Registered Nurse / Cardiac Rehab (Per Diem)

Registered Nurse

The registered nurse renders highly professional and technical nursing care to assigned patients. The registered nurse provides direct and indirect patient care using the nursing process (assessment, planning, implementation, and evaluation). Oversees other assigned team members and collaborates with a multidisciplinary team to provide population specific care in accordance with the BORN regulations and professional standards of care. Clinical care in the Cardiac Rehab program requires management of patients in the rehabilitation phase of their recovery from cardiac events or diseases which include, MI, PCI, valve surgery, CABG, heart failure, heart transplant, angina, and other complex varieties of heart disease. The program consists of monitored exercise, strength, yoga, meditation, and educational presentations. Responsibilities include monitoring telemetry and vital signs during exercise, group patient education, completing individualized treatment plans, physical assessment, and evaluations of patients. Must be comfortable interpreting telemetry rhythms, collaborating with a multidisciplinary team, and responding quickly to adverse events.

Education: Bachelor's Degree Nursing required

Licenses and Credentials: Registered Nurse [RN - State License] - Generic - HR Only required

Experience: Demonstrated clinical competence and experience as required by the specific job posting/specialty area. required. Current MA RN license required. BSN required. Minimum of 5 years nursing experience required. Cardiac telemetry experience required. Previous ED or critical care experience required. BLS & ACLS required. Previous cardiac rehab experience preferred.

Knowledge, Skills and Abilities: Uses the nursing process and evidence based practice to ensure quality patient care is provided throughout the episode of care. Creates and maintains a safe and therapeutic environment for patients, self, and co-workers. Adheres to the general hospital standards to promote a cooperative work environment by utilizing communication skills, interpersonal relationships, and team building. Follows departmental policies and procedures. Contributes to the overall quality of services. Assumes responsibility for keeping informed about changes. Makes independent decisions within the scope of nursing practice. Assesses the patient's physical, psychological, spiritual, cultural, and social needs. Provides competent and compassionate care specific to the unique needs of the individual patients and populations served. Individualizes care in consideration of the patient's age, developmental, or physical abilities (including obesity); spiritual, religious or cultural practices; economic status; literacy skills; communication skills; cognitive abilities; and gender or sexual orientation. Updates knowledge and skill of populations served to meet patient care needs. Applies knowledge of illness, injury, and disease in the assessment process and recognizing those symptoms that need immediate intervention. Individualizes a plan of care based on assessments and in collaboration with the patient/family/ significant other, as well as, appropriate resources and multidisciplinary team members. Engages patient/family/significant others as partners in caring. Updates plan of care and nursing documentation based on continuing assessments. Assures quality of nursing practice through participation in performance improvement activities. Ensures complete, accurate, and timely written communication of patient information. Implements clinical and technical aspects of care and physicians' orders in compliance with standards of practice and standards of care. Evaluates the patient/family/significant other's responses to established goals and interventions and revises the plan of care based upon this evaluation. Demonstrates the ability to set priorities when planning and implementing patient care. Coordinates and collaborates with appropriate resources and multidisciplinary team members to facilitate a comprehensive discharge plan. Recognizes change in patient's physical and mental status and informs physician and /or another health care professional. Provides safe, accurate, and timely medication and IV administration. Coordinates and collaborates with other multidisciplinary team members to facilitate a comprehensive educational plan. Caring for patients also involves exposure to human waste and other unpleasant elements. Creates and maintains a safe and therapeutic environment for patients, self, and co-workers. Uses two patient identifiers to match the correct patient with the correct care, treatment, or services. Demonstrates through practice principles of infection control and universal precautions, adherence to OSHA standards, Hazardous Material Guidelines, and isolation procedures. Demonstrates proper technique and calibration of equipment when performing point of care testing. Assures equipment is operational and safe or removed from service. Responds appropriately to emergency situations. Minimizes risk of injury by promoting fall precautions, use of call bell, side rails, and other safety practices. Treats patients and family in a non-judgmental respectful manner. Takes the initiative to advocate for the patient. Makes patient aware of his rights and responsibilities. Provides emotional, psychological, and spiritual support to patient and family needs. Assures quality of nursing practice through participation in performance improvement activities. Incorporates performance improvement recommendations into daily practice. Controls patient care cost through: Efficient management of supplies and services. Suggestions of new approaches to cost containment. Participates in performance improvement activities by evaluating outcomes of patient care and making recommendations for appropriate revisions to the individualized plan of care. Ensures complete, accurate, and timely written communication of patient information. Completes consistently all parts of the documentation system per hospital/unit policies. Ensures appropriate documentation on or in patient's discharge instructions. Documents patient's progress or lack of progress in a chronologically accurate and organized format. Safeguards the rights of patients and hospital personnel to privacy by judiciously protecting information of a confidential manner. Other duties may include general cleaning with exposure to dirt, odors, cramped quarters, etc. RN's may work with angry, agitated, and combative patients.