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Cardiac Rehab Therapist (PRN)

Company: Aspen Valley Hospital
Location: Snowmass
Posted on: April 12, 2019

Job Description:

PRN position.# The cardiopulmonary therapist will have expertise in both cardiac and pulmonary areas and may be registered nurse or an exercise physiologist. This role will integrate the components of clinician, teacher, consultant and researcher. Responsible for all behaviors in this job description. Accountable to the Cardiopulmonary Rehab Manager.# ESSENTIAL FUNCTIONS # I CLINICAL PROCESS # PRACTICE SKILLS # # Fully competent in primary role in Cardio-Pulmonary Rehabilitation; performs patient and family assessment and problem identification, plans care accordingly, implements and evaluates plan of care so that problems are resolved. # # Develops a problem based plan of care for every patient with appropriate clinical interventions.# # # Records pertinent clinical documentation in accordance with regulatory requirements, professional standards and hospital policy. # # Prioritizes patient situations and takes appropriate action in an efficient, effective manner.# # # Responds to clinical needs of patients in accord with experience, clinical standards, and hospital policies and procedures. # # Recognizes and reports any significant participant conditions (dysrhythmia, abnormal blood pressure responses, change in participant#s status, etc.) to the primary or referring MD or Medical Director (if primary not available). Demonstrates accurate cardiovascular physical assessment, including pain assessment, inspection, auscultation, skin color, and temperature. Recognizes need for 12 Lead ECG and orders promptly.# Faxes to primary MD, referring MD or Medical Director in order of availability. Recognizes chest pain (angina) or equivalent in participant and responds appropriately, ie. stops exercise, sit down, evaluate CP (0-10 scale) administers Nitro SL (if pt carries it), takes BP, calls for 12 Lead ECG and refers to primary and/or referring MD or to ED if necessary # II PATIENT TEACHING # # Provides individualized patient and family education consistent with patient#s learning style, readiness to learn and self-care needs # # Evaluates the effectiveness of patient learning # III COMPLIANCE WITH RULES, REGULATIONS AND POLICIES # # Records pertinent clinical documentation in accordance with regulatory requirements, professional standards and hospital policy. # # Adheres to federal, state and hospital rules and regulations concerning HIPAA privacy and security. # # Follows Hospital compliance plan and policies, including the Code of Conduct. # # Participates in required training for compliance related activities (HIPAA, Compliance, Patient Safety, TJC, etc.) # IV PROFESSIONAL DEVELOPMENT # INTEGRATION # # Demonstrates responsibility and accountability for own professional decision making. # # Develops professional goals and diversity of responsibilities within practice; consistent with hospital mission and goals # # Demonstrates role awareness and seeks individualized/department specific continuing education that improves patient care or professional practice. # # Able to express values around patient/family centered care and assists others to achieve shared understanding. # # Active participant in quality improvement processes. # # Participates and contributes to unit meetings and activities. # # Identifies need to seek out additional information when needed and apply relevant findings to practice # V SERVICE EXCELLENCE # CUSTOMER SERVICE # # Demonstrates purposeful service excellence through exceeding patient and co-worker expectations. # # Represents the department and hospital as a dedicated, courteous and responsive employee. # # # # VI #####UNIT SPECIFIC DUTIES # RESPONSIBILITIES # # Delivers care according to AACVPR and TJC standards of care; demonstrates accurate physical assessment; supervises sessions, monitors participants for inappropriate response to exercise. # # Educates all Cardiac and Pulmonary Phase II participants using techniques consistent with principles of adult learning. Plans and initiates home exercise during this time period for participants. # # Recognizes and reports any significant participant conditions to primary or referring MD or Medical Director. # # Connects with each participant in a way that affirms personalized care and promotes a healthy lifestyle. Provides an environment of acceptance and care allowing for individual differences. Promotes behavioral changes. # # Implements registration and charging process for all patients (Phase II and III) and monitors compliance. # POPULATION SPECIFIC CRITERIA Pass/No Pass # Ensures developmentally appropriate care for [patient populations]# # # # # VII CORE VALUES 50% # Patient Centered:is passionate about patient care, creating positive impressions on a consistent basis and exceeding our patients# expectations. Exhibits courtesy and sensitivity to the needs of patients and their families, responds with a sense of urgency to patient problems, anticipates patient requirements, responds proactively and places the patient#s safety above all else. # # Teamwork:works collaboratively with physicians and other staff and assists whenever possible. He/she openly shares information, provides feedback and participates in appropriate decision making as part of a team of healthcare professionals. Hospital and departmental objectives are placed ahead of individual agendas # # Respect for Others:actively listens to others, takes other opinions into account, and communicates openly and honestly.