Registered Nurse RN Advanced Heart Failure Clinic

Position Overview Banner - University Medicine Advanced Heart Failure Clinic provides state of the art comprehensive, evidence-based care with the latest technologies including Mechanical Circulatory Support, Artificial Heart and Heart Transplantation. Our multidisciplinary team is focused on providing compassionate care, resources and expertise tailored to meet each patients’ unique needs. As part of an academic medical center, we offer access to some of the newest treatments being tested in clinical trials. This is an innovative, autonomous role, with continuous learning opportunities in a great team environment providing heart failure patients and caregiver education with goals of improving outcomes, decreasing length of stay, readmission and ED utilization. This is a full time (40 hours/week), day shift position: Monday - Friday day shift, 7am-4pm. Responsibilities Inpatient: multidisciplinary team daily rounds, weekly participation in advanced therapy selection committee, discharge planning and education, addressing/removing and preventing barriers for patients who have barriers to advanced therapies, collaboration with other disciplines (addiction medicine, palliative, family medicine, bariatrics, endocrinology). Support and education for bedside nurses related to heart failure needs. Clinic: follow-up hospital discharge appointments, reinforcing education, assess for decompensation to identify opportunities for early intervention, management of inotrope patient visits (lab/IV starts/IV diuretic admin/education), pulmonary artery pressure monitoring device screening/education/tracking, triage phone calls. Core Functions Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs. Reviews patient history and physical with patient/family and assures completion within appropriate timeframe. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessments according to patient need and as outlined in policy. Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of care. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status. Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided. Evaluates the patient’s and family’s response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient’s response and the effectiveness of patient teaching. Documents assessment, planning, implementation and evaluation in the patient record. Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient’s response to treatment. Notes physician orders accurately and in a timely manner. Provides care based on the best evidence available and may participate in research activities within clinical practice. Participates in unit or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others through precepting and mentoring when appropriate. Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations. In some roles, this position may supervise staff and workflow of the department. Interacts with all levels of staff in a variety of departments, physicians, patients, families and external contacts, such as employees of other health care institutions, community providers and agencies, concerning the health care of the patient. Interacts with other health care providers in numerous settings in order to report and ask for or clarify information. Also works with clergy to provide spiritual support. Synthesizes and prioritizes data from multiple sources to provide support for the human response of the patient and family to changes in health status. Minimum Qualifications Must possess a current, valid RN license in state of practice, temporary/interim RN license in state of practice, or compact RN licensure for current state of practice. BLS certification is required. Additional certification or continuing education may be required based on area of practice. Relates throughout the interview process the experience, training and education needed to perform the job. Experience in the clinical area for which he or she is applying is desired. Must maintain clinical performance competencies appropriate to the area in which they work as demonstrated through annual validations. Banner Registry and Travel acute care positions require a minimum of one year experience in an acute care hospital setting. Experience must include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice positions require a minimum of one year experience as a Registered Nurse in a physician practice or an acute care setting. In a Home Health setting, team members must be able to operate personal vehicle and possess a valid driver’s license. Auto insurance coverage is also required to be active and maintained. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral or BUMG, BUMCT in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. Employees working at BUMCS in a Behavioral Health clinical setting must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working for Banner Home Care AZ must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working in any Banner Staffing (BSS) Behavioral Health role in Arizona must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Preferred Qualifications Bachelor's degree preferred. Professional certification preferred. Additional related education and/or experience preferred. EEO Statement EEO/Disabled/Veterans #J-18808-Ljbffr Banner Health Corporate