Charge Nurse, ENT Clinic
Company: Aspen Valley Hospital
Posted on: November 7, 2018
Full-Time position, Mon-Friday (days), 40 hours/week. Provides professional nursing care in accordance with known/accepted standards of practice and AVH policy. Utilizes the Nursing Process to assess, plan, implement and evaluate nursing care. Works in support of the medical staff treatment plan and makes recommendations for changes to medical treatment plan as appropriate. Educates patients and family around the plan of care and disease management. Actively supports the nursing philosophy by striving for excellence in patient care, professional development, interpersonal relations, time management, and continuous quality improvement. Accurate completion and documentation of RN/MA clinic note including vital signs, chief complaint, and assessment as appropriate. Assist MD with procedures, surgery scheduling and diagnostics scheduling. Provide patient education as appropriate and complete the patient discharge process at the end of each visit. Answer patient phone calls and prescription refill requests in a timely manner. Facilitate implementation of the Otolaryngologist and/or Ophthalmologist treatment plan. Enter applicable charges each day and assure the patient record is complete. Delegate and supervise appropriate task to the MA as needed. In addition to fulfilling the role of the professional nurse, the Charge RN maintains open lines of communication with the Outpatient Clinical Supervisor and Outpatient Clinic Director, regarding clinic issues and is actively involved in problem solving. The Charge Registered Nurse will monitor current evidence based practices and update clinic policy in conjunction with the Outpatient Clinical Supervisor and Outpatient Clinic Director. The Charge RN possesses clinical expertise and serves as a resource and role model to others. The Charge RN incorporates leadership and communication skills with conflict resolution, time management and organizational techniques, delegation, problem solving, mentorship and education to facilitate the day to day operations of the department. The Charge RN ensures delivery of safe, competent, efficient, quality, age appropriate care; performs initial triage (ESI) and assigns patient beds; facilitates transfer or discharge of patients; reviews all charges for the shift; facilitates lunch breaks for all staff; and communicates and collaborates with the clinical supervisor or director to resolve issues with day to day operations and staffing.
RN ESSENTIAL FUNCTIONS WEIGHT
I NURSING PROCESS AND CLINICAL PRACTICE SKILLS 10%
Fully competent in Charge RN role in the ENT/Ophthalmology Clinics; performs patient and family assessment & problem identification, plans care accordingly, implements and evaluates plan of care so that problems are resolved. Assist MD as needed with patient care including vital signs and patient positioning.
Develops a problem based plan of care for every patient with appropriate nursing interventions
Records pertinent clinical documentation in accordance with regulatory requirements, professional standards and hospital policy. Ensure accurate documentation including completion of all required forms, sign, date, time and legibility of all documentation, scan documents as needed. Provide follow-up for any questions or concerns. Return phone calls in a timely manner. In the ENT/Ophthalmology Clinics, documentation includes the face sheet, medication reconciliation, RN/MA clinic note, medication refills, samples documentation, patient education, and visit/discharge summary.
Prioritizes patient situations and takes appropriate action in an efficient, effective manner
Responds to clinical needs of patients in accord with experience, nursing standards, and hospital/nursing policies and procedures.
Makes value-added resource decisions for patient care with respect to supplies, equipment, and acuity of care
II PATIENT TEACHING 5%
Provides individualized patient and family education consistent with patient's learning style, readiness to learn and self-care needs
Evaluated the effectiveness of patient learning
III CARE COORDINATION 5%
Coordinates with all members of the hospital team in order to address patient care, resolve problems, and improve the delivery of multidisciplinary care on a daily basis
Applies individual and group problem solving; shares knowledge with others freely, consults openly, and assists others to interpret data
Uses verbal and written communication methods effectively
Provides input into refinement of nursing care plans developed by others
IV PATIENT SAFETY & CONFIDENTIALITY
Adheres reliably to all accepted patient safety standards
Identifies and promotes new learning around changing patient safety standards of practice
Serves in advocacy role; encouraging active involvement of patient and family in their care
Follows all security, confidentiality, and privacy policies
V PROFESSIONAL DEVELOPMENT & INTEGRATION 5%
Develops professional goals and diversity of responsibilities within nursing practice; consistent with hospital mission and goals
Demonstrate role awareness and seek individualized/department specific continuing education that improves patient care and professional practice. Department specific areas of focused learning may include any ENT/Ophthalmology related topic including diagnoses, procedures, medications, and customer service.
