The RN enrolls, interrogates and programs patients with cardiac electronic devices in the in-patient and out-patient setting. Accurately identifies malfunctions, alerts, and sub-optimal device operations and follows appropriate protocols. Makes programming changes in collaboration with providers. The RN follows the nursing process in assessing symptomatic patients and providing follow-through as needed. Giving instructions, makes follow-up appointments or taking patients to the ED. Proficient in identifying cardiac rhythms, pacemaker electrograms and operating programmers. Performs incision/wound assessments on new device patients. Removes stiches/staples as appropriate. Triages patients for remote alert notifications. Maintains programs and documents data in device management systems. Ensuring the various programs are completed timely and accurately. Real-time oversight of patients, to track quality metrics and help improve quality. The RN responds to urgent/emergent clinical situations when interrogating patients in-clinic. Presentations to physicians and other stakeholders regarding quality of programs. Quality projects, in collaboration with the CV Admin team. The RN Conducts evaluation of patients who are being worked-up for SICD implant to assess their candidacy. Appropriately coordinate any additional testing and work-up needed prior to implant. Performs assessment of patients with CID to establish and evaluate thresholds, arrhythmias, histograms and implement any changes and evaluate individualized care needed in outpatient setting. Provides timely and appropriate clinical advice and interventions through direct patient contact as well as telephone contact. Arranges all appropriate medical therapy and testing under the guidance of MD/APPs. Reviews and evaluates medication according to their abnormal rhythm episodes and notifies the MD/APP of abnormalities. Appropriately documents findings and interventions in the patient's medical record. Participate in assessment of CID replacement or device malfunctions including final testing/assessment prior to procedure. Ensure the patient’s home monitor is functioning and able to provide egms and data for documentation to providers. Ensure patient understands to call us with any new arrhythmias, shocks, change in the appearance of their site.