RN-Neuro Progressive Care Unit, Nights, Moses H. Cone Hospital
Company: Cone Health
Posted on: March 2, 2019
LOCATION : Moses Cone Hospital, Greensboro JOB DETAILS : Exempt: No FTE: 0.9 (36 hours/week) Schedule: 7 pm - 7 am On Call: No JOB SUMMARY : Assesses, plans, implements, documents, organizes, prioritize, delegates, supervises and coordinates the care of neonatal, pediatric, adolescent, adult, geriatric patients as prescribed within the parameters of the NC Nurse Practice Act and hospital complex. EDUCATION : Associates Nursing Required Bachelors Nursing Preferred Additional Information: Graduate of a School of Nursing. BSN required or with approval of the hiring manager, experienced RN's with an AD or Diploma with an active plan to obtain their BSN within four years from date of hire may be considered. LICENSURE/CERTIFICATION/REGISTRY/LISTING-REQUIRED : RN - Registered Nurse licensed in North Carolina or a Compact state. BLS (CPR) - AHA Health Care Provider BLS LICENSURE/CERTIFICATION/REGISTRY/LISTING-PREFERRED Advanced Cardiovascular Life Support Pediatric Advanced Life Support Moses H. Cone Memorial Hospital Scope of Service Neuroscience Unit Department Description The Neuroscience Unit is a 32 bed Medical-Surgical Department located on the Midwest and Central towers, on the 5th floor of the Moses Cone Campus. It is fully telemetry capable and part of the Neuroscience Center of Excellence. All rooms are private and handicapped accessible. 8 beds are video monitored beds which are used for high fall risk patients. These patients will be cared for according to the video monitoring policy. There are also two negative pressure rooms for respiratory isolation. Population/ Diagnoses Served The unit provides care to patients' with Neurosurgical and Neuromedical Diagnoses. Priority admission is given to patients with the primary diagnoses of Stroke, TIA, TBI, Spine and Cranial Surgery, and Seizures. Any patient requiring 24 hour nursing care with a stable neuromedical or neurosurgical diagnosis is considered a priority admission. Vital Signs or Neuro Assessments must not exceed a frequency of every 1 hour beyond 4 hours, with exception of acute post tPA patients. Any patient requiring more frequent assessments or is hemodynamically unstable, is not appropriate for the unit. Routine assessments occur at least every 12 hours, with focused reassessments as indicated. Telemetry Monitoring is for Neurovascular Management. No Primary Cardiovascular Diagnoses are appropriate. If while on telemetry the patient develops changes or events which require cardiac unit monitoring, the MD will be notified and a transfer requested to a cardiac monitored unit. No Cardiac Drips can be initiated or maintained, except in an emergency transfer situation by Rapid Response. Additionally no hypertonic drips will be initiated or accepted. Routine IV drips and Insulin, Heparin or Morphine drips are accepted. Patients will be discharged home or to a lower level of care when their condition no longer requires the level of services provided on the Neuroscience Unit. Services Provided Patient care is provided 24 hours per day, 7 days per week by licensed staff, supported by an ancillary staff of Nursing Technicians and Nursing Secretary/ Monitor Techs. A Department Director and Assistant Director are readily available for employee and department operational management. Other resources are Unit and Service Based Educators, Physical /Occupational /Speech Therapists, RN and Social Work Case Managers and Nutrition, Pharmacy, and Chaplaincy Services. Discharge criteria are guided by physician order, meeting clinical outcomes as defined by diagnosis specific core measures and /or placement in a post-acute care setting. Staffing Plan / Ratios Staff are scheduled for 6 week periods via self-assisted scheduling in Optilink. Staff are distributed within the schedule based on daily and shift census and staff experience / skill mix. Patient assignments are based upon patient acuity and staff skill. Optimal ratios are: RN budgeted ratios are 1:4-6 on all shifts. Nursing Technician ratios are 1:8-10 on all shifts. Monitor Tech/Nursing Secretary 2 (0700-2300) Staff Competencies RN All health system requirements including: current licensure, CPR, restraints, blood administration life safety (fire safety, infection control, general safety) Basic EKG (initial EKG class & quarterly CBLs) System approved orientation competencies, including but not limited to: Care of Stroke Patients, NIHSS certification, Swallow Screen Certification, Safe Patient Handling (Diligent No-Lift Equipment, application of braces, mobility training utilizing gait belts, walkers & other assistive devices). NT All health System requirements including: current NTI & NTII certification, CPR, restraints, life Safety (fire safety, infection control, general safety) Performance of 12 lead EKGs Safe Patient Handling (Diligent No-Lift Equipment, application of braces, mobility training utilizing gait belts, walkers & other assistive devices). Monitor Tech/ NS All health system requirements including: life safety (fire safety, infection control, general safety). Competency / Education Plan Orientation / Ongoing Each role has a defined orientation pathway or competency validation list that is completed or nearly complete, prior to the person taking an independent assignment. Key competencies are validated by direct observation by the individual preceptor or qualified observers. The department director determines with input from preceptors, RN4, CNS & AD, when the orientation is complete. Ongoing competency is determined by direct observation, continuing education review, routine review of high risk procedures & re-validation by qualified observers. MAJOR