Ambulatory Registered Nurse - Care Transformation - FT - Day

Full time, first shift (days, less than 12 hours per shift), 40 hours per week. Non-exempt position.

About the role

Transitional Care Management (TCM) provides comprehensive, consultative and management services that enhance patient satisfaction, reduce costs, and improve outcomes. The Transitional Care nurse will support the organizational transitional care program by providing interactive contact via telephone with the patient and/or caregiver within two business days following the patient's discharge to the community setting. Using the nursing process, the TCM nurse will assess the patient's transition to home, understanding of discharge instructions, medication compliance, and will direct patients to the appropriate level of care within the organizational health care system. The TCM Nurse is accountable for quality assessment, efficient managed care, and client satisfaction in collaboration with the health care team. The TCM nurse will utilize multiple IT platforms for patient identification and documentation of transitional care interventions.

The delivery of professional nursing care at Stormont Vail Health is guided by Jean Watson's Theory of Human Caring and the theory of Shared governance, both of which are congruent with the mission, vision, and values of the organization.

Responsibilities

• Formulates a prioritized and goal-directed plan of care based on patient’s presenting problems and projected outcomes.
• Implements care in a knowledgeable, skillful, consistent manner while promoting the continuum of care.
• Evaluates the effectiveness of the health care process (self, systems, environment, and instrumentation) in meeting outcomes.
• Observes, records, and reports patient’s condition and reaction to drugs and treatments to provider.
• Ensures the patient has an appointment with their PCP or designee within 7-14 days of hospital discharge.
• Documents in patient and department records in a timely, accurate, and concise manner according to department standards.
• Maintains and reviews patient records, charts, and other pertinent information; compiles tests and examination results.
• Evaluates the patient’s progress toward achieving outcomes.
• Performs efficiently in emergency patient situations following established standards of care.
• Practices effective problem identification and resolution as a method of sound decision making.
• Greets patients and prepares them for provider examination; collects patient history information.
• Instructs patients in collection of samples and tests.
• Triages and refers incoming telephone calls; instructs patient and family regarding medications and treatment instructions.
• Participates in system-wide/department patient care quality improvement activities as well as standards development.
• Participates in development and attainment of system-wide/department hospital goals.
• Delegates tasks and duties in the direction and coordination of health care team members, patient care, and department activities in accordance with the Kansas State Nurse Practice Act.
• Adheres to staffing and scheduling practices.
• Seeks validation of knowledge base, skill level, and decision-making as necessary and assertively seeks guidance in areas of question.

Requirements

• Bachelor's of Science in Nursing (BSN) preferred.
• 2 years of ambulatory or medical-surgical nursing experience required; clinic setting experience preferred.
• Registered Nurse license from the Kansas State Board of Nursing (KSBN) or a multistate license with the ability to practice within the State of Kansas.
• Basic Life Support (BLS) certification required within 90 days of hire; RQI, CPR, or ACLS certifications may be required in lieu of or in addition to BLS depending on department.

Skills and Abilities

• Demonstrates awareness and sensitivity to rights of patient/significant other, as identified within the institution.
• Demonstrates awareness and application of safety issues as identified within the institution.
• Demonstrates awareness of legal issues in all aspects of patient care and departmental functioning; strives to manage situations in a manner that minimizes risk to the patient and the institution.
• Demonstrates competency in selected psychomotor skills.
• Ability to communicate effectively using verbal, non-verbal, and written methods.

Physical Demands

• Sedentary work involving sitting most of the time, but may involve walking or standing for brief periods.
• Majority of time spent at a workstation facing a computer screen.
• Occasionally (1-3 hours): balancing, carrying, climbing (ladders/stairs), crawling, crouching, kneeling, lifting up to 10 lbs, pulling up to 10 lbs, pushing up to 10 lbs, reaching (forward/overhead), repetitive motions, standing, stooping, talking, walking.
• Frequently (3-5 hours): eye/hand/foot coordination, feeling, fine motor grasping, gross hand grasping, handling, hearing, sitting.
• Rarely (less than 1 hour): walking.

Working Conditions

• Occasionally (1-3 hours): combative patients, infectious diseases, needle stick, noise/sounds.
• Rarely (less than 1 hour): burns, chemical exposure, dusts, electrical hazards, explosive hazards, extreme temperatures, hazardous drugs, mechanical hazards, other atmospheric conditions, poor ventilation/fumes/gases, radiant energy, risk of exposure to blood and body fluids, other hazards, vibration, wet and/or humid conditions.