RN Attending RN Neuro Med/Surg IMCU
Company: South Shore Health
Location: Weymouth
Posted on: April 18, 2024
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Job Description:
Job Description SummaryThe attending nurse will facilitate the
new delivery of patient care with the interdiciplanary healthcare
team. The attending nurse is the consistent patient/family and
healthcare team contact supporting the staff nurse. These
coordinated efforts remain continuous throughout the patient's
care.
In collaboration with the Nurse Manger, the Attending Nurse will
continually look to improve and redefine the delivery of care model
to best provide the highest level of safe patient outcomes. When
providing direct care the Attending nurse will follow all task,
responsibilities, provisions of care as the Registered NurseJob
DescriptionESSENTIAL FUNCTIONSThe Attending RN must follow the RN
essential functions when providing direct care as follows:1:
Medication Administrationa. *Demonstrates knowledge of and follows
SSH policies and procedures for administering, transcribing, and
recording medications.b. *Completes medication reconciliation
process following SSH policy and procedure.c. *Demonstrates proper
procedure for the documentation of narcotic withdrawal,
administration, verifies count, wastes per policy and resolves
narcotic discrepancy.2. Plan of care/Documentation/Patient Family
Centered Care/Patient ExperienceDevelops, discusses, and
communicates a prioritized problem list/plan of care for each
patient.a. Develop, evaluate and update individualized plan of care
for patient and documents outcomes.b. Initiating admission
assessment within 8 hours of admissions, identifies and documents
patient/family/significant other teaching needs upon admission and
throughout hospitalization.c. Continues assessment/reassessment and
identifies care needs within established nursing practice.d.
Documents all patient care following the department of nursing
policy, unit based standards, disease processes (CHF, PNA vaccines)
and nurse sensitive indicators (falls, skin, CAUTI)e.
Assess/reassesses and documents patient's level of comfort
utilizing the appropriate pain scale and the patient's response to
each intervention both pharmacological and non-pharmacological per
South Shore Hospital policy.f. Works on behalf of patient /family.
Seeks help to represent patient/family when they are unable to
represent themselves.g. Raises ethical questions and concerns with
clinical team. Seeks available resources to help formulate and
understand ethical decisions.h. Actively communicates plan of day
via white board updating every shift.i. Facilitates
discharge/transfer and communicates barriers utilizing chain of
command.3. Safety/Quality - Foster's a "Culture of Safety" through
personal ownership and commitment to a safe environment.a. Verifies
patient identification with two identifiers prior to the start of
any invasive procedure, including "time out", administration of
care, medications, labeled specimen's an documents confirming the
correct patient, procedure, site, equipment and consent.b.
*Complies with the current CDC hand hygiene guidelines through
proper handwashing. Adheres to universal precautions, makes
appropriate use of personal protective equipment at all times and
appropriately disposes of hazardous materials. Maintains awareness
of MSDS sheets and how to access.c. Ensures environment meets
regulatory requirements at all times.d. Understands and is able to
demonstrate individual roles and responsibilities in the event of
hospital codes/emergency preparedness.4. Professional Development:
Assumes overall responsibility for own professional development by
incorporating evidenced-based practice, research, and performance
improvement initiatives as a part of ongoing nursing practice.a.
Obtains at least 5 contact hours per year in area of practice.b.
Practices within the legal boundaries of MA Nurse Practice Act.
Directs other licenses and non-licensed personnel as assigned.c.
Displays the ability to accept and respond appropriately to
feedback and recommendations for change.d. Demonstrates
professional working relationships with colleagues from all
disciplines to promote a positive/encouraging workplace.e. Critical
Thinking: analyzes causes of problems, identifies and evaluates
alternative solutions, and selects appropriate solution, and
communicates appropriately and effectively utilizing chain of
command.f. Accountable for being informed about changes in hospital
policy and procedure.g. Works collaboratively with the Nurse
Manager and CPDS to monitor and develop existing roles on the
unit.h. Assess need for personal growth and development and takes
the initiative in seeking opportunities to meet this need.5.
Technology: Utilizes technological solutions to work processes and
practices.a. Access Lotus Notes to review email, learning
management and other resources as applicable to RN role.b. Utilizes
software applications required by department and unit standards.c.
Accountable to understand how to operate in downtime.6. UNIT
COMPLIANCE/EMERGENCY PREPAREDNESS/INFECTION CONTROLa.
Monitors/maintains unit compliance with regulatory, accrediting and
hospital policy for patient services and environmental and
personnel safety.b. Under the direction of the Nurse Manager,
reports unit compliance with regulatory agency standards (i.e.,
OSHA, JCAHO, DPH, FDA).c. Monitors the staff's understanding of
established emergency, infection control and/or Universal
Precautions, procedures as evidenced by CQI reports, incident
report follow-ups, and staff meeting minutes.7. CONTINUOUS QUALITY
IMPROVEMENT - Attains all agreed to goals and objectives within
specified time frames, as part of the organization's overall
mission.a. Works in conjunction with the nurse manager to oversee
unit KPI programs which monitors and evaluates critical aspects of
care and quality metrics.b. Partners with CPDS to identify
potential for problems within existing system by direct observation
or analysis of data.c. Submits reports as requested by the Nurse
Manager.d. Serves as a role model for interdisciplinary problem
solving, using a standard Lean A3 approach and PDCA modele.
