Electrophysiology Nurse Practitioner

Job Requirements Electrophysiology Nurse Practitioner (Inpatient) Position Summary

The Electrophysiology (EP) Nurse Practitioner (NP) is an advanced practice provider responsible for the comprehensive management of hospitalized patients with cardiac arrhythmias and other electrophysiologic disorders. Working collaboratively with electrophysiologists, cardiologists, hospitalists, nursing staff, and multidisciplinary teams, the NP provides assessment, diagnosis, treatment planning, procedural support, patient education, and continuity of care for patients requiring electrophysiology consultation, device management, and invasive EP procedures.

The Electrophysiology (EP) Nurse Practitioner (NP) is an advanced practice provider responsible for the comprehensive management of hospitalized patients with cardiac arrhythmias and other electrophysiologic disorders. Working collaboratively with electrophysiologists, cardiologists, hospitalists, nursing staff, and multidisciplinary teams, the NP provides assessment, diagnosis, treatment planning, procedural support, patient education, and continuity of care for patients requiring electrophysiology consultation, device management, and invasive EP procedures.

The NP functions as an independent practitioner within the scope of licensure and organizational policies while promoting quality outcomes, patient safety, evidence-based practice, and efficient patient throughput.

• Conduct comprehensive history and physical examinations for EP consultations and follow-up patients.
• Evaluate and manage patients with:
• Atrial fibrillation and atrial flutter
• Supra ventricular tachycardia (SVT)
• Ventricular tachycardia (VT)
• Premature ventricular contractions (PVCs)
• Bradyarrhythmias and conduction disorders
• Syncope and presyncope
• Sudden cardiac arrest survivors
• Formulate differential diagnoses and treatment plans.
• Order, interpret, and communicate diagnostic testing including:
• Electrocardiograms (ECGs)
• Ambulatory rhythm monitoring
• Telemetry monitoring
• Laboratory studies
• Echocardiograms
• Cardiac CT and MRI studies as appropriate

Initiate, adjust, and monitor antiarrhythmic medications and anticoagulation therapies in collaboration with the electrophysiologists

• Manage inpatient arrhythmia-related complications and urgent clinical issues.

• Assess patients pre-procedure for:
• Catheter ablation
• Electrophysiology studies
• Implantable cardioverter-defibrillator (ICD) implantation
• Permanent pacemaker implantation
• Cardiac resynchronization therapy (CRT) device implantation
• Lead extraction procedures
• Coordinate procedural scheduling and inpatient preparation.
• Obtain informed consent in accordance with institutional policies and scope of practice.
• Review imaging, laboratory results, and anticoagulation status before procedures.
• Provide post-procedure assessment and management.
• Monitor for procedural complications including:
• Hematoma
• Pericardial effusion
• Cardiac tamponade
• Vascular complications
• Device-related complications
• Arrhythmia recurrence

• Perform evaluation and management of:
• Pacemakers
• ICDs
• CRT-P and CRT-D devices
• Implantable loop recorders
• Interpret device interrogation reports.
• Collaborate with device representatives and EP physicians.
• Assist in troubleshooting device-related issues.
• Participate in inpatient device rounds and device optimization.

• Coordinate care with:
• Electrophysiologists
• Cardiologists
• Hospitalists
• Cardiothoracic surgeons
• Nursing staff
• Case management
• Rehabilitation services
• Facilitate discharge planning and transition of care.
• Ensure timely outpatient follow-up appointments.
• Communicate treatment plans to patients, families, and referring providers.

• Complete accurate and timely medical documentation within the electronic health record.
• Document consultations, progress notes, discharge summaries, and procedure-related encounters.
• Ensure compliance with billing, coding, CMS requirements, and hospital standards.

• Participate in quality improvement initiatives related to:
• Arrhythmia management
• Readmission reduction
• Device infection prevention
• Patient safety

Participate in multidisciplinary rounds and cardiovascular service meetings.

• Maintain required certifications, licensure, and continuing education.

• Master of Science in Nursing (MSN),…