RN- Progressive Care/Telemetry - Registry

Duties :

Collects health history data from patient / family / significant other, and from previous medical records, while interacting with patient based on adolescent, adult or geriatric principles of communication.

Completes admission assessment within the acceptable time frame. Notifies consults when admitting criteria has been identified.

Completes Braden scale appropriately. Continually reassesses the developmental biophysical, psychosocial, environmental, self-care, educational, and discharge needs of patients.

Creates individualized age appropriate plan of care by involving patient family significant other, reflecting the need for safety, education, and a healing atmosphere.

Updates and revises the plan of care as needed and as patient status changes, in consultation with patient, family and caregiver.

Develops realistic outcomes / resolutions based on developmental stage in life, integrating into practice the physiological changes and psychological needs related to the elderly (i.

E., skin integrity, safety, depression). Recognizes and documents interventions needed to obtain outcomes / resolutions.

Continually reevaluates patients needs accurately, initiating appropriate nursing actions to address needs. Delegates responsibilities for care, when applicable, and makes assignments according to skill level of care giver.

Performs patient care activities based on priorities of care. Integrates, delegates and coordinates patient care using an interdisciplinary approach.

Documentation reflects the patient s response to nursing interventions, medications, treatments and education while corresponding to age appropriate expectations.

Documentation is legible, timely, accurate and in accordance with policy and procedure. Complies with Department of Health and other regulatory agency requirements.

Updates bed boards and communication of bedsides needs. Assesses patients / family s / significant others comprehension, skill level and barriers to learning.

Initiates and coordinates patient / family / significant other teaching utilizing age appropriate instructions and teaching tools to reinforce areas of knowledge deficit.

Provides teaching bag to each patient, reviewing its contents upon unit admission. Documents all teaching performed to both patients / families on interdisciplinary teaching record.

Discharge plan is initiated at the time of admission and implemented throughout the hospital length of stay. Participates in interdisciplinary patient care meetings.

Develops, initiates, and participates in the process of patient education, discharge instructions, and preparation of patient / family / significant other for discharge.

Continues education and reinforcement of patient discharge plan with all involved. Accomplishes a timely, comfortable, and safe discharge.

Transcribes orders correctly. Signs off orders, using date, time, 1st initial, full last name and status correctly and in a timely manner.

Utilizes Computer system. Accepts phone orders as per policy and documents readback. Clarifies unclear, illegible, or non-specific orders, prior to implementation.

Other duties may be assigned. Applies telemetry leads correctly for monitoring; addresses the purpose of cardiac monitoring with the patient family significant other.

Coordinates with the Telemetry Technician individualized arrhythmic parameters for the patient s condition to ensure correct alarm settings are set.

Interprets and documents telemetry monitoring strips accurately keeping attending Physician informed of ectopy. Initiates chest pain protocol as indicated utilizing appropriate nursing interventions and documenting outcomes.

Follows telemetry standing orders. Manages patients on high risk intravenous cardiac drugs and understands the implications of treatment.

Assists with elective cardioversion

Skills :

Required Licenses : Valid NJ RN License

Qualifications / Requirements :

BLS Required

ACLS Required

PCCN Preferred

Relevant Experience :

1-2 years of experience in Cardiac / Telemetry

1-2 years in Acute Care

Basic dysrhythmia experience required

Education :

BSN Preferred or enrolled in BSN program

Valid NJ RN License

Certifications & Licenses :

ACLS

RN License

Minimum Degree Required :

Also Preferred :