# He/she demonstrates respect for others by being timely with communications, completion of tasks, and meeting attendance.# The employee is respectful of all physicians, colleagues, patients, visitors, and other stakeholders # # Accountability:takes responsibility for his/her actions, abides by the hospital#s guiding philosophies and policies, and follows through on commitments and physician orders.# He/she provides complete and accurate information to the Physician and/or other members of the work team. takes personal pride and ownership in the quality of care and services provided to all internal and external customers # # Integrity:is truthful, trustworthy, and principled.#He/she#demonstrates character, conviction, and honest and ethical behavior in all interactions with others.##The employee#s word can be trusted.##Behavior is#consistent with these AVH Core Values # # # EDUCATION/EXPERIENCE REQUIREMENTS # ######### Registered Nurse with current Colorado License (BSN preferred) or MS in Exercise Physiology within 90 days ######### 4 year Critical Care or Cardiac Rehab experience preferred # LICENSE/REGISTRATION/CERTIFICATIONS # -# # # # #Registered Nurse w/ background in critical care (ED or ICU); OR 3 yrs of experience as a Master#s preparred Cardiac Rehab Therapist w/ some type of#medical background. (Master#s must be in exercise physiology). ######### Current BLS certification ######### ACLS within 90 days # # KNOWLEDGE AND SKILL REQUIREMENTS # ######### Ability to concentrate and show attention to detail ######### Relatively high degree of analytical abilities ######### Strong interpersonal skills required ######### Ability to work independently LANGUAGE SKILLS # ######### Ability to read and communicate effectively in English ######### Spanish preferred # WORKING CONDITIONS # ######### Normal patient care environment with little exposure to excessive noise, dust and temperature ######### May be exposed to communicable diseases through normal or careless performance of responsibilities ######### May be exposed to mechanical dangers associated with mechanical devices ######### May be exposed to stressful situations # # # DESCRIPTION OF PHYSICAL DEMANDS # PHYSICAL DEMANDS # On-the-job time is spent in the following physical activities.# ########################################################################## - Percent of Time- Stand:####################################################################### 40% Walk:######################################################################## 30% Sit:############################################################################ 30% Talk or hear:############################################################# 99% Use hands to finger, handle or feel:######################## 100% Push or pull:############################################################# 10% Stoop, kneel, crouch or crawl:################################## 10% Reach with hands and arms:##################################### 10% Taste or smell:########################################################## 00% # This job requires that weight be lifted or force be exerted. ####################################################################################### - Yes/ No - Up to 10 pounds:######################################################## yes## Up to 25 pounds:######################################################## yes## Up to 50 pounds:######################################################## yes## Up to 100 pounds:####################################################### no### More than 100 pounds:################################################ no### # This job has vision requirements as follows:############# - Yes/No - Clear close vision:###################################################### yes# Clear distance vision:################################################## yes# Depth perception:####################################################### yes# Three-dimensional vision; ability to judge ## distances and spatial relationships:################################### yes# Ability to adjust eye to bring an object into ## sharp focus:##################################################################### yes# # Specific demands not listed: WORK ENVIRONMENT # Job may have exposure to the following environmental conditions: ######################################################################################### -Yes/No - Wet, humid conditions (non-weather):######################### no### Work near moving mechanical parts:########################## yes## Fumes or airborne particles:####################################### yes### Toxic or caustic chemicals:########################################## no### Outdoor weather conditions:######################################## no### Extreme cold (non-weather):######################################## no### Extreme