Able to express nursing values around patient/family centered care and assists others to achieve shared understanding
Active participant in quality improvement processes
Identifies need to seek out additional information when needed and apply relevant findings to nursing practice
Design and actively participate in quality improvement processes
Demonstrate capability to research current practice standards and apply relevant findings to nursing practice.
VI LEADERSHIP -Charge RN 5%
Demonstrates responsibility and accountability for own professional decision making
Participates and contributes to unit meetings and activities
To the extent possible, the charge nurse will take a limited patient care load to ensure the ability to fulfill charge responsibilities.
Demonstrates Resourcefulness-the charge nurse exceeds in clinical competence and serves as a resource, mentor and role model to others. He/she is aware of potential admissions or traumas, staff abilities, stress level, equipment, and procedures and manages the resources to meet the needs of the day to day operations of the ENT/Ophthalmology Clinics and facilitate overall patient flow/work flow.
Demonstrates effective Leadership skills- the charge nurse facilitates teamwork and a positive, productive work environment through motivation skills, delegation, and encouragement. Shows insight for own leadership skills; analyzes situations and intervenes to resolve department issues; requests assistance as needed from clinical supervisor and director. Implements chain of command policy as needed.
Demonstrates effective Communication skillsincluding conflict resolution and facilitation skills with staff, patients, families, physicians, supervisors, and other non-employees.
Provides feedback/education for missed or wrong charges and notifies compliance with questions.
Maintains staffing schedule and adequate staffing for the unit on a daily basis, manages staff meal periods and breaks, and assists in problem solving staffing issues. Works collaboratively with clinical supervisor and director to resolve staffing issues including coverage for sick calls.
Ensures safety and quality checksare completed (stocking/restocking of rooms, monthly expiration checks, etc.)
VII. UNIT SPECIFIC DUTIES & RESPONSIBILITIES 10%
Clinical Skills: Demonstrates Nursing Skills in compliance with AVH policy, the Joint Commission, CMS, CAH Standards and National Patient Safety Goals. These skills include a professional introduction, timely triage, compassionate care, complete and accurate documentation, medication safety, appropriate and timely reassessment, a team approach to communicating patient's care and change of status, and timely communication with other departments/medical offices for continuum of care. Maintains all required certifications.
Demonstrates competency in all aspects of patient care including: initial assessment of the patient and assisting the Otolaryngologist/Ophthalmologist as needed with clinic visits; obtaining an interpreter as needed; patient education; triaging of phone calls; and follow up patient care management including scheduling.
Set up for procedures and assist when requested. Complete AVH time-out process for all procedures and assure patient safety. Follow recommended cleaning policies for exam room and instrumentation.
Provide discharge instructions to patients and their families. Coordinate plan of care with MD and complete visit summary.
Assist with follow up phone calls after surgery or when patients have questions.
Coordinate and manage the surgery schedule for the practices. Assist with pre and post op teaching.
Medication Management: Follow through on patient requests for medication refills/renewals - obtains orders as needed and refills prescriptions according to department policy. Provides sample medications, if carried in these specialties, as directed by the providers. Maintains medication sample in/out logs as applicable. Reviews medication sample storage area and disposes of expired medications as needed. Communicate with pharmaceutical representatives for samples as needed...... click apply for full job details
Keywords: Aspen Valley Hospital, Aspen , Charge Nurse, ENT Clinic, Healthcare , Aspen, Colorado
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