Resource RN MedSurg

Huggins Hospital•Wolfeboro, NH

13d

About The Position

Under the general supervision of the Director of Acute Care Services, the Resource RN is responsible for coordinating shift operations with the goal of safe, effective and quality patient and fam il y centere d care i n the Acute Care setting . Clinical Competency : • Plans , eva l uates , d i rects and renders care and re-eva l uate cl i n i cal outcomes accord i ng to establ i shed standards of care • Incorporates ev i dence ba s ed be s t pract i ce into eve ry da y c l inica l act i vities • Performs medicat i on reconc il iat i on and administers med i cations safe l y and appropr i ate l y us i ng the 5 rights of med i cation administration . L everages technolog i cal resources for safe medicat i on adm i n i strat i on such a s bar code scanning and tele-pharmacist serv i ce • Recogn i ze s and perform s nursing i ntervent i ons to ma i ntain the bod y 's homeostas i s ; acid-base ba l ance , flu i ds and electrol yt e ba l ance , w ound and t i s sue perfus i on ) • I n accordance w i th stand i ng med i cal protocols and stand i ng orders ; enters orders , i nterpret s and eva l uates d i agnostic tests to i dent i fy and as s ess patient's condition , communicate s same to the treating prov i der • M odi fy pat i ent' s treatment p l an s a s ind i cated b y patient's condition • M a i ntains accurate , deta il ed cl i n i cal nursing documentation , reports and records • W ithin the scope of nursing practice , de l egates and provides oversight of nurs i ng care activit i es of ancilla ry nursing / healthcare team members such as LN As . • Promote s a safe patient care environment safe from hazards • Consi s tent l y ut il ize s clear , conc i se , professional communicat i on in all i nteractions ( SBA R). T his w i ll i nc l ude interact i ons w ith patients and their fam il ies , be tw een d i sc i pl i ne s , inter-departmentall y and w i th outside agenc i e s • Promotes a safe patient care and w or k env i ronment free of potentia l safe ty hazards • Ensures safe tran s portation of patients w ithin the facil i ty util i zing safe l ifting and tran s port adjunct equ i pment and good bod y mechanics to protect pat i ent , s e l f , co- w or k ers • D emonstrates safe , competent u s e of patient care equipment , beds , stretchers , l i fts , safe ty and a l arm de v ices , w a l k ers , mon i tor s , w ound v acs , dra i ns , o xy gen therap y and other equipment appro v ed for pat i ent care • D emonstrate s fl e x ib il i ty i n practice and collaborates to cro ss tra i n i n other departments to add i t i ona l dut i es as needed to promote fl e x ib il i ty , sustainabil i ty and team w or k w i th i n the Cr i t i cal Acce s s H ospita l s ett i ng • Provides clinical consultation to nurses, providers and other disciplines regarding patient's care, system processes, technology and equipment • Serves as a mentor, role model, preceptor, and resource for peers, interdisciplinary colleagues and students Clinical Leadership: • Demonstrate ability to lead within a dynamic team environment • Team builder with ability to rapidly problem solve and lead clinical staff in the delivery of safe and effective nursing care in a calm and efficient manner in high stress situations • Assists with shift assignments, provides direction and oversight to staff on shift with special attention to the coordination of care with Physicians, ancillary departments, and outside agencies (VNA, rehab and LTC facilities) • Facilitates patient flow and communication throughout the continuum of care and, at times of high volume or critical need, provides direct nursing care to patients • Maintains current knowledge of technology by reading, attending seminars and utilizing relevant hardware and software applications • Assists with bed management throughout the facility • Acts a liason between disciplines and departments when on duty • Advocates for staff and patients' needs • Assists clinical lead and director with facilitating educational opportunities • Provides nursing