heat (non-weather):######################################## no### Risk of electrical shock:############################################## yes### Work with explosives:################################################# no### Risk of radiation:######################################################## yes### Vibration:##################################################################### no### # Hearing ability required for work environment is:### - Yes/No - Ability to hear alarms on equipment:########################## yes## Ability to hear patient call:########################################## yes## Ability to hear instructions clearly:############################# yes## # ################################################################################## - Hi/Med/Lo - The typical noise level for the work environment is:########### med## # Repetitive Motion Actions############################# - Percent of Time - Repetitive use of foot control:################################### 00%### Repetitive use of hands:############################################ 50%## Grasping - simple/light:############################################ 80% ## Grasping - firm/heavy:############################################# 15%## Fine dexterity:########################################################### 50% ## PRN position. The cardiopulmonary therapist will have expertise in both cardiac and pulmonary areas and may be registered nurse or an exercise physiologist. This role will integrate the components of clinician, teacher, consultant and researcher. Responsible for all behaviors in this job description. Accountable to the Cardiopulmonary Rehab Manager. ESSENTIAL FUNCTIONS I CLINICAL PROCESS & PRACTICE SKILLS Fully competent in primary role in Cardio-Pulmonary Rehabilitation; performs patient and family assessment and problem identification, plans care accordingly, implements and evaluates plan of care so that problems are resolved. Develops a problem based plan of care for every patient with appropriate clinical interventions. Records pertinent clinical documentation in accordance with regulatory requirements, professional standards and hospital policy. Prioritizes patient situations and takes appropriate action in an efficient, effective manner. Responds to clinical needs of patients in accord with experience, clinical standards, and hospital policies and procedures. Recognizes and reports any significant participant conditions (dysrhythmia, abnormal blood pressure responses, change in participant---s status, etc.) to the primary or referring MD or Medical Director (if primary not available).

  • Demonstrates accurate cardiovascular physical assessment, including pain assessment, inspection, auscultation, skin color, and temperature.
  • Recognizes need for 12 Lead ECG and orders promptly. Faxes to primary MD, referring MD or Medical Director in order of availability. Recognizes chest pain (angina) or equivalent in participant and responds appropriately, ie. stops exercise, sit down, evaluate CP (0-10 scale) administers Nitro SL (if pt carries it), takes BP, calls for 12 Lead ECG and refers to primary and/or referring MD or to ED if necessary II PATIENT TEACHING Provides individualized patient and family education consistent with patient---s learning style, readiness to learn and self-care needs Evaluates the effectiveness of patient learning III COMPLIANCE WITH RULES, REGULATIONS AND POLICIES Records pertinent clinical documentation in accordance with regulatory requirements, professional standards and hospital policy. Adheres to federal, state and hospital rules and regulations concerning HIPAA privacy and security. Follows Hospital compliance plan and policies, including the Code of Conduct. Participates in required training for compliance related activities (HIPAA, Compliance, Patient Safety, TJC, etc.) IV PROFESSIONAL DEVELOPMENT & INTEGRATION Demonstrates responsibility and accountability for own professional decision making. Develops professional goals and diversity of responsibilities within practice; consistent with hospital mission and goals Demonstrates role awareness and seeks individualized/department specific continuing education that improves patient care or professional practice. Able to express values around patient/family centered care and assists others to achieve shared understanding. Active participant in quality improvement processes. Participates and contributes to unit meetings and activities. Identifies need to seek out additional information when needed and apply relevant findings to practice V SERVICE EXCELLENCE & CUSTOMER SERVICE Demonstrates purposeful service excellence through exceeding patient and co-worker expectations. Represents the department and hospital as a dedicated, courteous and responsive employee. VI UNIT SPECIFIC DUTIES & RESPONSIBILITIES Delivers care according to AACVPR and TJC standards of care; demonstrates accurate physical assessment; supervises sessions, monitors participants for inappropriate response to exercise. Educates all Cardiac and Pulmonary Phase II participants using techniques consistent with principles of adult learning. Plans and initiates home exercise during this time period for