A Career in Cardiology

Oct 9, 2017

1. Specialization tasks
2. Pathway
3. Common job scopes
4. Common terms
5. Career opportunities

Cardiology

Cardiology is a branch of medicine dealing with disorders of the heart as well as parts of the circulatory system the field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology. Physicians who specialize in cardiac surgery are called cardiothoracic surgeons or cardiac surgeons. The supporting role of the surgeons and physicians are cardiology nurses.

Although the cardiovascular system is inextricably linked to blood, cardiology is relatively unconcerned with hematology and its diseases. Some obvious exceptions that affect the function of the heart would be blood tests, decreased oxygen carrying capacity, and coagulopathies.

Coagulopathies

source: Resus.me

Specialization Tasks

All cardiologists study the disorders of the heart and all cardiology nurses are trained to take care of either adult or children conditions. This is due to differing aspects of training for adult and paediatric physiology. Surgical aspects are not included in cardiology and are in the domain of cardiothoracic surgery.

For example, coronary artery bypass surgery and cardiopulmonary bypass are both surgical procedures performed by surgeons, and not cardiologists. As a nurse, your task will be that of assisting the cardiologists in this matter. A properly-trained cardiology nurse would have the necessary critical thinking in order to draw conclusions to make meaningful impact of treatment.

Common tasks in the wards that you might have to do include the insertion of stents, pacemakers, and valves.

Pathway

Cardiology OT

source: verywell

Cardiology is a specialty of internal medicine. To be a cardiology nurse, a three-year work experience followed by a post-basic or relevant course is required. It is possible to sub-specialize in Malaysia. Recognized sub-specialties in cardiology for Malaysia are cardiac electrophysiology, echocardiography, interventional cardiology, and nuclear cardiology.

Currently there is insufficient data for Malaysia, for salary, but it is guaranteed to be higher or on par with other similar nursing specialists.

Common job scopes

Cardiology is a vast field. Not only does it involve the heart and its systems, it also involves supporting systems such as haematology and its diseases. It is important to know and train for this when pursuing this specialization.

Cardiac electrophysiology

An example of echocardiography

An example of echocardiography

This is the science of elucidating, diagnosing, and treating the electrical activities of the heart. The term is usually used to desccribe studies of such phenomena by invasive catheter recording of spontaneous activity as well as of cardiac responses to programmed electrical stimulations. These studies are performed to assess complex arrythmias, relieve symptoms, evauate abnormal ECGs, assess risk of developing arrhythmias in the future, and to design treatment.

Cardiac examination

The cardiology nurse is able to carry out cardiac examinations of patients. It is performed as part of a physical examination, or when a patient presents with chest pain suggestive of a cardiovascular pathology. It would typically be modified depending on the indication and integrated with other examinations especially the respiratory examination. Like all medical examinations, the cardiac examination follows the standard structure of inspection, palpation, and auscultation.

Paediatric cardiology

Paediatric cardiology

source

Paediatric cardiology is a specialty of paediatrics. To be a paediatric cardiology nurse, one must complete at least three years of registered working experience and pass all the required courses. Adult cardiology certifications are not valid due to differences in physiology in children.

Common complications that you will see as a nurse practicing paediatric cardiology are paediatric hypertension, paediatric hyperlipidemia, heart palpitations and arryhthmias.

Diagnostic tests

Diagnostic tests in cardiology are the methods of identifying heart conditions associated with healthy vs. unhealthy pathology heart function. It is commonly started by obtaining a medical history, followed by auscultation. Blood tests soon precede after, and imaging can be done on a need-to-do basis.

Common terms

1. Tetralogy of Fallot

It is the most common congenital ehart disease arising in 1-3 cases per 1000 births. The cause of this defect is a ventricular septal defect and an overriding aorta. These two defects combined causes deoxygenated blood to bypass the lungs and going right back into the circulatory system. The modified Blalock-Taussig is used as a treatment for this condition.

