RN - Urgent Care
Location: Omaha Nebraska
Description: Children's Hospital & Medical Center is employing RN - Urgent Care right now, this position will be placed in Nebraska. For complete informations about this position opportunity please give attention to these descriptions. To prescribe, delegate, and coordinate professional nursing care to pediatric patients through the use of the nursing process and in accordance with hospital policies and procedures.
Essential Functions/Competencies
% of Time
20%
Assesses and prioritizes patient care. Communicates with Physician regarding changes in patient condition.
Facilitates patient flow by continually assessing patient volume and acuity.
Assesses urgency of patient/parent communications and relays information to appropriate person(s) inan appropriate time frame.
Reassesses as changes in patient status occurs.
20%
Performs initial patient/family assessment as outlined in specific standards in an appropriate time frame and documents
Collects and documents data related to patient’s physical, mental, developmental, emotional, and social conditions.
Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge, or growth and development, and understanding of the range of treatment needed by this ! patient.
Assesses patient/family need for education a! s well as considers the most appropriate cognitive, cultural and developmental manner for presentation.
Assesses family expectations for and involvement in the assessment and continuous care or treatment of the patient.
20%
Implements nursing care activities according to patient needs and physician direction in order to facilitate improvement in patient(s) condition. Nursing care will be given in accordance with established policies and procedures.
Demonstrates knowledge of appropriate care for infant, toddler, preschool, school age and adolescent patients.
Provides care in accordance with standards, hospital policies and procedures
Maintains work area in a clean and orderly fashion in order to comply with infection control regulations, and to present a professional environment to patients and families.
Follows up on tests, x-rays, labs, etc. thoroughly and within the established time frames, and documents follo! w up.
Provides cares in accordance of physicians orders and carries out these cares and treatment according to hospital policies and procedures.
Reviews procedural information with patient/family to alleviate apprehension and elicit cooperation during exam.
Accepts assignment to mentor student observation experience in unit.
Accepts assignments to share/teach knowledge and provide clinical support as a preceptor for new staff.
20%
Provides at home instructions according to Physician’s order at time of discharge.
Provides patient/family education according to the child’s development level and identified needs.
Considers cultural, cognitive, emotional, and social influences on the patient/family’s ability and readiness to learn. Documents understanding of topics taught.
Reviews written discharge instructions with parent/family, answering all questions and noting understanding of instruction! s.
10%
Performs routine lab tests as requested by the! Physician to facilitate diagnosis in accordance with hospital policy and procedure manual. Collects specimens and operates laboratory equipment in accordance with established policy to performs procedure requested.
Regular attendance at work is an essential function of the job.
Perform physical requirements as described in the Physical Requirements section
SECONDARY FUNCTIONS/COMPETENCIES
10%
Performs other related duties as assigned.
Performs a variety of clerical tasks to ensure continuity of patient’s exams by obtaining registration information and completing patient charts according to established procedures.
Provides non-technical assistance during radiology exams, ensuring quality care, in a timely fashion, by assisting in immobilizing and positioning patient during the exam.
Accepts and completes other assigned tasks in a professional manner.
100%
JOB STANDARDS
Achie! ves department/organization Outcomes
All
Patient/Customer Satisfaction
Interacts with patients/families/customers and utilizes feedback to improve and reinforce satisfaction
Meets department/organization satisfaction goals
Financial
Identifies and implements systems and processes to improve efficiency and reduce expenses that do not compromise quality of services/mission.
Meets department/organization financial goals
Quality
Utilizes performance measurement to improve patient/customer outcomes
Meets department/organization quality goals
Dept.
Specific
Patient/Customer Satisfaction
I will work to impact each patient experience by making a real connection with both the patient and family through eye contact, active listening and communication from the heart; introducing myself to each child and family member at each encounter, smiling and making them f! eel welcome, as if they were in my home.
I will not assume tha! t everyone knows what I’m thinking or doing or why; I will explain delays, procedures, and expectations after patient returns home.
