Cardiac Rehabilitation Registered Nurse/Exercise Physiologis

Weeks Medical Center Lancaster , NH 03584

Posted 2 months ago

Apply

This Job is not relevant Tell us why

Position SummaryA registered professional nurse or certified exercise physiologist who is responsible for coordinating the Cardiac Rehabilitation Program, directing and guiding patient teaching and activities for Cardiac Rehabilitation patients and supervision of ancillary personnel while maintaining standards of the American Association of Cardiovascular and Pulmonary Rehabilitation.QualificationsGraduate of an accredited and approved school of Nursing or Exercise Physiology program.Current Registered Nurse New Hampshire license or National Certification in Exercise Physiology.Current ACLS Certification or successful completion of ACLS course within 6 months of hire.Current BLS certification.Recent relevant clinical experience in cardiac care required.Successful completion of Cardiac Rhythm Strip competency.Essential Functions of the JobRequired skills and competencies. Has competency checklist been completed with all competencies met (i.e. job skills / knowledge, equipment knowledge)?Responsible for the initial intake assessment of new participants, including insurance screening and pre-authorizations if needed, and assists in their orientation and care plan development.Supervises exercise sessions, monitoring participants for inappropriate responses to exercise.Reports any significant participant conditions to the supervising physician immediately.Initiates BLS/ACLS measures and/or emergency care according to hospital policy.Leads participant education sessions in areas recommended by the AAVCPR (and/or similar professional organizations); consults with other professionals accordingly when necessary.Checks emergency supplies and equipment for proper function and adequate supply on a regular basis.Responsible for implementation and monitoring of CQI Process in conjunction with the Manager of Rehabilitation ServicesIn conjunction with the Manager of Rehabilitation Services, submits participant session charges on a monthly basis.Prepares and submits monthly participant report to the Cardiac Rehabilitation Medical Director and discharge summaries per participant to the referring provider.Coordinates monthly supervision session of Cardiac Rehabilitation Medical Director for each participant.Manages time effectively to ensure that deadlines are met and that personal priorities support organizational objectives.Performs all other duties as assigned.

Position Summary
A registered professional nurse or certified exercise physiologist who is responsible for coordinating the Cardiac Rehabilitation Program, directing and guiding patient teaching and activities for Cardiac Rehabilitation patients and supervision of ancillary personnel while maintaining standards of the American Association of Cardiovascular and Pulmonary Rehabilitation.
Qualifications
Graduate of an accredited and approved school of Nursing or Exercise Physiology program.
Current Registered Nurse New Hampshire license or National Certification in Exercise Physiology.
Current ACLS Certification or successful completion of ACLS course within 6 months of hire.
Current BLS certification.
Recent relevant clinical experience in cardiac care required.
Successful completion of Cardiac Rhythm Strip competency.
Essential Functions of the Job
Required skills and competencies. Has competency checklist been completed with all competencies met (i.e. job skills / knowledge, equipment knowledge)?
Responsible for the initial intake assessment of new participants, including insurance screening and pre-authorizations if needed, and assists in their orientation and care plan development.
Supervises exercise sessions, monitoring participants for inappropriate responses to exercise.
Reports any significant participant conditions to the supervising physician immediately.
Initiates BLS/ACLS measures and/or emergency care according to hospital policy.
Leads participant education sessions in areas recommended by the AAVCPR (and/or similar professional organizations); consults with other professionals accordingly when necessary.
Checks emergency supplies and equipment for proper function and adequate supply on a regular basis.
Responsible for implementation and monitoring of CQI Process in conjunction with the Manager of Rehabilitation Services
In conjunction with the Manager of Rehabilitation Services, submits participant session charges on a monthly basis.
Prepares and submits monthly participant report to the Cardiac Rehabilitation Medical Director and discharge summaries per participant to the referring provider.
Coordinates monthly supervision session of Cardiac Rehabilitation Medical Director for each participant.
Manages time effectively to ensure that deadlines are met and that personal priorities support organizational objectives.
Performs all other duties as assigned.

Show Full Description

See how you match
to the job

Upload my resume

Download the
LiveCareer app and find
your dream job anywhere

Similar Jobs

View All

Want to see jobs matched to your resume?
Upload One Now!

