
Obtain certification in Basic Life Support within 30 days of hire date.
Three years clinical experience in nursing.
EDUCATION, CERTIFICATION, AND/OR LICENSURE:
Graduate of a CCNE accredited nursing program with Bachelor s Degree in Nursing preferred.
Certification: National Certification Board for Anticoagulation Providers or ACCN Cardiovascular preferred
Certification by the America Nursing Credentialing Center in Cardiology.
Acute care, med- surgical, cardiac and/or oral anticoagulation experience preferred.
CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.
Manages comprehensive and individualized care for oral anticoagulation/DOACs in the ambulatory setting.
Works with the Faculty and/or APP to ensure integrated assessments.
Organizes additional tests or consults as deemed appropriate with the collaboration of HVI and /or APP or by following established Clinical Guidelines and Protocols.
Communicates results of diagnostic tests following established clinical guidelines and scope of practice.
Consults and communicates with clinic and hospital staff regarding abnormal findings in the evaluations of patients.
Performs succinct comprehensive plans of care and documents plans in medical record.
Facilitates patient discharge by coordinating appropriate services and tests prior to discharge necessary for outpatient follow-up appointments in the clinic (as applicable).
Develops a comprehensive individualized plan of care for HVI patients on anticoagulation therapy, which includes teaching, discharge planning and necessary referral to other members of the health care team as necessary.
Assists with the evaluation of the HVI patients on oral anticoagulation therapy and DOCT and serves as a coordinator for follow up procedures and tests in the ambulatory setting and in transitional care. (i.e. inpatient to outpatient or outpatient to inpatient)
Demonstrates critical thinking and diagnostic reasoning skills in clinical decision making by the identification, evaluation and management of the individual needs of patients/families.
Bases decisions made/actions taken on the relevant scientific principles, established standards of care and/or research findings.
Utilizes teaching/learning theory and appropriate teaching strategies in the provision of education to nursing staff, hospital staff, students, patients, families and the community.
Promotes an environment that facilitates learning by responding to appropriate patient/family preferences, priorities and readiness to learn. Provides educational programs to professional and paraprofessional personnel in area of expertise.
Participates in community programs, distribution of literature, as appropriate in area of expertise.
Documents the plan of care, interventions and evaluations in a clear and concise manner for every patient visit in the patient s medical record following approved hospital/compliance standards for documentation.
Provides leadership in the development and implantation of changes in the Management of Anticoagulation practice that positively impact patient outcomes.
Participates and initiates inter-disciplinary approaches to patient care, program development and education. Serves as a professional role model.
Promotes and practices innovation of the expanded role in the delivery of care to Anticoagulation/DOACs patients and families in the ambulatory setting.
Documents hours and submits billing reports, as appropriate.
Reviews Oral Anticoagulation and DOCT data from sources such as patient registries, clinical and financial reports, length of stay, and access to care, and cost per case reports and recommends/implements changes as necessary.
Participates in clinical trials and research studies with the Principal Investigator.
Assists HVI Faculty and Management in the collection of outcome measures.
Proficient in performing POCT for INR in the ambulatory setting.
Maintains controls, documentation and regulatory compliance related to POCT.
PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The National Institute for Occupational Safety and Health recommends minimizing the need for employees to manually lift patients, and limit safe patient handling to 35 pounds. All transfers, lifts and re-positioning will be completed utilizing the lift equipment and/or other patient handling aids as indicated by the patient s profile and appropriate algorithms.
HEAVY/HARD WORK: Work requires strength and/or stamina, lifting, moving, stooping, reaching, standing, walking, and carrying of materials and equipment weighing 40+lbs.
WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Working closely with others.
Protracted or irregular hours.
Working around biohazards.
Working around infectious diseases.
Working with or near the deceased.
Working with hands in water.
Electrical hazards associated with patient care equipment.
SKILLS AND ABILITIES:
Proficiency with computers.
Strong communication skills.
Ability to obtain other licensure as needed for outreach.
Ability to utilize equipment in a safe manner.
Ability to update own knowledge base throughout the year.
Date Reviewed/Revised: August 2016