RN jobs in Wickliffe, OH

RN Jobs in Wickliffe, OH

Advance Practice Registered Nurse - Life Flight

Location: METROHEALTH MEDICAL CENTER Biweekly Hours: 80.00 Shift: 8:00 AM TO 5:00 PM The Department of Emergency Medicine of the MetroHealth System, a principal teaching hospital of the Case Western Reserve University (CWRU) School of Medicine, is seeking Advance Practice Registered Nurse to join our growing team at our Life Flight team. Delivers direct patient care consistent with the advanced practice registered nurse’s education, experience and certification, in collaboration with a physician, which includes diagnosis, management and/or referral of health care issues. Promotes consumer, family, and community health through preventative health care actions and through patient advocacy. The advanced practice registered nurse may also manage complex illnesses and/or deliver specialty care. Upholds the mission, vision, values, and customer service standards of The MetroHealth System. Metro Life Flight: Responsible for advanced emergency and critical care patient management during air and ground transport of the critically ill or injured patient from the scene or outlying sites to participating secondary and tertiary care institutions. Provides intensive care monitoring, critical care intervention and advanced surgical skill procedures to critically ill and injured patients. This includes the management of high-risk obstetrical, medical, surgical, respiratory and cardiovascular patients. The specialized training of the Flight Nurse Practitioner allows for the provision of care to critically ill and injured patients through the use of ventilatory support, continuous cardiac and hemodynamic monitoring, including intra-aortic balloon pump. Upholds the mission, vision, values, and customer service standards of The MetroHealth System. Responsibilities: Contributes to patient safety by: a. Providing a safe environment for patients. b. Reporting safety concerns, errors and near misses. c. Participating in system improvement initiatives to prevent errors. d. Providing evidence-based care as applicable to the role. Clinical Practice Performs patient assessment, documents and analyzes data relative to specialty based on patient needs, existing signs and symptoms and current patient data. Utilizes critical thinking in formulating differential diagnosis and establishing priorities in care. Institutes measures to promote and maintain health, prevent illness, maintain comfort and meet achievable patient and family care preferences. Develops individual, evidence-based plan of care for patient with ongoing management and evaluation of patient outcomes based upon advanced practitioner’s scope of practice and certification in collaboration with patient, family, and/or other pertinent health care provider(s) including collaborating and specialty physician(s) as needed. Provides care in a manner which enhances patient satisfaction; maintains and promotes good public relations. Selects appropriate communication approach to achieve desired outcomes; identifies barriers to communication; initiates appropriate interaction and evaluates results. Accepts accountability for clinical practice including making decisions proactively, responding to changing needs of patients/families and representing patient needs to others as appropriate. Ensures that compliance is maintained with all applicable regulatory agencies and laws, national standards, The MetroHealth System Code of Ethical Conduct and American Nurses Association (ANA) Code of Ethics. Prescribes drugs and therapeutic devices in accordance with laws and within scope of practice, if holds Certificate to Prescribe. For Clinical Practice of the Metro Life Flight Nurse Practitioner: Understands flight physiology and takes appropriate action regarding patient care. Works collaboratively with the Nurse Manager, Metro Life Flight Professional Practice Committee (Shared Governance) and assistant medical directors in the evaluation and improvement of clinical practice. Assures availability via provided hospital pager for programmatic needs including but not limited to: patient care, specialty transports, and other administrative direction. Performs a prehospital scene survey to ensure safety of patient and crewmembers and coordinates patient triage in the pre-hospital environment as needed. Evaluates the care of patients within the scope of flight nurse practitioner utilizing Metro Life Flight protocols/guidelines and physician collaboration and consultation. Maintains current knowledge of transport medicine standards and responsibilities. Attends a minimum of 60% of scheduled staff meetings and documents meeting minutes have been read if not in attendance. Attends a minimum of 50% case review conferences. Attends minimum of two surgical skills lab a year. Attends Operating Room or clinical experience if privilege requirements have not been met. Perform techniques and medical procedures, via human patient simulators, as required to maintain skill levels. Meets all clinical practice, safety, customer service and flight operations needs set forth by the administration of Metro Life Flight and The MetroHealth System. Coordination of Care a. Consults with other professionals for joint problem solving and setting of mutual goals related to patient care issues when necessary. b. Functions as a resource for other nurses and healthcare providers for clinical practice issues and provides education as needed. c. Plans for continuity of care, identifies community health resources, guides patients and families in their use, and facilitates continuity of care on transfers as needed acting as liaison between patient/family/physician/community resources as needed. Leadership/Organizational Skills a. Participates in achieving division/department goals; communicates division/department-based issues and concerns in an appropriate forum. b. Participates or supports advance practice registered nursing initiatives in The MetroHealth System. c. Participates as assigned in the orientation of new staff and serves as a resource and/or preceptor for students from various disciplines, and new personnel as well as other disciplines as appropriate. d. Serves on committees and/or participates in professional activities within the department, institution and/or community. e. Presents formal educational programs. For Life Flight Nurse Practitioner: required to present or teach a minimum of two (2) medical educational programs per year to a hospital or EMS/Community organization. Professional Development a. Remains current with evidence based practice, adhering to national standards and ANA Code of Ethics. b. Identifies own learning needs. Sets learning goals, and actively pursues required knowledge and skills. c. Evaluates own professional practice utilizing self, collaborative physician, and peer evaluations according to state law. Includes patient and /or family feedback. d. Participates in performance improvement activities focusing on improving patient care outcomes. e. Participates in the identification of research projects; evaluates and analyzes research that is available in the literature for possible integration into daily practice in support of evidence-based practice. Qualifications: Required: MSN or grandfathered under Ohio Revised Code Graduate of an accredited advanced practice registered nurse program with acute care licensure (AGACNP or ACNP). Current registered nurse licensure in the state of Ohio Certificate of Authority as an Advanced Practice Nurse from the Ohio Board of Nursing Certification as Advanced Practice Registered Nurse in specialty. Current Basic Life Support (BLS) from the American Heart Association or obtains within 90 days of hire. Obtains other advanced life support certifications applicable to practice area within 180 days of hire Meets the requirements/qualifications for clinical privileges in the specialty/department with The MetroHealth System and must report to Medical Staff Office at time of hire to apply for clinical privileges Maintains a standard care arrangement and renews/signs it as required by the Ohio Board of Nursing If You Would Like To Be a Part Of Our Team, Please Send Cover Letter And CV To The Attention Of c/o Eloy Vazquez, Sr., Provider Recruiter evazquez@metrohealth.org The MetroHealth System and Case Western Reserve University does not discriminate in recruitment, employment, or policy administration on the basis of race, religion, age, sex, color, disability, sexual orientation or gender identity or expression, national or ethnic origin, political affiliation, or status as a disabled veteran or other protected veteran under U.S. federal law.

