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Registered Nurse (RN) - PCU (Critical Care Step Down)

$55 - $75 / hour

198061 Job Description Every other weekend and holidays Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Job Responsibility Assesses the patient’s physiologic health status Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient’s chart and answers questions correctly and courteously; Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status; Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate; Assesses level of pain and pain management; Communicates/documents patient’s physiologic health status and plan of care. Assesses patient’s psychosocial health status Elicits perception of medical/nursing care and the expectation of care; Determines coping mechanism, knowledge level, and ability to comprehend; Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; Communicates and documents psychological status and care plan; support group, counseling services, social services. Identifies patient outcome Develops criteria for measurement of patient outcomes; Identifies actual/potential patient problems; Identifies patient’s need for teaching based on psychosocial and developmental assessment; Develops patient outcome statement (s) and establishes individualized patient goals. Formulates the plan of care and establishes the priorities necessary to achieve expected outcome Identifies care activities and establishes the priorities necessary to achieve expected outcome; Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome; Documents the plan of care and collaborates with physicians and other health team members. Implements the plan of care Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed. (Side rails up, call lights and bedside stand within reach, etc.); Exercises professional skills related to the plan of care; Reassesses patients as needed and appropriately revises plan of care; Correctly administers prescribed treatments; Correctly uses equipment necessary for patient care; Provides emotional support to patient and significant other; Applies scientific principles in performing procedures; carries them out safely, timely and efficiently; Makes accurate observations of patient’s conditions during treatments/procedures. Reports and records same as appropriate; Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions; Uses appropriate methods of documentation according to departmental policy; Acts rapidly and effectively during any emergency situation, managing self, patients and other employees; Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient’s family or caretakers; Participates in planning for discharge and coordinates referrals, as appropriate; Provides discharge instructions to patient and significant other. Evaluates care provided for patient outcome Demonstrates ability to measure effectiveness of care provided and documents same; Performs variance analysis related to outcome data for performance improvement; Designs, implements, and evaluates systems to improve care in Unit; Keeps accurate documentation of patient’s treatment, activity and condition; Uses appropriate methods of documentation according to departmental policy. Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team Collaborates with the appropriate physician on patient’s plan of care; Accurately interprets and implements treatment regimen as prescribed by the Physician; Assists the Physician during treatments and/or diagnostic procedures; Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate; Uses clinical judgment in delegating assignments to the LPN, Patient Care Technician, Support Care Associate and Nursing Unit Secretary Associate in providing patient care, and ensures that assignments are completed in a timely fashion. Performs grade I-IV Pressure Injury Care Performs preventive skin care measures Applies simple dressings, maintaining principles of aseptic technique; Applies warm & cold compresses, consistent with facility procedure; Performs irrigations, consistent with Facility procedure; Performs other procedures related to skin care, as necessary. Administers medications correctly and safely Correctly identifies medication: action; dosage; side effects and implications for the patient; Meets standard on medication administration examination; Demonstrates preparation of local solutions; Demonstrates preparation of I.V. drips; Administers and documents medication correctly; Administers IVP medication and IV standard infusions per department policy and procedure; Educates patients and significant others related to drug and food interactions. Participates in patient and family education Provides the patient with an explanation of his/her condition as indicated; Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies; Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching; Provides for early discharge planning and appropriate referrals for post-hospital care; Evaluates the effectiveness of teaching by feedback from patient/family and documents same. Performs related duties, as required. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months of employment, if hired after January 1, 2018 and obtain a BSN Degree within five (5) years of employment date. Current license to practice as a Registered Professional Nurse in New York State. BCLS, ACLS, required. 2+ years telemetry experience, required. Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Medical Assistant

