Nurse Practitioner - ICD Specialist III
Location: Grand Terrace
Posted on: March 18, 2023
The ICD Nurse Specialist role at Kaiser Permanente Southern
California Region is an advanced practice nursing role with the
critical element being expert clinical practice. The role is built
around the five role subcomponents as regulated by the California
Board of Registered Nursing: Clinical Practice, Research,
Education, Leadership, and Consultation. The ICD Nurse Specialist
functions under the medical direction of the Electrophysiologist
and/or Cardiologist evaluating, educating, and performing device
programming, for patients with implantable cardiac devices (ICD and
- To ensure that nursing care needs of the cardiac device patient
population are met, provides 24 hour clinical leadership by
developing standards of practice, policies and procedures for
cardiac device patient population that are consistent with
professional practice standards.
- Implementing methods and processes in specialty area to support
change in nursing practice, care programs and clinical
- Achieving improved patient/family outcomes.
- Independently assess cardiac device transmissions, including
electrograms, from patients using knowledge and experience in
- Functions independently in the assessment and interpretation of
cardiac device data from patients in outpatient clinic, inpatient
hospital, and by remote interrogation.
- Provides medical and/or technical programming recommendations
- Performs interrogations and reprogramming as needed, on all
types of implantable cardiac devices.
- Evaluates clinical practice in cardiac device patients to
ensure community/professional standards are met.
- Effectively identifies, evaluates and addresses disease
prevention and health promotion issue of the cardiac population
with implanted devices, while administering quality patient
- Follows selected patient population in order to coordinate
- Provides nursing and medical services to individuals, families,
and groups, with a focus on health promotion and disease
- Rounds on hospital patients with implanted cardiac devices
(includes community needs assessments).
- Evaluates implantable device policies and procedures for
clinical nursing practice for all areas of Cardiac Service.
- Facilitates multidisciplinary collaboration based on clinical
needs of patient/family.
- Participates in basic science and clinical research projects
conducted in Cardiac Services.
- Prepares statistical reports and analysis setting forth
progress, adverse trends and appropriate recommendations or
- Participates in outcomes research.
- Reviews work of lower rated employees who interface with device
patients, including, but not limited to: Care Managers, Nurse
Educators, clinic nursing personnel, staff RNs and technicians
assigned to device clinics.
- Oversees, coordinates, and evaluates information provided by
vendor representatives from cardiac device companies.
- Identifies clinical quality indicators for cardiac device
- Conducts systematic reviews when required.
- Sets and develops standards of practice, policies, and
procedures for a specialty population that are consistent with
professional standards of practice.
- Implements methods & processes to sustain change in nursing
practice, programs of care, and clinical innovation.
- Facilitates evaluation of records by physicians, peers, and
quality standards, according to protocols and receives and
implements constructive directives.
- Makes recommendations on cost/quality strategies, works within
- Assists physicians and management in coordination of ICD and/or
Pacemaker Service, including but not limited to: Communicating and
consulting with referring medical center physicians and personnel
on ICD and/or Pacemaker issues and patient care.
- Serves as clinical/technical resource for referring medical
centers on implanted devices.
- Trains and evaluates nursing personnel from other medical
centers on devices and operation of device clinics.
- Maintains device database.
- Assist with device recalls affecting Southern California
- Develops, implements/coordinates, and evaluates specialty
education programs for cardiac device patients and their
- Develops, implements/coordinates, and evaluates specialty
education programs for nursing staff, including nurses in the
- Assist in training and education of nursing/technical personnel
assigned to ICD and/or Pacemaker.
- Provides educational assistance to Cardiology and EP Fellows
and Family Practice/ Internal Medicine Residents on cardiac
- Coordinates ICD patient/family support group.
- Schedules, coordinates, and performs interrogation.
- Interprets, and evaluates therapeutic and diagnostic tests on
cardiac device patients working with the Electrophysiologists
- Explains necessity, preparation, nature, and anticipated
effects of scheduled diagnostic and therapeutic procedures to the
- Records physical findings and formulates plan, based on
- Consults and collaborates with physician and other healthcare
providers as needed regarding patient care management issues and in
the development of comprehensive patient care plan.
- Submits healthcare plans and goals for periodic review by
- Maintains accurate and confidential medical records.
- Documents all procedures, evaluations, treatments, outcomes,
education, and referrals, consistent with NCQA (National Committee
for Quality Assurance), JCAHO (Joint Commission on Accreditation of
HealthCare Organizations) and state regulatory standards.
- Analyzes new knowledge gained from conferences, workshops,
professional literature, or "hands on training" and assimilates
this knowledge into clinical practice.
- Assists in interviewing staff and provides input into
evaluations regarding clinical competence and provides coaching and
- As an ICD-NP, performs additional duties including but not
limited to: physical examinations, initiates drug therapy, taking
responsibility for such therapy when performed prior to
consultation with a physician, establishes and documents the health
care plan and prognosis.
- May be required to collaborate with physicians on general
cardiac medications and anticoagulation.
- Other duties as assigned.
- Minimum two (2) years experience in area of specialty
- Clinical master's degree in nursing required.
- Graduate of an accredited RN and NP program.
License, Certification, Registration
- Current RN license required; California RN license required by
date of hire.
- Current CA Nurse Practitioner Certificate.
- DEA Registration Number and California Furnishing Number.
- National Provider Identification Number (NPI) and be an
approved Medicare provider.
- Current AHA BLS CPR card and AHA ACLS cards.
- Maintain current national certification from an approved
organization (American Nurses Credentialing Center, American
Academy of Nurse Practitioners).
- Demonstrated clinical expertise in Cardiology and ability to
collaborate with physicians on titration of arrhythmia-related
- Proficient in 12 lead ECG and arrhythmia interpretation.
- Proficient computer skills to manage cardiac device data in
spreadsheets, databases, and vendor programs.
- Must be able to work in a Labor/Management Partnership
- ICD/pacemaker experienced RN.
- Experience in cardiac services preferred.
- Cardiac experience preferred.
- ACLS and BLS required
Job Category: Physician Assistant, Nursing Licensed & Nurse
Keywords: Kaiser, Riverside , Nurse Practitioner - ICD Specialist III, Healthcare , Grand Terrace, California
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