ABOUT WILMINGTON HEALTH
Since 1971, Wilmington Health has been committed to the care and health of our community in Wilmington as well as all of Southeastern North Carolina. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.
PURPOSE:
Work in a collaborate effort to maintain and manage our Cardiology patients in a beneficial manner.
PATIENT VISIT (DAYS THAT PROVIDER IS IN CLINIC):
- Reviews patient’s information prior to patient visit ensuring that all required data is present for the patient visit (pre-ordered reports, lab work, referral documentation, necessary Hospital reports such as Post Cath reports)
- Once patient is checked in the staff will greet patient and family in the main Cardiology waiting area and escort them to the exam room. The staff will obtain a weight and height and record findings.
- Review patient demographics in Electronic Medical Record (Nextgen). Assuring that information is correct and up to date. Review and Update patients contact list and their phone numbers.
- The staff member will verify date of birth, Primary Care Physician and Pharmacy patient would like to use.
- Assessing patient Portal status and assisting patients with enrollment.
- Review patients chart for Meaningful use data
- Obtain a 12 Lead EKG
- Obtain vital signs including HR, BP, resp rate, Mental status and general condition. Record the information in Nextgen
- Review and update Medical and Family History. Allergies, Smoking status, Flu vaccination status etc.
- Review and update patients medicine list in Nextgen.
- Provide and maintain privacy during the Provider patient interaction.
- The staff member will repeat the above process with a new patient while the Provider is visiting with the previous patient that was roomed. They will maintain a pattern of work that keeps the Providers exam rooms ready with the next patient.
- Once Provider patient interaction is complete the staff member will review plan of care with Provider and provide appropriate health teaching and/or instructions to the patient and when available family members. This would include such things as instructing on follow up lab work, Ca scoring, x-rays, Heart Cath, MRI scan, CT scan, EP / Pacemaker procedures, TEE, Cardioversion information. Placement, enrollment and health teaching related to event monitors. New medication education.
- Direct patient and family members to check out location.
NON-CLINIC DAYS (STAFF MEMBERS PROVIDER IS ON HOSPITAL CALL)
- Schedule patients for all Hospital procedures such as Heart Cath, EP / Pacemaker, TEE and Cardioversion. Communicates with Hospital schedulers and send referral to Managed care for procedure. Contact patient once procedure is scheduled and provider further information for the procedure along with directions to the Hospital and directions to the specific location of the department they will be visiting. Answer all questions that the patient may have regarding their upcoming procedure.
- Create a Heart Cath Packet, collating all required information and communicating information to the Hospital prior to the patient’s procedure. Cath Packets include – Scheduling the cath, placing appointment in book and Nextgen, Provide and record cath teaching, placing managed care request in Nextgen, Send message to failsafe and order labs. Staff will need to obtain the following records and send to the Hospital via fax; H&P, EKG, ECHO, Last cath report, Medication list, Stress test results, Lab work and completed Prior auth.
- Maintain their desk in the standard configuration. This will ensure that cath packets, reports etc. will be easily found if a staff member is out of the office and a report or packet is needed immediately.
- Manage and maintain their individual Nextgen in box.
- Communicate test and lab results to the patients as instructed by the Provide. Providing follow up communication with the Provider as necessary.
- Manage and maintain their individual failsafe.
- Manage and maintain phone and Portal messages for their individual Providers and process Providers Mail.
- Answer emergency line within 3 rings and provide the caller with assistance.
- Assisting with Patients needs such as correlating information between the Patient and Provider such as Workman’s compensation paper work, Return to work paperwork, Operation of heavy or restricted equipment etc.
- Assisting with Patient referrals from WH Cardiology to another service either in-house or an outlying Institute such as DUMC or Chapel Hill Medical center for an example.
- Assisting with Prior authorization of medications. Helping patients enroll in any Patient assistance programs that may be beneficial to them. This may include filling out paperwork, obtaining and/or providing paperwork for the patient. Faxing or mailing patient information or contacting the specific agency by phone in the patient’s behalf.
