RN-Outpatient Services

Summary

ABOUT THE ROLE:

Responsible for meeting patient’s priority needs by assessing the patient, participating in interdisciplinary care planning, providing and/or delegating care executing therapeutic physician-and nurse-initiated interventions, and evaluating the patient's response to care and progress toward clinical outcomes. Contributes to an efficient and effective work environment through activities including professional communication and documentation and/or resourcing of others. Responsible for the appropriate delegation of nursing care to licensed and unlicensed personnel according to Nebraska statute.

For Cardiac Rehab- Whenever possible, includes the family or significant others in the plan of care of the patient. Coordinates care and communicates essential information between other professional disciplines as needed and uses available resources and innovative strategies to provide care. Empowers the patient and/or significant others to make informed changes in health related behaviors. Responsible for the promotion of primary, secondary and tertiary prevention.

YOUR ROLE WOULD ENCOMPASS:

• Commits to the mission, vision, beliefs and consistently demonstrates our core values.
• Collects subjective and objective data and contributes to the assessment of the patient and documents appropriately in the patient chart.
• Evaluates and communicates patient’s progress to ordering provider.
• Facilitates patient’s transition to next level of care if needed.
• Utilizes appropriate resources to plan and provide nursing services that are safe, effective and financially responsible.
• Collaborates with the patient, family, providers and others in the provision of nursing care.
• Assists in identifying teaching, learning and discharge needs and communicates with providers, patient and family.
• Demonstrates leadership in the professional practice setting and the profession.
• Makes accurate and timely observation and documents changes in the patient’s condition in the patient chart accurately and according to policy.
• Performs a huddle with provider regarding identified questions, individualized patient care and wellness needs. 
• Performs specialty clinic nursing skill set (blood transfusions, chemotherapy administration, wound care, IV therapy, injections, cardiology stress tests and aids with nuclear medicine testing).
• Initiates assessment based on the patients presenting problems or needs and the physician’s medical diagnosis.
• Determines nursing diagnosis and priorities for care with special consideration given to patient teaching, goal setting, psychosocial well-being and functional status.
• Assesses tolerance of activity levels and adjusts program as determined by patient’s ability.
• Addresses and applies interpretation of diagnostic/monitoring data to the plan of care.
• Appropriately interacts with patients/families from a variety of developmental and sociocultural backgrounds; seeks interpreter assistance as appropriate.
• Provides information to patients and families, which reduces anxiety and conveys an attitude of acceptance, sensitivity and caring.
• Initiates communication with health care team members regarding treatment planning; informs appropriate health care team members (including physicians) of patient’s condition/rehab status.
• Completes clinical/non-clinical assignments based on departmental workload and the qualifications and competencies of self and other staff members.
• Assesses individual educational needs, barriers for learning and learning styles and provides appropriate learning experiences; reviews, develops and provides educational materials appropriate to patient needs.
• Provides education to patient and significant others regarding disease entities, risk factor management and behavior modification and promotes primary, secondary and tertiary prevention.
• Acts as department super user in Epic therapy plans, may be asked to help other organizational departments in their use.
• Acts as champion ambulatory clinician in Epic.
• Schedules referrals department work queue and assists with Recall List.
• Administers medication according to policy and provider orders.
• Performs cardiolyte and stress tests and coordinates scheduling of these tests.
• Maintains a neat, organized, and safe environment for the patients, visitors, and CAMC team.
• Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.
• Participates in meetings, committees and department projects as assigned.

YOUR EXPERIENCE INCLUDES (PROVEN PERFORMANCE IN):

Graduation from an accredited professional nursing program required. BSN preferred. Current Registered Nurse License in the State of Nebraska required or approved compact state of residence as defined by the Nebraska Nurse Practice Act required. Must provide evidence of certification and/or instruction for practice area as required by State or Federal standards/regulations. Bryan Health Chemotherapy Education required prior to administering chemotherapy independently.

Current Basic Life Support (BLS) certification required. Bryan Health recognizes American Heart Association (for healthcare professionals), American Red Cross (for healthcare professionals) and the Military Training Network. 

Advanced Cardiac Life Support (ACLS) required within three (3) months of hire.