CVICU Registered Nurse
Medford, OR
Magnet Medical
3x12 hrs, Days

A Registered Nurse (RN) – Cardiovascular specializes in the care of patients with cardiovascular conditions, including heart disease, heart failure, arrhythmias, and post-operative heart surgery care. Working in various settings such as cardiology clinics, cardiovascular units, intensive care units (ICU), or during heart procedures, the RN provides expert assessment, monitoring, treatment, and education to manage and treat cardiovascular health issues. This role requires an in-depth knowledge of cardiovascular diseases, advanced assessment skills, and the ability to respond rapidly to changes in patient conditions.

Key Responsibilities:

1. Patient Assessment and Monitoring:

   • Conduct thorough cardiovascular assessments, including taking detailed health histories, performing physical exams, and monitoring vital signs (blood pressure, heart rate, oxygen saturation).
   • Monitor patients for signs of complications such as arrhythmias, heart failure, or myocardial infarction.
   • Utilize advanced monitoring equipment (e.g., telemetry, ECG, Holter monitors) to assess heart rhythms, blood pressure, and oxygen levels.
   • Track changes in patients' conditions and immediately report significant findings to the healthcare team for timely interventions.

2. Clinical Care and Procedures:

   • Administer prescribed medications, including antihypertensives, anticoagulants, diuretics, and antiarrhythmic drugs, while monitoring for side effects and therapeutic effectiveness.
   • Assist with diagnostic procedures such as stress tests, cardiac catheterizations, echocardiograms, and angioplasty, and provide patient education related to these procedures.
   • Provide pre- and post-operative care for patients undergoing cardiovascular surgeries, including coronary artery bypass graft (CABG), valve replacements, or arrhythmia surgeries.
   • Manage postoperative care, including monitoring cardiac output, fluid balance, pain management, and preventing complications such as infection or blood clots.

3. Care Plan Development:

   • Collaborate with cardiologists, surgeons, and other healthcare providers to develop personalized care plans for patients with cardiovascular conditions.
   • Adjust care plans based on patient progress, test results, and changes in clinical status.
   • Support the patient in managing chronic cardiovascular conditions, such as heart failure or hypertension, with ongoing education and lifestyle changes.

4. Patient and Family Education:

   • Educate patients and families on managing cardiovascular diseases, including heart disease prevention, dietary modifications, physical activity, and the importance of medication adherence.
   • Provide instruction on monitoring for signs of cardiovascular complications, such as chest pain, shortness of breath, swelling, or dizziness, and when to seek immediate medical care.
   • Offer support and guidance to patients and families coping with the emotional aspects of heart disease and recovery, including stress management and mental health considerations.

5. Emergency Response and Critical Care:

   • Respond promptly to cardiovascular emergencies such as arrhythmias, heart attacks, or cardiac arrest, providing life-saving interventions including CPR, defibrillation, and advanced cardiac life support (ACLS).
   • Manage patients experiencing acute cardiovascular conditions, such as myocardial infarctions or severe arrhythmias, ensuring timely and effective treatment.
   • Monitor and manage patients receiving thrombolytic therapy, mechanical circulatory support, or other advanced cardiac interventions.

6. Coordination of Care:

   • Coordinate patient care with interdisciplinary healthcare teams, ensuring comprehensive care through collaboration with cardiologists, primary care providers, physical therapists, dietitians, and social workers.
   • Ensure that appropriate diagnostic tests, treatments, and follow-up care are scheduled and provided.
   • Assist in arranging referrals for patients needing advanced care, including heart transplants or specialized cardiology care.

7. Documentation and Reporting:

   • Document patient assessments, interventions, and outcomes accurately in the electronic medical record (EMR) according to facility protocols.
   • Report any changes in patient conditions, including adverse reactions to medications or complications from treatments, to the medical team promptly.
   • Ensure compliance with regulatory standards, documentation requirements, and quality improvement initiatives.

8. Quality Improvement and Professional Development:

   • Participate in cardiovascular care quality improvement programs, monitoring outcomes, identifying areas for improvement, and ensuring adherence to evidence-based guidelines.
   • Stay updated on the latest developments in cardiovascular care, including new treatments, medications, and technologies.
   • Engage in continuous learning and professional development, attending conferences, workshops, and pursuing certifications related to cardiovascular nursing (e.g., CCRN, CMC, CSC).