Registered Nurse Inpatient Critical Care

Weeks Medical Center

Posted 2 months ago

VIEW JOBS Position Summary The Registered Nurse Inpatient Critical Care is a highly skilled, flexible, team-oriented registered nurse who when once fully oriented to an area will provides direct patient care in that area Ã¢â'¬Â¦ any department, any shift. The primary clinical areas of work include ICU, Med Surg, and House Coordination. The Registered Nurse Inpatient Critical Care provides care in compliance with hospital policies and the standards of practice of the American Association of Critical Care Nurses (AACN). In addition, the Registered Nurse Inpatient Critical Care possesses knowledge of clinical practice from national organizations and CMS. Nursing practice is in compliance with the New Hampshire Board of Nursing rules, and the rules, regulations, policies, procedures and Standards of Nursing Practice of Weeks Medical Center. Qualifications Current RN license in the State of New Hampshire. Current BLS and ACLS certifications required prior to hire (or date to take has been scheduled). Basic EKG course (minimum 24 hours) within 1 year of hire. Critical Care Course (including ventilator management) required within one year of hire. Current clinical experience for one (1) year minimally with critical care experience preferred. Excellent interpersonal communication skills and organizational skills required. Strong team player approach and flexibility to work any department and any shift. Ability to adapt to change both planned and unexpected. PALS required within one year of hire. Computer skills strongly preferred. Essential Functions of the Job Required Registered Nurse Inpatient Critical Care skills and competencies. Has competency checklist been completed with all competencies met in ICU, Med Surg, House Coordination, and other areas as appropriate? Demonstrates current clinical competence and excellence in clinical practice as outlined in skills competency tool. Serves as a role model for other staff and provides direct clinical and professional education to other staff, students and orientees as needed. Participates in the orientation process including Precepting when asked by department manager. Accepts professional responsibility and accountability for the quality and level of care provided to patients. Is punctual and efficient in provision of care. Rounds hourly on patients to assess for comfort and safety. Attends team huddles consistently to promote and facilitate communication of patient safety and risk concerns. Ensures proper and economical use of equipment and supplies for patient care. Makes recommendations to improve the cost effective use of supplies. Makes recommendations on new products to the Value Analysis committee. Assesses new admissions immediately upon arrival. Conducts a thorough primary and secondary survey of the patient and documents findings. Immediately recognizes abnormalities in airway, breathing and circulation and intervenes quickly and appropriately. Accurate and thoroughly completes the Admission Assessment for each patient. Completes a Plan of Care according to unit specific standards and utilizes this plan of care as a part of shift report and handoff communication. Engages patients in plan of care through bedside shift report, communication of the care plan, attending IDT meetings and family conferences when scheduled. Reassesses each patient (frequency according to unit standards) and following treatments, medications and interventions. Reassesses all patients with abnormal vital signs. Documents findings and outcomes of interventions. Plans for the admission, discharge and transfer needs of each patient. Communicates with the House Coordinator (or Manager) regarding admissions, discharges and ALL acute care transfers. Discusses discharge planning needs with Case Management as appropriate. Recognizes and reports changes in patient condition. Implements physician orders promptly. Signs off orders and verifies medications in the EMAR. Initiates prn orders, based upon protocols and nursing judgment. Accurately administers medications (all routes) and IV fluids. Follows all medication and IV policies and procedures including scanning of the barcodes and obtaining a witness for barcode overrides. Demonstrates knowledge of medication protocols (i.e. cardiac medications, post-anesthesia medications, oncology medications). Obtains a weight on each patient and accurately calculates drip rates for vasoactive medications based upon the patient's weight. When indicated based upon unit standard practice, prints a medication chart from the monitoring system to correspond to the weight-based dosing of medications. Accurately interprets ECG rhythms and responds appropriately. Interprets the rhythm strip based upon actual human analysis, not relying on the machine interpretation. Notifies the physician for significant rhythm changes and obtains orders as appropriate. Demonstrates the ability to recognize ischemia, injury and infarction on a 12 lead EKG. Demonstrates the ability to rapidly intervene when these signs are present. Anticipates physician orders. Assists physicians with treatments and interventions (ie central line insertion, cardioversion, etc). Anticipates needs related to the treatment or intervention and thoroughly prepares the patient and the room. Applies Holter monitors and Loop monitors as ordered. Scans Holter monitor tapes with a high degree of accuracy and interprets results. Notifies physicians of significant arrhythmias. Processes charges and reports. Provides education to patients and family members related to their health condition and treatment plan. Works in collaboration with the physician to provide patient education and discharge planning. Adhere to Medication Safety policies in regards to appropriately bar-coding medications and patient ID bands. Obtaining a witness whenever a barcode override for a medication to be administered is necessary. Meeting this standard would be using barcode override 3% (or less) of the time. Exceeds = 1.9% or less Meet = 2.0% - 3.9% of barcode administration override Needs Improvement = 4% or more Accepts and satisfactorily completes miscellaneous duties as requested by the Department