Transport RN - Ambulance
Location: Omaha Nebraska
Description: Children's Hospital & Medical Center is presently looking of Transport RN - Ambulance right now, this career will be placed in Nebraska. More details about this career opportunity please give attention to these descriptions. Coordinates professional nursing and individualized, family centered care to NICU/PICU/ECMO/ED pediatric patients/families, as well as to critically ill patients during trans! port, through the use of the nursing process and clinical skills in accordance with standards and hospital policies and procedures. Varied schedules to include weekend and holiday patterns.
Essential Functions/Competencies
% of Time
23%
Conducts individualized age-specific patient/family assessments according to defined unit scope and nursing practice standards, appropriate collaborative problems (CPG’s)/nursing diagnoses (ND’s), or protocols. (Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.)
Admission Assessment
:
Collects and documents data related to patient’s individualized care.
Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understandin! g of the range of treatment needed by these patients.
! Assesses patient/family need for education and uses an individualized approach in delivery style.
Assesses family expectations for, and involvement in the assessment and continuous care or treatment of the patient.
Identifies nursing diagnoses, collaborative problems, and/or protocols for each patient, based on assessment, at the time of admission.
Assess and interprets patient data upon arrival at the referring hospital.
Shift Assessment/Reassessment
:
Performs reassessment based on unit standards, CPG’s/ND’s, protocols and changes in patient condition. Communicates changes to appropriate persons (MD, CNC, family) as indicated.
Performs reassessments on transports after interventions and as needed. Communicates changes to transport NP or medical control physician.
24%
Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified! needs. (Plan of Care includes current and anticipated actions focused on care, education, discharge needs.)
Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient, including collaboration with the family and the healthcare team.
Utilizes individualized assessment data to develop the patient/family’s plan of care.
Formulates goals and outcomes based on assessment data.
Revises plan of care based on patient’s condition, interdisciplinary input, and family needs.
Demonstrates ability to prioritize patient interventions based on assessments/reassessments. Uses available child care partners to support patient care needs as appropriate.
While on transport, develops and initiates a plan of care incorporating current and potential problems requiring intervention, expected response and the medical plan of care in collaboration with the transport NP and the medical con! trol physician. Communicates the plan to the receiving charge nurse pri! or to arrival at Children’s Hospital or receiving facility.
24%
Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs.
Oversees that the nursing and interdisciplinary plan of care/goals are coordinated, implemented, evaluated, and revised as needed. Identifies the need for interdisciplinary involvement/outside resources and follows through. Uses appropriate resources (CNC, CNS/Educator, PCM, MD, etc) to ensure that clinical outcomes are achieved.
Incorporates critical thinking into the delivery of clinical skills and in analyzing patient response to orders, tests, labs, medications, and treatments.
Demonstrates clinical competence in administering interventions according to identified standards and age specific needs.
Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering! assessment of patient/family’s readiness to learn.
During the transport process, prioritizes and organizes care based on patient acuity, time limitations and consultation with transport NP and medical control physician. Initiates action to prevent current or potential risk to a patient in an emergency situation
24%
Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures.
Entries in the medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility).
Documentation is completed within established timeframes including, but not limited to: Admission Assessment form, daily Patient Flowsheet, Peripheral IV Flowsheet, Family Education Record, and Interdisciplinary Goals.
Reviews and updates computerized careplan to accurately reflect the plan of care.
Completes c! omputerized documentation within established timeframes, including, but! not limited to: Medication Administration Record, Allergies, Patient Information, etc.
Completes and verifies accurate order entry in the computerized careplan.
Ensures that discharge instructions clearly state patient care needs after discharge.
Uses the Infant Transport Record to document all assessments, interventions, and demographic data related to the transport process.
23%
Demonstrates responsiveness to the organizational functions of the transport process.
Response Times are within 10 minutes when on primary call to the ambulance bay. Response times are 30 minutes when on back-up call to the hospital.
Complies with ambulance operation safety in accordance with current guidelines.
Check, cleans, and stocks transport packs, transport equipment and ensures equipment is functioning.
