Advanced Practice Provider/Nurse Practitioner/Physician Assistant: Electrophysiology

Responsibilities

• Obtains medical history and performs physical examinations
• Performs clinical assessments and develops treatment plan
• Initiates, monitors, and adjusts medications in accordance with the EP APP/APP Practice Agreement
• Manages patients with complex cardiovascular diseases
• Orders and evaluates laboratory, diagnostic, and radiographic tests
• Completes medical records and billing at the end of each day
• Performs interrogation and appropriate reprogramming of Cardiovascular Implantable Electronic Devices (CIED)
• Captures care with rounding EP physician or office-based EP physician
• Provides education to patients and their family members
• Provides pre and post procedural education for patients scheduled for electrophysiologic procedures
• Captures care between other physicians, nursing staff, and interdisciplinary providers
• Makes appropriate referrals to other interdisciplinary providers
• Refers to appropriate Virginia Heart Programs: Heart Failure Program, Research Program, Sleep Program
• Acts as liaison for the physician in communicating with patients and family members
• May need to see general cardiology patients in the office and assist with weekend hospital rounding responsibilities as per practice needs.
• Hospital Specific: Performs daily hospital rounds; coordinates daily rounding with the EP physicians between scheduled procedures. Serve as the point of contact for in hospital EP issues. Maintain communication with the in-hospital EP physicians. Maintain hospital list, billing, and send in appropriate follow-up requests. Coordinate scheduling of inpatient EP procedures, AAD initiation and titration with both EP scheduling and EP physician team. Provide discharge education and outpatient follow up orders and practice needs
• Office Specific: Maintains own schedule of approximately 15 patients in a day. An EP Physician is available on site for consultation and collaboration as needed. Types of patient visits: Pre and post procedure visits, antiarrhythmic drug monitoring visits, Urgent patient symptom calls, interrogation of CIED’s, interpretation of remote CIED transmissions, urgent add-ons/walk-ins, subcutaneous monitor consults, and all other routine Electrophysiology follow-ups. Office EP APP does not see new patients outside of subcutaneous monitor consults.

Requirements

• Graduate of an accredited Nurse Practitioner Program or Physician Associate Program (Master’s level of preparation preferred)
• NP Credentialed by the ANCC (American Nurses Credentialing Center). PA must be certified by NCCPA (National Commission on Certification of Physician Associates)
• BLS/CPR and ACLS certified
• Licensed in State of Virginia

Skills

• Experience in Electrophysiology preferred. Experience in Cardiology required– preferably as an APP
• International Board of Heart Rhythm Examiners (IBHRE) Certified Cardiac Device Specialist (CCDS) – recommended.
• International Board of Heart Rhythm Examiners (IBHRE) Certified Electrophysiology Specialist (CEPS) – recommended.
• Attends CME in accordance with EP APP/APP manual.