Registered Nurse (RN), Cardiac Rehab, per diem
HealthAlliance Hospital - Leominster, MA

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GENERAL SUMMARY:

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.
  • 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.
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.
  • 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.
Collaboration:
  • 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.
Climate: Influences others by establishing a climate for optimal patient care, mutually supportive collegial relationships and professional development.
  • 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 specific to this position:
  • 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 duties for all positions:
  • 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 REQUIREMENTS :

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.
EDUCATION:
  • 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)
EXPERIENCE:
  • 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.
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 .

LICENSES, CERTIFICATIONS ETC.:
  • 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.
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