Department:Cardio Pulmonary Rehab, 74901
Shift Hours:Tues/Thurs 930-1530 and fill in for MWF phase 1, 2 and 3 as needed
Job Type:Per Diem
POSITION SUMMARY: As a member of the CardioPulmonary Rehab team, the Exercise Physiologist is responsible for properly prescribing exercise for all patient populations, monitoring vital signs and telemetry during exercise sessions and prepares correspondence to referring physicians when appropriate and participates in resulting action/intervention. This role includes operation of the monitor system, documentation of rehab participants' response to exercise and strength training while reporting notable changes in participants' condition and participating in appropriate interventions. The Exercise Physiologist must be able to self-direct completion of work with minimal supervision as well as function as a team member in the achievement of both patient care, departmental and organizational goals. Demonstrates basic knowledge of cardiac anatomy and biomechanics, pathophysiology and risk factor modification, health appraisals and fitness testing exercise programming, nutrition and weight management as it relates to both cardiac and pulmonary patient populations. Performs case management of rehab patients to include intake, referrals and all Phase 1 rehabilitation care components.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION REQUIRED: Bachelor of Science Degree in Exercise Science from an approved school of Exercise Physiology and Training or Bachelor of Kinesiology and Exercise Science with ACE certification in group exercise. Additional courses related to Cardiac Rehabilitation preferred
SPECIALIZED TRAINING REQUIRED: Telemetry training.
LICENSE / CERTIFICATION / REGISTRATIONS REQUIRED: BLS and ACLS certifications required. ACSM Exercise Specialist Certification preferred
CONTINUING EDUCATION & COMPETENCY REQUIREMENTS: Continuing education and/or license renewal required annually; yearly educational day (YED) and other requirements as determined by the Manager of CardioPulmonary Rehabilitation.
Population Specific continuing competency requirements:
Knowledge and expertise in providing care to assigned population. Basic EKG exam (80% or better). Cardiac medication exam (80% or better)
EXPERIENCE REQUIRED: Must have previous related experience
KNOWLEDGE / SKILLS / ABILITIES: Demonstrated skills in assessment and reassessment of patients. Demonstrated skills in implementing strategies to improve patient outcomes. Demonstrated skills in evaluation of rehabilitation care provided. Demonstrated skills in collaboration, teamwork and problem-solving to achieve goals. Demonstrated skills in verbal communication and listening. Demonstrated skills in providing excellent service to customers. Knowledge of exercise prescription guidelines for all patient populations. Demonstrated commitment to Harrison Medical Center's mission and values as shown through the care provided to patients and families. Demonstrates accountability for personal and professional development. Job performance is based solely on the individual's ability to perform the essential job functions. This position requires the ability to participate in assisting physically challenged patients in ambulation and transfer.
ENVIRONMENTAL / JOB CONDITIONS:
Exposure to Hazardous Chemicals or Substances and/or Infection:
Risk of exposure to infectious disease during all patient contacts
Exposure to Bloodborne Pathogens:
Risk of exposure to bloodborne pathogens during all patient contacts
Personal Protective Equipment Required:
ACCOUNTABILITIES AND ESSENTIAL JOB FUNCTIONS:
Population Appropriate Care Competency:
Infants 0 to 1 year of age
Pediatric 2 to 12 years of age
Adolescent 13 to 18 years of age
Adult 19 to 65 years of age
Geriatric Patient Over 65 years of age
Delivers patient care appropriate to age of patients cared for/served. Obtains and interprets information in terms of patient needs. Applies knowledge of growth and development appropriate for the age groups cared for/served. Understands the range of educational treatment needs of the patients cared for/served in the specific age groups. Has met annual in-service requirement for education case studies regarding age appropriate care for the patients in the specified age groups.
Evaluates patients referred for treatment following departmental procedures and addresses key issues of patient function to include: biophysical, psychosocial, environmental, functional, nutritional care, significant other and family needs. Works with patients and families to establish short and long-term patient goals and identifies them as measurable goals in the Individual Treatment Plan. Completes individual Treatment Plan, informed consent and other necessary forms per established department policy and procedure. Ensures smooth process through appropriate assessment, communication and documentation needs. Coordinates movement towards identified goals throughout the patient's program.
Consistently demonstrates through actions and documentation, patient and, if appropriate, family inclusion in all treatment planning and decision making. Recognizes the value of patient and family participation in the efficient delivery of patient care. Considers the learning needs of patients in initial and ongoing education instruction and accommodates accordingly. Assesses the need for nutritional and functional referrals and follows through according to department procedure. Is proactive in anticipating patient needs prior to graduation date to ensure complex patient needs are met. Demonstrates knowledge of standing orders/or emergency care and implements according to department policy.
Demonstrates hospital and unit specific clinical competencies. Successfully completes annual skills checklist within specified timeframe.Demonstrates a clear knowledge and understanding of guidelines for writing intial exercise prescriptions. Provides staff education in clinical specialty. Is viewed as a clinical expert in this field as shown through peer review. Assists in verification of skill competency with completion of annual skills checklist. Assures continuing competency with documentation of professional reading, annual personal reflection, and participation in continuing education with documentation of age specific competencies in all age groups treated. Maintains membership in professional associations, special interest groups, or other professional affiliations.
Maintains stable performance under pressure or opposition. Handles stress in ways that maintain relationships with patients, customers and coworkers.
Uses time and resources to complete work accurately and efficiently.
Sets high standards of performance for self and others. Assumes responsibility and accountability for the successful completion of assignments or tasks.