Manager and/or CNO. * Position Summary * The Registered Nurse Inpatient Critical Care is a highly skilled, flexible, team-oriented registered nurse who when once fully oriented to an area will provides direct patient care in that area Ã¢â'¬Â¦ any department, any shift. The primary clinical areas of work include ICU, Med Surg, and House Coordination. The Registered Nurse Inpatient Critical Care provides care in compliance with hospital policies and the standards of practice of the American Association of Critical Care Nurses (AACN). In addition, the Registered Nurse Inpatient Critical Care possesses knowledge of clinical practice from national organizations and CMS. Nursing practice is in compliance with the New Hampshire Board of Nursing rules, and the rules, regulations, policies, procedures and Standards of Nursing Practice of Weeks Medical Center. * Qualifications * Current RN license in the State of New Hampshire. * Current BLS and ACLS certifications required prior to hire (or date to take has been scheduled). * Basic EKG course (minimum 24 hours) within 1 year of hire. * Critical Care Course (including ventilator management) required within one year of hire. * Current clinical experience for one (1) year minimally with critical care experience preferred. * Excellent interpersonal communication skills and organizational skills required. * Strong team player approach and flexibility to work any department and any shift. Ability to adapt to change both planned and unexpected. * PALS required within one year of hire. * Computer skills strongly preferred. * Essential Functions of the Job * Required Registered Nurse Inpatient Critical Care skills and competencies. Has competency checklist been completed with all competencies met in ICU, Med Surg, House Coordination, and other areas as appropriate? * Demonstrates current clinical competence and excellence in clinical practice as outlined in skills competency tool. Serves as a role model for other staff and provides direct clinical and professional education to other staff, students and orientees as needed. Participates in the orientation process including Precepting when asked by department manager. * Accepts professional responsibility and accountability for the quality and level of care provided to patients. Is punctual and efficient in provision of care. Rounds hourly on patients to assess for comfort and safety. Attends team huddles consistently to promote and facilitate communication of patient safety and risk concerns. * Ensures proper and economical use of equipment and supplies for patient care. Makes recommendations to improve the cost effective use of supplies. Makes recommendations on new products to the Value Analysis committee. * Assesses new admissions immediately upon arrival. Conducts a thorough primary and secondary survey of the patient and documents findings. Immediately recognizes abnormalities in airway, breathing and circulation and intervenes quickly and appropriately. Accurate and thoroughly completes the Admission Assessment for each patient. Completes a Plan of Care according to unit specific standards and utilizes this plan of care as a part of shift report and handoff communication. * Engages patients in plan of care through bedside shift report, communication of the care plan, attending IDT meetings and family conferences when scheduled. * Reassesses each patient (frequency according to unit standards) and following treatments, medications and interventions. Reassesses all patients with abnormal vital signs. Documents findings and outcomes of interventions. * Plans for the admission, discharge and transfer needs of each patient. Communicates with the House Coordinator (or Manager) regarding admissions, discharges and ALL acute care transfers. Discusses discharge planning needs with Case Management as appropriate. * Recognizes and reports changes in patient condition. Implements physician orders promptly. Signs off orders and verifies medications in the EMAR. Initiates prn orders, based upon protocols and nursing judgment. * Accurately administers medications (all routes) and IV fluids. Follows all medication and IV policies and procedures including scanning of the barcodes and obtaining a witness for barcode overrides. Demonstrates knowledge of medication protocols (i.e. cardiac medications, post-anesthesia medications, oncology medications). Obtains a weight on each patient and accurately calculates drip rates for vasoactive medications based upon the patient's weight. When indicated based upon unit standard practice, prints a medication chart from the monitoring system to correspond to the weight-based dosing of medications. * Accurately interprets ECG rhythms and responds appropriately. Interprets the rhythm strip based upon actual human analysis, not relying on the machine interpretation. Notifies the physician for significant rhythm changes and obtains orders as appropriate. Demonstrates the ability to recognize ischemia, injury and infarction on a 12 lead EKG. Demonstrates the ability to rapidly intervene when these signs are present. Anticipates physician orders. * Assists physicians with treatments and interventions (ie central line insertion, cardioversion, etc). Anticipates needs related to the treatment or intervention and thoroughly prepares the patient and the room. Applies Holter monitors and Loop monitors as ordered. Scans Holter monitor tapes with a high degree of accuracy and interprets results. Notifies physicians of significant arrhythmias. Processes charges and reports. * Provides education to patients and family members related to their health condition and treatment plan. Works in collaboration with the physician to provide patient education and discharge planning. * Adhere to Medication Safety policies in regards to appropriately bar-coding medications and patient ID bands. Obtaining a witness whenever a barcode override for a medication to be administered is necessary. Meeting this standard would be using barcode override 3% (or less) of the time. Exceeds = 1.9% or less Meet = 2.0% - 3.9% of barcode administration override Needs Improvement = 4% or more * Accepts and satisfactorily completes miscellaneous duties as requested by the Department Manager and/or CNO.