2. Pulmonary atresia

This happens in 7-8 births per 100,000 and is characterized by the aorta brancing out of the right ventricle. It causes deoxygenated blood to bypass the lungs and enter the circulatory system. Fixing it can by done by a team of cardiologists and nurses by redirecting the aorta and fixing the right ventricle-pulmonary artery connection in surgeries.

3. Double Outlet Right Ventricle

Double outlet right ventricle is when both great arteries, the pulmonary artery and the aorta, are connected to the right ventricle. There is usually a ventricle in different particular places depending on the variations of DORV, typically 50% are subaortic. A VSD closure is the most common form of treatment for this condition.

Career opportunities

Search for high-paying cardiology nursing jobs on MIMS Career. Browse, save, and apply for nursing jobs, all in one-click. Take the opportunity for higher pay and better work locations. Our pages are all mobile-responsive, allowing you to take that leap for a better job whenever, wherever you are. All our job postings are heavily screened to prevent scams and mistrustful behavior.

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Our team got to know about this privately-run nursing in a cozy neighborhood of Petaling Jaya. Impresif Home Care is run by a total of 3 nurses, 7 workers and their supervisor. We had the chance to speak to the supervisor, Raja. Raja is a wonderful guy, and based on just a few conversations with him you can really tell that he cares a lot about what goes on in the nursing home and its occupants. Impresif Care Home is looking to hire staff nurses with minimal experience to help with their workload. Visit their job listing page to apply. What is the vision behind your nursing home? How did it come about? The home was a house bought by our founders, En. Mohd Faizal and his wife Pn Zainab. Pn. Zainab was a matron for a big hospital. There she realized that a lot of patients still require care, but since they can’t stay admitted for too long they are discharged. It was disheartening to see that, so she and her husband founded this home. We have been privately funded ever since, and do not rely on donations. We have about 30 occupants, with the age range being from 55 to 90 years old. Some of them have children who are not able to take care of them; it is cheaper to send the parents here for nursing care compared to hiring a nurse who comes to the house, which can be very expensive. Some of the occupants here just do not have anywhere to go… but we are grateful we can still support them here. How is the home culture like? A lot of people come here to visit, thinking it to be depressed and lonely for the elderly to be here. But it’s actually a lot of fun! Everyone tries their best to be happy. I myself have never been happier in my life, now that I’m working here looking after other people. It’s a relatively slow working lifestyle. We wake the occupants up at 630am, then prepare breakfast, wash, clean them, and take them out for exercise. Those who need parenteral feeding will be fed by our nurses. We have lunch around noon, and then it’s some TV time followed by an afternoon nap. Dinner is at 7, then it’s free and easy. Weekends are a bit busier. Relatives and children come over to visit, and will ask the staff questions like “What medication is he/she on?”, or “How has my father been this week?”, things like that. This is a suitable place for nurses out of nursing school to gain some experience before going on to do their Degrees or Post-Basics. The occupants here are all low-dependency type of patients. What do you do to make your staff happy and enjoy working here? It helps that the elderly are all funny and exciting in their own way. I always get “invited” to any one of the uncles or aunties houses. I’ve worked here for 8 years and I still don’t know where their “houses” are. laughs The location of the home is very nice and quiet. It has easy access to the Federal Highway and the New Pantai Expressway, so staff can easily get here from all over. It can be tiring at times but not as busy as hospital work, and they get paid well too. What cool pieces of tech do you have in your clinic? Everyone has their own wheelchair! So they can decorate or personalize it to fit their own characters. Some carry small tokens on their wheelchairs to remind them of people or places they used to meet. We have fully adjustable beds like the ones in hospitals for our more needy occupants. Our dispensary is always kept fully-stocked. What kind of people are you looking to hire as your staff? We’re looking for nurses who are patient, hardworking, and with a soft heart for the elderly. Applicant must also be willing to work six days a week, especially on weekends. That’s when we’re the most busy. How does your staff get hired? Our nurses gets hired by Pn. Zainab. She talks to the nurses that is going to work here. It’s not much of a screening; it’s just to get to know who you are as a person and how you’ll do your work. We take our staff from maid agencies, so they’re mostly Indonesian. What does the future of this nursing home look like? We want to keep doing what we do for a long time. We’re looking to increase the number of nurses that we employ to help the current workforce cope better with the workload. At the moment we are looking to hire any qualified nurses, even ones with minimal work experience. We’ll help to guide you in the right direction. Our Most Popular Articles Think About These 5 Things Before You Decide On A Specialization 5 Things Nurses Need To Know To Be Paid More 10 Ways Malaysian Nurses Can Increase Their Income

