The Registered Nurse-per diem is responsible for the planning, delivery and management of direct patient care using the nursing process and adhering to the standards of nursing practice within a specific unit or clinical area. Role will integrate the components of clinician and teacher.
PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS:
Nursing Process: Utilizes the nursing process for the delivery and management of patient’s care.
Clinical Practice: Demonstrates/applies the skill and judgment necessary to implement the medical/nursing plan of care, nursing interventions and procedures necessary for the care of the patient.
- Maintains assignment of patients and caseload according to unit guidelines and established standards of practice.
- Uses positive customer service skills when communicating with patient and patient’s family.
- Utilizes the nursing process for the delivery and management of the patient’s care.
- Utilizes clinical reasoning and critical thinking.
- Involves patient, family/significant others and other disciplines in decision making related to the patient’s plan of care.
- Serves as a patient and family advocate.
- Implements interventions consistent with hospital standards of practice and prescribed medical plan of care and evidence based practice .
- Documents the patient assessment, plan of care, and response to intervention. Meets all unit documentation standards.
- Communicates and coordinates the patient’s plan of care to ensure continuity of care.
- Maintains competency in management of clinical emergencies.
- Provides complete communications in SBAR format (Situation, background, assessment, recommendations) to relieving staff members and demonstrates advanced planning for the patient.
- Navigates through the critical elements of the patient medical record software and HealthAlliance Intranet.
- Bases clinical practice on evidence, unit guidelines, and professional standards to improve the quality of care and to guide clinical judgments.
- Demonstrates essential knowledge of pharmacology/medications in administering drugs and monitoring the patient’s response.
- Maintains competency with technology and equipment. Utilizes equipment in a safe manner.
- Uses appropriate infection control and safety practices in all duties.
- Acts as a charge nurse as requested by the nursing management team.
Climate: Influences others by establishing a climate for optimal patient care, mutually supportive collegial relationships and professional development.
- Delegates responsibilities to others according to Massachusetts general laws and practice guidelines with an understanding of their roles, knowledge and capabilities.
- Facilitates cooperative and collaborative relationships among the various disciplines and departments to ensure effective quality patient care.
- Works weekends, holidays and off-shifts as required by unit staffing needs.
Job duties specific to this position:
- Holds self accountable for professional practice.
- Presents self in a calm and professional manner and effectively verbalizes relevant problems during daily interactions, and/or staff meetings.
- Interacts and copes effectively with diverse populations in stressful situations resulting from trauma and illness.
- Participates in performance improvement activities utilizing principles to support and improve patient care.
- Demonstrates knowledge of unit goals and is active in committees and projects to achieve these goals.
- Attends and actively participates in staff meetings. Accepts responsibility for reading staff meeting minutes when not able to attend.
- Keeps current with literature regarding changing practices, interventions and best practices in patient care.
- Assumes responsibility for seeking out educational and professional opportunities for personal learning needs and growth.
- Assumes responsibility for meeting mandatory education requirements and unit specific education and competencies.
- Acts as a preceptor as requested.
Job duties for all positions:
- Demonstrates ability to communicate effectively with rehab team members about individual patient findings or concerns and about program improvement issues.
- Demonstrates a willingness to strive toward proficiency in the core competencies.
- Demonstrates the interpersonal and observational skills needed to effectively identify appropriate psychosocial adaptation to illness and/or the presence of psychopathology (e.g., depression, anger, excessive anxiety, coronary prone behavior, etc.).
- Assesses patients’ risk factors that are modifiable and demonstrates ability to offer support and strategies to aid patient in successful therapeutic lifestyle changes (TLC).
- Understands and utilizes contemporary theories of health behavior change in helping participants identify learning and lifestyle modification goals.
- Participates in the program’s educational efforts.
- Effectively applies knowledge of exercise science to a population with cardiovascular disease and other potential co-morbidities.
- Adjusts individual exercise prescription in accordance with daily patient response in rehab, and physician recommendations.
- Supervises exercise session, monitoring participants for inappropriate responses to exercise.
- Responsible for blood pressure measurement and observation of telemetry response.
- Assesses participants pre, during and post exercise making appropriate referrals and/or recommendations to the participant, other staff, and Medical Director.
- Charts and documents initial and daily assessment data in participant records.
- Immediately reports any new, changing and/or significant participant conditions (dysrhythmias, abnormal blood pressure responses, change in participants’ status, etc.) to the physician supervising the program.
- Initiates ACLS measures and/or emergency care according to hospital policy.
- Participates in emergency drills and mock codes based upon work schedule.
JOB REQUIREMENTS :
- The individual must support the mission, vision, and goals of HealthAlliance Hospitals and serve as a role model for the CARES- It Happens Here customer service initiative.
- Demonstrates excellent work attendance and attends and actively participates in a variety of meetings and training sessions as required.
- Demonstrates a friendly, responsive, service-minded attitude to all customers.
- Communicates ideas effectively. Shares information and keeps others properly informed. Gives, and is open to useful feedback.
- Adheres to the HealthAlliance Hospital Code of Conduct and Behavior Standards. Complies with established policies and procedures and all health and safety requirements.
- Maintains, and fosters, a clean, safe work environment.
- Actively contributes to the development and application of process improvements.
- Maintains a collaborative, team relationship with peers and colleagues in order to effectively contribute to the group’s achievement of goals and to help foster a positive work environment.
- Demonstrates respect for the diversity of patient and employee populations. Supports and encourages diverse points of view, work and lifestyles.
- Practices cost containment and fiscal responsibility through the efficient use of supplies, equipment, time, etc.
- Performs a variety of related duties as assigned.
JOB KNOWLEDGE AND SKILLS:
- Ability to perform roles of clinician and teacher.
- Ability to provide care for a designated group of patients according to the unit guidelines and hospital policies, procedures and protocols.
- Knowledge of exercise physiology, nutrition, risk factor modification strategies, counseling techniques and uses of education program and technologies as applied to cardiovascular rehabilitation and secondary prevention services.
- Commitment to a healthy lifestyle as a model for participants and staff.
- Ability to follow policies and procedures.
- Desire to work within a comprehensive health care team.
- Ability to read, write and speak clearly in English.
- Must be a graduate of a recognized school of Nursing
- A Bachelor’s degree (BSN) in Nursing is required. (See licenses, certifications for more information)
An equivalent combination of education and experience, which provides proficiency in the areas of responsibility listed above, may be substituted for the above education and experience requirements .
- 2-3 years of Nursing experience preferred.
- A minimum of 2 years of ICU/ progressive care experience preferred.
- Basic coronary care- arrhythmia and 12 level ECG interpretation required.
- Cardiac rehabilitation experience within the past 2 years, preferred.
LICENSES, CERTIFICATIONS ETC.:
Apply for this job:
- Must have a current Massachusetts Registered Nurse License.
- Specialized degree, education and/or certification in cardiovascular rehabilitation and secondary prevention.
- Current CPR and ACLS certification.
- Apply for this job online
- Refer a friend to this job
HealthAlliance Hospital - 20 months ago