**All the benefits and perks you need for you and your family:** **-** **Benefits from Day One** **-** **Paid Days Off from Day One** **-** **Nursing Clinical Ladder Program** **Our promise to you:** **Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.** **Schedule:** **Part Time** **Shift:** **Days** **Department:** **Cardiac Rehab** **The community you’ll be caring for:** **AdventHealth Fish Memorial** **1055 SAXON BLVD, Orange City, 32763** **The role you’ll contribute:** **GENERAL SUMMARY** **:** **Assists with the planning and implementation of outpatient cardiac rehab and education programs for adult and geriatric populations.** **Achieves optimal recovery and promotes life-long wellness through exercises and education.** **Adheres to Florida Hospital’s Corporate Compliance plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies.** **PRINCIPAL DUTIES AND JOB RESPONSIBILITIES** **:** **·** **Provides initial assessment and care plan as follows:** **·** **Advises patients of anticipated gain and possible risks associated with program, obtains prerequisite written order diagnostics and informed consent.** **·** **Develops individualized, result-oriented plan of care in corporation with client, referring physician.** **·** **Evaluates new cardiac patients to obtain accurate medical history, identify cardiopulmonary risk factors and determine psychosocial disease manifestation.** **·** **Completes assigned data collection, documents patient outcomes and otherwise demonstrates progress towards benchmarks.** **·** **Provides formal and informal instruction in rehabilitation concepts under the direction of the manager of cardiac rehabilitation and wellness.** **Focuses on cardiac anatomy and proper nutrition, medication usage, physical retraining and life style modification.** **·** **Explains and demonstrates appropriate use of exercise equipment.** **·** **Motivates the patient and guides the rehabilitation process.** **·** **Modifies patient program according to individual progress.** **·** **Addresses patient and family concerning recovery potential and program protocol.** **·** **Performs ongoing patient assessments to include:** **·** **Monitors EKG and interprets to assure patient is in a stable cardiac rhythm.** **·** **Monitors blood pressure to assure patient is stable hemodynamically for exercise.** **·** **Performs pulse oximetry and checks breath sounds to assure patient not compromised in pulmonary cardiac capacity.** **·** **Checks incisions to assure incisions are well healed without signs of infection.** **·** **Monitors patient for signs of congestive heart failure to assure patient safety.** **·** **Demonstrates competency in all procedures within scope of practice, as appropriate to the age of the patient served, and maintains a knowledge of the development with an understanding of the range of treatment by diagnosis needed by these patients:** **o** **Adolescent** **o** **Adult** **o** **Geriatric** **·** **Documents in accordance with insurance guidelines/requirements and posts charges accordingly in Cerner/series.** **·** **Documents in Cerner, accurately reflecting treatment provided, and utilizing approved format/abbreviations to allow for continuity of care.** **·** **Selects appropriate charge for treatment intervention based on CPT code definition.** **·** **Posts charges accurately via computer to reflect each treatment provided.** **·** **Recognizes and appropriately responds or alerts physician to any changes in patient condition resulting from the disease process and/or induced by exercise.** **·** **Checks crash cart daily to assure ACLS drugs available.** **·** **Responds to emergency situations promptly and appropriately.** **·** **Recognizes and reports significant arrhythmia, respiratory distress and acute changes.** **·** **Performs CPR according to American Heart Association guidelines.** **·** **Assists with the development of cardiac rehab policies and procedures.** **·** **Demonstrates the ability for clinical problem solving, decision making and establishing effective rapport/communication with personnel, patient’s families, physicians and colleagues, managed care organizations/insurance personnel.** **o** **Reviews medical record including radiology and lab results.** **o** **Measures and monitors vitals for determination of medical stability for treatment.** **·** **May be required to:** **o** **Participate in hospital-sponsored health fairs and cardiac rehab projects.** **o** **Provide clinical instruction/mentoring to internship.** **o** **Orients staff new to the site.** **·** **Demonstrates the ability to evaluate suggestions and criticisms objectively and whenever necessary undertakes to change his/her behavior or seek further guidance.** **·** **Establishes professional goals in collaboration with supervisor annually.** **·** **Demonstrates compliance with action plan to remediate deficiencies in performance identified by supervisor.** **·** **Provides clerical/housekeeping duties:** **o** **Follows department policies for cleaning of equipment** **o** **Maintains a supply of exercise programs and documentation forms for cardiac rehab.** **o** **Listens to answering machine messages and returns calls promptly.** **o** **Inventories equipment on a monthly basis, addressing safety.** **o** **Inventories supplies on a monthly basis, communicates need.** **·** **Floats to other sites within the Florida Hospital – East Region as needed.** **·** **Performs other duties as assigned or needed.** Qualifications **EDUCATION AND EXPERIENCE REQUIRED:** **·** **A minimum of two years of nursing experience is required with at least one year of cardiac rehab experience preferred.** **Training programs in Smoking Cessation, Exercise Technology, Risk factor modification, and Nutrition may supplement experience** **_EDUCATION AND EXPERIENCE PREFERRED:_** **·** **A Bachelor of Science Degree in Nursing or Education is preferred.** **LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:** **·** **Must be a registered nurse licensed to practice in the State of Florida.** **·** **Certification in Advanced Life Support (ACLS), Basic Life Support (BLS), and AIDS education are required.** This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location. **Category:** Nursing **Organization:** AdventHealth Fish Memorial **Schedule:** Part-time **Shift:** 1 - Day **Req ID:** 24032194 We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.