Registered Nurse - Hospice

1 day ago

Women's Health Labor and Delivery Registered Nurse - Full Time

The RN working in L/D is responsible for promoting and maintaining quality patient care on all patients presenting to the L/D area. They will function with minimal supervision and exercise sound judgment when conducting medical screens on patients presenting to L/D for monitoring/observation. The RN has knowledge of the admission, discharge, transfer and fetal monitoring of all patients presenting to L/D. Assures Hourly Rounding with Intention is done on all labor patients Q 30 minutes-1 hour for safety of the patient utilizing "Aidet". RN will conduct herself in a professional manner at all times and will adhere to unit specific/JSMC policies/procedures and function within the scope of her practice. The RN in L/D area is responsible for admitting and caring for a patient in labor throughout her delivery and recovery. This includes taking vital signs, starting IV and drawing blood, vaginal exams, pain management and obtaining pertinent information and able to document in McKesson/OB Trace Vue. RN is knowledgeable about EFM which includes interpretation and treating strips, notification of physician in a timely manner and providing them with needed information such as dilation, effacement, station, presentation and reactivity of the baby. Has understanding of all policies and protocols related to labor and delivery such as: Cytotec, Pitocin, Magnesium Sulfate, Fetal Distress, Prolapsed Cord, Shoulder Dystocia, Uterine Rupture, Abruption, Preparation for Emergency C/Section/Delivery and Fetal Demise. The RN in L/D is aware of the chain of command process, Emtala regulations, transfer process, and notification of on-call anesthesia/physician. RN will provide the on-coming shift with report utilizing hand-off communication at bedside. The RN will adhere to AWHONN/AGOG standards with much emphasis on EED/Healthy Babies 39 weeks or greater. Identifying patient care requirements by establishing personal rapport with potential and actual patients and other persons in a position to understand care requirements. Establishing a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promoting patient's independence by establishing patient care goals by teaching patient, friends, and family to understand condition, medications, and self-care skills; answering questions. Assuring quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Resolving patient problems and needs by utilizing multidisciplinary team strategies. Maintaining safe and clean working environment by complying with procedures, rules, and regulations; calling for assistance from health care support personnel. Protecting patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Documenting patient care services by charting in patient and department records. Maintaining continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs. Maintaining patient confidence and protecting operations by keeping information confidential. Ensuring operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. Maintaining professional and technical knowledge by attending educational workshop; reviewing professional publications; establishing personal networks; participating in professional societies. Completes Nursing History and Assessment accurately within the 24 hours of admission Determines and delivers age appropriate care Delegates duties based on complexity of patient needs Utilization of critical thinking skills in prioritization of care Develops, prioritizes, updates and maintains individualized plan of care Coordinates and collaborates Plan of Care with health care team Incorporates Discharge planning needs on the Plan of Care Documents interventions that are accurate, pertinent, timely and legible Administers medications observing the "6 rights" Maintains Barcode Override rate

