Identifies patient upon arrival to PACU by name band and verbal report from Anesthesia provider. Reports pertinent observations, changes, and reactions regarding patients to the appropriate person (physician, manager, charge nurse, supervisor, etc.) Records these observations, changes and reactions accurately, concisely and legibly. Reports relative perioperative information to licensed nurse using SBAR method upon discharge from PACU. Documents on patient record observations, changes and reactions and reports them to the appropriate person (physician, supervisor/manager, charge nurse etc.) Communicates with patient’s family and physician changes in patient’s condition while in PACU. Assesses the patient’s condition and nursing needs. Develops and implements individual plan of care. Makes revisions as patient’s condition and needs change. Completes nursing assessment upon admission to the unit. Develops and implements a nursing plan of care according to patient’s assessed needs. Revises care plan as condition needs change. Utilizes services of ancillary departments, as ordered, to meet the needs of the patients. Maintains the standards of nursing care within the guidelines of the nursing department, PNA, ASA, and ASPAN Standards. Demonstrates knowledge of standards of nursing care when implementing the plan of care including PNA, ASA, and ASPAN Standards. Demonstrates knowledge of, implements and adheres to PACU specific, Administrative and Nursing policies and procedures. Administers, directs, supervises and evaluates nursing care provided to post-anesthesia patients. Directs and supervises other team members. Confers with other team members about patient’s condition. Documents patient’s condition as needed on patient record. Provides direct professional nursing care. Participates in Unit Q.A. Implements appropriate PACU physician orders pertaining to PACU care. Administers medications, including IV’s according to hospital policy and procedure. Documents medications according to hospital procedure. Obtains ordered medication and documents on PACU record. Documents controlled substance waste according to MMC policy. Demonstrates cost-conscious use of supplies; maintains equipment in a clean and safe manner. Participates in the orientation of new staff and in the clinical experience of students, interns and/or residents. Maintains skills in the assessment, treatment, and care appropriate to the unique needs of the post-operative patient (i.e. age groups, disease process of the patient). AGE/DEPARTMENT SPECIFIC COMPETENCIES Communicates with patient based on growth and developmental needs of individual. Demonstrates gentle speech and handling of infant/toddler. Permits child to have security object. Modifies speech tone; permits hearing devices. Speak clearly to facilitate hearing in aging adult. Includes interpreter, family member, significant other to translate/sign for hearing impaired patient. Includes information for parent / guardian about what to expect in perioperative process. Safety: Identifies patient’s correct parent or guardian by matching patient name band to that worn by responsible adult. Observed matching patient name band to that of responsible parent/guardian. Identifies patient at risk for falls. Follows hospital protocol to avoid restraint use whenever possible. Assessment: Assesses pain intensity utilizing scale appropriate for age. Utilize FLACC or CRIES scale for infant pain assessment. Utilize FACES pain scale for the pediatric patient. Utilize numeric pain score for non-verbal pain scale for adolescent, adult, geriatric. Recognize presence of pain and document findings in the non-communicated patient. Identifies appropriate equipment for age/size of patient. Applies appropriate size NIBP cuff. Applies appropriate size pulse oximeter probe to promote adequate oxygenation. Utilizes appropriate oxygen therapy for age. Places pediatric patient in side-lying position. Inserts correct sized nasal/oral airway. Effectively applies correct sized BVM. Recognize signs of decreased endurance. Applies supplemental oxygen as needed. Recognize normal physiological differences based on age. Recognize and report findings that are outside the normal range. SPECIFIC JOB DEMANDS Strength: Medium Work - Lifting, Carrying, Pushing, Pulling 20 - 50 Lbs. occasionally, 10 - 25 Lbs. frequently or up to 10 Lbs. constantly. Stooping: Occasionally - Bending body downward and forward by bending spine at the waist, requiring full use of the lower extremities and back muscles. Reaching: Frequently - Extending hand(s) or arm(s) in any direction. Handling: Frequently - Seizing, holding, grasping, turning, or otherwise working with hand or hands. Fingers are involved only to the extent that they are an extension of the hand, such as to turn a switch or shift automobile gears. Fingering: Frequently - Picking, pinching, or otherwise working primarily with fingers rather than with the whole hand or arm as in handling. Feeling: Frequently - Noting attributes of objects, such as size, shape, temperature, or texture, by touching with skin, particularly that of fingertips. Talking: Frequently - Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly. Hearing: Frequently - Perceiving the nature of sounds by ear. Near Acuity: Frequently - Clarity of vision at 20 inches or less. Accommodation: Occasionally - Adjustment of lens of eye to bring an object into sharp focus. This factor is required when doing near point work at varying distances from the eye. Color Vision: Frequently - Ability to identify and distinguish colors. MINIMUM EDUCATION, KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED Professional knowledge of nursing theory and practice at a level normally acquired through completion of an accredited School of