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Palliative care is a multidisciplinary approach to specialized medical care for people with life-limiting illnesses. It focuses on providing people with relief from the symptoms, pain, physical and mental stresses of the terminal diagnosis. The goal of such therapy is to improve quality of life for both the person and their family. Palliative care is provided by a team of physicians, nurses, physiotherapists, occupational therapists and other health professionals who work together with the primary care doctors and referred specialists. It is appropriate at any age and at any stage in a serious illness and can be provided as the main goal of care of along with curative treatment. Although it is an important part of end-of-life care, it is not limited to that stage. Palliative care can be provided across multiple settings including in hospitals, in the patient’s home, as part of the community palliative care programs, and in nursing facilities. Spiritual support is often provided in more interdisciplinary teams. When a medicine or treatment relieves symptoms, but has no curative properties, it is said to be palliative. The word noncurative is sometimes paired with palliative for clarification purposes. Scope Palliative care is for patients with any serious illness and who have a physical or mental distress as a result of the treatment they are undergoing. Palliative care increases comfort by reducing pain, alleviating symptoms, and lessening stress for the patient and family. It is mutually beneficial for both patient and caregiver. Emergency care nurses and doctors have a critical role to begin discussions with patients and their families regarding palliative care as they see them go through difficult times in life. Paediatric palliative care is a rapidly growing subset of this field, and services directed specifically for children with serious illness are in dire need of this. Responsibilities Assessment of symptoms A method fr the assessment of symptoms in patients admitted to palliative care is the Edmonton Symptoms Assessment Scare, in which there are eight visual analog scales of 0 to 10, indicating the levels of pain, activity, nausea, depression, anxiety, drowsiness, appetite and sensation of well-being. On the scale, 0 means absent, and 10 means the worst imaginable possible. Medications are often managed at home by family or nursing support. Further actions Effective methods to ensuring successful palliative care is to provide a safe way for the individual to address their physical and psychological distress, that is to say their total suffering. Dealing with total suffering involves addressing a wide range of concerns, starting with treating physical symptoms such as pain, nausea, and breathlessness. The palliative care teams have become very skillful in prescribing drugs for physical symptoms, and have been instrumental in showing how drugs such as morphine can be used safely while maintaining a patient’s full functions. Importance of counselling Usually, a palliative care patient’s concerns are pain, fears of the future, uncertainties, and worries of their family and feeling like a burden. There are counselling, visual methods, cognitive therapy, and relaxation therapy to deal with it. Pallliative care sees an increasingly wide range of conditions in patients at varying stage of their illness it follows that palliative care teams offer a range of care. This may range form managing the physical symptoms in patients receiving treatment for cancer, to treating depression in patients with advanced disease, to the care of patients in their last days and hours. Training In most countries hospice and palliative care is provided by an interdisciplinary team consisting of physicians, pharmacists, registered nurses, nursing assistant, social workers, and others. The focus on the team is to optimize the patient’s comfort. Nurses in palliative care are given extensive training in counselling, medication dispensing, and support. The aim is about relieving distressing symptoms for the patient. Nurses are also part of the management of the imminently dying patient, more so than the physicians or doctors themselves. Work Opportunities The work opportunities that we get is aplenty. Palliative care is often used interchageably as a term with hospice care, albeit some slight differences. They share some similar goals of providing symptom relief and pain management. Palliative care services can be offered to any patient without restriction to disease or prognosis, and can be appropriate for anyone with a serious, complex illness, whether they are expected to recover fully or not. Hospice is a type of care involving palliation without curative intent. usually it is used for people with no further options for curing their disease or in people who have decided to not pursue treatment that is hard on them. Typically hospice and palliative care nurses work in non-hospital settings.