WORK ACTIVITIES : Provides nursing care via the nursing process for the development, implementation and evaluation of nursing care. Collects and analyzes patient/significant other data. Completes an admission database and ongoing assessment to include collaboration with patients, significant others and other health care providers. Implements a plan of care for each patient (utilizing clinical pathways where applicable) and individualizes to meet the age specific needs of patients/significant others. Identifies variances and makes adjustments in the plan of care based on evaluation of the plan and effectiveness of nursing interventions. Documents and updates the plan of care, nursing care, nursing interventions and patient response to care, and keeps healthcare team, patients and significant other informed. Contributes to the discharge plan by identifying homecare needs. Recognizes changes in patients' conditions and revises the plan of care appropriately. Demonstrates advanced competencies and critical thinking skills in day to day practice. Identifies and implements educational needs for patients/significant others. 30 % Establishes a caring and therapeutic nurse/healthcare team/patient/significant other relationships. Recognizes communication barriers, identifies resources and establishes plans to resolve barriers to communication. Demonstrates respect for diversity and cultural differences in patient/significant others related to age, ethnicity, gender, religion, socioeconomics, education, personality, or other unique variable. Formulate individualized plans to address individual needs related to diversity, cultural difference or other unique variables. Advocates for the patient/significant other. Demonstrates skillful responses to customer needs based on particular context of the situation. 25 % Supports an environment of evidence based practice/research/quality improvement. Demonstrates knowledge of Shared Governance accountabilities and principles, supports DSGC directly as a council member or indirectly by keeping informed of council activities/supporting council decisions, brings forth issues to council. Demonstrates knowledge of how to access reference documents containing policies, procedures, standards, and additional resources. Participates in QI/ Research activities based on role and major work activities as outlined in the research point system guidelines. Demonstrates knowledge of department QI plan. Demonstrates understanding of resource management and implements opportunities. Collects QI data and participates in analysis and action plan development, incorporates changes into practice. Facilitates ongoing activities to meet and adhere to regulatory standards (TJC, DFS, OSHA). 20 % Supervises other members of the team. Contributes to a supportive and healthy work environment. Holds self and others accountable for complying with policies, procedures and standards. Participates in learning needs assessments. Provides input into and supports the precepting and mentoring process. Delegates appropriate tasks to support staff, ensure completion of delegated tasks and provides feedback as needed. Demonstrates team spirit and collegiality. Supervises select personnel in performance/patient care. 15 % Demonstrates effective conflict resolution/negotiation skills. Promotes positive, supportive, and professional work environment free of disruptive behavior. Practices, in all professional relationships, with compassion and respect for the inherent dignity, worth and uniqueness of every individual. Follows Chain of Command for assistance with issues related to unresolved/problem-solving and/or conflict resolution. Provides, seeks and receives constructive feedback. Provides peer to peer feedback and seeks mediation as necessary. Promotes effective conflict resolution. 10 % CONDITIONS OF EMPLOYMENT : Annual flu shot Annual TB test (if applicable to your job location) Annual HLCs (Healthstream, formerly CBL)-Safety at Work and Corporate Compliance Maintain licensure/certification/registry/listing (if applicable to your job) ABOUT CONE HEALTH : Cone Health is a state of the art network of facilities providing patients access to the latest developments in medical care from their first moments of life through later years. Our network offers the most breakthrough treatments and technology available in healthcare today. As a teaching hospital, we offer employees the opportunity to become leaders in the industry and continued growth from their first day on. Extraordinary patient care is about being "high-touch" as well as "high-tech". Community service and superior patient care are the cornerstones of our organization, a philosophy that is demonstrated by each and every one of our valued team members. We are proud to be the largest private, not-for-profit employer of choice in the Piedmont, NC area community. Additionally, as one of the region's largest and most comprehensive health networks, Cone Health has more than 100 locations, including six hospitals, three ambulatory care centers, three outpatient surgery centers, four urgent care centers, a retirement community, and more than 100 physician practice sites. Our tagline - "The Network for Exceptional Care" - highlights our commitment to excellence, which is shared by our more than 11,000 employees, 1,300 physicians and 1,200 volunteers. Cone Health is an equal opportunity employer. If you require assistance with our online job submission process, please contact our Talent Acquisition team at 866-266-3767 to request an accommodation.
Keywords: Cone Health, Danville , RN-Neuro Progressive Care Unit, Nights, Moses H. Cone Hospital, Healthcare , Danville, Virginia
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