Nursing. Current State Nursing License. Working knowledge of ASPAN and ASA Standards at completion of orientation. ACLS and PALS Certification within 6 months of employment. Recredentialing of Unit Specific skills annually. Recommend - previous experience in Med/Surg nursing, ICU experience, Coronary Care Class, CPAN Certification. Completes/maintains biannual ACLS certification. Completes/maintains biannual PALS certification. Completes annual house wide and PACU specific recredentialing. Analytical skills necessary to develop and implement a plan for nursing care appropriate to the patient, and to solve problems concerning patient’s mental or physical well-being. Ability to concentrate and prioritize, plan and perform professional nursing care, resolve patient care problems, and interact with patients, families, and other team members - often during stressful situations. Ability to initiate and interpret physiological monitoring and perform emergency treatment to include: a.Noninvasive BP monitoring b.Pulse oximetry c.Cardiac monitoring d.Hemodynamic monitoring Respiratory ventilation -- Ambu bag and ventilator Defibrillation Malignant Hyperthermia Protocol Within one year of being in the position, must complete the Trauma Nursing Core Certification (TNCC). Thereafter, must complete 8 hours of trauma continuing education annually. WORKING CONDITIONS Normal patient care environment with little exposure to excessive noise, dust, and temperature changes. A large part of work time is standing or walking. Subject to certain distasteful patient care activities and exposure to communicable diseases. May work overtime and take after hours, weekend, and holiday call. May be exposed to potential hazards such as chemical wastes, body wastes, fluids and other possible infectious material. DISCLOSURE MMC commits to review, under the intent of this standard, and in coordination with medical professional opinion’s and physical demands job analysis performed by certified professionals, an individual’s ability to be reasonably accommodated within the role they are responsible and qualified to perform. MMC is committed to complying with the Americans with Disabilities Act (“ADA”) and providing equal opportunity employment for qualified persons with disabilities. All employment practices and activities are conducted on a nondiscriminatory basis. Meadville Medical Center will follow any state or local law that provides individuals with disabilities greater protection that the ADA. Every effort has been made to make your job description as complete as possible. However, this in no way states or implies that these are the only duties you will be required to perform. The omission of specific tasks does not exclude them from the position if the task is similar, related, or is a logical assignment to the position, or is imperative for patient care and to meet emergency situations.
Identifies patient upon arrival to PACU by name band and verbal report from Anesthesia provider. Reports pertinent observations, changes, and reactions regarding patients to the appropriate person (physician, manager, charge nurse, supervisor, etc.) Records these observations, changes and reactions accurately, concisely and legibly. Reports relative perioperative information to licensed nurse using SBAR method upon discharge from PACU. Documents on patient record observations, changes and reactions and reports them to the appropriate person (physician, supervisor/manager, charge nurse etc.) Communicates with patient’s family and physician changes in patient’s condition while in PACU. Assesses the patient’s condition and nursing needs. Develops and implements individual plan of care. Makes revisions as patient’s condition and needs change. Completes nursing assessment upon admission to the unit. Develops and implements a nursing plan of care according to patient’s assessed needs. Revises care plan as condition needs change. Utilizes services of ancillary departments, as ordered, to meet the needs of the patients. Maintains the standards of nursing care within the guidelines of the nursing department, PNA, ASA, and ASPAN Standards. Demonstrates knowledge of standards of nursing care when implementing the plan of care including PNA, ASA, and ASPAN Standards. Demonstrates knowledge of, implements and adheres to PACU specific, Administrative and Nursing policies and procedures. Administers, directs, supervises and evaluates nursing care provided to post-anesthesia patients. Directs and supervises other team members. Confers with other team members about patient’s condition. Documents patient’s condition as needed on patient record. Provides direct professional nursing care. Participates in Unit Q.A. Implements appropriate PACU physician orders pertaining to PACU care. Administers medications, including IV’s according to hospital policy and procedure. Documents medications according to hospital procedure. Obtains ordered medication and documents on PACU record. Documents controlled substance waste according to MMC policy. Demonstrates cost-conscious use of supplies; maintains equipment in a clean and safe manner. Participates in the orientation of new staff and in the clinical experience of students, interns and/or residents. Maintains skills in the assessment, treatment, and care appropriate to the unique needs of the post-operative patient (i.e. age groups, disease process of the patient). AGE/DEPARTMENT SPECIFIC COMPETENCIES Communicates with patient based on growth and developmental needs of individual. Demonstrates gentle speech and handling of infant/toddler. Permits child to have security object. Modifies speech tone; permits hearing devices. Speak clearly to facilitate hearing in aging adult. Includes interpreter, family member, significant other to