RN - Echocardiography - MGH

** Job Summary
** Echocardiography Laboratory at MGH  
-36 hours per week (Four 9-Hour Shifts)  
-Minimum clinical nursing experience of 3 years with advanced knowledge of
-cardiac/telemetry required  
-Prior ICU or Procedural experience preferred.
Responsible for assuring competent, compassionate nursing care of patients and families throughout their Stress, Transesophageal and/or Transthoracic echocardiogram visits.
-Collaboration with other professional, non-professional and support staff in both the inpatient and outpatient labs.  
-Responsible for the overall nursing care management of this designated group of patients including those who are transported to the holding area during the course of their testing.
-Collaborates with the Department Managers and members of the Patient Care Team to achieve optimal patient outcomes.
Principal Duties/Responsibilities  1 Provides competent, compassionate nursing care based on scientific principles and nursing process.
2 Is able to recognize, assess and respond to acute clinical issues, including:  
-Complaints of chest pain, shortness of breath, changes in mental status, arrhythmias, hemodynamic instability, and syncope among others.
-Airway assessment and initial management of a compromised patient (i.e. acute respiratory failure).  
-Accurately identifies arrhythmias and interprets 12 lead ECG’s and is aware of when additional/adjunct resources are needed.  
-Recognizes emergency situations and demonstrates the ability to respond appropriately, including the ability to implement and direct initial cardiac resuscitative efforts.
3  Performs nursing functions during stress echocardiography  
-Conducts exercise and pharmacological stress testing.  
-Assesses for, identifies, and responds appropriately to patient issues which may interfere with or be contraindicated for stress echocardiograms.  
-Closely monitors ECG and vital signs as well as provides careful surveillance for complications.  
-Determines when the test should be terminated either for medical reasons or patient tolerance.  
-Continues careful surveillance during recovery and remains alert for post-stress complications.  
-Recognizes safe completion of recovery period and allows patient to leave the testing area.  
-Maintains up to date information related to acute coronary syndromes, cardiac markers, and clinical evaluation of patients with known or suspected Ischemic --Heart Disease and applies these concepts in evaluating patients with chest pain.  
-Is knowledgeable regarding common secondary diagnoses and care of patient populations (i.e. Diabetes, COPD, Oncology, etc.)  
-Maintains equipment, supplies, and RN documentation.
4  Performs nursing functions during transesophageal echocardiography  
-Maintains up to date education related to procedural sedation administration and monitoring  
-Assesses for, identifies, and responds appropriately to patient issues which may interfere with or be contraindicated for transesophageal echocardiograms.  
-Performs point of care testing (POCT) as it relates to glucometry as well as pre-procedural COVID Antigen testing.  
-Closely screens inpatient and outpatient clinical status and medical history for appropriateness of testing and notifies team of potential additional resources required.  
-Works closely with fellow nursing staff, advanced echocardiography fellows and attending cardiologists to provide safe patient care.  
-Is knowledgeable regarding common secondary diagnoses and care of patient populations (i.e. Diabetes, COPD, Oncology, etc.)  
-Maintains equipment, supplies, and RN documentation.
5 Manages flow into and out of the Holding Area as well as other responsibilities of this location  
-Assists in evaluation and management of acute patient issues…