The growing prevalence of cardiac conditions and the widespread adoption of remote care technologies have revolutionized how healthcare providers monitor and manage patients with cardiovascular devices. Remote Cardiac Monitoring has become a critical component of patient care, especially for clinics managing patients with Cardiac Implantable Electronic Devices (CIEDs). As clinics face staffing challenges, innovative solutions such as enhanced remote nursing support are essential to ensuring comprehensive, high-quality care.
The U.S. is projected to have 193,100 RN job openings annually through 2032, driven by retirements and increased demand. A shortfall of 78,610 full-time RNs is expected in 2025, with a projected 63,720 RN shortage by 2030. Nearly 50% of the RN workforce is over age 50, indicating a wave of upcoming retirements.
The nursing shortage affects all healthcare settings, including outpatient clinics, primary care offices, and specialty practices. Many outpatient clinics report difficulty recruiting and retaining RNs, especially in rural and underserved areas. Outpatient settings are particularly vulnerable because they often:
New nursing models are incorporating virtual or remote nursing, acute care telenursing, and an expanded nursing education team into the traditional nursing practice model.
Remote monitoring of CIEDs, including pacemakers, defibrillators, and loop recorders, offers unparalleled benefits. It enables clinicians to monitor patients’ cardiac health in near real-time, identify potential issues promptly, and take proactive measures to improve outcomes. However, the successful implementation of remote monitoring requires not only expert clinical specialists to process CIED transmissions but also comprehensive nursing support to manage patient interactions and documentation.
Recent expert consensus statements provide clear guidance on staffing for remote monitoring of patients with Cardiac Implantable Electronic Devices (CIEDs), including recommendations for staffing remote CIED monitoring programs.
The Heart Rhythm Society (HRS) and other global electrophysiology societies emphasize a multidisciplinary team approach, responsible for workflow development, patient education, alert management, and documentation. Despite remote monitoring being the standard of care, uptake and service quality vary widely. Staffing shortages and lack of structured workflows are major barriers to consistent, high-quality remote monitoring.
To address the growing complexity of cardiac device management and alleviate staffing challenges, Cardiac RMS has introduced expanded Remote Cardiac Device Nursing Services. This solution bridges the gap and is designed to integrate seamlessly with a clinic’s existing team, offering expert and dedicated nursing care comparable to an in-office experience.
With the enhanced service, a dedicated licensed registered nurse (RN) is assigned to your clinic, delivering comprehensive care tailored to the specific needs of your CIED patients. Some key services provided by the remote nurse include:
This service ensures a smooth workflow for clinics, allowing providers to focus on clinical decisions while the remote nursing team handles essential support functions.
Cardiac RMS recognizes that clinics have unique needs. To accommodate these requirements, remote nursing support is available in four distinct service tiers:
*EHR access is required for services involving detailed patient management.
Remote Cardiac Monitoring, combined with Cardiac RMS’ enhanced Remote Cardiac Device Nursing Support, offers a robust solution for cardiac clinics seeking to optimize patient care and address staffing challenges. With dedicated RNs delivering expert support across customizable service tiers, clinics can ensure their patients receive comprehensive, high-quality care, regardless of in-office constraints.
By adopting this innovative approach, healthcare providers can enhance their operational efficiency, improve patient outcomes, and maintain a competitive edge in the evolving landscape of cardiac care.
[1] 2023 HRS/EHRA/APHRS/LAHRS Expert Consensus Statement on Practical Management of the Remote Device Clinic. Heart Rhythm Society (HRS), in collaboration with EHRA, APHRS, and LAHRS. May 19, 2023.
[2] U.S. Bureau of Labor Statistics (BLS). Occupational Outlook Handbook: Registered Nurses. Updated 2024 for 2022–2032 projections.
Copyright © 2025 Cardiac RMS. All rights reserved.
Visually impaired? Contact us at 844-GET-CRMS for assistance.
Cardiac RMS LLC is a clinical service partner with expertise in remote monitoring of patients who have a cardiac pacemaker, implantable cardiac defibrillator, implantable heart failure device, or implantable loop recorder. Services also include Virtual Care Management, utilizing Remote Physiologic Monitoring (RPM) and care management to remotely support the treatment of patients with chronic conditions.