Registered Nurse Team Leader MedSurg

Department: CC016180 Routine Nursing-8 DHMT Job Description Summary: Successfully challenges EKG I test upon hire, if previously trained or successfully completes EKG I program within 90 days of hire. Successfully interprets life-threatening dysrhythmia and subsequent treatment. Demonstrates safe and correct defibrillation. Administers anti-dysrhythmic therapy as ordered. Demonstrates basic understanding of patient’s daily status, including reason for admission, surgeries/procedures performed, pertinent diagnostic data, learning needs of the patient, and discharge plan. Successfully completes ACLS training and maintains current status within 90 days of hire. Consistently cooperates with rotation of assignments and floating. Demonstrates safe and correct care of the patient with internal cardiac devices. Demonstrates understanding of patient multi-system complications, evidenced by identification and reporting of abnormal findings to appropriate physician in a timely manner and implementation of nursing interventions. Monitors hemodynamically unstable patients, assesses, reports and intervenes appropriately. Assessment Performs initial vital signs and admission history to include introduction to patient and family. Assessment of chief complaint and notification of physician within 15 minutes of arrival to unit. Obtains and documents a complete nursing admission assessment, including physiological and psychological factors to develop an interdisciplinary plan of care within eight hours of admission. Performs and documents an accurate systems assessment at the beginning of each shift. Responds to diagnostic data and initiates appropriate action or intervention. Assesses patient education needs on admission and daily. Assesses psychosocial needs specific to patient’s age, growth, and development. Planning Initiates an interdisciplinary plan of care within eight hours of admission. Establishes priorities for patient care based on patient needs as evidenced by completion of assigned duties within shift. Implementation Verbalizes understanding of patient diagnosis and interdisciplinary plan of care. Safely and correctly initiates and documents nursing interventions in emergency situations. Performs 24-hour chart check at the beginning of each shift. Administers, observes, and documents intravenous therapy according to hospital policy. Administers medications within 30 minutes of scheduled time. Observes and documents effectiveness, recognizes and reports adverse reactions immediately. Provides individualized instructions each shift to patient/significant other regarding the plan of care. Demonstrates safe and correct use of unit specific equipment. Ensures that each patient’s general hygiene needs are met daily. Performs pre-operative and post operative care and instruction for each assigned surgical patient during shift. Adheres to standard precautions, including hand hygiene guidelines at all times. Documents specific patient valuables on designated form when received and immediately arranges for appropriate storage. Performs dressing changes using aseptic technique. Collects and labels specimens per policy when ordered by physician. Performs bedside glucose monitoring according to policy. Administers internal feedings via ng tube, g tube, and/or j tube. Reports all abnormal findings immediately to physician. Initiates wound and skin protocol upon identification of risk. Performs ostomy care to include irrigation, appliance usage, and reinforcement of teaching. Inserts intermittent or indwelling urinary catheter using aseptic technique. Administers oxygen therapy according to physician order. Transfers patients in/out of the unit in an efficient manner, by obtaining a complete and correct set of physician’s orders. Completes documentation of patient transfer summary and ensures appropriate completed referral forms accompany intra-facility transfers, including giving/receiving of report. Demonstrates safe and correct use of restraints. Evaluation Documents/reports patient responses or outcomes resulting from: nursing interventions, treatments/procedures, interpersonal interactions, and patient/family education. Evaluates and documents patient’s progress towards established goals/objectives every shift. Updates/revises patient care problem list and individualized patient care standards based on patient/family responses, progress towards goals, and/or change in medical status every shift. Evaluates patient length of stay and related transfer/discharge planning needs based on anticipated problems, internal or community resources, and support systems. Professional and Staff Development Obtains 100% of mandatory hospital and unit specific in-services annually, prior to evaluation date. Plans, presents, and documents unit in-service as required by level. Documents competency in clinical skills annually. Attends staff meetings as required. Uses established lines of communication for resolution of problems and interpersonal conflict. Leadership Aggregates and analyzes PI and Risk initiatives. Ensures that supplies are charged accurately on a daily basis. Assists Director with scheduling and assures accuracy of daily schedule sheets. Ensures problem resolution for any issues regarding internal and / or external customers. Conducts staff meetings (at least 2 per year); in collaboration with unit Director. Demonstrates the expertise necessary to function as a role model for staff. Fosters teamwork and builds mutual understanding, respect and confidence among personnel and between departments. Uses a systematic problem-solving process to make sound decisions in a timely manner. Uses initiative and sound judgment in delegating responsibilities. Maintains a customer‑focused attitude at work through a spirit of cooperation, pleasant and respectful demeanor, and helpfulness towards patients, visitors, physicians, peers and employees. Demonstrates commitment towards professional growth through development of skills and knowledge. Knowledgeable of general safety and risk management procedures and responds appropriately to emergency situations, including fire, disaster and clinical emergencies. Collects and interprets data to monitor the departments performance and improve processes; and when applicable evaluates the outcomes related to the use of clinical practice guidelines. Is responsible for providing leadership and direction for staffing in accordance with the organization goals and objectives and meets changing needs in the area(s) of responsibility. Assumes authority, accountability and responsibility for the formal and informal direction of others. Maintains a high level of employee satisfaction. Provides for orientation, initial job training and continuing education of all employees in the department. Responsible for evaluating, staffing and census and unit employees schedule. Maintains annual competency in procedures/skills specific to unit (i.e. chest tube insertion and monitoring, application of pace aid external transcutaneous pacemakers, ICD’s etc.). Prescribes, provides and monitors the nursing plan of care on a continuous basis based upon own assessments and those of other members of the health care team. Delegates patient care responsibilities to assigned ca r caregivers based upon patient needs and staff competencies. Develops time sheets to ensure adequate staffing levels consistent with unit workload, assessing/reassessing, prioritizing/reprioritizing assignments as needed. Conducts probationary and yearly performance evaluations of employees. Submits prior to anniversary date. Coordinates unit operations for assigned shift, subject to the review of the Unit Director/Manager, including scheduling, patient assignments, monitoring of unit activities, and coordination among other departments to ensure effectiveness of operation and the delivery of quality care. Demonstrates leadership skills through effective planning, time management, teamwork, and delegation of patient care activities to unit staff and resource utilization. Ensures that patient care or unit related communications are coordinated among all patient care team members. Plans and conducts unit staff meetings and assists in and/or coordinates patient care conferences. Assumes responsibility for new staff orientation and serves as a clinical resource, patient advocate and role model for nursing staff. Identifies potential patient and family concerns and provides appropriate intervention, including patient/family education as needed. Qualifications License/Registration/Certification: Current RN license in the State of Florida. BLS required. Unit specific and/or National Professional Organization Certification preferred. Education: Bachelors degree in nursing preferred. Experience: Minimum of three years as a registered nurse preferred. Minimum three years of critical care area experience. Benefits Health benefits Life insurance Long-term disability coverage Healthcare spending accounts Retirement plan Paid time off Pet Insurance Tuition reimbursement Employee assistance program Wellness program On-site housing for select positions and more! #J-18808-Ljbffr Dormont Manufacturing Co