Manager/Supervisor

Emergency Department Nurse Manager - Full Time

Job Summary The Emergency Department Nurse Manager has 24 hour accountability for the daily operations in the nursing unit, serving as a role model and leader. The Emergency Department Nurse Manager oversees and coordinates the emergency care provided by the department and assists the Emergency Department Director with staff development, oversees competencies, assists with quality and risk programs and promotes Jennie Stuart Health goals, philosophies, policies and procedures. Functional Demands FLSA: Exempt Department: Emergency Department Reports to: Director of the Emergency Department Occasional sitting, standing, walking, lifting +/-35lbs, raising and lowering objects +/- 35lbs from one level to another, pushing/pulling, and bending/stooping. Organizational Expectations Provides a positive and professional representation of the organization. Promotes culture of safety for patients and employees through proper identification, reporting, documentation, and prevention. Maintains hospital standards for a clean and quiet patient environment to maintain a positive patient care experience. Maintains competency and knowledge of current standards of practice, trends, and developments in related scope of job role or practice. Adheres to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Participates in ongoing quality improvement activities. Maintains compliance with organization’s policies, as well as established practices, protocols, and procedures of the position, department, and applicable professional standards. Complies with organizational and regulatory policies for handling confidential patient information. Maintains compliance with the Emergency Medical Treatment and Active Labor Act (EMTALA) rules and regulations. Demonstrates excellent customer service through his/her attitude and actions, consistent with the standards contained in the Vision, Mission, and Values of the organization. Adheres to professional standards, hospital policies and procedures, federal, state, and local requirements, and TJC standards and/or standards from other accrediting bodies. Essential Functions Clinical Practice Directs and coordinates emergency care provided within the department. Directs department functions. Assists Director with coordination and completion of employee orientation process. Maintains equipment. Implements and maintains infection control measures. Monitors employee productivity. Oversees working scheduling. Assists with quality improvement efforts. Complies with hospital, State, Federal and JCAHO regulations. Sets role model for others. Promotes team effort throughout department. Follow through effectively. Understands priorities and reacts in a timely manner. Procures and distributes medication from secure locations per work assignment according to established policies, procedures, and protocols. Maintains credential appropriate for the Emergency Department (ACLS, BLS & PALS). Administrative Communicates effectively with peers, staff, leadership and providers. Works well in helping define work goals. Presents as mentor. Shows effective counseling skills ∙ Seeks assistant when needed to make decisions Communicates responsibility for actions. Utilizes effective interpersonal skills to interact with patients, families, fellow workers, medical staff and visitors. Demonstrates behavior standards established in Community Cares Works as part of a team: Performs duties willingly and with initiative Shares information Treats other with consideration, courtesy and respect Remains calm; works effectively in stressful situations Demonstrates judgment and tact Communication Adheres to Jennie Stuart Health ethics and compliance standards. Develops goals for self ∙ Understands healthcare complications Monitors customer service and employees responsiveness Monitors department safety Arranges own knowledge base and development by attending formal and informal educational activities and shares knowledge with others. Demonstrate ability to work independently within scope. Assures standards set forth by state, TJC and other agencies are met. Active on selected committees for the purpose of exchanging information and participating in performance improvement. Must promote good public relations for the department and Jennie Stuart Health while maintaining patient/customer confidentiality. Participates in self-evaluation and develops a professional plan for development based on unit goals/strategic plans. Attends staff meetings, providing input and evaluation into unit strategic plans, operations and performances improvement. Arranges own knowledge base and development by attending formal and informal educational activities and shares knowledge with others. Participates in self-evaluation and develops a professional plan for development based on unit goals/strategic plans. Demonstrate ability to work independently within scope. Active on selected committees for the purpose of exchanging information and participating in performance improvement. Shall comply with applicable policies, procedures, law and regulations Assist others in learning about applicable policies, procedures, laws and regulations and how to honor their intent. Shall encourage staff to Speak Up for Safety by reporting matters of concern to the appropriate party. Identifies ways to improve Jennie Stuart Health’s compliance with applicable laws and regulations. Find ways to help others feel comfortable reporting matters of concern to the appropriate party. Shall not exercise or be complacent to acts of retaliation as a result of staff reporting safety concerns. Accountable for all quality metrics including but not limited to reduction of SSE, HAI’s and Hand Hygiene compliance. Accountability/Leadership Assist with staff selection and development Consistently strives to increase productivity Contributes to assisting with decreasing overtime Monitors Trends Assists in finding cost reductions within the department Provides in-services to staff as needed Non-Essential Functions/ Marginal Duties All other duties as assigned (Must complete approved competencies for additional skills)

Emergency Room Registered Nurse - Full Time

To provide care to patients that present to the Emergency Department. Provide care to patients within the scope of practice of a Registered Nurse as defined by the Kentucky Board of Nursing. ESSENTIAL FUNCTIONS: • Completes nursing HX and assessment accurately with in expected time frames. • Determines and delivers age appropriate care. • Delegates duties based on complexity of patient needs. • Utilization of critical thinking skills in prioritization of care. • Develops and prioritizes individualized plan of care. • Coordinates and collaborates plan of care with health care team. • Incorporates discharge planning needs in plan of care. • Documents interventions that are accurate, pertinent, timely, and legible. • Administers medication observing the "5 rights". • Administers medication correctly based on patient's age, and clinical condition. • Performs skills and tasks required by unit expectations. • Provides safe environment. • Includes patient, caregivers, and disciplines in care, council and health teaching. • Demonstrates correct use and troubleshooting of equipment. • Evaluates the efficacy of plan of care. • Modifies based on patient's current condition. • Ability to supervise staff members who provide direct patient care. • Provides health care at the best value without compromising patient care. • Responsible and accountable for all actions. • Accurately completes Triage assessment of patient and assigns appropriate acuity category. • Completes all documents accurately in the Electronic Medical Record. • Other duties as assigned.

ICU

Critical Care Unit Registered Nurse - Full Time

To ensure the delivery of competent, high quality clinical care in a caring compassionate environment. • Completes nursing HX and assessment accurately within expected time frames. • Determines and delivers age appropriate care. • Delegates duties based on complexity of patient needs. • Utilization of critical thinking skills in prioritization of care. • Develops and prioritizes individualized plan of care. • Coordinates and collaborates plan of care with health care team. • Incorporates discharge planning needs in plan of care. • Documents interventions that are accurate, pertinent, timely, and legible. • Administers medication observing the "5 rights" • Administers medication correctly based on patient's age, and clinical condition. • Performs skills and tasks required by unit expectations. • Provides safe environment. • Includes patient, caregivers, and disciplines in care, council and health teaching. • Demonstrates correct use and troubleshooting of equipment. • Evaluates the efficacy of plan of care. • Modifies based on patient's current condition. • Ability to supervise staff member who provide direct patient care. • Provides health care at the best value without compromising patient care. • Responsible and accountable for all actions. • Practices within the scope of license. • Able to charge PP floor.

Med-Surg

Medical/Surgical Registered Nurse - Full Time