Nurse Coordinator - Acute Care for Elders - Nights

About the role

Nebraska Methodist Health System focuses on providing exceptional care to the communities we serve and the people we employ. Our mission is to make each delivery special, convey difficult diagnoses with compassion, go above and beyond for patient needs, and celebrate patients who overcome challenges.

Responsibilities

• Provides appropriate care specific to the age of the customer/patient, ensuring understanding and comfort level of treatment as outlined in the Population Specific Criteria.
• Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
• Affirms patient care assignments are made according to established criteria, policy and procedure.
• Affirms assignments are made according to personnel level of experience, patient status and skill needs, patient safety needs, skill mix, and degree of supervision required.
• Sets up new personnel and float staff to a practice partner for use as a resource.
• Modifies assignments as necessary based on flow of patients.
• Reports issues/trends to Service Leader.
• Coordinates unit patient flow of admissions and discharges to assure beds are available to match the demand.
• Develops/coordinates a daily plan for admission/transfer/discharge to ensure that patient flow is facilitated and beds are available.
• Assigns beds within 20 minutes of a bed request, or communicates with bed coordinator when time frame cannot be met.
• Presents unit demand/capacity status and unit plan if needed at bed huddle.
• Supervises/evaluates care provided during assigned shift.
• Redirects hospital staff to demonstrate core values to promote a positive work environment.
• Gives input and assists with completion of staff performance developmental plans.
• Serves as a resource person to assigned care providers as needed.
• Reports issues/trends to Service Leader and/or follows-up with appropriate staff.
• Affirms positive customer relations are maintained with hospital personnel, patients, visitors and physicians.
• Affirms shift report, rounds, and Situation Background Assessment Recommendation (SBAR) are complete, pertinent and communicated to appropriate persons to maintain continuity of care.
• Collaborates/coordinates with Care Manager, Service Secretaries, Support Staff, other departments/units, and/or other agencies to facilitate patient care.
• Affirms assistance in dealing with customer concerns as needed.
• Affirms encouragement of utilization of Situation Background Assessment Recommendation (SBAR) format to maintain continuity of care.
• Manages environment and/or patient care situations to assure situations involving risks are addressed appropriately.
• Affirms completion and follow-up on: Clinical Variance reports (on Intranet), Patient/Family concerns, Staff concerns, Narcotic discrepancies.
• Monitors on an ongoing basis environmental safety issues and appropriate interventions taken; e.g., refrigerator check, and code blue cart check.
• Provides input into the development and revision of policy and procedures.
• Reports issues/trends to Leader.
• Maintains quality standards and Joint Commission on Accreditation of Healthcare Organizations (JCAHO)/Centers for Medicare and Medicaid Services (CMS) guidelines (ready for survey at all times).
• Participates and coaches staff in identification, analysis, reduction, and evaluation of risk issues (Risk Management Process).
• Affirms appropriate utilization of human resources, supplies/equipment, and budget.
• Affirms adjustments of staffing appropriate to census/guidelines and budget on a shift-by-shift basis.
• Affirms facilitation of staffing on assigned unit for on-coming shift based on identified patient needs and priorities.
• Affirms monitoring of unit activities to ensure optimal patient care and appropriate use of end of shift overtime.
• Affirms identification of supply and equipment utilization problems and ensures appropriate interventions.
• Affirms reporting issues/trends to Service Leader.
• Affirms performing Nursing Assessment Process to achieve optimal patient outcome.
• Affirms collaboration with physicians and other clinical disciplines as appropriate.
• Affirms providing teaching specific to the patient's health care problem.
• Affirms care plan reflecting continuing care needs and/or referrals for discharge/transfer.
• Affirms familiarity with, and following, nursing protocols and clinical practices and standards of care for their unit.
• Affirms documentation of care in a timely and efficient manner.
• Affirms facilitation/participation in multidisciplinary patient rounds and clinical knowledge/status of all patients on unit (i.e., diagnosis, length of stay, discharge day).
• Affirms monitoring of outcomes and documenting patient response to interventions.
• Affirms evaluation of the patient's capabilities and/or limitations related to nursing and medical interventions.
• Affirms continual monitoring of the patient and/or significant other(s) ability to manage care needs after dismissal.
• Affirms giving a complete verbal or written change of shift report to the oncoming care provider. Includes current care requirements and is familiar with the overall plan of care.
• Affirms recognizing and addressing patient and family capabilities and limitations (physical and mental).
• Affirms performing technical skills competently and independently to assure patient safety.
• Affirms accountability to learn new skills and equipment within areas' specifications and time frames.
• Affirms initiating action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (e.g., falls, needle sticks, patient concerns).
• Affirms communication to appropriate personnel regarding unresolved issues.
• Affirms coaching staff on the integration of patient safety into daily work (patient identification, writer down and read back of all phone/verbal orders, do not use abbreviation list, high alert medications, medication reconciliation, patient falls, time out).
• Affirms contributing to the safety culture of the unit by coaching staff to report near misses before they cause error or harm (i.e., RRT).
• Affirms support of the environment of patient confidentiality.
• Affirms reviews, delegates and evaluates plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice.
• Affirms right task (within the scope of practice, according to the job description, based on the desired outcome, task routine, non-complex, low risk and predictable outcome).
• Affirms right person (assess competency by: certification/licensure, job description, skills checklist, demonstrated skill).
• Affirms right communication (clear, concise, correct, complete).
• Affirms right feedback: the Reciprocal Process (asks teammates' input first, recognize effort, get teammates' solution to problem, check off points).

