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Staff RN Contingent 1 -Gastroenterology

Nationwide Children's Hospital
Columbus

Job Description

This is a call-in/contingent, non-benefits eligible position working various shifts

No new grad opportunity

Minimum hourly rate: $23.81

This RN role will be function primarily in GI Clinic Main Campus, Westerville, and Dublin. Will prepare patients for office visits and provide home-going education/teaching at discharge. Will utilize electronic medical record for patient record/documentation. There is potential to cross-train to telephone triage and specific ambulatory surgery roles in the GI procedure room.

Responsibilities

Why Nationwide Children's?

The moment you walk through our doors, you can feel it. When you meet one of our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it, too. Welcome to Nationwide Childrens Hospital, where Passion Meets Purpose.

Here, Everyone Matters. Were 12,000 strong. And it takes every single one of us to improve the lives of the kids we care for, and the kids from around the world well never even meet. Kids who are living healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere.

Ask anyone with a Nationwide Childrens badge what they do for a living. Theyll tell you its More Than a Job. Its a calling. Its a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere.

Nationwide Childrens Hospital. A Place to Be Proud.

The Staff RN assists patients to move rapidly, uneventfully, safely, and as effectively as possible through their episode of care. The Staff RN prescribes delegates, supervises and provides patient care, plans for education, collaborates on plan for discharge and provides for patient safety and quality.

Demonstrates competencies defined in the Staff RN responsibilities in providing age-appropriate care to patients from the age of birth through 21 years, and select adult patients.

1. Uses nursing process, evidence based practice and unit specific competencies to:

a. Complete the visit assessment.

b. Document assessment information in appropriate area in encounters.

c. Delegate patient care.

d. Evaluate patient care and patients response/progress.

e. Reassess patients and revise plan of care as appropriate.

f. Supervise patient care.

g. Plan follow-up and discharge.

h. Plan, provide, delegate, and evaluate patient/family education.

i. Collaborate effectively with all health care disciplines to facilitate patient outcomes.

2. Communicates patient care needs/expectations/priorities to assigned Licensed Practical Nurses (LPNs), Patient Care Assistants (PCAs),and allied health personnel.

3. Effectively communicates and interacts with patient, families, and health care team.

4. Effectively manages patient care through one or more of the following:

a. Prescribing, delegating and coordinating care for patients.

b. Care conferences

c. Clinical rounds

d. Charge nurse responsibilities

e. Other coordination activities

f. Organizing and prioritizing care

g. Managing prescribed physician orders.

5. Maintains professional standards by setting professional goals and participating in activities to meet goals.

6. Adheres to unit/department budgetary standards.

7. Participates in department maintenance activities:

a. Pyxis and charge data collection

b. Infection control activities

c. Point-of-care testing

d. e-Chart education

e. Safety and Quality activities

8. Participates in Patient Care Services and Hospital activities in one or more of the following:

a. Policy/procedure review and revision.

b. Helping Hand review and revision.

c. Committee attendance and participation

d. Patient/family advocacy.

e. Shared governance.

9. Participates in educational activities in one or more of the following:

a. Peer review

b. Serves as a preceptor/clinical resource

c. Orientation and continuing education

d. Clinical competency assessment

e. Planning and presenting classes.

10. Accepts and supports change in a positive manner.

11. Participates in research, patient safety and quality improvement activities.

12. Practices professional nursing in accordance with the ANA Code of Ethics for Nurses.

Competencies/Responsibilities by Role:

1. Clinic

a. Maintains efficient patient flow in clinic

b. Communicates delays in appointments/keeps patient and family updated

c. Plans and coordinates care for late-arriving patients, or scheduling errors

d. Provides discharge instructions/educational material

2. Office

a. Responds to patient/family needs in a timely manner.

b. Prioritizes patient care needs and communicates urgent situations to practitioner

c. Coordinates admissions, infusions, home care, and various health care needs

d. Completes CMN/FMLA paperwork

e. Completes prior authorizations as indicated

3. Procedure Room

a. Provides patient care throughout ambulatory surgery workflow, including pre-op phone calls, pre-op, post-op, as circulator, PACU, and recovery/discharge.

b. Obtains patient history and review of systems

c. Notifies practitioner of health care conditions as appropriate

d. Performs Universal Protocol checks and time-out procedures

e. Assists physician with procedures in GI procedure, Main OR and various patient units

f. Sets up video system, trouble-shoots problems and reports to appropriate staff

g. Performs nurse only diagnostic procedures independently

4. Motility

a. Coordinates motility admissions/testing and related interdisciplinary services

b. Sets up motility equipment/systems, video system, and trouble-shoots issues

c. Assists physician with/performs motility testing

d. Monitors prolonged motility studies and notifies physicians of variations in tracings or concerns

5. Intestinal Support

a. Coordinates inpatient discharge planning for initial discharge including patient/family education, setting up home care, arranging follow-up appointments and all support services.

b. Coordinates discharge planning for subsequent discharges, including updating home care orders, medications and arranging follow-up appointments.

c. Serves as a liaison between ISS team/families and homecare companies.

d. Performs central line dressing changes, lab draws and administering IV fluids/meds in clinic

e. Communicates with transplant centers/coordinators

f. Maintains related tracking database for long term coordination of care.

Qualifications

REPORTING RELATIONSHIPS

Responsible to a Program Manager/Coordinator. Provides patient care under the direction of a physician for dependent nursing functions and in collaboration with the physician for interdependent nursing functions.

CONTACTS

Internal:

Patients/families/guardians; all level of staff within NCH.

External:

Physicians; students; instructors; regulatory agency surveyors, other care providers.

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED

1. Licensure: Licensed as a Registered Nurse in the State of Ohio.

2. Current CPR certification. Must be willing to obtain and maintain NRP and PALS certification as determined by your manager.

3. BSN; Associate degree with commitment to obtain BSN within 5 years of hire.

4. PALS: Within one year of hire for PACU RNs

MINIMUM PHYSICAL REQUIREMENTS

Typing on computer Constantly (67-100%)

Using phone Frequently (34-66%)

Sitting Frequently (34-66%)

Standing Occasionally (0-33%)

Lifting Occasionally (0-33%)

Walking Frequently (34-66%)

Must be able to independently lift up to 35 lbs.

Must be able to move or reposition patients of any weight or size with the assistance of another person(s) and/or equipment.

The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individual so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under his/her supervision.

EOE M/F/Disability/Vet.

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