Emergency Services Registered Nurse

Weeks Medical Center

Posted 2 months ago

VIEW JOBS Position Summary The Critical Care RN is a highly skilled, flexible, team-oriented critical care registered nurse that is oriented to and works in the Emergency Department, Intensive Care Unit, or Medical/Surgical Unit. This Registered Nurse (RN) is responsible and accountable for patient care in any department in which she/he works. The Critical Care RN (CC-RN) utilizes the nursing process to assess, plan, implement and evaluate patient care. The CC-RN provides patient services while collaborating with physicians, staff members, and ancillary/support services. The CC-RN provides care in compliance with hospital policies and the standards of practice of the American Association of Critical Care Nurses (AACN) and Emergency Nurses Association (ENA). In addition, the CC-RN possesses knowledge of CMS (HCFA) standards specific to Critical Access Hospitals, New Hampshire Department of Health guidelines, New Hampshire Board of Nursing rules, and the rules, regulations, policies, procedures and Standards of Nursing Practice of Weeks Medical Center. Qualifications Current RN license in the State of New Hampshire. Current BLS and ACLS certifications required prior to hire. TNCC and PALS required within one year of hire. Basic EKG course (minimum 24 hours) required prior to hire. Critical Care Course (including ventilator management) required within first year of hire. Preference will be given to candidates that have completed prior to hire. Current clinical experience for at least five (5) years required; a minimum of two of these years must be in ICU and/or ED. Management of Aggressive Behavior (MOAB) training within 6 months of hire. Excellent interpersonal communication skills and organizational skills required. Strong team player approach and flexibility to work any department and any shift. Computer proficiency required. Essential Functions of the Job Demonstrates and maintains clinical competence in general nursing and critical care nursing skills. This function may include;#participation in simulated patient care; attendance of internal/external training classes and self-study modules. Demonstrates knowledge of and practices according to the American Association of Critical Care Nurses (AACN) and the Emergency Nurses Association (ENA) Core Curricula and Standards of Practice. Practices excellent interpersonal communication skills and conflict management skills. Follows the ###chain of command##Â to resolve issues. Demonstrates flexibility and team work. Readily accepts all reasonable work assignments. Accepts professional responsibility and accountability for the quality of care provided. Quality of work upholds Weeks Medical Center mission and goals. Demonstrates collegial attitude and follows the ###Commitment to Coworkers##Â philosophy. Actively participates in departmental projects such as CQI and other departmental process improvement activities. Provides education to patients, families, and colleagues. Quantity of work meets the departmental demands and requirements. Demonstrates the ability to keep up with an increased volume of patients, as needed. Demonstrates knowledge of support systems to obtain assistance as needed. Provides education to the patient and significant others related to their medications, health condition, treatment and discharge plan. Collaborates with the physician and Care Management as needed. Reports risk management issues promptly. Completes thorough documentation of the incident and the investigation. Complies with Safety and Infection Control practices of Weeks Medical Center. Adhere to Medication Safety policies in regards to appropriately bar-coding medications and patient ID bands. Obtaining a witness whenever a barcode override for a medication to be administered is necessary. Meeting this standard would be using barcode override 3% (or less) of the time. Exceeds = 1.9% or less Meet = 2.0% - 3.9% of barcode administration override Needs