Registered Nurse; Per Diem; Tocc

Mount Sinai Medical Center New York , NY 10007

Posted 12 months ago

Strength Through Diversity

Ground breaking science. Advancing medicine. Healing made personal.

Roles & Responsibilities:

The Per Diem Clinical Nurse is a Registered Professional Nurse who provides safe, competent, quality care based on nursing theory and research to a designated group of patients and significant others.

The Registered Nurse functioning within the Transition of Care Center Department will conduct post-discharge telephone calls on patients within 24-72 hours discharged across MSHS for the purpose of telephonic assessment of each patient', health status symptom management, medications, appointments, home services and or equipment, and plan for addressing potential problems related to diagnosis, discharge or discharge plan.

Essential Duties and Responsibilities
1.The Registered Nurse functioning within the ToCC department will complete outbound post-discharge telephone calls for the purpose of telephonic assessment of each patient's current health status and to ensure that discharged patient receives the necessary services and resources within prescribed discharge treatment plan.

a. Identify gaps or barriers in prescribed discharge treatment plans

b. Provide patient education to assist with self-management of disease

c. Make referrals to outside sources as necessary, advised or eligible

d. Coordinate services as needed (home health, DME, etc.)

e. Identify need for and administer further education on disease processes

f. Provide patient encouragement and education on healthy lifestyle choices

g. Document and track findings as per ToCC protocol & platform specifications
2.Conducts actions to prepare for a successful telephonic assessment including, but not limited to:

a. Understand patient's clinical course through thorough clinical review of information and documentation during recent hospital stay, including but not limited to:

i. Health history

ii. Medication Reconciliation

iii. Discharge Plan

iv. Medications Prescribed

v. Diagnosis and Condition at Discharge

vi. Any Discharge Instructions provided to the patient at moment of discharge

vii. Relevant tests and lab work (pending and complete) relevant to the transition period or/or risk for re-hospitalization.

b. Review any post-acute services such as home care, DME, scheduled tests or scheduled appointments.

c. Review any special instructions communicated by the discharging in-patient nurse or other member of the care team, including but not limited to discharge telephone call specifications (whom to call, when to call, and preferred telephone number)

d. Review preferred language, presence of disabilities, and cultural preferences and arrange for necessary services to assure call is patient-centric and accessible
3.Conducts actions for the completion of a successful telephonic assessment call including, but not limited to:

a. Assess health status

b. Assess patient understanding of medical conditions, discharge instructions and self-management of disease

c. Reconcile medications to assure accuracy and safety of medications in the home and ascertain patient understanding of process for, and purpose of, adhering to prescribed medication regimen

d. Clarify and confirm prescribed discharge treatment plan appointments, test & procedures

e. Determine suitability, accessibility, and status of post-discharge home services & equipment, ensure smooth service transition and equipment installation in home, and coordinate additional services, as necessary

f. Review plan for addressing potential problems related to diagnosis, discharge or discharge plan

g. Address all identified issues and escalate or communicate to physician/care team as necessary

h. Utilize "Teach-Back" method to confirm patients/care givers understand communicated information

i. Utilize Interpreter Services as necessary
4.Conducts appropriate post-call actions including, but not limited to:

a. Appropriately identify all post-call interventions including communication, escalation, referral to additional services, any additional follow-up calls to or on behalf of patients

b. Communicates necessary needs and interventions to providers and members of the care team

c. Delegates appropriate tasks and administrative needs to assigned Patient Navigators

d. Documents call, actions taken, and completes transfer of care report to Coach colleague as assigned/needed
5.Ensures that the patient's progress, or lack of progress, is reflected in progress notes and in the revised care plans
6.Discharge planning consistent with the patient's status and reflects inter-departmental and inter-agency communication
7.Communicates information to the patient based on the patient's level of awareness and readiness to learn
8.Patient care assignments reflecting an awareness of patient needs and skill level of personnel
9.Demonstrates the knowledge and skills necessary to provide care, based on physical, psychosocial, educational, safety, and related criteria, appropriate to the age of the patients served in assigned area
10. Acts as liaison between providers, hospitals and program staff, serving as a patient advocate through recommendations on care plan alternatives or improvements
11. Communicates condition of patients and unit requiring additional intervention to the leadership person in the relevant discipline
12. Participates in the development of other staff members
13. Communicates with peers in an appraisal of practice as it relates to self and other nursing personnel
14. Periodically handles escalated clinical issues from the non-clinical staff
15. Reflects a collaborative effort in meeting the needs of the patient and unit through communication and nursing actions
16. Provides direction, assistance and support
17. Assumes accountability and responsibility for completion and quality of assigned tasks
18. Identifies and communicates to immediate supervisor the need for further staff education
19. Reflects awareness of authorities and responsibilities of nursing management levels by communication with nursing leadership
20. Seeks and utilizes nursing leaders as role models and resource persons
21. Reflects collaborative effort in meeting patient and unit needs by communication with other disciplines
22. Demonstrates a professional, courteous, and respectful attitude in dealing with patients, families and significant others
23. Displays courtesy, tact and patience during interactions with all members of the hospital staff and extended community
24. Utilizes "Teach-Back" method to confirm patients/care givers understand communicated information
25. Utilizes interpreter services as necessary
26. Participates in departmental quality assurance and performance improvement initiatives

Requirements:

Bachelor of Science with a major in nursing preferred. Associate degree in nursing is considered only with relevant experience if approved by Chief Nursing Officer or designee.

