Overview Our Cardiac Medical Unit is 42-bed unit, concentrating on Cardiac Telemetry. Nurses in this area have a 1:6 ratio and provide unparalled care to predominately cardiac patients requiring treatment for chest pain, shortness of breath, palpitations, or other various cardiac arrhythmias. In addition, this unit will further provide care to a variaety of medical patients with pneumonia, GI issues, COPD, diabetes, and occasional stroke and surgical patients as well. Our dedicated team of nursing and ancillary staff provide patient-centered care to support each specialized patient’s recovery with the goal of reaching optimal patient outcomes for all. Responsibilities Plans, coordinates, and directs quality, compassionate care by maintaining standards of professional nursing practice and creating positive therapeutic relationships with patients/families. Supervises LPNs, PCAs, PCAs/US, US, Ortho Techs and other non-licensed staff. Assesses condition on each assigned patient on admission and on an ongoing basis to include but not limited to the patient’s physical condition, psychological status, social status, spiritual and cultural needs, pain assessment/management, nutritional and functional status, developmental or age related factors, and discharge planning needs. Plans, provides, and documents patient and/or significant other education based on physical, behavioral, psychological, developmental, and age-related factors, after identifying barriers to learning. Evaluates and regularly reevaluates patient care; coordinates care planning with patient, family, providers and other disciplines to achieve patient-centered outcomes. Assigns and delegates nursing care to team members in accordance with the patient’s needs and the capabilities of the team members. Applies safety principles when performing care Accurately documents observations, care provided, and changes in care plan. Provides accurate handoff reports and participates in unit based huddles Assists in performance improvement (PI) activities by serving on PI teams as warranted, assisting with PI measures and supporting and implementing changes necessary for improvement. Performs initial and annual competency per job class. DCH Standards: Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation. Performs compliance requirements as outlined in the Employee Handbook Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self. Performs essential job functions in a manner that ensures the safety of patients, visitors and employees. Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees. Requires use of electronic mail, time and attendance software, learning management software and intranet. Must adhere to all DCH Health System policies and procedures. All other duties as assigned. Qualifications Current approved Alabama Board of Nursing RN license or multi-state license required or ability to obtain prior to start. Current American Heart Association (AHA) or American Red Cross Basic Life Support (BLS) Provider training required. BSN preferred, minimum Associates required Must be able to read, write legibly, speak, and comprehend English. Required within 6 months of start date: American Heart Association or American Red Cross accepted Cardiac/Critical Care: ACLS Emergency Department-both campuses: ACLS Pediatric Advanced Life Support (PALS) Emergency Department – Regional Campus only: Trauma Nursing Core Course (TNCC) Perioperative: ACLS PACU –PALS; ACLS Women’s/Children: NICU –Neonatal Resuscitation (NRP) Labor & Delivery –ACLS, NRP, and Intermediate Fetal Monitoring Mother Baby Unit – NRP Pediatrics – PALS Clinical Support: Cardiac Monitoring Unit –ACLS Dialysis: ACLS International RNs: Current approved Alabama Board of Nursing RN license or multi-state license required or ability to obtain prior to start. Current American Heart Association (AHA) or American Red Cross Basic Life Support (BLS) Provider training required or obtain within 30 days of start date. BSN preferred, minimum Associates required Must be able to read, write legibly, speak, and comprehend English. Working Conditions WORK CONTEXT Demonstrate leadership skills Requires decision making that will affect others Responsible to achieve outcomes Must be able to communicate clearly and accurately Ability to delegate to team members and students Must be able to receive delegation Address conflict and stressful situation Communicate with different personalities and engage in face to face discussion Dealing with unpleasant or verbally/physically aggressive personalities Must be able to use electronic mail, telephone and texting Must be able to work in groups Must be able to perform structured and unstructured work Must be able to meet time pressure and time lines Includes possible exposure to human body fluids, disease, infection, lab chemicals and hazardous materials and/or cleaning solutions Requires wearing of common protective and safety equipment such as gloves, safety glasses, mask, gowns, etc. Schedules vary; every other weekend required. Weekends include Saturday & Sunday PHYSICAL FACTORS Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.Must be able to tolerate prolonged periods of standing and walking Must be able to reach reasonable distances in any direction Must be able to stand, walk, kneel, bend, sit and stoop Must be able to run in an emergency Must have the ability to exert maximum muscle force to lift, push, pull and carry objects Must be able to move fingers in a coordinated manner and must be ablet o feel and perceive temperature, texture, shape and size with fingertips Must be able to perform the duties with or without reasonable accommodation Must possess stamina to work prolonged shifts Hearing and vision must be normal or corrected to within normal range. Physical presence onsite is essential.