Improvement = 4% or more * Position Summary * The Critical Care RN is a highly skilled, flexible, team-oriented critical care registered nurse that is oriented to and works in the Emergency Department, Intensive Care Unit, or Medical/Surgical Unit. This Registered Nurse (RN) is responsible and accountable for patient care in any department in which she/he works. The Critical Care RN (CC-RN) utilizes the nursing process to assess, plan, implement and evaluate patient care. The CC-RN provides patient services while collaborating with physicians, staff members, and ancillary/support services. The CC-RN provides care in compliance with hospital policies and the standards of practice of the American Association of Critical Care Nurses (AACN) and Emergency Nurses Association (ENA). In addition, the CC-RN possesses knowledge of CMS (HCFA) standards specific to Critical Access Hospitals, New Hampshire Department of Health guidelines, New Hampshire Board of Nursing rules, and the rules, regulations, policies, procedures and Standards of Nursing Practice of Weeks Medical Center. * Qualifications * Current RN license in the State of New Hampshire. * Current BLS and ACLS certifications required prior to hire. TNCC and PALS required within one year of hire. * Basic EKG course (minimum 24 hours) required prior to hire. * Critical Care Course (including ventilator management) required within first year of hire. Preference will be given to candidates that have completed prior to hire. * Current clinical experience for at least five (5) years required; a minimum of two of these years must be in ICU and/or ED. * Management of Aggressive Behavior (MOAB) training within 6 months of hire. * Excellent interpersonal communication skills and organizational skills required. * Strong team player approach and flexibility to work any department and any shift. * Computer proficiency required. * Essential Functions of the Job * Demonstrates and maintains clinical competence in general nursing and critical care nursing skills. This function may include; participation in simulated patient care; attendance of internal/external training classes and self-study modules. * Demonstrates knowledge of and practices according to the American Association of Critical Care Nurses (AACN) and the Emergency Nurses Association (ENA) Core Curricula and Standards of Practice. * Practices excellent interpersonal communication skills and conflict management skills. Follows the â€œchain of commandâ€Â to resolve issues. * Demonstrates flexibility and team work. Readily accepts all reasonable work assignments. * Accepts professional responsibility and accountability for the quality of care provided. Quality of work upholds Weeks Medical Center mission and goals. * Demonstrates collegial attitude and follows the â€œCommitment to Coworkersâ€Â philosophy. * Actively participates in departmental projects such as CQI and other departmental process improvement activities. * Provides education to patients, families, and colleagues. * Quantity of work meets the departmental demands and requirements. Demonstrates the ability to keep up with an increased volume of patients, as needed. Demonstrates knowledge of support systems to obtain assistance as needed. * Provides education to the patient and significant others related to their medications, health condition, treatment and discharge plan. Collaborates with the physician and Care Management as needed. Reports risk management issues promptly. Completes thorough documentation of the incident and the investigation. Complies with Safety and Infection Control practices of Weeks Medical Center. * Adhere to Medication Safety policies in regards to appropriately bar-coding medications and patient ID bands. Obtaining a witness whenever a barcode override for a medication to be administered is necessary. Meeting this standard would be using barcode override 3% (or less) of the time. Exceeds = 1.9% or less Meet = 2.0% - 3.9% of barcode administration override Needs Improvement = 4% or more