supervisor coverage when applicable P at i ent A d v o cacy : • D e v elops and / or i mp l ements an ind i v idual i zed p l an of care , i nc l ud i ng de v elopmen t al and c u l tural needs • U til i ze s appropriate resource s for non-Eng l ish spea k i ng patient s , healthcare i lliterate pat i ents , hear i ng and sight i mpaired pat i ents and caregi v ers • C l ear communicat i on of pat i ent p l an of care and education at a l e v e l the pat i ent , famil y , and caregi v er can comprehend • T a k es proacti v e steps t o recogn i ze and report suspected abuse / neg l ec t , i nc l ud i ng , child abuse , elder abuse , se x ual abuse , and s pousa l abuse . R eporting i dent ifi ed cases to supervisor and appropr i ate authorities • U til i zes appropriate resources for non-Eng l ish spea k i ng patien t s , healthcare i lliterate pat i ent s , hear i ng and sight i mpaired pat i ents and caregi v ers • T a k es proacti v e steps t o recogn i ze and report suspected abuse / neg l ect , i nc l ud i ng , child abuse , elder abuse , s e x ual abu s e , and s pousa l abuse . • Champion of customer serv i ce and serv i ce e x cellence w ithin the department. L eads shift to resolve cu s tomer concerns and works with team to enhance the experience of care in the acute care setting • Demonstrates effect i v enes s in nego t i ation and comprom i se to effe ct pos i t i v e pat i ent and team outcomes . Q ua li ty & Pr o fe ssiona li s m: • Ensures qual i ty of care b y adhering to therapeut i c standards , measuring health outcomes aga i n s t pat i ent care goal s and standards . M a k ing recommendat i ons for adjustments i npat i ent care as necessa ry • Adheres to I nfect i on P re v ent i on standard s , consi s tent in hand h y g i ene practice before and after each pat i ent interact i on . Adheres to i nfection pre v en t ion precaut i ons . H olds team members to I P and hand h y giene s tandards and room / pat i ent I P precaut i on measure s to pre v ent i nfection or the spread of infect i on • P articipate s i n qua l i ty re v ie w , performance impro v ement , surve y readine s s and pat i ent sat i sfaction i n i t i ati v e s w i th i n the department • D emonstrates ab il i ty to w or k i ndependen tl y and lead a t eam en v ironment • Adheres to standar d s and app l icable codes of conduct that go v ern beha v ior among peer and colleagues to create and en v ironment promoting cooperat i on , respect and trust. • Adheres to the standards of profe s sion a s out l ined b y the Amer i can N urses Assoc i ation • M a i ntains professional i sm b y conforming to the H uggins H osp i tal dress code • Continues profes s i ona l gro wt h b y mainta i n i ng educat i on hours for l i cense rene w al s and participating i n hosp i tal committee s , c l i n i cal council , and profe s s i ona l organizations Or g an i zat i on a l E xpectat i ons : • Attendance: Attendance is an essential job function; employee comes to work daily, on time, and completes scheduled shift H I P AA : facil i tate s to mainta i n pat i ent confident i al i ty communication, active listening, and respect • Interpersonal relationships: maintains appropriate interpersonal relationships with staff, patients, and visitors at all times. • Works as a team member with other departments. • Safety: Practices workplace safety daily Employee Engagement: • A ctively participates in all hospital Service Excellence initiatives and trainings • Attends and participates in a minimum of 50% department staff meetings and signs off on review of 100% department staff meeting minutes • Completes all required annual education on or before the due date Knowledge Skills and Abilities: Individuals must possess these knowledge, skills, and abilities or be able to explain and demonstrate that they can perform the primary functions of the job, with or without a reasonable accommodation, using some combination of skills and abilities and possess the necessary physical requirements, with or without a reasonable accommodation, to safely perform the essential functions of the job.