Overview Coordinates total nursing care specific for patients undergoing invasive and non-invasive diagnostic and therapeutic cardiac procedures; participates in patient and family teaching and provides leadership by working cooperatively with other team members and disciplines in maintaining standards for professional nursing practice in the clinical setting. Responsibilities Provides age-specific nursing care to the adult and geriatric patients to include but not limited to: assessments of physiologic and psychological changes pharmacology management identification and management of safety needs Assesses condition on each assigned patient pre, intra, and post diagnostic and therapeutic cardiac procedures to include but not limited to the normal systems review, physiological factors, and pain assessment/management. Plans, directs, supervises and evaluates nursing care provided to patients according to problems identified. Assists in performance improvement (PI) activities by serving on PI teams as warranted, assisting with PI measures and supporting and implementing changes necessary for improvement. Assist in charging medical supplies, stocking rooms and completing appropriate paperwork per case. Assist in preparation of patients for all procedures including setting up sterile trays; cross trains to scrub position and assist physician, when needed. Administers medication, IV therapy, and performs treatments to all assigned patients, according to policy and procedure. Plans and provides patient and/or significant other education as related to invasive and non-invasive diagnostic and/or therapeutic procedures based on physical, behavioral, psychological, developmental, and age-related factors, after identifying barriers to learning. Follows safety practices and ensures safe, clean environment for the patients. Is observant of symptoms and reactions of patients and takes appropriate action as changes occur. Documents all patient care assessments, evaluations, activities and/or observations according to policies and procedures. Assists with or institutes emergency measures for sudden adverse developments in patients such as cardiac arrest. Attends in-service programs, required training/education and unit/departmental/service meetings. Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation. Performs compliance requirements as outlined in the Employee Handbook Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self. Requires use of electronic mail, time and attendance software, learning management software and intranet. Must adhere to all DCH Health System policies and procedures. All other duties as assigned. Qualifications Registered Nurse with current Alabama Licensure. Two (2) years of Critical Care experience preferred. Takes 3-11, 11-7, weekend and holiday call. Must be able to respond within 20 minutes of a call-out. Must be able to read, write legibly, speak, and comprehend English. Working Conditions Work Context Physical: Ability to tolerate prolonged periods of standing and walking. Ability to lift and carry 50 pounds with frequent lifting and/or carrying of objects weighing up to 25 pounds. Is able to push stretcher/wheelchair with average adult patient. Is able to do frequent stooping and on occasion crouching, crawling or kneeling. Ability to reach reasonable distances in any direction. Ability to run in emergency situations. Must be able to move fingers in a coordinated manner. Must have ability to feel and perceive temperature, texture, shape and size with fingertips. Physical presence onsite is essential. Hearing and vision must be normal or corrected to within normal range. Able to perform the duties with or without reasonable accommodation. Environmental: Includes exposure to human body fluids, disease, infection, lab chemicals and hazard material. Requires wearing common protective or safety equipment. Medium Work Load: This position requires contact with others including the patients, physicians, coworkers, team members and visitors. There may be times when there is interaction with another person that may be angry or aggressive and help to solve the situation may require requesting assistance of a more qualified individual. Communication may come in the form of electronic mail, face to face, telephone or letters/memos. This individual may be responsible as a team member to answer the department telephone and work in groups or teams.
