RN - Telemetry

SHIFT: DAYS 7A-7P



Summary:



The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.



Responsibilities:



Consistent with the ANA Product and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.

Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.

Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.

Documents patient history, symptoms, medication, and care given.

Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.





CORE COMPETENCIES



Standard I: Utilizes the Nursing Process



Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families

Communicates findings to appropriate healthcare team members

Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice

Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals

Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s)

Performs timely reassessment and documentation

Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population





Standard II. Patient Throughput & Patient Flow Process



Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow

Utilizes appropriate systems of communication and tools to facilitate the discharge process

Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy





Standard III. Unit Operations



Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift

Demonstrates good stewardship in proper use and maintenance of equipment and Supplies

Assesses departmental staffing needs; actively participates in resourcing efforts.

Educates and trains others on the operations, ethics, and regulations within the industry





Standard IV. Safe Practice/Quality Care/Regulations



Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes

Demonstrates accountability for nursing research and quality improvement activities

Provides evidence-based nursing care

Communicates patient information effectively across the continuum of care

Educates and trains others on the operations, ethics, and regulations within the industry

Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities





TECHNICAL COMPETENCIES



Clinical Policies and Standards



Follows a specific set of standards and associated clinical procedures

Analyzes policy and standards documentation and ensures organizational compliance

Provides feedback for improvement of procedures

Assists in the development and implementation of specific procedures

Works with control and monitoring mechanisms, tools and techniques





Health Information Documentation



Shares experiences with maintaining paper and electronic patient documentation

Walk through the steps and procedures for receiving, validating and updating patient records

Describes the flow of information between various stations or units

Discusses the functions, features and document flow of electronic documentation

Transcribes verbal orders; explains techniques for ensuring their accuracy

Explains health information documentation best practices and their rationale across health care practices





Medical Equipment



Describes experience with basic medical equipment used in own unit or facility

Uses standard diagnostic tools and techniques to resolves common equipment problems

Educates patients about the appropriate use of home medical equipment

Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety

Inspects, troubleshoots and evaluates incoming equipment





Medical Order Processing



Shares experiences with processing medical orders for one or more groups of patients or conditions

Describes functions and features of the system used to enter, validate, update and forward medical orders

Discusses common errors, their sources and procedures for correcting

Explains considerations for entering and following standing orders

Differentiates between standing orders and preprinted orders and considerations for each





Patient Chart Reading and Interpretation



Describes experiences in reading and interpreting patient charts for patients on unit and under own care

Reviews patients charts for completion and accuracy; identifies and alerts to mistakes or omissions

Recognizes unexpected readings and alerts nursing or medical staff

Relates examples of mis-readings or misinterpretations and lessons learned

Reviews, discusses and validates own interpretation with others





Patient Safety



Shares experiences with ensuring safety for one or more patient groups or settings

Explains key features of safety guidelines and procedures for those groups and settings

Listens and responds to safety inquiries from patients and family members

Recognizes and addresses physiological and psychological signs of problems

Describes considerations for patients who can cause to harm to self, versus harm to others

Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time





Job Requirements:



Education/Skills



Bachelor of Science Degree in Nursing, preferred

Experience



1 year of experience in the related nursing specialty preferred

Licenses, Registrations, or Certifications



BLS required

RN License in state of employment or compact





Work Schedule:



7:00AM-7:00PM