Staff Nurse (RN) - Progressive Care Unit (PCU)

Company: Luminis Health Doctors Community Medical Center
Location: Lanham
Posted on: September 21, 2023

Job Description:

Staff Nurse - Telemetry

Position Purpose
The registered nurse assumes principle responsibility under general supervision, for the total care, assessment, implementation and evaluation of each patient assigned to the nursing unit, either directly or through leadership of personnel. The RN develops and/or revises a plan of care for each patient, initiates health care training and education of the patient and/or patient family to facilitate recovery; utilizes principles of teaching and learning to assist patients, staff and self in the identification of the need for new knowledge and skills.

Role Specific Competencies

• Administers all medications in accordance with policies and procedures (RN)
  
• Verifies physician orders against MAR for accuracy on each shift and on an ongoing basis.
  
• Maintains knowledge of all actions, indications, contraindications, adverse reactions, dosage and route of administrations on all drugs administered to patients.
  
• Assures that all medications are administered in accordance with Bedside Medication Verification Policy 100% of the time.
  
• Responds to pt requests in a timely manner, answering questions about medications to patient's satisfaction.
  
• Provides supervision and assistance to LPN with administration of IV push medications, and blood / blood product administration.
  2. Completes comprehensive physical and psychosocial assessment of assigned patients (RN)
  
  • Completes nursing databases and physical assessment within eight hours of admission, identifying care needs. Makes appropriate
    
  • referrals based on assessment.
    
  • Initiates a patient plan of care within 8 hours of admission. Establishes appropriate nursing diagnoses, interventions and measurable outcomes in collaboration with the physician, patient and family. C ommunicates plan of care to other healthcare team members.
    
  • Documents evaluation of the patient's compliance and response to the therapeutic regimen as indicated.
    
  • Updates patient plan of care to reflect changes in patient's condition.
    
  • Communicates pertinent patient information to physician to obtain appropriate patient care orders.
    
  • Reports pertinent patient care data to the Clinical Coordinator.
    3. Demonstrates skills and knowledge necessary to provide quality care services for special age specific populations, such as, but not limited to pediatric and geriatric patients.(RN)
    4. Implements and monitors appropriate nursing care to meet patient's needs. Evaluates patient response to care provided.(RN)
    
    • Participates in nursing shift reports, giving accurate and complete information on each patient.
      
    • Establishes priorities appropriately, delegates assignments and follows-up on completion of assigned work.
      
    • Performs physical assessments for each assigned patient on every shift.
      
    • Performs direct patient care and documents care, treatments, response to care/treatment and events occurring during shift.
      
    • Identifies pertinent patient information and communicates as appropriate to physician including critical results, changes in patient condition, patient and family concerns, diagnostic results and clarification of orders.
      
    • Responds appropriately to emergency situations.
      
    • Accepts, accurately documents and ensures accurate transcription of physician verbal orders.
      
    • Assures all orders are initiated by conducting periodic chart and meditech reviews throughout the shift.
      
    • Demonstrates computer literacy and competency in O/E and chart review.
      
    • Verifies and coordinates scheduling of tests and procedures.
      
    • Maintains adherence to infection control measures, including wearing personal protective equipment per policy.
      
    • Responds to patient requests in a timely manner, answering questions about patient condition as appropriate.
      5. Participates at the unit level to support unit functioning.(RN)
      
      • Participates in unit staff meetings.
        
      • Successfully completes all required education courses as assigned within established deadlines.
        
      • Adheres to attendance and tardiness policies.
        
      • Conforms to hospital and departmental dress code.
        
      • Always utilizes sign-in/sign-out documentation sheet for meals or breaks.
        
      • Participates in unit based performance improvement data collection as needed and in unit based improvement efforts as assigned.
        
      • Reviews unit and hospital communication on a routine basis to include electronic and paper formats.
        
      • Assures that computer data entries are complete and accurate.
        
      • Maintains confidentiality of all records (patient/employee.)
        
      • Ensures appropriate use of equipment used in patient care; ensures that broken equipment is tagged for repair.
        6. Participates in healthcare education needs of the patient and family.(RN)
        
        • Assesses patient educational needs and utilizes educational programs for teaching.
          
        • Documentation reflects implementation of teaching plan.
          
        • Documents evaluation of patient and family understanding and areas of inadequate understanding.
          
        • Revises education to reflect current patient status.
          
        • Utilizes appropriate resource persons and documents referrals.
          Qualifications and Experience
          
          • Current ACLS required for Telemetry and Observation nurses.
            
          • Current CPR/BLS is required.
            
          • Graduate of an accredited school of nursing and current RN licensure in the State of Maryland.
            
          • One year previous experience in Med/Surg Nursing within the past five years.
            Physical Requirements
            
            • More than 75% of work time will involve pushing, pulling, stretching, bending and walking.
              
            • Must be able to hear normal sounds with some background noise.
              
            • Must have ability to use a standard computer keyboard, and be able to read a computer screen and differentiate colors.
              
            • Routinely lifts objects under 50 pounds.
              Welcome to Luminis Health
              Get ready for a bright future with us as we ignite a new era in community care. One that gives our patients easier access to what they need, when and where they need it. We offer many opportunities and locations for you to contribute your talents: Three hospitals (Anne Arundel Medical Center, Doctors Community Medical Center, McNew Family Medical Center), multiple outpatient services to include imaging, lab, services, medical group, mental health and substance use treatment centers, outpatient pavilions in Bowie, Easton, Kent Island, Pasadena, Odenton and Waugh Chapel and a research institute.
              We invite you to shine your light and join us in sharing optimism, collaborating on innovation, and delivering quality care.
              The future is bright. Yours and ours.
              PATIENT- & FAMILY-CENTERED CARE
              Patient- and family-centered care requires more than a skill set. It requires a mindset focused on the principles of Dignity and Respect, Information Sharing, Participation and Collaboration. Patients and families are encouraged to be participatory members of the health care team - helping to make decisions about their care or the care of a loved one.
              NURSING QUALITY
              Our nursing quality councils are based on a three-tier infrastructure - unit level, service line level, and organizational level. Each level escalates to the next, allowing for strong communication and collaboration between quality councils, as well as within and between the service lines. Within the councils, nurses formulate their practice questions, conduct literature reviews, review research articles, and create quality improvement projects geared to the specific needs of their patients.
              PROFESSIONAL DEVELOPMENT
              Doctors Community Medical Center makes career growth and advancement a priority for our nurses. We have a formal clinical ladder program and clinical ladder coaches who can help you assess your goals and guide you through the portfolio and application process. We also offer financial aid and scholarship opportunities, along with in-house seminars, workshops and access to continuing education credits via HealthStream--.

Keywords: Luminis Health Doctors Community Medical Center, Washington DC , Staff Nurse (RN) - Progressive Care Unit (PCU), Healthcare , Lanham, DC