Registered Nurse - Admissions Discharge - Full Time

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Accountabilities

Demonstrates the use of the nursing process as a problem-solving model, utilizing their knowledge and experience to anticipate and plan to meet patient and family needs at the time of admission, transfer, and discharge. Reviews all orders on new admissions, transfers, and discharges.  Communicates patient changes and condition with the assigned team members as indicated Communicates with patient/family within 24 to 72 hours of admission. Attends daily interdisciplinary team rounds. Collaborates with Primary RN, case managers/social services during the patient's stay, Assumes a proactive role in coordinating interdisciplinary discharge planning for a specific patient population and facilitates access to outpatient resources that the patient may need, in collaboration with the multidisciplinary team. Works with APRNs and other Providers throughout the stay to ensure the patient is ready for discharge by noon. Demonstrates commitment to meeting the learning needs of patients and families. Utilizes appropriate resources to assist in meeting those needs and achieve positive patient outcomes Assists the patient/family in maximizing their sense of control and actively participating in their recovery. Supports the patient discharge process in terms of medication reconciliation and finalizing discharge orders, completes the discharge summary, provides patient/family education, and documents discharge teaching. Validates patient/family education and comprehension before discharge. Facilitates all follow-up appointments and ensures that ordered tests and procedures are scheduled before patients’ discharge.  Communicates with patient/family 24 hours post-discharge. Conducts patient follow-up at the following intervals and as needed (3, 7, 14, and up to 30 days as needed).

It serves as a liaison between the medical and surgical teams and patients and their families post-discharge. Demonstrates the knowledge and skills necessary to provide care appropriate to the age and needs of the patients served on the assigned unit. Serves as a direct care provider, as appropriate, to ensure positive outcomes. Maintains a safe and clean environment that promotes the safety of patients and their families throughout all care environments. Complies with regulatory standards, including National Patient Safety Goals. Demonstrates creativity and innovation in approach to complex problem solving.

Quality Metric

Decrease the overuse of the emergency department Increase Press Ganey Scores

Likelihood to Recommend

Transition of Care

Discharge Instruction

Decrease 30-day readmissions Discharge appointments within 7 to 14 days post-discharge Length of Stay by hours Turnaround time from order to discharge

Professional Accountability

Consistently maintains complete confidentiality of all medical, financial, employee, computer, and other sensitive materials, which may violate HIPAA regulations and/or jeopardize the privacy of others. Maintains a professional appearance and adheres to the proper dress code. Always wear the hospital ID badge and locator, and promote the standard of appropriate identification for peers and staff. Attends meetings as required Serves as a role model and consistently displays a professional demeanor. Maintains clinical competency. Demonstrates professional independence in the practice of nursing. Consults internal/external experts when appropriate. Maintains documentation of the continuing education requirements. CPR/BLS and ACLS are required. Maintains certification. Attends all mandatory in-services and completes all computer-based modules as assigned Actively participates in shared governance councils and professional organizations. Actively supports and participates in performance improvement activities.  Seeks/accepts training to learn new skills and maintain current competencies. Maintains professional certifications/licensure in active status and good standing. Practices within the scope and guidelines set forth by the Florida Board of Nursing. Attempts to resolve patient, physician, and visitor complaints and refers unresolved issues to managers. Demonstrates dependability/reliability by promptly reporting to work when scheduled. Float to other units in the role of ADT, as necessary. Serves as a mentor and role model. Compliance with UM, UHealth/UMHC, and department policies and procedures Other duties as assigned.

This list of duties and responsibilities is not exhaustive and may be expanded to include additional duties or responsibilities as necessary.

Supervision Received:

Reports directly to the Unit Manager.

Supervision Exercised:

None

Minimum Qualifications (Essential Requirements):

• Bachelor’s degree required. MSN preferred
• Current/valid Florida nursing license from a nationally accredited school of nursing
• CPR/BLS
• 3 years of recent nursing experience required
• Strong interpersonal communication skills
• Proven track record of building relationships with physicians, direct reports, and key staff
• Moderate to advanced computer literacy

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

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