Work Shift:
Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.
Position Overview:
- Reviews medical history and records, addressing any potential problems prior to preparing patient for pulmonary or cardiac diagnostic testing. Performs independently, assessing patients and assuring the patient is appropriately stable to undergo testing.
- Assesses patient condition and/or status by interviewing patient, performing physical examination, and continuously monitoring, discussing any problems with the physician before, during and after the procedure.
- Performs completely all nursing functions related to procedure, assisting physician during all aspects of the procedure, recording the procedure, operating all equipment, maintaining a sterile environment and completing all related clerical functions.
- Assists physician with cardiac stress testing, administering pharmacological agents as needed. Assists physician with pulmonary testing, administering pharmacological agents as needed.
- Performs nursing functions during conscious sedation using standard protocols and policies. In this role monitors patient continuously, functioning separately from individuals assisting with procedures.
- Follows up on internal resources to determine the outcome of interventions completed by other departments. Mobilizes resources in complex cases to maximize patients control and participation over recovery. Collaborates with case manager to discuss alternatives to care in preparation for family centered conference when appropriate.
- Provides information and interpretation of the patient's condition and offers coping mechanisms Assesses how much information a patient wants and needs, using a vocabulary and approach that enables the patient to comprehend given information. Formulates and documents a discharge plan that maximizes the patient's ability to continue with meaningful life activities.
- Educates the patient and family in preparation for admission and procedure; provides discharge instructions. Provides patient and family with accurate information regarding health problems, enabling them to become active participants in health care decisions. Develops an individualized teaching plan independently and incorporates aspects of cultural diversity specific to the patient as required. Confers with treatment team regarding special needs of patient and family upon discharge.
- Integrates assessment and diagnostic information with intuition to foresee potential age-specific healthcare needs. Anticipates deterioration while recognizing the importance of reacting quickly and appropriately without overreacting. Thoroughly and accurately documents clinical changes, interventions and outcomes. Ensures handoff communication includes a report in terms of the situations most likely to develop and the problems awaiting resolution in the next 8-10 hours.
- Grasps intuitively the problem and oversees a clinical situation by mobilizing available resources. Displays the ability to rapidly grasp the threatening emergency and initiates treatment measures.
- Documents patient's records according to the nursing process, ANA Code for Nurses and Capital Health Patient Services Division Standards of Practice. Performs, teaches and demonstrates technical skills specific to assigned area.
- Identifies proactively issues to be resolved related to patient education for medication management. Participates in various aspects of unit based chart review and departmental performance improvement activities related to documentation. Develops, revises and administers department based orientation plan.
- Uses discretionary judgments to appropriately modify patient care regimens. Facilitates appropriate response from other health team members using clear, convincing rationale. Evaluates the quality and appropriateness of care, identifies problems and initiates and documents improvement of care.
- Explores multiple aspects of care regimen with case manager and health care providers to promote resolution of hospitalization. Advocates to LIP and/or other health members on behalf of patient using clear, convincing rationale to lead the response or treatment needed to meet the patients needs. Participates in the evaluation of department standards of care and identification of actual or potential problems.
- Organizes unit activities to mobilize resources in a changing environment. Displays competency in charge and preceptor roles. Follows established policies and procedures for attendance, punctuality and continuing education. Displays ability to see the entire unit and is self motivated to develop a plan for adjusting staffing patterns.
- Utilizes non-productive time efficiently and has not received any disciplinary action related to non-productive time. Attends advanced preceptor workshop. Displays participation in unit/hospital committees.
- Performs other duties as assigned and possesses a willingness to adapt to changing department demands.
MINIMUM REQUIREMENTS
- Education: Associates degree or graduation from an accredited school of nursing.
- Experience: Two years critical care experience or training including cardiopulmonary assessment, IV insertion, cardioversion, and advance dysrhythmia recognition.
- Other Credentials: AHA BLS - Healthcare Provider,Registered Nurse - NJ
- Requires TNCC(or must obtain within 1 year of hire) AND 8 hours of Trauma related Continuing Nursing Education (CNE) contact hours if assigned to:RMC ICU/CCU, RMC Surgical Trauma Unit, RMC PACU, Emergency Department (all campuses)
- Requires NIH Stroke Scale Certification(or must obtain by end of orientation) AND 8 hours of Stroke related Continuing Nursing Education (CNE) contact hours if assigned to:Critical Care, Emergency Department, Neuro Units, Cardiology Inpatient at Hopewell, Peds/Peds ED.
- Requires ACLS (or must obtain within 6 months of hire date) if assigned to:Critical Care/Intermediate/Telemetry, Emergency Rooms, Pediatrics/Pediatrics Emergency Room, Labor & Delivery, Surgical Services (not to include Perioperative), Interventional Procedures, Observation.
- Requires NRP (or must obtain within 6 months of hire date) if assigned to:Maternity Services, Emergency Room RMC/Deborah
- Requires PALS (or must obtain within 6 months of hire date) if assigned to:Emergency Rooms, Infant Follow-Up, Surgical Services (only PACU & Same Day Surgery), Pediatrics/Pediatric ED. ENPC accepted in lieu of PALs for Adult Emergency Room
- Knowledge and Skills: Performs independently; assists with cardiac and pulmonary testing; administers pharmacological agents.
- Special Training: Two or more years training in pulmonary and cardiac testing. Strong background in cardiac and pulmonary assessment.
- Usual Work Day: 8 Hours
PHYSICAL DEMANDS AND WORK ENVIRONMENT
- Frequent physical demands include: Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion
- Occasional physical demands include: Sitting , Climbing (e.g., stairs or ladders) , Taste or Smell
- Continuous physical demands include: Standing , Walking , Carry objects , Talk or Hear
- Lifting Floor to Waist 25 lbs. Lifting Waist Level and Above 25 lbs.
- Sensory Requirements include: Very Accurate 20/40, Near Vision, Very Accurate 20/40, Far Vision, Color Discrimination, Accurate Depth Perception, Accurate Hearing
- Anticipated Occupational Exposure Risks Include the following: Bloodborne Pathogens , Chemical , Airborne Communicable Disease , Radiation , Dust/Particulate Matter
Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.
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