NP - P-VAD Cardiogenic Shock Coordinator

Expert and patient advocate in the management of patients requiring advanced heart failure therapies including percutaneous mechanical circulatory support. This position manages a group of clinically complex or resource-intensive patients. Prior pVAD experience required.

Responsibilities

• Assessment, management, and oversight of care of patients with advanced heart failure and/or cardiogenic shock, many of whom require intensive management including advanced heart failure therapies and mechanical circulatory support.
• Prescription, initiation, and up-titration of heart failure medications and treatments, including prescribing, titrating, and close monitoring of oral anticoagulants.
• Screen referrals and communicate with physicians regarding new mechanical circulatory support (MCS) patients.
• Provide coordination of care with other disciplines, physicians, and programs for a complex group of MCS patients.
• Collaborate with ICU RNs, advanced practice providers (APPs), and physicians (CTICU and MICU/CCU) on care of MCS patients and troubleshooting the device.
• Demonstrate advanced assessment skills within clinical specialty, providing evidence-based treatment interventions to achieve positive outcomes for patients and families.
• Participate in the evaluation and screening of patients for ventricular support in conjunction with the multidisciplinary team; provide psychosocial and emotional support to patients and families.
• Manage the care of high-risk percutaneous ventricular assist device (pVAD) patients across the continuum (acute care inpatient, clinic follow-ups, community setting) in collaboration with the multidisciplinary team.
• Provide clinical guidance and leadership through participation and/or representation at departmental and hospital meetings, committees, councils, task forces, and multidisciplinary rounds as needed.
• Participate in strategic planning and development of the pVAD program and cardiogenic shock team in alignment with long-term development goals of the Heart and Vascular Hospital/HMH network.
• Serve as a resource and support person for pVAD patients and their family members both in the acute care setting and in the community.
• Coordinate the development of evidence-based practice protocols and standards of care that include interventions and treatments to achieve desired outcomes, including clinical, financial, and patient/family satisfaction.
• Utilize and disseminate relevant research findings through clinical practice, education, or consultation; participate in clinical research and publication specific to pVAD therapy.
• Maintain an internal pVAD database, which may include site entries for the cVAD Ventricular Assist Device industry-based registry.
• Participate in research studies focused on new treatments within pVAD therapy.
• Create/review quality and data reports for morbidity and mortality of the pVAD program, including length of stay, readmission rates and causations, and adverse event rates.
• Monitor for device recalls pertaining to pVAD equipment and create response plans to address improvement.
• Work in conjunction with facility leaders to develop program-specific guidelines and review them annually for areas of improvement.
• Lecture at various national and local meetings and represent HackensackUMC's percutaneous VAD program and APN model in the national heart failure arena.
• Perform other duties and/or projects as assigned.
• Adhere to HMH organizational competencies and standards of behavior.

Requirements

• Graduate of an NLN/AACN accredited program in nursing.
• Minimum of 3 years of APN experience in Cardiology/Cardiac Surgery/Heart Failure.
• Maintain clinical competencies through participation in continuing educational programs (contact hours per year) and clinical practice as mandated by the Board of Nursing and national certification body.
• Strong organizational and computer skills.
• Completion of a Master’s Program in Acute Care NP.

Qualifications

• Current valid NJ State Professional Registered Nurse license.
• Maintain certification as an APN in New Jersey.
• Maintain national or board certification as appropriate in area of specialty.
• Completion of Abiomed training.
• American Heart Association Basic Life Support Healthcare Provider and Advanced Cardiac Life Support certification.
• Collaborative agreement with physician(s) actively on staff who agree to act as the Collaborating Physician(s) of Record as per the APN Act and Regulations.

Schedule

• Weekend work as needed.
• Holiday work as needed.
• No on-call required.

Pay

Minimum rate of $133,120 annually.