Registered Nurse RN Observation PCU

About the role

Join Banner Health's Telemetry unit focused on Observation status patients at Banner Boswell Medical Center in Sun City, Arizona. This fast-paced environment offers a wide variety of patient illnesses, combining the rapid diagnostic workups of the ED with the care needs of a Telemetry setting. The 24-bed Observation Unit features an outstanding multi-disciplinary team where nurses work closely with physicians, case management, and experienced colleagues to provide excellent patient care. Patients admitted from the ED require rapid evaluation, testing, and interventions to determine safe discharge or movement to inpatient units. The range of clinical diagnoses provides an exceptional opportunity to develop and utilize every facet of clinical knowledge.

Responsibilities

• Assess patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs
• Review patient history and physical with patient/family and assure completion within appropriate timeframe
• Review available information obtained by other health care team members, diagnostics and laboratory data, and report abnormal results to physician(s) and other appropriate caregivers
• Complete assessment and reassessments according to patient need and as outlined in policy
• Formulate a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input
• Initiate a plan of care based on patient-specific needs, assessment data and the medical plan of care with realistic, measurable goals developed in conjunction with the patient/family
• Consider physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of care
• Plan care in collaboration with members of the multidisciplinary team; review and revise the plan of care to reflect changing patient needs based on evaluation of the patient's status
• Implement the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team
• Provide care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements
• Delegate appropriately and provide nursing supervision in the provision of care to patients by other licensed nurses and other personnel
• Promote continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided
• Evaluate the patient's and family's response to care and teaching, and revise the plan of care as needed
• Evaluate patient progress towards goals and expected outcomes in collaboration with other health care team members
• Evaluate patient's response and the effectiveness of patient teaching
• Document assessment, planning, implementation and evaluation in the patient record, ensuring documentation is legible, timely and in accordance with policy; reflect objective/subjective data, nursing interventions and patient's response to treatment
• Note physician orders accurately and in a timely manner
• Provide care based on the best evidence available and may participate in research activities within clinical practice
• Participate in unit or facility shared leadership
• Interact and participate in the education, role development, and orientation of facility personnel, patients, students, families and visitors
• Promote/support growth of others through precepting and mentoring when appropriate
• Contribute to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care
• Actively participate in the improvement of national nursing quality indicators and outcomes, which may include participating in professional organizations
• In some roles, supervise staff and workflow of the department
• Interact with all levels of staff in a variety of departments, physicians, patients, families and external contacts, such as employees of other health care institutions, community providers and agencies, concerning the health care of the patient
• Interact with other health care providers in numerous settings to report and ask for or clarify information; work with clergy to provide spiritual support
• Synthesize and prioritize data from multiple sources to provide support for the human response of the patient and family to changes in health status

Qualifications

• Must possess a current, valid RN license in state of practice, temporary/interim RN license in state of practice, or compact RN licensure for current state of practice
• BLS certification required
• Additional certification or continuing education may be required based on area of practice
• Must maintain clinical performance competencies appropriate to the area in which they work as demonstrated through annual validations
• Banner Registry and Travel acute care positions require a minimum of one year experience in an acute care hospital setting within the past 12 months as a Registered Nurse in the specialty area
• Banner Registry and Travel physician practice positions require a minimum of one year experience as a Registered Nurse in a physician practice or an acute care setting
• In a Home Health setting, team members must be able to operate personal vehicle and possess a valid driver's license; auto insurance coverage is also required to be active and maintained
• Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment; an Arizona Criminal History Affidavit must be signed upon hire
• Employees working for Banner Home Care AZ must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment
• Employees working in the Banner McKee Senior Behavioral Health Inpatient Unit must possess a Colorado Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment
• Employees working in any Banner Staffing (BSS) Behavioral Health role in Arizona must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment

Preferred qualifications

• Bachelor's degree preferred
• Professional certification preferred
• Additional related education and/or experience preferred

Pay & schedule

• Full Time, Day (7am-7:30pm) shifts available
• Self-scheduling tool for shift and weekend coverage
• 18% night shift differential
• Flat rate $3/hour weekend shift differential

Benefits

This opportunity includes the option to participate in a variety of health, financial, and security benefits.

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