Maintains all transport equipment in a state of constant readiness by checking all equipment at the beginnin! g of each shift, noting any discrepancy and make or arrange for the repair.
Cleans equipment and restocks packs after a transport in a timely manner.
Demonstrates knowledge of transport equipment location, function and restocking procedures. Demonstrates the ability to troubleshoot all equipment and ensures that all malfunctions are promptly reported.
Completes weekly, daily and ongoing equipment checklists.
Follows up on progress of transported patients and communicate appropriate information to the referring hospital staff.
Regular attendance at work is an essential function of the job.
Perform physical requirements as described in the Physical Requirements section
SECONDARY FUNCTIONS/COMPETENCIES
5%
Performs other duties as assigned
Equally committed to patient care units, utilizing clinical skill sets and appropriate resources, delegating when appropriate. Professionally supports t! he assigned unit, as seen through interactions with patients, families,! area staff, colleagues and others.
Accepts assignment to mentor student nurse observation experience in unit.
Accepts assignments to share/teach knowledge and provide clinical support as a relief preceptor for new staff.
Professionally seeks opportunities to help teammates during shift as needed.
Accepts and completes other assigned tasks in a professional manner.
If designated compensated preceptor, add competencies Addendum B.
100%
JOB STANDARDS
Achieves 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/org! anization financial goals
Quality
Utilizes performance measurement to improve patient/customer outcomes
Meets department/organization quality goals
Dept.
Specific
Patient/Customer Satisfaction
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 appropriate, when issues arise.
Incorporates key concepts into communication with parents at Children’s and with staff/families at referring hospitals:
Introduces self to parent/patient/ staff when enters room.
Explains purpose of activity before touches the patient.
Before l! eaves the room, asks “Is there anything else that I can do for you?â€!
Explains changes in patient care to referring hospital staff.
Financial
Follows policy for capturing patient charges (stickers on charge sheets).
Participates in unit specific cost saving activities.
Quality
Participates in regular unit specific chart audits to validate practice.
Provides input into opportunities for system improvements.
Describe active unit specific performance improvement projects
PICU: Completes PRISM form accurately and in a timely manner.
NICU: Completes all steps of ordered TIPS referral in a timely manner before infant discharge.
Transport:
When assigned as the free transport nurse will check in with the NICU, ED and the PICU CNC staff to see what needs exist.
Maintain a positive attitude with changing assignments throughout shift.
Submits agenda items to the Transport Coordinator for transport meetings and/o! r initiates discussion regarding transport issues
Actively participates with transport program goal setting and offers suggestions for activities to ensure goal attainment
Documents quality and effectiveness of nursing practice by submitting the following with the annual performance evaluation:
Two Transport Records including assessment, planning, implementation and evaluation
Actively participates and assists in the development of Outreach Education and Public Relations as a Transport Nurse representative of Children’s Hospital
Introduces self to parents when arrive at referring hospital to pick up patient for transport.
Involve family in the plan of care and communicates transport plan of care to the family before leaving referring hospital.
Takes personal responsibility to adhere to department/organization policies and procedures, compliance and regulatory agency requirements
All
Understan! ds and performs role in emergency situations (i.e. disruptive individua! ls, 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/organization 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
Incorporates unit specific scope of service into daily practice.
Updates care practices in response to changes discussed in shift report, newsletters, self studies, staff meetings, or other educational offerings.
PICU: Obtains PALS certification within 6 months of completion of orientation. Maintains PALS certi! fication every 2 years.
NICU: Obtains NRP certification before phase 2 orientation. Maintains NRP certification every 2 years.
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 the 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 accountability for own actions, delegating tasks appropriately to optimize patient care. Maintenance of competence with continued pursuit of activities for personal/professional growth. Influencing the patient care/work environment with the values of nursing to promote respectful interactions, the promoti! on of safe practices, and creating a care setting that expects high qua! lity, 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 involvement in developing, maintaining, implementing professional standards through practice/education i.e. involvement with internship/preceptor programs, committees, awareness of broader heathcare issues such as JCAHO National Patient Safety Goals, integrating nursing values into daily practice (articulates and practices)
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/on-call process, individual contribution, and staffing needs.
