Telecare Registered Nurse - Baby Place - Bayfront Hospital

Registered Nurse (RN) in TeleCare and Remote Patient Monitoring (RPM)

The Registered Nurse (RN) in TeleCare and Remote Patient Monitoring (RPM) triages and prioritizes patient care using EvidenceBased Practice Standards. The RN practices effective problem identification, resolution, and/or escalation while addressing urgent patient clinical inquires and any RPM patient values out of range requiring intervention. This position directly supports our ED Diversion and Readmission Reduction efforts.

Responsibilities

Under the general supervision of the Manager, the RN will be responsible for patient triaging, remote patient monitoring, outbound and inbound phone lines, assisting with nurse case management, nursing assessments, collaboration with providers and other departments, and provision of quality patient care in compliance with local, state, and federal regulations and accreditation standards.

• Accurately assesses each patient's condition by actively listening to callers and asking probative questions. Identifies emergent situations and effectively gives appropriate dispositions.
• Prioritizes patient care in an ongoing manner in accordance with Evidence-Based Practice Standards of Care.
• Provides appropriate and courteous telephone advice including plan of care and patient education to callers according to approved protocols.
• Appropriately and accurately documents initial and ongoing telephone conversations, with documentation being completed immediately after the call ends.
• Places outbound follow up calls to caregivers as needed.
• Accurately communicates information to physician on call as needed, either over the telephone or by routing the necessary information to the physician.
• Meets unit expectations for call volumes, call duration, and customer service expectations.
• Works autonomously while adhering to organizational standards and core values.
• Attends and participates in staff meetings and required departmental meetings.
• Appropriately utilizes and maintains supplied equipment; troubleshoots tech issues to ensure uninterrupted service to patients.
• Assess patients' needs when developing an individualized plan of care for each patient.
• Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on assigned unit.
• Provides, delegates, coordinates, and documents patient care in a knowledgeable, skillful, and consistent manner. This includes but is not limited to patient assessment, education, medication administration, and patient safety.
• Demonstrates competency in nursing and use of patient care/unit equipment as defined by unit-specific requisite skills.
• Delegates tasks and duties to healthcare team members in accordance with the patient's needs and the team member's capabilities and qualifications.
• Communicates appropriate information regarding patient condition or unit concerns to other health care team members.
• Monitors and responds to triage calls in person and/or on the nurse phone line.
• Talks directly to patients on the telephone and then directs them to emergency rooms (ERs), urgent care centers, and home care advice, or to schedule patients to their physician during office hours.
• Determines urgency of seeing the patient based on brief assessment and on familiarity with a patient's condition and history.
• Uses computerized clinical decision-making including algorithms as guide.
• Sends patients with high-risk chief complaints such as chest pain, abdominal pain, or severe headaches to ER immediately or arranges for ambulance.
• Provides appropriate home health advice to patients who do not need to go directly to the ER.
• Ensures accurate notes of all consultations and treatments are recorded in the patient's Electronic Health Record.
• Arranges appointments for patients who do not need to go to ER but need to see a physician. Consults with physician as needed.
• Acts, when designated, in "Ask a Nurse" capacity, handling routine information requests from patients, e.g., "Do I need a flu shot every year? When are you giving these shots?"

Qualifications

Education/Training

• For Team Members hired into this job prior to January 1, 2020: Graduate of an approved school of nursing.
• Effective January 1, 2020: New Hires and Team Members moved into this job and/or transferring Depts. must obtain a Bachelor of Science in Nursing degree (BSN) within 36 months of placement.
• Assumes responsibility for professional development and continuing education.
• Meets all mandatory and developmental requirements for Orlando Health and unit/department.

Licensure/Certification

• Maintains current RN license in the State of Florida.
• Maintains current BLS/Healthcare Provider certification.
• ACLS, NRP, PALS, TNCC as required based on the appropriate certification for the patient population.

Experience

• Twelve months hospital RN experience required. Based on area of assignment, specialty courses and specialty experience may be required. Must meet unit specific performance competencies.