- Assisting our Business office and Referral center with scheduling and rescheduling of patients. Examples would be urgent/emergent referrals from within Wilmington health such as internal or Family Medicine referrals. Rescheduling patients due to unforeseen circumstances such as Provider illness.
- Communicate changes in their Provider’s schedule to Business office staff and Cardiology Manager, assisting with blocking and rescheduling Providers clinic.
- Communicating with our Providers while at the Hospital and assisting them as needed and directed.
ROTATING ASSIGNMENTS:
All individual will participate in some way with rotating assignments as outlined below
- Checking in for the Advanced Practitioners (Midlevel 1 and Midlevel 2). Our Providers have a Hospital call week (Monday through Thursday) that they rotate through and thus they are not available for clinic during those days. Their individual staff member for that week will be responsible for taking care of one of the Advanced Practitioners clinical schedule for that week. *see above for Patient visit responsibilities.
- Event monitors are scheduled on Thursday and Friday of each week. Staff will be assigned on a rotating basis each day that we have Event monitors to be placed. If a Provider orders the event monitor during the patient visit then the staff member that is responsible for that Provider will be responsible for placement, enrollment and health teaching for the event monitor. If the patient is added on to our schedule on a day other than Thursday and/or Friday, then the responsibility will go to the staff member that is responsible for the Midlevel 1 or if only a Midlevel 2 on that day than the staff assigned to that Advanced Practitioners.
- Coverage of other team members desk when the team member is out of the office for things such as PDO’s or call outs. “Desk” would include phone messages, inbox, Procedure packets etc. This will be assigned and posted on Communication board daily.
- Staff will cover phones and messages for Nuclear medicine and Pacemaker clinic if their assistance is needed. This will be assigned and posted on Communication board daily. Assisting Southport Cardiology as needed, this may include answering Southport’s phones when they are closed. Assisting Southport’s Providers and staff with obtaining information as needed.
- Staff will work in coordination with Clinic students such as Miller Motte externs in a helpful instructive manner.
GENERAL DUTIES
- Assist with maintaining a clean, safe environment by observing all safety and health regulations; adhering to OSHA guidelines.
- The staff member will participate in process improvement incentives.
- The staff member will assist other staff members locate and obtain missing reports or reports that are needed in a timely manner.
- All staff need to have Coastal Connect access.
- Participate in general cleaning such as department Break rooms and common areas within the department.
- Assist patients and their families as needed.
- Work within the Parameters of their License as outlined by their Licensing body. Maintaining a current, valid License.
- The staff member will follow all of Wilmington Health’s guidelines, policies and procedures. They will participate in any individual enhancement plans deemed necessary to achieve and maintain a high standard of work.
- Must be able to travel to Porters Neck location once a week (Wednesdays)
Required Skills
CARDIOLOGY STAFF MEMBERS COMPETENCIES
GENERAL
- Customer Service
- Professionalism/Integrity/Responsibility
- Teamwork/Process Focus
- Dependability/Punctuality
- Interpersonal Relationships/Communication
- Judgment/Decision Making/Problem Solving
- Quality/Quantity
- Initiative
- Safety/Housekeeping
- Organizational Skills/Time Management
- Meds
- Specimen Collection
- Assessment Skills
- Phone Skills
- Equipment Use and maintenance
- Procedures
- Computer Knowledge
- Documentation
ADA PHYSICAL DEMANDS:
Rarely (Less than .5 hrs/day) Occasionally (0.6 – 2.5 hrs/day) Frequently (2.6 – 5.5 hrs/day) Continuously (5.6 – 8.0 hrs/day)
PHYSICAL DEMAND
FREQUENCY
Standing
Continuously
Sitting
Frequently
Walking
Continuously
Kneeling/Crouching
Rarely
Lifting
Rarely
Required Experience
QUALIFICATIONS
REQUIRED:
- Active LPN License from accredited association
- BCLS
PREFERRED:
- One year clinical experience preferred