Overview The Float Pool is the ideal team for individuals who have experience in one or more areas and enjoy working in a variety of settings. The Float Pool provides the expertise of experienced team members who are prepared to serve in many areas of our organization. This team is composed of Registered Nurses that at minimum have eighteen months of nursing experience in a hospital setting. These nurses must also have experience in the area(s) that they are hired to work in. Following orientation, the Float Pool team members are deployed to staff scheduling needs at RMC and NMC campuses. Departments supported by the Float Pool are: Acute Care (including the Rehabilitation Pavilion at NMC), Critical Care, Emergency Department, and Behavioral Health. The Float Pool is the ideal team for individuals who have experience in one or more areas and enjoy working in a variety of settings. The flexibility of the Float Pool team member is recognized by a premium pay rate (please consult DCH Human Resources for more details). Responsibilities Plans, coordinates, and directs quality, compassionate care by maintaining standards of professional nursing practice and creating positive therapeutic relationships with patients/families. Supervises LPNs, PCAs, PCAs/US, US, Ortho Techs and other non-licensed staff. Assesses condition on each assigned patient on admission and on an ongoing basis to include but not limited to the patient’s physical condition, psychological status, social status, spiritual and cultural needs, pain assessment/management, nutritional and functional status, developmental or age related factors, and discharge planning needs. Plans, provides, and documents patient and/or significant other education based on physical, behavioral, psychological, developmental, and age-related factors, after identifying barriers to learning. Evaluates and regularly reevaluates patient care; coordinates care planning with patient, family, providers and other disciplines to achieve patient-centered outcomes. Assigns and delegates nursing care to team members in accordance with the patient’s needs and the capabilities of the team members. Applies safety principles when performing care Accurately documents observations, care provided, and changes in care plan. Provides accurate handoff reports and participates in unit based huddles Assists in performance improvement (PI) activities by serving on PI teams as warranted, assisting with PI measures and supporting and implementing changes necessary for improvement. Performs initial and annual competency per job class. DCH Standards: Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation. Performs compliance requirements as outlined in the Employee Handbook Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self. Performs essential job functions in a manner that ensures the safety of patients, visitors and employees. Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees. Requires use of electronic mail, time and attendance software, learning management software and intranet. Must adhere to all DCH Health System policies and procedures. All other duties as assigned. Qualifications Current Alabama RN license required. Eighteen months of RN experience required with one (1) year RN experience in Acute Care, Critical Care, Emergency Department, Maternal Child, or Behavioral Health. Current Certifications/Licenses listed below are required for their respective areas: Acute Care: American Heart Association (AHA) approved BLS HealthCare Provider Critical Care : American Heart Association (AHA) approved BLS HealthCare Provider, Advanced Cardiac Life Support (ACLS) Behavioral Health: American Heart Association (AHA) approved BLS HealthCare Provider Emergency Department: American Heart Association (AHA) approved BLS HealthCare Provider, Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS) required. Preferred: Trauma Nursing Core Course (TNCC) Maternal Child: Obstetrics: American Heart Association (AHA) approved BLS HealthCare Provider, Well Baby Nursery (WBN): American Heart Association (AHA) approved BLS HealthCare Provider, AHA Neonatal Resusucitation (NRP), Labor and Delivery: American Heart Association (AHA) approved BLS HealthCare Provider, AHA Advanced Cardiac Life Support (ACLS) training required within the first 6-12 months of employment. AHA Neonatal Resusucitation Program (NRP) training required within the first 6-12 months of employment. Pediatrics: American Heart Association (AHA) approved BLS HealthCare Provider, AHA Pediatric Advanced Life Support (PALS) training required within the frist 6-12 months of employment. Neonatal Intensive Care Unit (NICU): American Heart Association (AHA) approved BLS HealthCare Provider, AHA Neonatal Resuscitation Program (NRP) required within the first 6-12 months of employment. Must be able to read, write legibly, speak, and comprehend English. WORK CONTEXT Demonstrate leadership skills Requires decision making that will affect others Responsible to achieve outcomes Must be able to communicate clearly and accurately Ability to delegate to team members and students Must be able to receive delegation Address conflict and stressful situation Communicate with different personalities and engage in face to face discussion Dealing with unpleasant or verbally/physically aggressive personalities Must be able to use electronic mail, telephone and texting Must be able to work in groups Must be able to perform structured and unstructured work Must be able to meet time pressure and time lines Includes possible exposure to human body fluids, disease, infection, lab chemicals and hazardous materials and/or cleaning solutions Requires wearing of common protective and safety equipment such as gloves, safety glasses, mask, gowns, etc. PHYSICAL FACTORS Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.Must be able to tolerate prolonged periods of standing and walking Must be able to reach reasonable distances in any direction Must be able to stand, walk, kneel, bend, sit and stoop Must be able to run in an emergency Must have the ability to exert maximum muscle force to lift, push, pull and carry objects Must be able to move fingers in a coordinated manner and must be ablet o feel and perceive temperature, texture, shape and size with fingertips Must be able to perform the duties with or without reasonable accommodation Must possess stamina to work prolonged shifts Hearing and vision must be normal or corrected to within normal range. Physical presence onsite is essential.