MedStar Health Loch Raven, MD

$19.55 - $34.25 / hour

About this Job: Department: Physician Practice - Diabetes Clinic Schedule: Monday - Friday, 8am - 4:30pm Address: 5601 Loch Raven Blvd Baltimore, Maryland 21239 General Summary of Position The Medical Assistant performs clinical and administrative duties in an ambulatory care setting under the supervision of a physician/provider and/or a registered nurse. Duties may include venipuncture medication and vaccine administration measurement and documentation of vital signs and assisting providers with patient exams and telephone and clerical support. Position may float to other sites/locations within the system. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality and safety standards. Complies with governmental regulations and accreditation standards. Assists providers with patient preparation for examination minor office procedures and with the examination and education of patients. Supports other members of the clinical care team assuring optimal best-practice patient flow; manages variable and unpredictable patient volume throughout the workday. Provides clerical support and serves as backup for the Patient Services Coordinator or other team members as needed. Participates in daily team huddles to review and prepare for scheduled patient visits. Screens all patients regardless of visit type for preventative care needs ongoing support barriers to care safety concerns and potential fall risk. Conducts surveillance for transitions of care urgent/emergent care or follow up tasks such as retrieval of documents associated with referrals/testing. Conducts motivational interviews that include patient screening and/or coaching on disease management ability motivation to change learning care needs and community outreach needs. Identifies potential behavioral health needs of patients using appropriate screening tools and notifies provider of findings. As part of a High Reliability Organization reports actual and potential problems concerning patients families and associates using established reporting protocols for MedStar Health and/or work location. Participates in performance improvement initiatives to improve care quality and safety. Ensures ongoing compliance with regulatory accreditation and quality/safety standards by maintaining and auditing temperature logs ensuring medication supplies are current/unexpired checking and maintaining emergency equipment area free of clutter and other related tasks. Participates in population management activities including an awareness of the populations served and engages the patient in self-management support care/health goal setting pre-visit planning and the capturing of information that leads to health care improvement activities. Performs selected patient and laboratory testing consistent with the scope of the practice including but not limited to Point of Care Testing tuberculosis skin testing electrocardiography pulmonary function tests and vision and hearing testing (dependent upon provider and site requirements). Removes sutures/staples after the provider has examined the patient and written the appropriate order. Documents these activities in the patient's electronic medical record (EMR) or other venues based on policy. Documents clinically related activities accurately in the patient's EMR; performs required patient follow-up: to include pap smears Pb levels HIV mammograms and STD's. Collects and processes specimens completes requisitions and documents in logbook or other applicable forms/records. Provides escort for patients and assists with patient discharge activities. Provides chaperoning for patients per policy. Fulfills infection prevention and environmental responsibilities as assigned which many include: Light cleaning during clinic hours and cleaning of equipment. Updates appropriate records of scheduled equipment maintenance and manages drug and medical supply inventories. Provides telephone screening services to gather information from patients determine appropriate disposition and document per established telephone screening protocols. Under onsite provider supervision may insert intravenous catheter for physician initiated IV fluid therapy or administration of intravenous medications. Under direct onsite physician supervision may insert remove and monitor urinary catheter for procedures and prepare and administer oral drugs and injections limited to intradermal subcutaneous and intramuscular. May perform phlebotomy. Utilizes the EMR to propose patient medication refills for provider approval. Completes requisitions for tests (if applicable). Contacts insurance companies for Pre-authorizations for patient medications and specialty referrals including insurance authorization. Floats to other sites/locations within the system as appropriate and performs all duties at multiple sites. Attends scheduled meetings including but not limited to regular staff meetings and training classes for safety infection control OSHA CLIA BLS and others as required. Demonstrates behavior consistent with MedStar Health mission vision goals SPIRIT values objectives and patient care philosophy. Minimal Qualifications Education High School Diploma or GED required and Completion of an accredited Medical Assistant program preferred Experience Less than 1 year 6 months experience working in an ambulatory care medical office or equivalent required. Externship in a medical or ambulatory health setting strongly preferred. Completed externship program at Medstar Health may be substituted for the 6 months experience in ambulatory care medical office. preferred and For Cardiology offices only: 6 months experience working in an ambulatory care medical office or equivalent required or Bachelor's degree in exercise physiology/science or related major or successful completion of a cardiac technician course. preferred and Prior experience as a medical assistant preferred Licenses and Certifications Certified Medical Assistant (CMA)-AAMA by the American Association of Medical Assistants within 1 Year required or Registered Medical Assistant (RMA)-American Medical Technologists through American Medical Technologists within 1 Year required and CPR - Cardiac Pulmonary Resuscitation (includes BLS and NRP) for healthcare providers from either the American Heart Association (AHA) or American Red Cross within 90 Days required and Additional unit/specialty certifications may vary by department or business unit. Knowledge Skills and Abilities Clinical competency as verified within 90-day orientation period and annually thereafter. Excellent customer service/patient interaction skills. Basic computer skills preferred. This position has a hiring range of : USD $19.55 - USD $34.25 /Hr.