Marife Zacharko

• Provides education and instructions to Afib/Aflutter ablations patients for pre and post procedures. Assists with other cardiac implantable device patients as needed to provide necessary education.
• Coordination and monitoring of labs both pre and post procedure. Abnormal results will be reviewed with physician for plan of care to include medication changes, additional testing or cancellation of procedure. Timely communication with patient or patient family accordingly.
• Ability to interrogate, interpret and reprogram cardiac implanted devices with minimal physician supervision.
• Maintains up-to-date knowledge in the area of nursing care as it relates to the Electrophysiology outpatient & inpatient setting.
• Responds to routine patient inquiries (walk-ins) and/or telephone calls, determines initial assessment of patient condition and develop an initial nursing plan of care. Provides competent patient care to the above patient population by obtaining and appropriately interpreting data, making appropriate decisions based on demonstrated knowledge and appropriately adapting procedures and treatments. Documents information in EMR.
• Communicates and collaborates with staff/providers/clinic leaders regarding operational issues, patient care concerns, and policy/procedure issues and staffing on an ongoing basis
• Assists Cardiology Asst Clinical Leader with the following activities as requested:

a. Assist in providing education at clinical staff meetings related to EP patients as requested by manager

b. Acts as a mentor to the vendors who is working with the EP team

c. Assists in establishing and maintaining clinical policies and procedures as they relate to clinical operations for the Afib/Aflutter and EP patients. Documents care and instructions given in the patient's electronic medical record (EMR)

• Oversees staff to ensure exam rooms are stocked with necessary supplies in order to provide efficient services to our patients. Assist with the ordering and maintaining of clinical/office supplies
• Maintains patient and clinic confidentiality.
• Reports risk management concerns and questions to appropriate manager.
• Acts as a liaison between the doctor's office and Henry Ford St. John and outside referring agencies.

• Utilized critical thinking skills to prioritize nursing interventions based on patients' acuity levels and individual needs.
• Demonstrates accurate assessment skills, appropriate to the age of the patient, based on scientific facts and principles.
• Performs and documents ongoing assessments including observation, physical examination, laboratory/test results, and patient response to procedural intervention.
• Participates in the identification and clarification of patient needs, as evidenced by participation in multidisciplinary care planning, to achieve optimal patient outcomes.
• Implements, reviews and revises plan of care according to change in patient's status.
• Implements plan of care according to identified physical, psychosocial, and spiritual needs/
• Prioritizes nursing interventions commensurate with patient's needs.
• Utilizes effective verbal and written communication skills through the presentation of pertinent information.
• Coordinates and documents appropriate discharge planning and referrals to ensure continuity of care after discharge.
• Shares knowledge and acts as a professional resource to other members of the health care team.