Overview Collaborative Anesthesia Care Team model, Supportive, friendly and caring coworkers,Flexible scheduling. Teaching opportunities with SRNA clinical rotations. Anesthesia services for inpatient and outpatient locations. Diverse OR case mix - including General Surgery, Trauma, Maxillofacial, Neurosurgery, Cardiac, Pediatrics, Thoracic, Vascular and Orthopedics. Non-OR anesthesia practice including IR, Endoscopy, CT, MRI and EP cases. Responsibilities Under physician supervision and following accepted and medically approved techniques and procedures, the CRNA will provide anesthesia and related services for all patients in need. The CRNA will maintain direct reporting relationship with CRNA Manager. KEY RESPONSIBILITIES / ESSENTIAL FUNCTIONS Select and administer anesthesia techniques, medications and adjunct drugs appropriate to the individual patient within established procedures, pre, intra, and postoperatively. Review patient charts, perform physical assessment pertinent to anesthesia orders and evaluate laboratory data and formulate a written anesthesia plan for pre, intra and post op care of surgical patients. Able to perform endotracheal intubation and extubation, as well as invasive therapy and/or monitoring. Identify and manage emergency situations including CPR. Communicate and cooperate effectively with staff at all levels. Demonstrate sensitivity and respect for all customers. Demonstrate a positive attitude toward working place and its requirements. DCH Standards: Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation. Performs compliance requirements as outlined in the Employee Handbook Must adhere to the DCH Mission, Vision, and Values including creating positive relationships with patients/families, coworkers, colleagues and with self. Performs essential job functions in a manner that ensures the safety of patients, visitors and employees. Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees. Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees. Requires use of electronic mail, time and attendance software, learning management software and intranet. Must adhere to all DCH Health System policies and procedures. All other duties as assigned. Qualifications Current Alabama RN license; graduation from an accredited School of Nurse Anesthesia. Initial certification and current recertification with the National Board of Certification and Recertification for Nurse Anesthetists. Must be competent with anesthesia equipment and pharmaceuticals as appropriate for job. Must have current certifications in BLS, ACLS, and PALS. Must be able to read, write legibly, speak, and comprehend English. WORKING CONDITIONS Environmental Includes exposure to human body fluids, anesthetic gases, disease, infection, lab chemicals and hazardous material Requires wearing common protective or safety equipment Physical Medium work: Exerting 20-50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical demand requirements are in excess of those for light work. Physical presence onsite is essential Must be able to perform the duties with or without reasonable accommodations Psychological This job requires contact with others, face to face or in groups, dealing with all internal and external customers. Must be able to assume responsibility for the health, safety and confidentiality of others. Must be able to work well in team setting.