translate/sign for hearing impaired patient. Includes information for parent / guardian about what to expect in perioperative process. Safety: Identifies patient’s correct parent or guardian by matching patient name band to that worn by responsible adult. Observed matching patient name band to that of responsible parent/guardian. Identifies patient at risk for falls. Follows hospital protocol to avoid restraint use whenever possible. Assessment: Assesses pain intensity utilizing scale appropriate for age. Utilize FLACC or CRIES scale for infant pain assessment. Utilize FACES pain scale for the pediatric patient. Utilize numeric pain score for non-verbal pain scale for adolescent, adult, geriatric. Recognize presence of pain and document findings in the non-communicated patient. Identifies appropriate equipment for age/size of patient. Applies appropriate size NIBP cuff. Applies appropriate size pulse oximeter probe to promote adequate oxygenation. Utilizes appropriate oxygen therapy for age. Places pediatric patient in side-lying position. Inserts correct sized nasal/oral airway. Effectively applies correct sized BVM. Recognize signs of decreased endurance. Applies supplemental oxygen as needed. Recognize normal physiological differences based on age. Recognize and report findings that are outside the normal range. SPECIFIC JOB DEMANDS Strength: Medium Work - Lifting, Carrying, Pushing, Pulling 20 - 50 Lbs. occasionally, 10 - 25 Lbs. frequently or up to 10 Lbs. constantly. Stooping: Occasionally - Bending body downward and forward by bending spine at the waist, requiring full use of the lower extremities and back muscles. Reaching: Frequently - Extending hand(s) or arm(s) in any direction. Handling: Frequently - Seizing, holding, grasping, turning, or otherwise working with hand or hands. Fingers are involved only to the extent that they are an extension of the hand, such as to turn a switch or shift automobile gears. Fingering: Frequently - Picking, pinching, or otherwise working primarily with fingers rather than with the whole hand or arm as in handling. Feeling: Frequently - Noting attributes of objects, such as size, shape, temperature, or texture, by touching with skin, particularly that of fingertips. Talking: Frequently - Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly. Hearing: Frequently - Perceiving the nature of sounds by ear. Near Acuity: Frequently - Clarity of vision at 20 inches or less. Accommodation: Occasionally - Adjustment of lens of eye to bring an object into sharp focus. This factor is required when doing near point work at varying distances from the eye. Color Vision: Frequently - Ability to identify and distinguish colors. MINIMUM EDUCATION, KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED Professional knowledge of nursing theory and practice at a level normally acquired through completion of an accredited School of Nursing. Current State Nursing License. Working knowledge of ASPAN and ASA Standards at completion of orientation. ACLS and PALS Certification within 6 months of employment. Recredentialing of Unit Specific skills annually. Recommend - previous experience in Med/Surg nursing, ICU experience, Coronary Care Class, CPAN Certification. Completes/maintains biannual ACLS certification. Completes/maintains biannual PALS certification. Completes annual housewide and PACU specific recredentialing. Analytical skills necessary to develop and implement a plan for nursing care appropriate to the patient, and to solve problems concerning patient’s mental or physical well-being. Ability to concentrate and prioritize, plan and perform professional nursing care, resolve patient care problems, and interact with patients, families, and other team members - often during stressful situations. Ability to initiate and interpret physiological monitoring and perform emergency treatment to include: a.Noninvasive BP monitoring b.Pulse oximetry c.Cardiac monitoring d.Hemodynamic monitoring Respiratory ventilation -- Ambu bag and ventilator Defibrillation Malignant Hyperthermia Protocol Within one year of being in the position, must complete the Trauma Nursing Core Certification (TNCC). Thereafter, must complete 8 hours of trauma continuing education annually. WORKING CONDITIONS Normal patient care environment with little exposure to excessive noise, dust, and temperature changes. A large part of work time is standing or walking. Subject to certain distasteful patient care activities and exposure to communicable diseases. May work overtime and take after hours, weekend, and holiday call. May be exposed to potential hazards such as chemical wastes, body wastes, fluids and other possible infectious material. DISCLOSURE MMC commits to review, under the intent of this standard, and in coordination with medical professional opinion’s and physical demands job analysis performed by certified professionals, an individual’s ability to be reasonably accommodated within the role they are responsible and qualified to perform. MMC is committed to complying with the Americans with Disabilities Act (“ADA”) and providing equal opportunity employment for qualified persons with disabilities. All employment practices and activities are conducted on a nondiscriminatory basis. Meadville Medical Center will follow any state or local law that provides individuals with disabilities greater protection that the ADA. Every effort has been made to make your job description as complete as possible. However, this in no way states or implies that these are the only duties you will be required to perform. The omission of specific tasks does not exclude them from the position if the task is similar, related, or is a logical assignment to the position, or is imperative for patient care and to meet emergency situations.