participants. Recognizes and reports any significant participant conditions to primary or referring MD or Medical Director. Connects with each participant in a way that affirms personalized care and promotes a healthy lifestyle. Provides an environment of acceptance and care allowing for individual differences. Promotes behavioral changes. Implements registration and charging process for all patients (Phase II and III) and monitors compliance. POPULATION SPECIFIC CRITERIA Pass/No Pass Ensures developmentally appropriate care for [patient populations] VII CORE VALUES 50% Patient Centered:is passionate about patient care, creating positive impressions on a consistent basis and exceeding our patients--- expectations. Exhibits courtesy and sensitivity to the needs of patients and their families, responds with a sense of urgency to patient problems, anticipates patient requirements, responds proactively and places the patient---s safety above all else. Teamwork:works collaboratively with physicians and other staff and assists whenever possible. He/she openly shares information, provides feedback and participates in appropriate decision making as part of a team of healthcare professionals. Hospital and departmental objectives are placed ahead of individual agendas Respect for Others:actively listens to others, takes other opinions into account, and communicates openly and honestly. He/she demonstrates respect for others by being timely with communications, completion of tasks, and meeting attendance. The employee is respectful of all physicians, colleagues, patients, visitors, and other stakeholders Accountability:takes responsibility for his/her actions, abides by the hospital's guiding philosophies and policies, and follows through on commitments and physician orders. He/she provides complete and accurate information to the Physician and/or other members of the work team. takes personal pride and ownership in the quality of care and services provided to all internal and external customers Integrity:is truthful, trustworthy, and principled. He/she demonstrates character, conviction, and honest and ethical behavior in all interactions with others. The employee's word can be trusted. Behavior is consistent with these AVH Core Values EDUCATION/EXPERIENCE REQUIREMENTS -- Registered Nurse with current Colorado License (BSN preferred) or MS in Exercise Physiology within 90 days -- 4 year Critical Care or Cardiac Rehab experience preferred LICENSE/REGISTRATION/CERTIFICATIONS - Registered Nurse w/ background in critical care (ED or ICU); OR 3 yrs of experience as a Master's preparred Cardiac Rehab Therapist w/ some type of medical background. (Master's must be in exercise physiology). -- Current BLS certification -- ACLS within 90 days KNOWLEDGE AND SKILL REQUIREMENTS -- Ability to concentrate and show attention to detail -- Relatively high degree of analytical abilities -- Strong interpersonal skills required -- Ability to work independently LANGUAGE SKILLS -- Ability to read and communicate effectively in English -- Spanish preferred WORKING CONDITIONS -- Normal patient care environment with little exposure to excessive noise, dust and temperature -- May be exposed to communicable diseases through normal or careless performance of responsibilities -- May be exposed to mechanical dangers associated with mechanical devices -- May be exposed to stressful situations DESCRIPTION OF PHYSICAL DEMANDS PHYSICAL DEMANDS On-the-job time is spent in the following physical activities. - Percent of Time- Stand: 40% Walk: 30% Sit: 30% Talk or hear: 99% Use hands to finger, handle or feel: 100% Push or pull: 10% Stoop, kneel, crouch or crawl: 10% Reach with hands and arms: 10% Taste or smell: 00% This job requires that weight be lifted or force be exerted. - Yes/ No - Up to 10 pounds: yes Up to 25 pounds: yes Up to 50 pounds: yes Up to 100 pounds: no More than 100 pounds: no This job has vision requirements as follows: - Yes/No- Clear close vision: yes Clear distance vision: yes Depth perception: yes Three-dimensional vision; ability to judge distances and spatial relationships: yes Ability to adjust eye to bring an object into sharp focus: yes Specific demands not listed: WORK ENVIRONMENT Job may have exposure to the following environmental conditions: -Yes/No - Wet, humid conditions (non-weather): no Work near moving mechanical parts: yes Fumes or airborne particles: yes Toxic or caustic chemicals: no Outdoor weather conditions: no Extreme cold (non-weather): no Extreme heat (non-weather): no Risk of electrical shock: yes Work with explosives: no Risk of radiation: yes Vibration: no Hearing ability required for work environment is: - Yes/No - Ability to hear alarms on equipment: yes Ability to hear patient call: yes Ability to hear instructions clearly: yes - Hi/Med/Lo - The typical noise level for the work environment is: med Repetitive Motion Actions - Percent of Time - Repetitive use of foot control: 00% Repetitive use of hands: 50% Grasping - simple/light: 80% Grasping - firm/heavy: 15% Fine dexterity: 50%

Keywords: Aspen Valley Hospital, Snowmass , Cardiac Rehab Therapist (PRN), Healthcare , Snowmass, Colorado

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