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On Demand - The Role of the Cardiovascular Ambulat ...
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The document provides a comprehensive overview of the roles, responsibilities, and frameworks for cardiovascular (CV) nursing within ambulatory care settings, as outlined by MedAxiom in 2023. <br /><br />**Education and Licensing:**<br />- **Registered Nurses (RNs)**: Typically require a 2-4 year program and state licensure.<br />- **Licensed Practical Nurses (LPNs)**: Require a 1-2 year program and state licensure.<br />- **Certified Medical Assistants (CMAs)**: Typically require a 3-6 month program.<br />- **Certified Nursing Assistants (CNAs)**: Require a minimum of 120 clock hours.<br /><br />**Scope and Practice Considerations:**<br />- RNs and LPNs perform clinical decision-making through established algorithms and protocols.<br />- CMAs and CNAs focus on task execution and basic patient support, without decision-making responsibilities.<br /><br />**Roles:**<br />1. **Nurse Triage**: <br /> - Handles patient walk-ins and clinical calls in real-time.<br /> - Uses pre-defined guidelines for triage routing and decision-making.<br /> - Metrics like call volumes and turnaround times are tracked.<br /><br />2. **Team Nursing**:<br /> - Engages in patient education, care coordination, and results review.<br /> - Requires strong communication and an established escalation policy.<br /><br />3. **Nurse Visits**:<br /> - Manages low acuity check-ins for conditions like blood pressure and EKG follow-ups.<br /><br />4. **Nurse Closer**:<br /> - Facilitates order entry, patient education, and procedure planning.<br /><br />**High-risk Medication Clinics**:<br />- Special clinics for managing anticoagulation, heart failure, hypertension, and hyperlipidemia under guided principles such as frequent patient touchpoints and ongoing nurse education.<br /><br />**Stress Testing/Diagnostics**:<br />- Nurses must have core competencies in areas such as cardiac stress tests, indications, complications, and emergency response protocols.<br /><br />**Procedure Planning and Nurse Navigation**:<br />- Includes detailed steps from pre-procedure testing to post-procedure management.<br />- RN Navigators require BSN degrees and cardio-specific experience, working collaboratively for care transitions and patient education.<br /><br />**Onboarding and Retention**:<br />- Focus on structured orientation, ongoing education, and defining clear roles to help recruit and retain high-achieving cardiovascular nurses.<br /><br />**Value Proposition**:<br />- Aims to streamline clinical decisions, improve transitions of care, reduce readmissions, and enhance overall patient satisfaction and outcomes. <br /><br />Overall, the document emphasizes the importance of well-defined roles, clear clinical protocols, educational requirements, and ongoing professional development to optimize the effectiveness of cardiovascular nursing teams in ambulatory care settings.
Keywords
cardiovascular nursing
ambulatory care
MedAxiom 2023
registered nurses
licensed practical nurses
certified medical assistants
nurse triage
high-risk medication clinics
stress testing
procedure planning
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