Dissemination of unit's KPI results if requested.f. Participates in
the development of KPII unit based score card as evidenced by
divisional meeting minutes.g. Completes incident report
investigation in a timely and comprehensive manner.h. Involves
front line staff in the development and execution of quality plan
and quality improvement projects.i. Participates in consistent
patient rounding and engages in service recovery efforts.j.
Actively participates in all Culture of Service Excellence
activities.8. SHARED GOVERNANCEa. Fosters a service which is
consistent with the patient care beliefs and shared management
philosophy of the department.b. May provide for opportunity to
discuss and update staff on progress of shared governance model,
project team, etc., as evidenced by staff meeting minutes.c.
Supports staff involvement in project teams/committees as evidenced
by discussion in minutes.d. Projects are completed with
consideration for quality, practice and educational components.e.
Participates in or chairs projects or committees as volunteered or
assigned.9. FINANCEa. Recommendations regarding changes of
products/par levels reflect cost, quality and standardization.b.
Recommends staffing plan and personnel mix to service the unit.c.
Recommends capital equipment needs for the unit.10. COLLABORATIONa.
Collaborates with other organizational departments to improve and
enhance patient care services.b. Utilizes appropriate resources
within the institution to provide consultation, education,
technical or informational services as needed, for self, staff and
patients.c. Initiates interdepartmental communication to ensure
problems are resolved and special needs are met.d. Works with other
organization/departments to advocate for, develop and implement
service enhancement for patients and families.e. Utilizes Shared
Governance model on unit in collaboration with the Nurse Manager to
resolve real and potential problems and to implement improvements
and change.f. Collaborates with the team to resolve barriers to
promote hand-offs interdisciplinary rounds, and efficient
throughput of patients.g. Ensures, with geographic provider and
Department of Care Progression that the patient care needs are
met.h. Attends and coordinates meetings with clinicians for timely
decision of predictions and discharges.i. Communicates all key
information to on coming charge nurse/covering nurse in an
efficient, comprehensive manner when hand-offs are required.11.
COMPLIANCEa. Works with legal, regulatory and ethical practice
standards relevant to the position.b. Complies with applicable
policies and procedures.c. Safeguards the privacy and security of
patient information. The employee complies with policies and
procedures relating to SSH's privacy and security programs.d.
Brings potential compliance issues to manager, supervisor, director
or Vice President.e. Complies with the mandatory education
requirements of the compliance, privacy and security programs.12.
CUSTOMER SERVICE-PATIENT & FAMILY EXPERIENCEa. Consults with
patients/families as evidenced by rounds, family conferences, case
conference.b. Follows-up on patient survey responses in accordance
with hospital policy and procedure following receipt of survey. Any
identified trends will be addressed following hospital policy and
procedures, as evidenced by communication with the Nurse Manager.c.
Accurately identifies real/potential problems affecting service and
implements solutions with follow-through communication.d. Responds
to reported problems/complaints based on urgency.13. PATIENT AND
FAMILY CENTERED CAREa. Conveys respect for values, preference, and
expressed needs of the patient and family.b. Recognizes the patient
and family in accordance to patient preferences, as important
members of the health care team.c. Collaborates with the patient,
and family according to patient preferences, in planning,
implementing, and evaluating care.d. Welcomes the presence and
participation of family members at all times according to patient
preferences, regardless of rounds, change of shift, or other events
on the unit.e. Ensures the patient care assessment and patient care
plan using Patient and Family centered care principles developed in
collaboration with the interdisciplinary care team.f. Identifies
and uses best practices to promote patient/family focused care.g.
Communicates with the patient and family discussing the daily plan
of the day, care progress, predicted discharge, and answers
questions/teaches/coaches.h. Updates the plan of care utilizing the
patient "white boards", and ensures the plan is understood by all
care members while communicates with the patient/family.i. Meets
with family or care partner in collaboration with the RN to discuss
plan of care, disposition, goals of treatment, palliative care, and
end of life issues.j. Care delivery should always be: patient and
family centered, evidence-based accountable coordinated and
continuously reassessed.14. LANGUAGE & CULTURE - Considers the
individual needs of each person with whom they interact.a.
Possesses age and cultural knowledge and awareness.b. Interacts
with sensitivity in the delivery of care/services to a diverse
population as needed.c. Effectively utilizes resources to provide
care/services - such as, interpreter services and on-line
sources.15. Technology and Learninga. Data collection and the
ability to interpret/synthesize that key clinical information
(e.g., medication reconciliation, advance directive, discharge
data) will be a critical component of the role.b. Works
collaboratively to establish support services standards (e.g., bed
turn around, phlebotomy timing), to facilitate early discharge
before noon.c. Implements and continually reassess a standard that
promotes a synergistic staff assignment.d. Functions as a super
user when organizational initiatives are implemented.JOB
REQUIREMENTSMinimum Education - PreferredGraduate of an accredited
school of nursingBSN or health care related BS required within 3
yearsMinimum Work ExperienceMinimum of 2 years acute care
experienceRequired Licenses / Registrations RN - Registered Nurse -
Board of Registration in Nursing (Massachusetts)Required
Classes/CertificationsACLS - Advanced Cardiac Life Support
Keywords: South Shore Health, Weymouth , RN Attending RN Neuro Med/Surg IMCU, Healthcare , Weymouth, Massachusetts
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