Hospice

Full-time

6 days ago

Hospice RN Case Manager

Daughters of Miriam Center for Nursing & Rehabilitation Beachwood, OH

Emunah Hospice of King David is seeking a new RN Case Manager Nurse to join our growing Hospice Team. We are very proud of our Emunah Hospice program which serves a majority of patients on our Beachwood King David campus as well as patients residing in the community within a limited range. Our core values of excellence, compassion, integrity, service and stewardship create the highest standards of care for our residents, clients and guests. We seek those who share this commitment to guest service, accountability for attendance and punctuality and a dedication to continuous learning and growth. Job Description Summary The Hospice RN assumes case management responsibility for an assigned caseload of hospice patients in their place of residence (e.g., home, nursing facility). This includes performing comprehensive assessments, developing and implementing the patient-centered plan of care, providing skilled nursing interventions for pain and symptom management, clinical documentation, and supervision of the Hospice LPNs and Aides. Essential Job Functions/Responsibilities Patient Care 1. Completes an initial, comprehensive and ongoing assessments of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es). 2. Provides professional nursing care by utilizing all elements of nursing process. 3. Assesses and evaluates patient’s status by: A. Writing and initiating plan of care B. Regularly re-evaluating patient and family/caregiver needs C. Participating in revising the plan of care as necessary 4. Uses health assessment data to determine nursing diagnosis. 5. Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process. 6. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care. 7. Counsels the patient and family in meeting nursing and related needs. 8. Provides health care instructions to the patient as appropriate per assessment and plan. 9. Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care. 10. Acts as Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate patient care for assigned caseload. Communication 1. Completes, maintains and submits accurate and relevant clinical notes regarding patient’s condition and care given. Records pain/symptom management changes/outcomes as appropriate. 2. Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required. 3. Communicates with community health related persons to coordinate the care plan. 4. Teaches the patient and family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group. 5. Provides and maintains a safe environment for the patient. 6. Assists the patient and family/caregiver and other team members in providing continuity of care. 7. Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver. 8. Attends interdisciplinary group meetings. Additional Duties 1. Participates in on-call duties as defined by the on-call policy. 2. Ensures that arrangements for equipment and other necessary items and services are available. 3. Supervises ancillary personnel and delegates responsibilities when required. 4. Assumes responsibility for personal growth and development and maintains and upgrades professional knowledge and practice skills through attendance and participation in continuing education and inservice classes. 5. Fulfills the obligation of requested and/or accepted case assignments. 6. Actively participates in quality assessment performance improvement teams and activities. Position Qualifications 1. Registered nurse with current licensure to practice professional nursing in the state. 2. Graduate of National League for Nursing accredited school of nursing. 3. Maintains a current CPR certification. 4. Must be a licensed driver with an automobile that is insured in accordance with state or organization requirements and is in good working order. 5. Minimum of two years’ experience, at least one of which is in the area of public health, home care, or hospice nursing is preferred. 6. Self directed and able to work with minimal supervision. 7. Management experience not required. Responsible for supervising hospice aides. 8. Demonstrates excellent observation, problem solving, verbal and written communications; nursing skills per competency checklist. 9. Shows ability to organize and prioritize workload independently. 10. Prolonged or considerable walking or standing. Able to lift, position, and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling, and/or crouching. Visual acuity and hearing to perform required nursing skills.