RN Observation Unit 7p-7:30a part time

Frederick Health•Frederick, MD

11d•$36 - $55•Onsite

About The Position

The Observation Unit is an extension of the Emergency Room, caring for patients who meet pre-determined inclusion/exclusion standards. Patients are continually monitored by a licensed provider available 24/7. Clinically appropriate services include further diagnostic testing, ongoing short-term treatment, assessment, and reassessment. The patient's disposition should be determined within 24-48 hours. This role supports and incorporates the Frederick Health (FH) mission, vision, core values, and customer service philosophy, adhering to the FH Compliance Program, regulatory requirements, and FH Standards of Behavior. The position independently provides patient care using the nursing process, performs leadership and teaching duties, supports continuous quality improvement, and functions within state and federal licensing, regulatory bodies, and hospital policies.

Requirements

Clinical competency in their departmental area of practice.
Ability to use technology and equipment to perform job duties.
Effective interpersonal and communication skills.
Effective use of proper body mechanics when handling patients, supplies, and equipment.
Ability to handle a physically demanding environment.
Skills and abilities to perform all job description duties according to the age-specific patient population served by their department.
Ability to meet the requirements annually of the FH Clinical Ladder.
Ability to keep patient and employee information confidential.
Competency in operating equipment required to meet patient care needs.
Eligible for or currently licensed as a Registered Nurse in State of Maryland or compact state.
Associates degree in Nursing required.
Certified in Cardiopulmonary Resuscitation (CPR).
BLS certification is required of ALL nurses within 90-days of hire.

Nice To Haves

Bachelors of Science in Nursing preferred or willing to obtain within 5 years of employment.

Responsibilities

Assesses the biophysical, psychosocial, environmental, self-care, educational, and discharge planning needs of patients according to nursing standards.
Uses knowledge and experience to identify patient needs and prioritize treatment, recognizing and accurately documenting subtle changes in patient assessment.
Provides initial assessment and reassessments according to current organizational and department standards and documents according to policy.
Anticipates potential changes in patient’s condition and responds appropriately.
Anticipates needs based on assessment findings and proposed procedure or course of care.
Ensures an effective plan of care for assigned patients based upon the standards for planning and providing care.
Initiates individualized plan of care using nursing diagnosis based on identified patient needs and includes all available resources.
Efficiently organizes and prioritizes patient care and seeks assistance when necessary.
Actively participates in the development of standards of care.
Implements plan of care in compliance with hospital and nursing policies.
Completely and accurately implements and documents nursing interventions and patient response.
Communicates pertinent information to the patient and members of the health care team concisely and timely using an interdisciplinary approach.
Assures that the patient/family is updated regarding the status of the patient and any changes in the patient or plan of care.
Demonstrates flexibility in giving and receiving patient assignments based on skill mix and patient care demands.
Evaluates nursing care, including tools and equipment related to patient care.
Reviews, evaluates, and documents the effectiveness of interventions, making modifications as needed to the plan of care.
Evaluates new and existing equipment, policies, procedures, and programs.
Anticipates patient’s response to interventions and collaborates with patient/family and health care team to revise treatment plan accordingly.
Identifies variances from expected outcomes and makes appropriate recommendations.
Provides patient/family education, assessing their knowledge, barriers to learning, readiness, willingness, and ability to learn, as well as cultural, religious, financial, and preference implications.
Identifies learning needs and establishes goals using standardized or individualized teaching plans.
Implements the plan through direct, interactive teaching with appropriate teaching aids and materials, and evaluates the effectiveness of teaching.
Communicates patient/family progress toward learning goals and need for follow-up to other nurses and health care disciplines.
Integrates discharge planning and referral into the teaching process and documents teaching per policy.
Independently offers support to less experienced staff to aid in patient/family teaching.
Demonstrates professional expectations by incorporating suggestions for self-development, meeting clinical ladder requirements, actively engaging in department efforts to promote retention and morale, utilizing supplies, equipment, and technology effectively, and floating to other nursing units as requested.
Demonstrates leadership/accountability qualities by consistently utilizing a communication style that sets a positive professional tone, promoting meaningful communication between healthcare team members, encouraging professional interactions with ancillary caregivers and physicians, demonstrating effective delegation skills, and demonstrating effective precepting and mentoring skills.
Demonstrates accountability for reviewing Quality Assurance reports/data for accuracy and completeness and contributing to the evaluation/auditing process for CNAs, Technicians, and peers.
Completes all Hospital-wide and Department-specific competencies.