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As productivity writer Benjamin Hardy puts it, survival mode is: “ your life being filled to the brim with nonessential and trivial things. You don’t have time to make anything meaningful. ” Do you often feel like this? Crazy shift hours, demanding patients, children to take care and worry about at home… It’s no wonder that nurses are falling sick because of their stress levels . Your busy life just gnaws at the corners of your mind. It’s difficult to sleep, hard to find time to eat, and care about yourself. As you fend off your exhaustion, you realize at the end of your day the worst thing about your predicament is that you have to face the same thing tomorrow. And the next day. And the next one. So you go through life on autopilot. There is a way to break this cycle, and return your sense of self. You will feel happier, healthier, and achieve your personal and professional goals with these simple daily practices. Re-orient your life Take charge of your life . Most importantly, be conscious of your decision to take charge of your life. Decide on a better way of looking at how you live, and decide to act on it. Intention is very important; actions only come after that. A good plan today is better than a perfect plan tomorrow. You have only one life; it would be a shame to live it miserably, because you won’t be getting any of your youth back. Get Good Sleep So many things can be attributed to the irregularity of sleep or the lack of it. Your concentration slips out frequently. Your memory is fuzzled. Your body feels tired, and has no energy. These are all detrimental to the patients under your care. Most importantly, it poses a real danger to your health. Those who sleep 7-9 hours a day are proven to be healthier, fitter, and less likely to be obese or suffer from any other health issues. “But wait…” you say. “I can’t do that! I work shifts.” Don’t worry. Remember that you can space out your sleeps into naps if a long period of rest is not available to you. There are so many benefits to getting enough sleep. Some of them are: Increased concentration Better cognitive abilities Less risk of cardiovascular diseases Reduced chances of depression And so on. Prayer, or meditation Gratitude upon waking up, or when facing a difficult time, is one of the best habits you can form. This mindset of abundance primes you to cope better with challenging situations or periods of your life. Because you are always grateful for the things that you currently have, it negates the negative impact of focusing on the things you don’t have, or would like to be better. Prayer and meditation helps you re-orient yourself to set your most important priorities. It also serves as a good “brain detox”. Your life might be busy and hectic. By devoting some time to honing your spiritual center, you will learn to make sense and derive meaning in a chaotic world. If you don’t know how to meditate, here’s the 5-minute meditation trick every nurse needs to know . Exercise in moderation At MIMS Career we all know most of you nurses are very tired. However, exercise is something that still should not be neglected. Take walks. Walking can also be a form of meditation. Just walk a few minutes, being mindful of your surroundings and focusing on your surroundings. Try and get into the habit of exercising, too. It has many benefits which I’m sure you’re aware of. If you want a healthy mind, it has to start with care of the body. No gym membership? Try some no-equipment home exercises. Eat Healthy Eat small, frequent meals as opposed to large meals in one sitting. Those working shifts have a tendency to grab whatever food is available, and that is unhealthy. Try to prepare healthy snacks that you can bring to workplace, like cut fruits. Pack food to work. Cooking packed lunches are a lot healthier because you are aware of what you put into your body. Experiment with simple 1-dish meals. They are light enough to bring in one container, and can simply be reheated in a microwave. If going home to eat, experiment with freezing your prepared meals, or slow-marinading meat that you can throw in the oven right when you get back home. YouTube channels like Tasty can give you many ideas. Consume Great Content Read, even if you can only do it for ten minutes a day. If done every day, you’ll eventually finish many books in a year. Podcasts and audiobooks are good to listen to on your commute. Here’s a helpful article also written by me about getting started with podcasts. The world’s most successful people all read at least one book a week. You don’t have to do that, but that goes to show how important the value of reading good content is. By “good”, I don’t mean Facebook posts or tweets. I mean real, thought-provoking forms of prose that teach you something new. Over time, just by doing 10 minutes a day, you’ll have more knowledge on different topics. It will make you a better writer, speaker, and you’ll develop a personality that future employers would absolutely love whenever you go for interviews. You will view the world in a different lens. Here’s a great reading list for you to get started if you like. Write down and review your goals every day What are your goals? Write them down. Both short and long term. Then do something that gets you closer to your long term goals every day. Getting out of the rut that is your daily grind can be difficult, but very rewarding when done right. The location and working environment you’re in can make or break your learning curve towards attaining your career goals. Which is why you should give MIMS Career a shot. Browse through our extensive directory of nursing jobs across Malaysia, Singapore, Indonesia, Philippines, and more countries coming soon. Upload your resume and be notified of jobs you might be interested in. Sign up for free, and discover the change of pace in life that you need to get out of autopilot today.

