Acute Care RN – 4th Floor – Cardiac Telemetry Registered Nurse – Days – Sign on Bonus

About the role

Provides and directs safe, effective, and culturally competent care for patients with acute medical and surgical conditions. Through evidence-based practice, utilizes critical thinking to assess, plan, implement, and evaluate outcome-based care. The Acute Care RN manages a diverse patient population with varying levels of acuity, including post-operative, medical, telemetry, and neurologic patients. Supervises and coordinates care provided by LPNs, Patient Care Assistants, and other nursing team members. Facilitates communication with physicians, patients and families, and interdisciplinary team members.

Responsibilities

• Conducts an initial assessment to gather data.
• Makes an initial assessment of new admissions within 30 minutes of the patient’s arrival to the unit.
• Completes all areas of the admission assessment database within 24 hours of admission.
• Identifies patient problems and develops them into an outcome/goal-based plan of care.
• Initiates the patient problem list and incorporates relevant medical history into the plan of care.
• Analyzes and interprets the assessment data to identify desired patient outcomes/goals.
• Determines nursing interventions to achieve those outcomes/goals.
• Prioritizes patient care needs/activities.
• Makes appropriate referrals (i.e., Patient/Family Services, Nutritional Services, Spiritual Care, Diabetic Educator, etc.), and education needs.
• Collaborates with other health care disciplines to plan interventions/ patient outcomes/goals.
• Implements the outcome/goal-based plan of care.
• Sets priorities for patient care and organizes and prioritizes care for the patients within the team.
• Delegates tasks appropriately to other team members.
• Implements the plan of care including procedures, treatments, physicians orders, nursing orders, education plan and medications.
• Coordinates implementation of plan of care with the Case Manager, Social Worker and other health care disciplines.
• Aids in decreasing the patient’s length of stay by helping the patient and family identify and secure appropriate services to satisfy health-related needs upon discharge.
• Uses nursing judgment to determine the appropriate frequency and components of reassessment.
• Reassesses at regular intervals to determine patient response(s) to interventions (minimum RN reassessment every 24 hours).
• Focuses ongoing reassessment on actual and potential problems/needs of the patient including education and discharge needs.
• Participates in developing discharge plan.
• Documents discharge instructions for patient and/or significant other and/or other care provider.
• Evaluates patient progress and revises the outcome/goal-based plan as needed.
• Evaluates patient response(s) to interventions.
• Reviews/modifies/revises the outcome-based plan of care based on ongoing reassessments.
• Communicates relevant clinical information to the team to optimize patient outcomes/goals.
• Communicates relevant clinical information to physicians regarding the patient’s condition.
• Reports progress toward outcomes/goals and/or changes in condition to other health team members.
• Maintains ongoing communication with interdisciplinary team members throughout the shift, at shift change, and transfer of care.
• Documents completely, comprehensively and legibly and in accordance with policy.
• Demonstrates clinical competence.
• Utilizes Patient Care Policies and Procedure as references to guide nursing practice.
• Affirms medication safety by following the “5 Rights” of medication administration.
• Prioritizes and implements intervention according to patient assessment.
• Demonstrates competency in computer systems and applications required for role.
• Communicates and works with others in an age-appropriate manner.
• Adheres to all safety, infection control and colleague health policies and procedures.
• Attends required safety programs.
• Appropriately and consistently uses the personal protective equipment required of the job.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
• May be required to assist with data collection and quality improvement initiatives.
• May be asked to participate in unit-based committees and provide education to nursing staff as requested.
• Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.
• Collects, analyzes, interprets and applies age-specific data.
• Performs tasks/procedures, uses equipment in an age-appropriate manner.
• Communicates and works with others in an age-appropriate manner.
• Adheres to all safety, infection control and colleague health policies and procedures.
• Attends required safety programs.
• Appropriately and consistently uses the personal protective equipment required of the job.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
• May be required to assist with data collection and quality improvement initiatives.
• May be asked to participate in unit-based committees and provide education to nursing staff as requested.
• Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.
• Collects, analyzes, interprets and applies age-specific data.
• Performs tasks/procedures, uses equipment in an age-appropriate manner.
• Communicates and works with others in an age-appropriate manner.
• Adheres to all safety, infection control and colleague health policies and procedures.
• Attends required safety programs.
• Appropriately and consistently uses the personal protective equipment required of the job.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
• May be required to assist with data collection and quality improvement initiatives.
• May be asked to participate in unit-based committees and provide education to nursing staff as requested.
• Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.
• Collects, analyzes, interprets and applies age-specific data.
• Performs tasks/procedures, uses equipment in an age-appropriate manner.
• Communicates and works with others in an age-appropriate manner.
• Adheres to all safety, infection control and colleague health policies and procedures.
• Attends required safety programs.
• Appropriately and consistently uses the personal protective equipment required of the job.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
• May be required to assist with data collection and quality improvement initiatives.
• May be asked to participate in unit-based committees and provide education to nursing staff as requested.
• Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.
• Collects, analyzes, interprets and applies age-specific data.
• Performs tasks/procedures, uses equipment in an age-appropriate manner.
• Communicates and works with others in an age-appropriate manner.
• Adheres to all safety, infection control and colleague health policies and procedures.
• Attends required safety programs.
• Appropriately and consistently uses the personal protective equipment required of the job.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
• May be required to assist with data collection and quality improvement initiatives.
• May be asked to participate in unit-based committees and provide education to nursing staff as requested.
• Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.
• Collects, analyzes, interprets and applies age-specific data.
• Performs tasks/procedures, uses equipment in an age-appropriate manner.
• Communicates and works with others in an age-appropriate manner.
• Adheres to all safety, infection control and colleague health policies and procedures.
• Attends required safety programs.
• Appropriately and consistently uses the personal protective equipment required of the job.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
• May be required to assist with data collection and quality improvement initiatives.
• May be asked to participate in unit-based committees and provide education to nursing staff as requested.
• Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.
• Collects, analyzes, interprets and applies age-specific data.
• Performs tasks/procedures, uses equipment in an age-appropriate manner.
• Communicates and works with others in an age-appropriate manner.
• Adheres to all safety, infection control and colleague health policies and procedures.
• Attends required safety programs.
• Appropriately and consistently uses the personal protective equipment required of the job.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Provides appropriate interventions for patients experiencing cardiac events or changes in rhythm.
• May be required to assist with data collection and quality improvement initiatives.
• May be asked to participate in unit-based committees and provide education to nursing staff as requested.
• Based on principles of growth and development, provides care appropriate to the age-related needs of the patients served on his/her assigned unit.
• Collects, analyzes, interprets and applies age-specific data.
• Performs tasks/procedures, uses equipment in an age-appropriate manner.
• Communicates and works with others in an age-appropriate manner.
• Adheres to all safety, infection control and colleague health policies and procedures.
• Attends required safety programs.
• Appropriately and consistently uses the personal protective equipment required of the job.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Demonstrates clinical competency and technical knowledge in cardiac rhythm interpretation and telemetry monitoring.
• Recognizes and responds appropriately to cardiac arrhythmias and other changes in patient condition.
• Manages telemetry and cardiac monitoring when applicable.
• Provides