I will ask for clarification from fellow staff, families and physicians as well as ask for feedback from these same groups to be certain my communication is clear. I expect that families may not hear all that I say during times of great stress. I will paraphrase and have written communication that is clear and easy to understand.
I will wear my ID badge above my waist and introduce myself to everyone.
Assesses parent/patient questions and concerns and develops a plan to address needs. Communicates information to appropriate person(s) in appropriate time frames to meet parent/patient questions, concerns, and/or expectations. (Validation through feedback from supervisors, peers, personal knowledge, or family interview regarding the nurse’s work performance.)
Initiates patient/parent concern reports, as appr! opriate, when issues arise.
Incorporates key concepts into communication with parents:
Introduces oneself by name to all patients, families, and parents.
Explains purpose of activity before touches the patient.
Before leaving the room asks, “Is there anything else that can be done?â€
Financial
Follows policy for capturing patient charges.
Participates in unit specific cost saving activities.
Quality
Takes personal responsibility to adhere to department/organization policies and procedures, compliance and regulatory agency requirements
All
Understands and performs role in emergency situations (i.e. disruptive individuals, internal/ external disaster, CPR, Code Adam)
Understands and practices regulatory agency standards and department/organization policies/procedures including: Joint Commission, OSHA, HIPAA, Infection Control, Environment of Care, National Patient ! Safety Goals
Addresses non-compliance with department/organiza! tion standards
Meets mandatory department/organization job requirements within established time frames (i.e. physicals, annual mandatory reviews, participates and physically attends 75% of required staff meetings, licensure/certification, CPR for direct care providers)
Dept.
Specific
Operationalizes the fundamental values of nursing as defined in the nine ANA Code of Ethics into daily practice and teaching activities at Children’s including:
1-3
: Establishing professional relationships with compassion and respect for human dignity, worth, and uniqueness of individuals, while demonstrating a primary commitment to the patient in advocating for patient privacy, health, safety and rights.
4-6
: Identifying the boundaries of the profession by accepting responsibility and account-ability for own actions, delegating tasks appropriately to optimize patient care. Maintenance of competence with continued pursu! it of activities for personal/ professional growth. Influencing the patient care/work environment with the values of nursing to promote respectful interactions, the promotion of safe practices, and creating a care setting that expects high quality, compassionate nursing care.
7-9
: Collaborates with all disciplines/the community in promoting nursing excellence in meeting health care. Seeks opportunities beyond patient care to advance profession by involve-ment in developing, maintaining, implementing professional standards through practice/ education, i.e. involvement with internship/ preceptor programs, committees, awareness of broader health care issues such as JCAHO National Patient Safety Goals, integrating nursing values into daily practice (articulates and practices).
Incorporates unit specific scope of service into daily practice.
Delegates and oversees tasks as needed to achieve optimal, timely, safe patient care.
Updates! care practices in response to changes discussed in newsletters, self s! tudies, staff meetings, or other educational offerings.
Participation in mandatory in-services and continuing education programs as mandated by policies and procedures, external agencies, and as directed by supervisor.
Keeps up to date regarding developments and trends in pediatric nursing procedures as necessary to maintain license through appropriate journals, conferences, and in-services.
Attends departmental meeti
Professionally seeks opportunities to help teammates during shift as needed.
Completes all mandatory education and assignments within the established time frame (i.e., Mock Codes, Crash Cart Checks, Annual Mandatory Review, and others as assigned).
PALS. Obtains PALS certification within 6 months of completion of orientation. Maintains PALS certification every 2 years.
BLS
ENPC â€" Recommended.
Completes Non-Violent Crisis Intervention Training and recertifies every 2 years.
Supports a work environment that focuses on staff, customer, patient/families through safe practices and effective communication.
All
Demonstrates and supports staff/visitor/patient/vendor identification policy
Utilizes variance reporting system to enhance safety and identify changes for best practice
Protects Patient Privacy
Incorporates department/organization communication into work practices
Dept.
Specific
Demonstrates personal ownership of the unit scheduling process, individual contribution, and staffing needs.
Communicates plan of care to the patient/family.
Communicates comprehensive picture of patient health concerns when reporting issues to physician/LIP.
