• Develops exercise prescriptions and individualized treatment plans based on patient assessment, industry standards and department policy. 
• Modifies/adjusts exercise prescription and treatment plan based on patient response to exercise and patient reassessment.
• Participates in the assessment, monitoring, documentation and communication of patients' response to exercise/treatment.
• Acts as case manager for patients which includes patient intakes, development of Individual Treatment Plans and updates per regulations. 
• Performs clerical duties related to data entry and maintenance of patient records following department guidelines.
• Provides education to patients and families, either through one-on-one interaction or a group setting, on topics related to heart health, pulmonary health, healthy living and behavior modification.
• Responsible for sharing the workload of the department which includes daily opening/closing tasks, setting up exercise/education sessions, and cleaning equipment
• Serves as a preceptor in the training of new staff.
• Contributes to the department and institution by demonstrating teamwork and a willingness to perform other related duties by management.
• Deliver individualized exercise programs to GenesisCare patients, assisting them to engage in exercise during treatment and beyond.
• Demonstrate an empathetic understanding regarding the benefits of and potential barriers to exercise during and after cancer treatment.

Skills: Exercise Prescription, Patient Monitoring, Case Management, Clinical Documentation, Patient Education, Team Collaboration, Staff Training, Empathy in Care

• Collaborates with physicians and nursing staff to identify patients requiring mobilization plans of care
• Collaborates with nursing to develop and implement individualized mobilization plans of care for patient
• Collaborates with nursing to evaluate the effectiveness of the plan of care in achieving desired outcomes and revises plan of care
• Interdepartmental liaison between the recovery room, intensive care areas and the floors to promote continuity of care and discharge planning
• Communicates treatment plan with collaborative team members – medical, nursing, PT, OT, SW, Case Manager
• Monitors patient for ECG changes, cardiac arrhythmias, blood pressure and symptoms before, during and after exercise
• Demonstrates quality & financial benefits of the program through reports on improved patient outcomes, length of stay, and cost per case for this patient population
• Validate staff understanding and adherence to patient safety standards while mobilizing patients
• Provides information and resource materials to new staff, which will contribute to early assimilation into the organization and the accomplishment of orientation outcomes in a timely manner
• Participates in product/equipment evaluations. 
• Provides staff education on new and existing products and equipment
• Contributes to the delivery of quality, cost-effective patient care through the development and implementation of staff development programs and self-directed learning activities designed to meet identified learning needs

Skills: Collaboration, Care Plan Development, Care Plan Evaluation, Interdepartmental Liaison, Treatment Plan Communication, Patient Monitoring, Staff Education, Program Evaluation

• Deliver individual and group Exercise Physiology sessions in line with best practice guidelines and business requirements
• Complete client health assessments and report writing Develop individualized exercise programs to specific clinical conditions and client needs
• Deliver Telehealth services
• Educate and advise clients on exercise guidelines and lifestyle modifications
• Support the delivery of Springs in school and sports pre-hab programs
• Collaborate with other allied health practitioners and sport and exercise professionals
• Keep up to date with evolving evidence-based research in the field
• Enhance professional development and to increase competency
• Conduct and support outcomes-oriented research and integrate findings into clinical practice, educational programs, and policy updates
• Leads and Participates in the Performance Enhancement program and other quality enhancement activities through monitoring and evaluating the outcomes of programs
• Promotes staff teamwork and cohesiveness
• Assists with procedure room turnover and prep. 
• Assists with procedure room stocking

Skills: Exercise Delivery, Health Assessment, Program Development, Telehealth Services, Client Education, Collaboration, Research Integration, Professional Development

• Demonstrates safe work practices and attitudes, follows safety rules, works to prevent unsafe conditions and behaviors and participates in organizational and departmental safety programs.
• Performs the stress testing portion of the exercise, including chemical and nuclear stress tests.
• The stress test portion of the exam includes initial patient assessment and clinical data review, reinforcement of patient teaching, patient set-up, IV site initiation, operating the stress test equipment and documenting patient test data.
• Alerts the assigned Cardiologist of any critical findings. 
• Communicated with the cardiologist and/or ordering physician about any stress test contraindications and make recommendations
• Review procedure findings with an assigned cardiologist to obtain approval and develop a stress test procedural report following departmental guidelines.
• Monitors stress test supply levels, maintains stress test equipment and troubleshoots machine malfunctions.
• Maintains familiarity with emergency equipment and protocols. 
• Assists with the maintenance and monitoring of emergency equipment.
• Participated in all aspects of the work environment, reflecting a positive and respectful attitude toward all customers.
• Maintains strict patient confidentiality.
• Continually identifies areas for growth including personal, professional, and clinical areas. 
• Seeks out opportunities provided through external sources to meet growth and development goals. 
• Maintains clinical knowledge base by attendance of internal and external inservices/seminars

Skills: Safety Practices, Stress Testing, Patient Assessment, Critical Findings Reporting, Test Equipment Operation, Equipment Maintenance, Emergency Protocols, Professional Development