$2,500 SIGN ON BONUS (EXTERNAL CANDIDATES) JOB SUMMARY Provides all necessary services needed to assist hospice patients to live in the Marquette Hospice House, becoming part of the Hospice team to carry out the patient’s plan of care. JOB DUTIES Provides direct care to guests (hospice patients) who live in the home. Assist in the facilitation of smooth patient transition, greets guests and their families courteously. Prioritizes patient care. Provides all identified needs of our guests under the direct supervision of the Hospice RN who operates under physician orders. Administers medication to guests as regulated by the nurse practice acts and in accordance with guests’ plan of care. Manages medication box and medication audits. Maintains the organized flow of nursing information and documentation. Answers all phone calls courteously and relays messages appropriately. Provides assistance with all ADL’s. Supports the hospice philosophy. Provides family education while working with the interdisciplinary team. Provides emotional support for our guests and their visitors. Responds to guest and visitor requests and complaints with immediate notification to direct supervisor or designee. Completes daily household chores to ensure home is clean i.e. laundry, dusting, sweeping, dishes, etc. Works cooperatively with the volunteers that will be helping with household chores. Maintains a safe environment for our guests and their visitors. Demonstrates knowledge of emergency procedures. Plans and prepares meals, snacks, and supplements as needed. Maintains close communication with RN supervisor regarding guest status. Notifies RN of any changes in guests’ condition in a timely manner. Performs other duties as assigned.
SUMMARY Coordinate care for the patients of the Population Health Management department and MMC with disease specific plans of care, developed in conjunction with the patient. JOB DUTIES Ensures timely communication with patients, significant others, and other healthcare providers through professional collaboration. Collaborates with other health care providers to deliver patient-centered care in a manner consistent with safe, efficient and cost-effective resource utilization. Assists with identification and alignment of community resources with patients. Plans integration of care with all appropriate providers. Discusses progress of patients with Pop Health core team. Works collaboratively with the Meadville Medical Center to integrate service delivery system for co-morbidity/co-occurring treatment. Works in collaboration with MMC, subsidiaries, and external collaborating agencies/groups to develop a system of continuity of care. Documentation on chart is timely and appropriate. Assists with community outreach educational programs in correlation with chronic disease management. Provides individual and/or family support. Physical, psychological and emotional outcomes are individualized. The plan of care is consistent with safe, effective patient care and age. Physical, psychological and emotional outcomes are individualized. The urgency of psychological, social and emotional needs is determined, and the course of action is formulated to attain expected outcomes. Outcomes are assessed on a regular basis to measure improvements/deficits. Evaluates and modifies plan of care based on patient responses and attainment of expected outcomes. The patient’s response to the intervention is regularly evaluated to determine progress toward resolution of needs. Adheres to established standards of practice including activities and behavior that characterize professional status. Is aware and maintains current understanding of CMS initiatives. Serves as member of interdisciplinary team to assist with program development. Develops, implements, and evaluates goals in collaboration with team of clinicians, providing quarterly reports of progress to Pop Health Management. Participated in Annual Wellness Visit completion and development of preventative plans of care with patients and their PCP. Performs other duties as assigned. SPECIFIC JOB DEMANDS Strength: Sedentary Work - Lifting, Carrying, Pushing, Pulling 10 Lbs. occasionally. Mostly sitting, may involve standing or walking for brief periods of time. Reaching: Occasionally - Extending hand(s) or arm(s) in any direction. Handling: Occasionally - Seizing, holding, grasping, turning, or otherwise working with hand or hands. Fingers are involved only to the extent that they are an extension of the hand. Fingering: Occasionally - Picking, pinching, typing or otherwise working primarily with fingers rather than with the whole hand or arm as in handling. Talking: Frequently - Expressing or exchanging ideas by means of the spoken word to impart oral information to clients or to the public and to convey detailed spoken instructions to other workers accurately, loudly, or quickly. Hearing: Frequently - Perceiving the nature of sounds by ear. Near Acuity: Frequently - Clarity of vision at 20 inches or less. MINIMUM EDUCATION, KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED Minimum ASN or BSN education required. Minimum of 3-5 years