7E is a 23-bed Medical Cardiac and research unit that admits complex medical patients and patients with cardiac issues, primarily heart failure.

• The cardiac patients are placed on telemetry and are monitored by the unit staff/remotely by highly trained telemetry techs.
• All nursing staff are skilled to identify heart rhythms and are given heart failure education.
• Every staff will complete a needs assessment survey once they are hired to evaluate learning needs followed by educational sessions as necessary. 
• Every staff that are hired into the unit will also receive CITI training in preparation to caring for research patients.

Cardiac rhythm interpretation experience

This unit received PRISM (Premier Recognition in the Specialty of Med Surg) award (2023-2026).

JOB DESCRIPTION:

• Capable clinician who has acquired broad experience in caring for patients, and has developed a sound understanding about the care of a particular patient population.
• Routinely uses acquired knowledge, theory, research and experience to respond to changes in clinical situations.
• Is able to apply the Synergy Model for Care in practice, and use this knowledge to personalize care for each patient/family.
• Serves as a resource to colleagues and strong advocate for patients/families.
• Consistently communicates effectively and respectfully with the patient, the patient's family, and other members of the healthcare team.
• Delivers safe, dependable and effective care to a patient population independently utilizing the nursing process.
• Demonstrates developed assessment skills.
• Recognizes the impact of nursing care on patient outcomes.
• Continues to recognize own performance limitations, but requires minimal assistance.
• Documents the nursing process accurately and in the appropriate format (e.g. computer, clinical pathway, and chart).
• Plans and implements patient care independently.
• Utilizes patient/family input and goals in planning plan of care.
• Evaluates patient's response to planned care and adjusts plan of care as appropriate.
• Identifies patient and family learning needs and makes recommendations to resources regarding those needs.
• Incorporates AACN Synergy Model into clinical practice.
• Manages time effectively.
• Identifies the need to revise policies and procedures for a patient population based on receipt/review of evidence-based research.
• Delegates appropriately utilizing the Synergy model of care.
• Recognizes the roles of the interdisciplinary team, patient and family care partners and utilizes them appropriately as resources in planning patient care.
• Functions in a developing leadership role.
• Functions as Charge Nurse when assigned.
• Orients staff or students as assigned in absence of designated preceptor.
• Utilizes resources in a responsible manner with a focus on cost containment.
• Demonstrates effective listening skills.
• Reduces barriers to facilitate communication.
• Utilizes effective conflict resolution skills.
• Individualizes care based upon the knowledge of the patient and the family.
• Recognizes needs and advocates for patient based on knowledge of condition.
• Has awareness of one's own values and how they affect interactions and relationships.
• Recognizes that cultural differences need to be considered in developing patient and family relationships (focus on identifying cultural norms).
• Identifies and implements a course of action in non-routine situations.
• May seek assistance to resolve complex issues.
• Respects and maintains confidential information.
• Accepts personal accountability for professional development and growth.
• Participates within the unit to identify and address discipline specific issues and needs.
• Articulates application of Synergy model for care in clinical practice.
• Collects, reports, analyzes and provides data on an ongoing basis and as required by physician and/or interdisciplinary teams in accordance with organization standards.
• Revises and evaluates effectiveness of patient care documentation.
• Uses interviews, surveys, focus groups and questionnaires to identify and resolves areas for improvement.
• Meets all Clinical Nurse I Employee Commitments.
• Achieves points and contact hours as defined in the PLAN (clinical lattice) point system to maintain position.

PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs, 0-33% of the work day (occasionally); 20-35 lbs, 34-66% of the workday; (frequently); 10-20 lbs, 67-100% of the workday (constantly); Lifting 75 lbs max; Carrying of objects up to 35 lbs; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks.

ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting ; Patient care/handling injuries; Radiation ; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.

Registered Nurse (RN), Medical Cardiac-WEO, Salary: 26.52- 48.27/hour, The grade and salary of the position are based on specific criteria met within the qualifications as well as the specialty area, relevant experience, skills, performance and internal equity.  This position is eligible for shift differentials.  Once you are in the role, you are eligible to progress to the following roles based on qualifications: Advanced Nurse Clinician, Nurse Scholar, EeMR Resource Preceptor, and Advanced Nurse Scholar.