Clinical intervention consistently reflects understanding of underlying pathophysiology. Is certified in clinical specialty and ACLS. Measured by education record documentation.
Provides safe, therapeutic and efficient patient care. Safely administers prescribed treatments, and procedures. Performs skills as outlined in the ACLS guidelines during a code situation.
Is able to operate telemetry and computer documentation equipment. Participates in Equipments maintenance and cleaning. Performs open/close duties for Rehab facility.
Performs initial functional walking test and shares results with other professional staff.
Able to identify appropriate patients/families needing Phase 1 care. Develops, initiates and adjusts Phase 1 education and ambulation in accordance with established department protocols. Documents education and ambulation per department standards. Communicates any pertinent information with core measures coordinators, primary nurse or physician. Participates actively in discharge rounds and assists in plans for referral to ancillary and support departments as required. Works collaboratively with each patient's care team to achieve patient's recovery, rehabilitation and prevention care.
Actively participates in teaching, revising and coordinating outpatient education classes based on patient's diagnosis, learner assessment and selecting appropriate lifestyle modifications. Demonstrates understanding of established guidelines in writing exercise prescription (MHR, THR, EF, meds, RPE). Supervises Phase 2 exercise sessions and monitors patients for inappropriate responses to exercise per established department procedure. Reports significant abnormal response to exercise to RN on team and cardiopulmonary Physician and/or primary Physician per policy as well as participates in appropriate action. Demonstrates ability to adjust exercise prescription based on specific disease process, patient goals, responses to exercise level and risk stratification category.
Evaluates patient responses to exercise protocol and modifies exercise prescription per established guidelines. Reviews exercise prescription weekly, working with team members to provide appropriate patient therapy. Performs blood pressure, heart rate and oxygen saturation measurements during monitored Phase 2 exercise sessions and as needed by Phase 3 patients. Reviews daily session report and documents pertinent comments to include RPE, BP, HR, METS, ECG interpretation, pain scale and any clinical findings that require follow-up. Sends appropriate status reports in a timely, consistent manner to physician. Compiles data within 2 weeks of patient graduation for specific quality monitors. Updates patient education goal sheet, documents pre/post test results and quality monitors data.
Assists with all aspects of Phase 3 program as needed/directed.
Ensures a safe environment by keeping work and patient areas orderly and clear of obstacles. Uses proper transfer techniques and body mechanics.
Behaves as a role model for rehab patients and coworkers.
Documents all components of the patient care process according to Harrison Medical Center charting
Standards. Documentation reflects understanding of patient's disease process. Models exemplary documentation skills as evidenced in chart audits.
Maintains knowledge of emergency response plans. Responds in an appropriate manner to all potential and actual emergency situations following code procedures.
Assesses skill level and delegates to appropriate members of the healthcare team in accordance with their education, credentials, and skills. Demonstrates effective leadership skills in the coordination and delegation of daily unit activities as evaluated by peers. Communicates all pertinent information to co-workers. Uses evidenced based practices to manage patient care. Independently seeks additional knowledge on evidence based practice and recommends changes to current practice based on that research.
Participates in staff development, teaching and training. Functions as a resource for other team members, specifically in exercise prescription. Foster teamwork and collaboration. Assists with orientation of new employees. Identifies a training need and an educational plan for sharing with staff. Functions as a clinical preceptor to Residents or mentor to students in assigned practicuum.
Supports and enforces infection control practices by practicing standard transmission precautions and consistent use of personal protective equipment. Measured by observation.
Functions within legal parameters. Is knowledgeable of federal and state regulations that affect area of practice. Utilizes patient Bill of Rights as a guide in assisting patients and families in making ethical decisions.
Completes all forms accurately e.g. OARS (Online Alert Reporting System), SOS (Service Excellence Online System), equipment checklists e.g. crash carts.
Stays informed in unit specific Performance Improvement Project and contributes information to documentation. Participates in unit specific QI project. Supports continuous quality improvement and change.
Demonstrates economy in the use of all equipment and supplies. Demonstrates fiscal accountability by ensuring patient procedure and supply charges are captured and documented daily. Communicates recommendations that result in cost containment.
Attends, contributes and documents a minimum of 75% of staff meetings per year. If one meeting is missed, is responsible for the content of the meeting, through reading meeting minutes, or meeting with supervisor or peer to review material presented and discussed at the meeting.
Communicates in a caring and professional manner, while maintaining open communications with patients, family, co-workers and medical staff. Provides positive feedback to team members for a job well done. Communicates recognition to Manager for team member performance. Consistently receives feedback from patient and families regarding professional and caring attitude. Uses AIDET with all patient/family interactions.
Calls patients when they miss a class to assess the reason and if they need assistance. Documents the missed class according to policy. Make appropriate arrangements to assist the patient. Communicates with the patient in a caring and encouraging way, reinforcing the importance of rehab for their health.
Supports philosophy and mission of Harrison Medical Center. Communicates and works with other healthcare team members in role modeling and promoting a positive image of Harrison Medical Center. Represents Harrison in community organizations or community services to provide a positive image of Harrison Hospital. Serves on hospital committee.
Must have regular, reliable, predictable attendance in performance of essential job functions.
During an emergency, disaster, or catastrophic event, which places life or property in jeopardy, employee may be assigned to any disaster service activity that promotes the protection of public health and safety. Assignment might require serving at a location, at times and/or under conditions that significantly differ from employee's normal work assignments. As an employee of Harrison Medical Center, employee may be directed to perform a role other than their regular job, by a superior or by law.