Requirements

• Education: Bachelor of Science in Nursing (BSN) from an accredited school of nursing required. For MFH: Associate of Science in Nursing (ASN) from an accredited school of nursing and 5 years of healthcare related leadership experience accepted in lieu of a bachelor’s degree.
• Successful completion of annual mandatory education requirements.
• For Critical Care: National Institute of Health Stroke Scale (NIHSS) certification training required by the completion of orientation.
• For NMH Critical Care & Medical Observation: NIH Stroke Scale training or proof of training required in the first 6 months of hire.
• Certification(s) in area of specialty preferred from National Certification Corporation (NCC) within 1 year of eligibility.
• Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
• Current American Heart Association Advanced Cardiovascular Life Support (ACLS) certification required.
• For Short Stay: ACLS required within 6 months of hire.
• For Medical Observation: ACLS required within 6 months of hire.
• For Cardiac Unit: Certified Critical Care Nurse (CCRN) or Progressive Care Certified Nurse (PCCN) preferred.
• For Cardiovascular Surgery: Certified Critical Care Nurse (CCRN) or Progressive Care Certified Nurse (PCCN) preferred.
• For Progressive Care Unit 4: Certified Critical Care Nurse (CCRN) or Progressive Care Certified Nurse (PCCN) preferred.
• For Progressive Care: Gerontological Nursing (GERO.BC) and Progressive Care Certified Nurse (PCCN) preferred.
• For Critical Care: Certified Critical Care Nurse (CCRN) preferred.
• For Anesthesiology: Certified Perioperative Nurse (CNOR) preferred.

Skills/Knowledge/Abilities

• Knowledge of databases preferred.
• Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers.
• Ability to multi-task and prioritize work assignments.
• Computer knowledge with abilities in word processing.
• Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.

Physical Requirements

• Weight Demands: Medium Work - Exerting up to 50 pounds of force.
• Physical Activity: Occasionally Performed (1%-33%): Climbing, Crawling, Kneeling, Sitting; Frequently Performed (34%-66%): Balancing, Carrying, Crouching, Distinguishing colors, Keyboarding/typing, Lifting, Pulling/Pushing, Repetitive Motions, Stooping/bending, Twisting; Constantly Performed (67%-100%): Grasping, Hearing, Reaching, Seeing/Visual, Speaking/talking, Standing, Walking.

Job Hazards

• Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc)
• Chemical agents (Toxic, Corrosive, Flammable, Latex)
• Biological agents (primary air born and blood born viruses)
• (Jobs with Patient contact)
• (Blood or)