Communicates plan of care to the patient/family.
Promptly initiates the chain of command appropriately as a patient advocate for patient care and system issues.
Communicates comprehensive picture of patient health concerns when reporting issues to physician/nurse practitioner.
Facilitates written medical orders vs verbal orders when appropriate.
Communicates a comprehensive picture of patient care and health issues at change of shift, change of assignment, or when leaving the unit. Report includes:
individualized plan of care;
a review of specific patient lines, tubes, IVs, dressings, special needs, etc at the bedside;
a review of Interdisciplinary Goals and status of completion;
a review of FER and status of teaching needs! /completion.
Ensures that emergency equipment is present and v! erified on admission and at the start of each shift, by completing unit specific safety checks.
Utilizes policies/procedures, resources, and nursing practice to ensure safe medication delivery including offering feedback regarding systems that could be strengthened to support safe medication administration.
Uses a systematic decision making process for delegation based upon nursing education, body of nursing knowledge, and nursing judgement to delegate in a manner that allows for safe, accountable, and responsible provision for nursing care.
Incorporates Joint Commission National Patient Safety Goals into patient care practices.
Supports Shared Governance philosophy within and between units.
Gives suggestions to Area Action Council for unit improvement.
BEHAVIORS
Excellence in Service to Children, Families, Colleagues and Other Customers
Anticipates customer needs, understands their expectations and res! ponds 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 and 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:
Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills.
Must be able to work in ! an environment which includes the use of ambulance, helicopter, and air! plane patient transport vehicles and is exposed to non-conventional motions, noise, vibration, fumes, and extreme heat/cold
EDUCATION AND EXPERIENCE:
Bachelor’s degree from an accredited college or university in nursing required.
Minimum 1 year experience critical care required.
FIT FOR TRANSPORT DUTY:
Physical demands and strength:
Must be able to wear seat belts installed in transport vehicle.
Must be able to perform chest compressions for 10 continuous minutes using a CPR simulation device.
Must be able to carry the transport bag up and down two flights of stairs.
Medical Conditions:
Transport team members may not donate blood within 24 hours of a work shift.
Under no circumstances are transport personnel allowed to smoke or use smokeless tobacco products during the transport period.
Any medical condition that may interfere with transport assignments must! be reported to the Transport Patient Care Manager.
A signed statement from a personal physician must be submitted to the Transport PCM and Employee Health if a health condition develops that prevents the transport personnel from participating in the program.
The pregnant transport person is not required to remain on active transport status any longer than she or her private physician feels she may safely do so. At 35 weeks gestation, the transport team member will not participate in transport.
CERTIFICATIONS/LICENSURE REQUIREMENTS:
Current and valid Nebraska RN license/RN compact license required.
Current and valid Basic Life Support (BLS) required.
Current and valid Pediatric Advanced Life Support (PALS) required, within 6 months of hire.
Current and valid Neonatal Resuscitation Program (NRP) required, within 6 months of hire.
SPECIAL REQUIREMENTS:
REQUIRED TRAINING & EMPLOYEE HEALTH REQU! IREMENTS
Annual Physical
Annual Mandatory Review
!
Color Blind Test
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
T
Displays manual dexterity
X
Fumes or airborne particles
X
Climb or balance
X
T
Toxic or caustic chemicals
X
Stoop, kneel, crouch or crawl
X
Outdoor weather conditions
X
T
Reach with hands and a! rms
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
Medical Equipment
X
Other:
Risk of radiation
X
Weight Demands:
Vibration
X
T
Up to 10 lbs.
X
Loud noise
X
T
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
- Refer to the Infection Control Manual for a listing of job classifications which may be at risk of occupational exposure.
- .
If you were eligible to this career, please ema! il us your resume, with salary requirements and a resume to Children's ! Hospital & Medical Center.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Wed, 10 Jul 2013 01:56:51 GMT