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Finding a new job can be very tiring, and time-consuming. It can be difficult to schedule some time to your job-seeking activities. However, the end of the year is a period of time you don’t want to miss if you want to maximize your chances of landing that precious new job. Here are four reasons why: 1. Employers are getting ready for the New Year Traditionally people wouldn’t advise you to hunt for a job at the end of the year, when employers have maxed their yearly budgets and are just closing the financial year with some wrap-up activities. But growing evidence seems to suggest otherwise: as employers return from the holidays with a renewed vigor, new goals, and new KPIs, they are more inclined to act upon your application immediately. 2. Employers have plans for 2018 Whether its a big hospital, a small clinic, or a humble retirement home, everybody uses the last few weeks of the year to reflect back on their performance in order to stay afloat. It is normally during these periods of time that they make the decision to allocate budgets to hire new staff… So get to applying! 3. You’re ready to apply for one The best time to apply for a job is also whenever you feel you’re ready. When you want new experiences, new training, different exposure, or an increase in salary… you know it’s time to go. So update your resume, acquire new skills, and hunt for that job. 4. You’re starting to feel miserable at your job Find yourself feeling unnaturally tired? Even if you’ve been getting enough sleep? If you’ve been exhibiting signs of stress due to your current job like fatigue, headaches, migraines and depression, it’s probably a sign that you should cut your losses and look for opportunities elsewhere. Don’t think it’s your fault for not being able to fit in… sometimes the shoe just doesn’t fit.