Experience:

Must have relevant clinical competence in area of nursing practice; new graduates possess current knowledge of the nursing process and its application.

Evidence of ability to maintain interpersonal relationships, communicate appropriately to others, work effectively to solve problems and confronts issues appropriately.

Demonstrates a strong commitment to furthering institutional goals through interdisciplinary teamwork, effective communication, and the ability to think creatively.

Ability to read, write, understand and speak English in a clear and concise manner.

Visual, aural, and cognitive ability to assess patient status. Physical and mental health necessary to care for acutely ill patients with a broad variety of diagnoses and behaviors on a daily basis.

Licenses:
1.RN

Strength Through Diversity

The Mount Sinai Health System believes that diversity is a driver for excellence. We share a common devotion to delivering exceptional patient care.

Yet we're as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education and advancement as we revolutionize medicine together.

We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care.

Explore more about this opportunity and how you can help us write a new chapter in our story!

Who We Are

Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.

Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke's, and New York Eye and Ear Infirmary of Mount Sinai.

The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.

EOE Minorities/Women/Disabled/Veterans



icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Registered Nurse (Rn) Hospice Per Diem (Experienced RN)

Northwell Health

Posted 1 week ago

VIEW JOBS 2/15/2020 12:00:00 AM 2020-05-15T00:00 Job Description Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Responsibilities Include: 1. Assesses the patient's physiologic health status * Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient's chart and answers questions correctly and courteously; * Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; * Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; * Assesses level of pain and pain management; * Communicates/documents patient's physiologic health status and plan of care. 2. Assesses patient's psychosocial health status * Elicits perception of medical/nursing care and the expectation of care; * Determines coping mechanism, knowledge level, and ability to comprehend; * Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; * Communicates and documents psychological status and care plan; support group, counseling services, social services. 3. Identifies patient outcome * Develops criteria for measurement of patient outcomes; * Identifies actual/potential patient problems; * Identifies patient's need for teaching based on psychosocial and developmental assessment; * Develops patient outcome statement (s) and establishes individualized patient goals. 4. Formulates the plan of care and establishes the priorities necessary to achieve expected outcome * Identifies care activities and establishes the priorities necessary to achieve expected outcome; * Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; * Documents the plan of care and collaborates with physicians and other health team members. 5. Implements the plan of care * Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed. (Side rails up, call lights and bedside stand within reach, etc.); * Exercises professional skills related to the plan of care; * Reassesses patients as needed and appropriately revises plan of care; * Correctly administers prescribed treatments; * Correctly uses equipment necessary for patient care; * Provides emotional support to patient and significant other; * Applies scientific principles in performing procedures; carries them out safely, timely and efficiently; * Makes accurate observations of patient's conditions during treatments/procedures. Reports and records same as appropriate; * Keeps accurate documentation of patient's treatment, activity and condition, as well as patient's responses to medical and nursing interventions; * Uses appropriate methods of documentation according to departmental policy; * Acts rapidly and effectively during any emergency situation, managing self, patients and other employees; * Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient's family or caretakers; * Participates in planning for discharge and coordinates referrals, as appropriate; * Provides discharge instructions to patient and significant other. 6. Evaluates care provided for patient outcome * Demonstrates ability to measure effectiveness of care provided and documents same; * Performs variance analysis related to outcome data for performance improvement; * Designs, implements, and evaluates systems to improve care in Unit; * Keeps accurate documentation of patient's treatment, activity and condition; * Uses appropriate methods of documentation according to departmental policy. 7. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team * Collaborates with the appropriate physician on patient's plan of care; * Accurately interprets and implements treatment regimen as prescribed by the Physician; * Assists the Physician during treatments and/or diagnostic procedures; * Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient's condition and/or treatments, as appropriate; * Uses clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate and Clerical Service Associate in providing patient care, and ensures that assignments are completed in a timely fashion. 8. Performs grade I-IV Decubritus Care * Performs preventive skin care measures * Applies simple dressings, maintaining principles of aseptic technique; * Applies warm & cold compresses, consistent with facility procedure; * Performs irrigations, consistent with Facility procedure; * Performs other procedures related to skin care, as necessary. 9. Administers medications correctly and safely * Correctly identifies medication: action; dosage; side effects and implications for the patient; * Meets standard on medication administration examination; * Demonstrates preparation of local solutions; * Demonstrates preparation of I.V. drips; * Administers and documents medication correctly; * Administers IVP medication as per department policy and procedure; * Educates patients and significant others related to drug and food interactions. 10. Participates in patient and family education * Provides the patient with an explanation of his/her condition as indicated; * Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; * Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; * Provides for early discharge planning and appropriate referrals for post-hospital care; * Evaluates the effectiveness of teaching by feedback from patient/family and documents same. 11. Performs related duties, as required. PHYSICAL DEMANDS: Constant - standing, walking, stooping, bending, stretching, lifting, pulling, pushing and turning. Frequent - Lifts objects from 10 lbs to 150 lbs. Pushes objects up to 200 lbs. Occasional - Sitting. Lifts with assistance objects greater than 150 lbs. and carries objects weighing up to 50 lbs. Qualifications * Graduate from an accredited School of Nursing. Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months of employment, if hired after September 1, 2010 and obtain a BSN degree within five (5) years of employment date. * Current license to practice as a Registered Professional Nurse in New York State. * BCLS, ACLS, preferred. Northwell Health New York NY

Registered Nurse; Per Diem; Tocc

Mount Sinai Medical Center