• Review the test procedure with the patient, explaining in detail what they can expect prior to testing and obtain consent for testing
• Performs a physical assessment of the patient prior to the test including auscultation of lungs, heart and carotid arteries, check for edema and distal pulses of the extremities
• Place the EKG tabs on the patient for monitoring during the stress test
• Constantly monitors the EKG monitor for physiological or electrocardiographic changes, patient safety, test endurance
• Make critical decisions during a test, to determine when to inject, when to stop a test and when to continue
• Understand the significance of EKG’s and alert other team members to unexpected changes
• supports the multidisciplinary team by assuming EKG monitoring activity for patients
• documents activities/ and patient’s response to activities in the medical record
• Reports results of stress test including changes in heart rate, blood pressure, symptoms, exercise capacity and EKG changes in the EMR for physician review and final interpretation
• Responds to emergency situations to deliver appropriate care in the event of a code each nurse in the lab has a role and responsibility in assisting a patient in distress or under a “code blue”
• Reviews schedules daily, prepares charts for testing, ensures accurate orders are written and all directives are given to the patient
• Stocks the lab to ensure all products and safety equipment is in the correct location and on hand daily 

Skills: Patient Education, Physical Assessment, EKG Monitoring, Critical Decision Making, EKG Interpretation, Multidisciplinary Support, Documentation, Emergency Response

• Excellent communication skills, both verbal and written.
• Ability to demonstrate compassion when dealing with patients who are emotionally upset or in physical pain.
• Ability to operate various exercise and diagnostic equipment.
• Ability to analyze data.
• Ability to remain calm and professional in stressful situations.
• Able to be an effective, collaborative member of a team providing patient care.
• Ability to plan, prescribe, implement and evaluate exercise programs for Chronic Disease clients with a focus on clients with cardiac and respiratory disorders
• Ability to effectively prioritize and manage own time to meet and exceed customer expectations, with an enthusiastic, calm and flexible approach
• Communication, negotiation and consultative skills, with an ability to work effectively within a multidisciplinary health care team
• Ability to manage challenges constructively and positively
• Experience and commitment to identification, development and implementation of quality and service improvement activities to continually improve patient care outcomes
• Demonstrated data analysis skills including abilities to undertake outcome evaluation and translate this to service improvement.

Qualifications: BA in Exercise Science with 3 years of Experience

• Knowledge of cardiac monitor and arrhythmia detection
• Ability to recognize the needs and behaviors of a variety of age groups of patients treated, i.e., understand normal patterns of adult behavior and look for signs of normal aging prior experience with various age groups 
• Good communication skills.
• Familiarity with cardiac monitors.
• Ability to offer ideas and projects for department performance improvement.
• Communicates effectively and works well with other hospital staff and physicians.
• Ability to navigate between and around exercise equipment.
• Ability to respond to an emergency quickly.
• Ability to lift the weight of a patient and help transport and give CPR.
• Ability to hear patient response over noise of exercise equipment.
• Ability to identify arrhythmias per telemetry and intervene.
• Ability to offer ideas and projects for client motivation.

Qualifications: BS in Kinesiology with 4 years of Experience

• Personal Training certification from a nationally recognized, accredited organization (e.g. ACSM, NASM, NSCA etc.)
• Current certification in CPR/AED (hands-on program required) and First Aid 
• Group Exercise Primary certification from a nationally recognized organization (e.g. AFFA, ACE, IDEA) 
• Advanced fitness certification(s) (Special Populations, FMS, Exercise is Medicine, Corrective Specialist, etc.)
• Experience developing exercise prescriptions for high-risk, special populations and PT step-down clientele
• Ability to adapt the approach to meet the different needs of customers/stakeholders
• Experience in the unwavering level of service provided to all customers/ stakeholders
• Critical thinking skills, decisive judgment and the ability to work with minimal supervision.
• Able to work in a stressful environment and take appropriate action.
• Able to adapt to different room temperatures in exercise.
• Able to follow standard precautions using personal protective equipment

Qualifications: BA in Health and Fitness with 5 years of Experience

• Ability to perform blood pressures
• Knowledge of HIPPA, JCAHO standards
• Knowledge of cardiac anatomy, physiology and cardiovascular systems
• Knowledge of Universal precautions standards
• Knowledge of EKG pattern recognition
• Experience (ie: internship) in exercise prescription implementation and individualized exercise training in special populations
• Experience with measuring resting and exercising heart rate, blood pressure, oxygen saturation and subjective measures of intensity (ie: RPE, Dyspnea, etc)
• Ability to conduct a safe exercise training session, ensuring appropriate monitoring of physiological parameters and providing encouragement and support throughout a session
• Experience working with preschool and school-aged children
• Ability to work independently and as part of a team

Qualifications: BS in Exercise Physiology with 4 years of Experience

• Experience working in an aged care environment
• Great communication and customer service skills and the ability to get along easily with others
• Experience with Gym supervision
• Ability to organize and conduct health screening and functional assessments
• Computer Skills such as Microsoft Office and Outlook
• Knowledge of gym equipment
• Experience in exercise programming, stress reduction, and nutrition
• Experience in taking blood pressure, pulses, EKG interpretation, pulse oximetry, and/or oxygen administration
• Knowledge of exercise prescription, health behaviors, and safe cardiovascular training methods for the care setting.
• Proficient communication, organizational and computer skills
• Caring interpersonal skills
• Skills in assessing and managing common presenting issues

Qualifications: BA in Sports Medicine with 3 years of Experience