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Photo by Rami Al-Zayat 1. Note-taking 2. Scheduling 3. Reading Smartphone as a work assistant Our phones have gone from blocky, awkward devices to sleek, thin machines. It is now 2017, and processing power in smartphones (even in budget ones) have overcome the performance of some computers just ten years ago. With the modern smartphone now more of a pocket computer than a communication device, several apps have been made to make work easier. These apps, when used with a bit of creativity and time, can help you stay on top of your goals, never miss an important piece of info, track everything that matters to you and increase mental focus. Read on to find out how you can transform your phone from a typical communications device to an indispensable work and life assistant. 1. Note-taking Text Take notes with your phone rather than on a piece of paper. Unlike paper, you won’t lose digital notes if you have them backed up to the cloud. Moreover, you can take hundreds of notes with you on your phone without needing to carry thick notebooks everywhere you go. Most note-taking apps are searchable, like a web browser. Retrieve your information quickly and easily, whenever you need it. On Android, the best note-taking app is Google Keep . Keep allows your to color-code your notes to your fancy. Add them to your home screen as a widget for quick access. You can still view your notes on any computer with an internet connection. Simply go over to the Google Keep site, log in with your Google account, and browse through your notes. source source On iOS, we recommend the default Notes app. It’s beautifully designed, clean, and robust. Write notes on the fly, and format your text in bold , italics , or underlined. Much like Google Keep, you can attach photos on to your notes. You can also organize them in folders, for easy retrieval. source Bonus tip : You can create a note with your voice! Activate Siri by long-pressing the home button, and say “ Make a note “. Siri will ask you what to write about, and it will write whatever you just said. Scan documents What if you had access to all the paper receipts, documents, letters, and notes; any time, anywhere? You can! Your smartphone has a camera. The best scanner is the scanner you always have with you! Simply point your phone towards a paper document and take a photo. Make sure you adjust the focus a bit so text is clear on your phone’s screen. Then, simply create a photo album in your phone’s photos gallery, label it SCANS and move the photos of your documents there. Evernote ( iOS , Android ) is a multi-platform note-taking app that has a really cool scanning function. When you scan documents with Evernote, the app will brighten the document, making it seem like it was really scanned using a proper scanner. In dark environments, the app will automatically activate your phone’s flash to brighten up the image. Even when taking scans of the document at an angle, Evernote will modify the image to make it seem like you took it straight down! source Evernote has OCR (Optical Character Recognition); meaning that words in the document scans are searchable in the app. It even works for handwriting! Other alternatives to Evernote include Scanbot , PDF Scanner + OCR Free , and Scanner Pro . Draw sketches Sometimes text just doesn’t cut it. What if you need to draw something? It happens a lot, especially in nursing and medical work. Both Google Keep and iOS notes have the ability to create drawings. Unlike pen and paper, you’ll never run out of ink! Android Police How to make a drawing in Notes iOS 2. Scheduling Calendar Schedule events or tasks that you can’t do today. Any calendar app works well; but we recommend Google Calendar ( iOS , Android ). It has natural language text-parsing, meaning you simply type your event into the app like how you’d say it. For example, typing: Midwifery refresher seminar 8pm Sunday at UMMC Will add a calendar entry Midwifery refresher seminar , dated on Sunday at 8PM, and location at UMMC. The app can take the information of the location of the event from Google Maps. So on that day, it notifies you what time you should leave to arrive on time! Macworld 3. Reading Books Why bring your whole bookshelf when you can just carry your phone with you? Many textbook publishers also offer ebook versions of their textbooks. With an ebook reader app, you can read books you’ve saved on your phone. Now you can refer your favorite 900-page physiology textbook anywhere without needing to break your back. The Kindle ( iOS , Android ) app allows you to buy ebooks from Amazon and you can read them anytime you like. Check out their selection of nursing textbooks that you can get cheaper than the physical copies. Even if you delete the ebooks off your phone, you can still re-download them from Kindle. Play Store 3. Task Management Todoist (iOS, Android) Putting tasks out of your head and into a system that you trust is one of the best ways to prevent information overload. This enables you to have less mental distractions as you only focus on the task you are currently doing, rather than having other future tasks nagging in your mind. Using task management apps can seem complicated, but it actually is not. The end goal is to spend less time doing the things you want to do, so that you have more time to do the things you want to do. Having a to-do list makes it easy for you to see what you have right now, and what actions are up next. Todoist is a great app for this. It’s available on all platforms: iOS, Android, Windows, and Chrome. Todoist Start by listing down tasks in your Inbox. As your task list grows, you might start to see some tasks are related to each other. Create projects in Todoist to group these tasks and sort them. Some tasks are more complicated than other tasks. You can break down these tasks into a series of sub-tasks, allowing you to focus on tackling one thing at a time in pursuit of a larger goal. Remember, to eat an elephant, you need to take one bite at a time. Todoist Also, just like Google Calendar, Todoist accepts natural language input; set tasks to recur daily, monthly, every two weeks, or even something complicated such as “ Every third Saturday of the month “. Todoist will understand you. See here for the complete guide. Todoist is free to use, but with a small subscription fee, premium features such as location-based reminders, file attachments, and tagging are unlocked. The modern smartphone is a great tool for self-improvement, organization, and productivity. In such a small device, you can read books, take notes, and stay on top of your work any time, any day. As nurses’ work become more and more complex, we need better tools to help us keep track of daily life. Hopefully you have gained insight into using this great tool, and help you take on challenges that will advance your career as a nurse. Head over to MIMS Career and discover our wide range of nurse jobs. All of our pages are mobile-responsive; browse jobs, sign up, and apply are all doable on your smartphone. Make your next career move, with MIMS Career . Our Most Popular Articles Think About These 5 Things Before You Decide On A Specialization 5 Things Nurses Need To Know To Be Paid More 10 Ways Malaysian Nurses Can Increase Their Income

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