On Demand: 2025 Ambulatory CV Nursing and Clinical Support Team Workforce Survey Report-Webinar Slides

Webinar Slides

Pdf Summary

The 2026 MedAxiom Ambulatory Cardiovascular (CV) Nursing and Clinical Support Workforce Survey report highlights how role design, triage demands, and inconsistent training structures shape capacity and sustainability in ambulatory cardiology teams. Key findings include underutilization of LPNs, widespread MA onboarding but variable competency validation, and triage as the primary operational “pressure point.” Across programs, clinical support staffing averages about 2.25 clinical support FTE per provider, but RN workloads vary dramatically.<br /><br />Role clarity and scope alignment are emphasized. RNs function as the clinical decision-making hub, performing symptom assessment and triage using protocols, executing standing orders, escalating urgent findings, coordinating care (including GDMT follow-up), and supporting onboarding and quality improvement. Importantly, RN roles are not interchangeable: programs commonly differentiate clinic RNs, RN navigators/coordinators, and triage RNs. Reported RN encounter volume ranges from 16 to 100 per day (median 40), and the report stresses that workload reflects care model design rather than individual effort.<br /><br />LPN roles are described as inconsistent across programs, with overlapping duties relative to RNs and MAs, moderate productivity (about 16–30 patients/day), and limited formal training structures (only ~50% report onboarding/competencies). When well-deployed, LPNs extend clinical capacity through medication administration (per regulations), wound care, protocol-driven tasks, refills, and workflow stabilization—allowing RNs to focus on higher-acuity decision-making.<br /><br />MAs are characterized as the backbone of clinic throughput, with core responsibilities (rooming, vitals, ECGs, medication reconciliation) and, in some settings, expanded tasks (in-basket support, prior authorizations, device monitoring). Training infrastructure is stronger for MAs (88% onboarding; 75% competencies).<br /><br />Top workforce stressors are message/triage overload, role ambiguity, and coverage gaps. Emerging solutions include pod-based teams, centralized RN triage, and hybrid clinic/remote RN roles. Leadership actions recommended are clarifying role design, aligning staffing with care models using benchmarks and dashboards, and investing in standardized CV onboarding, competency frameworks, and career pathways.

Keywords

ambulatory cardiology nursing

cardiovascular clinical support staffing

RN triage workload

role clarity and scope alignment

LPN utilization in cardiology clinics

medical assistant onboarding competencies

care model design benchmarks

pod-based team staffing model

centralized RN triage

workforce sustainability and capacity