Registered Nurse

Weeks Medical Center

Posted 2 months ago

VIEW JOBS Position SummaryThe Registered Nurse (RN) is responsible and accountable for coordinating the activities and providing clinical expertise for the care of an assigned patient load, utilizing the Standards of Care of Nursing Practice. He/She provides direct patient care as needed during his/her shift. He/She contributes to the vision, mission, and strategic plan of the organization and is accountable for the Standards of Care and practice in the area of responsibility where clinical nursing is practiced.The RN must demonstrate knowledge of the principles of growth and development of the life span and possess the ability to assess data reflective of the patients status and interpret the appropriate information needed to identify each patients requirements relative to his/her age, specific needs, and to provide the care needed as directed in the units departmental policies and procedures. The RN will delegate to and oversee activities of the Licensed Nursing Assistant as appropriate and as defined in the Scopes of Practice by the New Hampshire Board of Nursing.QualificationsCurrent NH RN licenseCurrent BLS certificationTNCC preferredACLS certification required within 18 months of hireBasic Dysrhythmia course (30 hours or greater) required within 18 months of hirePALS required within 2 years of hireMOAB training within one yearExcellent interpersonal communications skills, organizational skills and time management skillsEssential Functions of the JobMaintains required skills and competencies. Demonstrates current clinical practice and excellence in clinical practice as outlined in the skills competency tool and standards of nursing practice. Accepts professional responsibility and accountability for the quality of care for assigned patients. Upholds WMC mission and standards of practice. Is punctual and efficient in provision of care, meeting patientsÃ¢â'¬â"¢ needs and advocating for the patient as necessary.Attends and actively participates in daily team meetings (HUDDLES) on a regular basis to promote and facilitate communication of patient safety and risk concerns.Assesses new admissions immediately upon arrival. Conducts a primary and secondary survey of the patient and documents findings per protocol. Ensures that the patient profile is complete and that medication reconciliation has been done on the patient (or completes it if not done). Completes the patient profile and assesses for its completion on each shift worked.MEASURABLE GOAL: PAIN ASSESSMENT - Assesses the patient for pain and documents acceptable level of pain when applicable. Documents pre and post pain assessment when administering medications for pain. Ensures this information is present on the care plan as measured by audit using pain assessment audit tool. COMPLIANCE AS FOLLOWS: GREATER THAN OR EQUAL TO 95% = EXCEEDS; 85 - 94% = MEETS; 84% OR LESS = NEEDS IMPROVEMENTMEASURABLE GOAL: CARE PLANS - Initiates and evaluates the care plan to reflect nursing assessment, implementation and evaluation of care. Care plan must be specific to patient and reflect physician plan of care and admitting diagnosis. Comorbidities must be specifically identified. Interventions specific to condition or disease (including co-morbidities). Progress to Goal must be documented when reviewing and evaluating the care plan. Measured by care plan audit tools. COMPLIANCE AS FOLLOWS: GREATER THAN OR EQUAL TO 95% = EXCEEDS; 85 - 94% = MEETS; 84% OR LESS = NEEDS IMPROVEMENTEngages patient in plan of care through bedside shift report, communication of plan of care, actively participates in IDT meetings (to work towards discharge goals) and attends family conferences when scheduled.Conducts hourly rounding to assess for patient safety and comfort. Uses AIDET regularly when interacting with patients.Provides education to the patient and significant others related to their medications, health condition, treatment and discharge plan. Collaborates with the physician and Care Management as needed.MEASURABLE GOAL: DISCHARGE INSTRUCTIONS - Completes the discharge instructions in a manner which can be understood by the patient. Completes Ã¢â'¬Å"last dose takenÃ¢â'¬Â and Ã¢â'¬Å"next dose dueÃ¢â'¬Â for all medications the patient is being discharged on. Discharged instructions are reviewed and signed by the pharmacist and/or the hospitalist or PCP prior to reviewing with patient. COMPLIANCE AS FOLLOWS: GREATER THAN OR EQUAL TO 95% = EXCEEDS; 85 - 94% = MEETS; 84% OR LESS = NEEDS IMPROVEMENTQuantity of work meets the departmental demands and requirements. Demonstrates the ability to keep up with an increased volume of patients, as needed. Demonstrates knowledge of support systems to obtain assistance as needed.MEASURABLE GOAL: Demonstrates accurate and complete documentation as evidence by 90% accuracy on the documentation audits. Less than 85% constitutes Ã¢â'¬Å"Needs ImprovementÃ¢â'¬Â and 95% or greater qualifies as Ã¢â'¬Å"ExceedsÃ¢â'¬Â.MEASURABLE GOAL: Adhere to Medication Safety policies in regards to appropriately bar-coding medications and patient ID bands. Obtaining a witness whenever a barcode override for a medication to be administered is necessary. Meeting this standard would be using barcode override 3% (or less) of the time. Exceeds = 1.9% or less; Meet = 2.0% - 3.9% of barcode administration override; Needs Improvement = 4% or moreAccepts and satisfactorily completes miscellaneous duties as requested by House Coordinator, Department Manager and/or CNE. * Position