Overview Our Cardiac/Neuro Medical and Acute Stroke Unit is a 42-bed unit dedicated to our patients diagnosed with both neurological and cardiac conditions, such as congestive heart failure or acute stroke. This area is a 1:6 ratio staffed with a group of highly skilled nurses trained to work with these specific diagnoses. This team takes pride in being experts at managing complex neuro-cardiac conditions with precision and compassion while working alongside the cardiologists and neurologists to ensure we maintain the best practice standards of care for this specific patient population. Responsibilities Plans, coordinates, and directs quality, compassionate care by maintaining standards of professional nursing practice and creating positive therapeutic relationships with patients/families. Supervises LPNs, PCAs, PCAs/US, US, Ortho Techs and other non-licensed staff. Assesses condition on each assigned patient on admission and on an ongoing basis to include but not limited to the patient’s physical condition, psychological status, social status, spiritual and cultural needs, pain assessment/management, nutritional and functional status, developmental or age related factors, and discharge planning needs. Plans, provides, and documents patient and/or significant other education based on physical, behavioral, psychological, developmental, and age-related factors, after identifying barriers to learning. Evaluates and regularly reevaluates patient care; coordinates care planning with patient, family, providers and other disciplines to achieve patient-centered outcomes. Assigns and delegates nursing care to team members in accordance with the patient’s needs and the capabilities of the team members. Applies safety principles when performing care Accurately documents observations, care provided, and changes in care plan. Provides accurate handoff reports and participates in unit based huddles Assists in performance improvement (PI) activities by serving on PI teams as warranted, assisting with PI measures and supporting and implementing changes necessary for improvement. Performs initial and annual competency per job class. DCH Standards: Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation. Performs compliance requirements as outlined in the Employee Handbook Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self. Performs essential job functions in a manner that ensures the safety of patients, visitors and employees. Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees. Requires use of electronic mail, time and attendance software, learning management software and intranet. Must adhere to all DCH Health System policies and procedures. All other duties as assigned. Qualifications Current approved Alabama Board of Nursing RN license or multi-state license required or ability to obtain prior to start. Current American Heart Association (AHA) or American Red Cross Basic Life Support (BLS) Provider training required. BSN preferred, minimum Associates required. Must be able to read, write legibly, speak, and comprehend English. Required within 6 months of start date: American Heart Association or American Red Cross accepted Cardiac/Critical Care: ACLS Emergency Department-both campuses: ACLS Pediatric Advanced Life Support (PALS) Emergency Department – Regional Campus only: Trauma Nursing Core Course (TNCC) Perioperative: ACLS PACU –PALS; ACLS Women’s/Children: NICU –Neonatal Resuscitation (NRP) Labor & Delivery –ACLS, NRP, and Intermediate Fetal Monitoring Mother Baby Unit – NRP Pediatrics – PALS Clinical Support: Cardiac Monitoring Unit –ACLS International RNs: Current approved Alabama Board of Nursing RN license or multi-state license required or ability to obtain prior to start. Current American Heart Association (AHA) or American Red Cross Basic Life Support (BLS) Provider training required or obtain within 30 days of start date. BSN preferred, minimum Associates required Must be able to read, write legibly, speak, and comprehend English. WORK CONTEXT Demonstrate leadership skills Requires decision making that will affect others Responsible to achieve outcomes Must be able to communicate clearly and accurately Ability to delegate to team members and students Must be able to receive delegation Address conflict and stressful situation Communicate with different personalities and engage in face to face discussion Dealing with unpleasant or verbally/physically aggressive personalities Must be able to use electronic mail, telephone and texting Must be able to work in groups Must be able to perform structured and unstructured work Must be able to meet time pressure and time lines Includes possible exposure to human body fluids, disease, infection, lab chemicals and hazardous materials and/or cleaning solutions Requires wearing of common protective and safety equipment such as gloves, safety glasses, mask, gowns, etc. Schedules vary; every other weekend required. Weekends include Saturday & Sunday PHYSICAL FACTORS Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.Must be able to tolerate prolonged periods of standing and walking Must be able to reach reasonable distances in any direction Must be able to stand, walk, kneel, bend, sit and stoop Must be able to run in an emergency Must have the ability to exert maximum muscle force to lift, push, pull and carry objects Must be able to move fingers in a coordinated manner and must be ablet o feel and perceive temperature, texture, shape and size with fingertips Must be able to perform the duties with or without reasonable accommodation Must possess stamina to work prolonged shifts Hearing and vision must be normal or corrected to within normal range. Physical presence onsite is essential.