Facilitates written medical orders vs. verbal orders when appropriate.
Ensures that emergency equipment is present and verified on admission and at the start of each shift, by completing unit specific s! afety checks.
Utilizes policies/procedures, resources, and nur! sing practice to ensure safe medication delivery practice.
Utilizes processes and systems to ensure delivery of safe patient care.
RN incorporates Joint Commission National Patient Safety Goals into patient care practices.
Supports Shared Governance philosophy within and between units.
Shares suggestions with peers and management for unit improvement.
Maintains charts in a confidential manner.
Provides a pleasant and welcoming appearance and environment to our patients, families, visitors and peers.
BEHAVIORS
Excellence in Service to Children, Families, Colleagues and Other Customers
Anticipates customer needs, understands their expectations and responds appropriately.
Respect for Human Dignity
Treats others with compassion, fairness, courtesy and respect while honoring their uniqueness.
Cooperative Work Relationships
Willingly works with others to identify a! nd achieve common goals.
Positive Attitudes and Behaviors
Enthusiastically approaches their role and displays pride in the organization
Honesty and Integrity
Takes personal responsibility for doing the right thing.
Wise Use of Resources
Optimizes the talents of self and others and the use of time, materials and equipment.
KNOWLEDGE, SKILLS AND ABILITIES:
Ability to work with minimal supervision.
Ability to prioritize.
Ability to work in a team environment.
Ability to pay close attention to detail.
Ability to provide a pleasant and welcoming appearance to all with which you come in contact.
Skill in performing blood collection in pediatric patients.
Knowledge of interpersonal skills.
Ability to communicate effectively with all age groups-patients, families, and peers.
Completion of formal orientation.
Ability to delegate, ! and direct tasks and activities as needed.
EDUCATION AND EX! PERIENCE:
Bachelor’s degree from an accredited college or university in nursing required
Minimum 2 years’ experience in nursing required
Experience with pediatric patients preferred.
Previous experience with EPIC preferred.
CERTIFICATIONS/LICENSURE REQUIREMENTS:
Current and valid Pediatric Advanced Life Support (PALS) certification preferred, within 6 months of hire.
Current and valid Basic Life Support (BLS) certification required.
Current and valid Nebraska RN license/RN Compact license required.
Current and valid Emergency Nurse Provider certification (ENPC) preferred.
SPECIAL REQUIREMENTS:
REQUIRED TRAINING & EMPLOYEE HEALTH REQUIREMENTS
Annual Physical
Annual Mandatory Review
Hepatitis B
TB Mask Fit
PHYSICAL REQUIREMENTS/WORKING CONDITIONS:
Physical Requirements
N/A
Less than 10%
11%! to 49%
Greater than 50%
Work Environment
N/A
Less than 10%
11% to 49%
Greater than 50%
Stand
X
Blood and body fluid exposure*
X
Walk
X
Sharps, needles, etc.
X
Sit
X
Wet, humid conditions (non-weather)
X
Talk or hear
X
Work near moving mechanical parts
X
Displays manual dexterity
X
Fumes or airborne particles
X
Climb or balance
X
Toxic or caustic chemicals
X
Stoop, kneel, crouch or crawl
X
Outdoor weather conditions
X
Reach with hands and arms
X
Extreme cold (non-weather)
X
Taste or smell
X
Extreme hot (non-weather)
X
Lifting/pulling/pushing
X
Risk of electrical shock
! X
Visual: Looking at computer screen
X
X
Other:
Risk of radiation
X
Weight Demands:
Vibration
X
Up to 10 lbs.
X
Loud noise
X
Up to 20 lbs.
X
Quiet environment
X
Up to 40 lbs.
X
Environmental noise
X
Up to 100 lbs.
X
Other:
More than 100 pounds
X
- .
If you were eligible to this position, please email us your resume, with salary requirements and a resume to Children's Hospital & Medical Center.
If you interested on this position just click on the Apply button, you will be redirected to the official website
This position starts available on: Fri, 14 Jun 2013 00:54:43 GMT