Summary * The Registered Nurse (RN) is responsible and accountable for coordinating the activities and providing clinical expertise for the care of an assigned patient load, utilizing the Standards of Care of Nursing Practice. He/She provides direct patient care as needed during his/her shift. He/She contributes to the vision, mission, and strategic plan of the organization and is accountable for the Standards of Care and practice in the area of responsibility where clinical nursing is practiced.The RN must demonstrate knowledge of the principles of growth and development of the life span and possess the ability to assess data reflective of the patients status and interpret the appropriate information needed to identify each patients requirements relative to his/her age, specific needs, and to provide the care needed as directed in the units departmental policies and procedures. The RN will delegate to and oversee activities of the Licensed Nursing Assistant as appropriate and as defined in the Scopes of Practice by the New Hampshire Board of Nursing. * Qualifications * Current NH RN license * Current BLS certification * TNCC preferred * ACLS certification required within 18 months of hire * Basic Dysrhythmia course (30 hours or greater) required within 18 months of hire * PALS required within 2 years of hire * MOAB training within one year * Excellent interpersonal communications skills, organizational skills and time management skills * Essential Functions of the Job * Maintains required skills and competencies. Demonstrates current clinical practice and excellence in clinical practice as outlined in the skills competency tool and standards of nursing practice. Accepts professional responsibility and accountability for the quality of care for assigned patients. Upholds WMC mission and standards of practice. Is punctual and efficient in provision of care, meeting patientsÃ¢â'¬â"¢ needs and advocating for the patient as necessary. * Attends and actively participates in daily team meetings (HUDDLES) on a regular basis to promote and facilitate communication of patient safety and risk concerns. * Assesses new admissions immediately upon arrival. Conducts a primary and secondary survey of the patient and documents findings per protocol. Ensures that the patient profile is complete and that medication reconciliation has been done on the patient (or completes it if not done). Completes the patient profile and assesses for its completion on each shift worked. * MEASURABLE GOAL: PAIN ASSESSMENT - Assesses the patient for pain and documents acceptable level of pain when applicable. Documents pre and post pain assessment when administering medications for pain. Ensures this information is present on the care plan as measured by audit using pain assessment audit tool. COMPLIANCE AS FOLLOWS: GREATER THAN OR EQUAL TO 95% = EXCEEDS; 85 - 94% = MEETS; 84% OR LESS = NEEDS IMPROVEMENT * MEASURABLE GOAL: CARE PLANS - Initiates and evaluates the care plan to reflect nursing assessment, implementation and evaluation of care. Care plan must be specific to patient and reflect physician plan of care and admitting diagnosis. Comorbidities must be specifically identified. Interventions specific to condition or disease (including co-morbidities). Progress to Goal must be documented when reviewing and evaluating the care plan. Measured by care plan audit tools. COMPLIANCE AS FOLLOWS: GREATER THAN OR EQUAL TO 95% = EXCEEDS; 85 - 94% = MEETS; 84% OR LESS = NEEDS IMPROVEMENT * Engages patient in plan of care through bedside shift report, communication of plan of care, actively participates in IDT meetings (to work towards discharge goals) and attends family conferences when scheduled. * Conducts hourly rounding to assess for patient safety and comfort. Uses AIDET regularly when interacting with patients. * Provides education to the patient and significant others related to their medications, health condition, treatment and discharge plan. Collaborates with the physician and Care Management as needed. * MEASURABLE GOAL: DISCHARGE INSTRUCTIONS - Completes the discharge instructions in a manner which can be understood by the patient. Completes Ã¢â'¬Å"last dose takenÃ¢â'¬Â and Ã¢â'¬Å"next dose dueÃ¢â'¬Â for all medications the patient is being discharged on. Discharged instructions are reviewed and signed by the pharmacist and/or the hospitalist or PCP prior to reviewing with patient. COMPLIANCE AS FOLLOWS: GREATER THAN OR EQUAL TO 95% = EXCEEDS; 85 - 94% = MEETS; 84% OR LESS = NEEDS IMPROVEMENT * Quantity of work meets the departmental demands and requirements. Demonstrates the ability to keep up with an increased volume of patients, as needed. Demonstrates knowledge of support systems to obtain assistance as needed. * MEASURABLE GOAL: Demonstrates accurate and complete documentation as evidence by 90% accuracy on the documentation audits. Less than 85% constitutes Ã¢â'¬Å"Needs ImprovementÃ¢â'¬Â and 95% or greater qualifies as Ã¢â'¬Å"ExceedsÃ¢â'¬Â. * MEASURABLE GOAL: Adhere to Medication Safety policies in regards to appropriately bar-coding medications and patient ID bands. Obtaining a witness whenever a barcode override for a medication to be administered is necessary. Meeting this standard would be using barcode override 3% (or less) of the time. Exceeds = 1.9% or less; Meet = 2.0% - 3.9% of barcode administration override; Needs Improvement = 4% or more * Accepts and satisfactorily completes miscellaneous duties as requested by House Coordinator, Department Manager and/or CNE.

Apply