Requirements

Current NH RN license required
BLS Certification required
ACLS certification required

Nice To Haves

One (1) year of Medical Surgical nursing is preferred
Proficient with electronic medical records, computer literate
Certification in Med-surg nursing preferred

Responsibilities

Plans, evaluates, directs and renders care and re-evaluate clinical outcomes according to established standards of care
Incorporates evidence based best practice into every day clinical activities
Performs medication reconciliation and administers medications safely and appropriately using the 5 rights of medication administration
Recognizes and performs nursing interventions to maintain the body's homeostasis
Enters orders, interprets and evaluates diagnostic tests to identify and assess patient's condition, communicates same to the treating provider
Modifies patient's treatment plans as indicated by patient's condition
Maintains accurate, detailed clinical nursing documentation, reports and records
Delegates and provides oversight of nursing care activities of ancillary nursing / healthcare team members such as LNAs
Promotes a safe patient care environment safe from hazards
Consistently utilizes clear, concise, professional communication in all interactions
Ensures safe transportation of patients within the facility utilizing safe lifting and transport adjunct equipment and good body mechanics to protect patient, self, co-workers
Demonstrates safe, competent use of patient care equipment, beds, stretchers, lifts, safety and alarm devices, walkers, monitors, wound vacs, drains, oxygen therapy and other equipment approved for patient care
Demonstrates flexibility in practice and collaborates to cross train in other departments to additional duties as needed to promote flexibility, sustainability and team work within the Critical Access Hospital setting
Provides clinical consultation to nurses, providers and other disciplines regarding patient's care, system processes, technology and equipment
Serves as a mentor, role model, preceptor, and resource for peers, interdisciplinary colleagues and students
Demonstrates ability to lead within a dynamic team environment
Team builder with ability to rapidly problem solve and lead clinical staff in the delivery of safe and effective nursing care in a calm and efficient manner in high stress situations
Assists with shift assignments, provides direction and oversight to staff on shift with special attention to the coordination of care with Physicians, ancillary departments, and outside agencies (VNA, rehab and LTC facilities)
Facilitates patient flow and communication throughout the continuum of care and, at times of high volume or critical need, provides direct nursing care to patients
Maintains current knowledge of technology by reading, attending seminars and utilizing relevant hardware and software applications
Assists with bed management throughout the facility
Acts a liason between disciplines and departments when on duty
Advocates for staff and patients' needs
Assists clinical lead and director with facilitating educational opportunities
Provides nursing supervisor coverage when applicable
Develops and / or implements an individualized plan of care, including developmental and cultural needs
Utilizes appropriate resources for non-English speaking patients, healthcare illiterate patients, hearing and sight impaired patients and caregivers
Clear communication of patient plan of care and education at a level the patient, family, and caregiver can comprehend
Takes proactive steps to recognize and report suspected abuse / neglect, including, child abuse, elder abuse, sexual abuse, and spousal abuse
Champion of customer service and service excellence within the department
Demonstrates effectiveness in negotiation and compromise to effect positive patient and team outcomes
Ensures quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards
Adheres to Infection Prevention standards, consistent in hand hygiene practice before and after each patient interaction
Participates in quality review, performance improvement, survey readiness and patient satisfaction initiatives within the department
Demonstrates ability to work independently and lead a team environment
Adheres to standards and applicable codes of conduct that govern behavior among peer and colleagues to create and environment promoting cooperation, respect and trust
Adheres to the standards of profession as outlined by the American Nurses Association
Maintains professionalism by conforming to the Huggins Hospital dress code
Continues professional growth by maintaining education hours for license renewals and participating in hospital committees, clinical council, and professional organizations
Attendance is an essential job function; employee comes to work daily, on time, and completes scheduled shift
Facilitates to maintain patient confidentiality communication, active listening, and respect
Maintains appropriate interpersonal relationships with staff, patients, and visitors at all times
Works as a team member with other departments
Practices workplace safety daily
Actively participates in all hospital Service Excellence initiatives and trainings
Attends and participates in a minimum of 50% department staff meetings and signs off on review of 100% department staff meeting minutes
Completes all required annual education on or before the due date