of nursing experience. Care Management experience preferred. ACLS Certification as well as Critical Care and Cardiac Skills required. Maintains an appropriate and current state license. Professional knowledge of integrative medicine and current research within field. Skills necessary to effectively communicate with various members of the health care team, other health care facilities, community health related organizations, various external parties and regulatory agencies. Ability to concentrate and prioritize, resolve problems, and interact with situations. Must be able to remember, reason, understand and be emotionally stable. Able to work as a team member. Ability to supervise and manage intern(s). Must be willing to use the following management accountabilities and competencies: conflict resolution, staff counseling, problem solving, disciplinary process, policy and procedures implementation, teamwork, staff scheduling, interviewing, budgeting process, cost containment skills and support of peers. WORKING CONDITIONS Normal office environment with little exposure to excessive noise, dust and temperature changes. A large part of work is sitting or walking. Stress is a large factor in environment. Work week may exceed 40 hours and hours may vary depending on needs. Travel to various health related or business locations within county may be necessary. Expected to perform an initial evaluation in one hour and a follow-up in 45 to 50 minutes, on average. DISCLOSURE MMC commits to review, under the intent of this standard, and in coordination with medical professional opinion’s and physical demands job analysis performed by certified professionals, an individual’s ability to be reasonably accommodated within the role they are responsible and qualified to perform. MMC is committed to complying with the Americans with Disabilities Act (“ADA”) and providing equal opportunity employment for qualified persons with disabilities. All employment practices and activities are conducted on a nondiscriminatory basis. Meadville Medical Center will follow any state or local law that provides individuals with disabilities greater protection that the ADA. Every effort has been made to make your job description as complete as possible. However, this in no way states or implies that these are the only duties you will be required to perform. The omission of specific tasks does not exclude them from the position if the task is similar, related, or is a logical assignment to the position, or is imperative for patient care and to meet emergency situations.
$5,000 Sign on Bonus (For external candidates only) SUMMARY Coordinate total nursing care for patients using nursing standards and the nursing process; participate in patient and family teaching; provide leadership working cooperatively with other health care providers. The RN is responsible for providing, coordinating and directing individualized, comprehensive nursing care to the obstetrical patient based upon the nursing process and in adherence to Meadville Medical Centers Mission and Vision Statement. The RN is accountable for her/his own actions, and is directly responsible to the New Life Unit Manager. In the absence of the New Life Manager, the RN is responsible to the House Supervisor. The NLU RN is also responsible for supervising other RN’s, LPN’s and OB Technician. MINIMUM EDUCATION, KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED Education: Graduate of an accredited school of professional nursing Current State of Pennsylvania Registered Nurse Licensure Prefer one year of acute care nursing experience Neonatal Resuscitation Program (NRP) certified within one year Satisfactory meets departments’ unit specific annual competencies Demonstrate accurate judgment/decision making ability consistent with nursing knowledge and skills. When in the charge nurse role, demonstrates leadership ability that promotes optimal unit functioning and Patient care. Current State Nursing License. BSN preferred. Communication skills necessary to effectively: a. Provide instruction to the surgeon, anesthesia, surgical staff, patient and/or significant other b. Provide explanations to the patient and/or significant other c. Explain nursing intervention d. Communicate with other members of the health team. Analytical skills necessary to develop and implement a plan for nursing care appropriate to the patient, and to solve problems concerning patient’s mental or physical well-being. Ability to concentrate and prioritize, plan and perform professional nursing care, resolve patient care problems, and interact with patients, families, and other team members - often during stressful situations. Ability to manage patient care unit. Must be able to use the following Management Accountabilities/ Competencies: conflict resolution, staff counseling, problem solving, disciplinary process, policy and procedure implementation, teamwork, staff scheduling, support of management peers, interviewing, budgeting process, cost containment skills. Current BLS Healthcare Provider card. Must have current ACLS certification or obtain within six months of assignment.
