Department/Unit:
HBD - Surgery ThoracicWork Shift:
Day (United States of America)Salary Range:
$60,028. 00 - $99,023. 00RN for Cardiothoracic division outpatient office within the department of surgery. Collaborative team effort to provide optimum care to patients requiring scheduled and emergent surgical care. This position supports the thoracic team but also cross covers the cardiac team when required.Essential Duties and Responsibilities:
Generally include the following. Other related duties may be assigned:
Support for Self-Management
Enhances health literacy
Performs a baseline comprehensive needs assessment reflecting patient values, preferences, and goals (in person or via telehealth).
Analyzes patient care needs and utilizes a systematic approach to the delivery of care.
Provides age-appropriate direct patient care including family and patient.
Advocacy
Negotiates and secures patient services; coaches the patient in self-advocacy
On the phone and at the office visit, listen to the patient and family goals and concerns. Works with patients, insurance companies, home care agencies, etc. to access providers, community services, medications.
With an initial order of medications, enteral formulas, - verifies if PA needed, or med not covered at all, reviewing other possible options for non-formulary med, clarifying orders, renewing orders
Education and Engagement of the patient and family
Assess readiness to learn/learning styles.
Provides patient and family education taking into consideration cultural, religious, language, and motivational, physical, emotional, and cognitive factors into account in the teaching plan
On the phone or in the office instructs about nursing care plans related to results of labs, tests, procedures, medication changes, dietary changes, other changes in interventions.
Provides education regarding interventions and requests, 'teach-back' to ensure understanding (in person and via telehealth).
Performs telephone triage including coordination of care and documentation.
Works with physicians and other resources to develop teaching tools for families and patients and/or utilizes educational resources on Intranet.
Cross setting communication and transition
Develops the individualized care plan; care planning activities transcend barriers/transitions keeping the patient at the focus.
Nurses utilize evidenced-based practice to plan and implement nursing care plans (interventions and outcomes).
The plan is updated with every phone call, office visit, inpatient admission, etc.
Coordinates and collaborates between specialty and primary providers who develop and share the patient care plan across settings
Care plan transmitted between setting, changes, and updates communicated
Discusses the discharge plan of care for patients that are inpatient and coordinates follow-up interventions needed.
Coordinates admissions with communication regarding the plan of care.
Coordinates referral to the emergency room
Takes calls by MD offices to discuss coordination of care that cannot be addressed by faxing the most recent office visit note.
Works with other departments inside and outside of AMC to coordinate multidisciplinary care
Coordinates home care - setting up for supply deliveries, clarifying verbal orders
Coordinates infusions- insurance, orders, communication to patient, education
Supplies inpatients with educational information as needed
Coordinates referrals to social services departments, WIC
Facilitates the utilization of resources to meet patient outcomes (case management).
Writes letters of medical necessity as indicated
Participates in the patient throughput process in the clinic as indicated and needed (including vital signs, updating medical records, performing diagnostic procedures, assisting the physician and practitioners, facilitating teaching, end of appointment coordination of care)
Coaching and counseling of patients and families
Answers questions patients have before and after provider visit.
Patients are directed to bring questions to the visit and/or calls and answers are secured, before, during, and after the visit (in person or via telehealth).
Documents properly, giving age-appropriate care, gathering data correctly (including vital signs), and facilitating care in a customer-friendly manner.
Performs diagnostic tests such as impedance studies, wireless capsule endoscopies
Nursing Process
Assesses patient for knowledge understanding diagnosis, needs, treatment, expected outcomes of treatment.
The best evidence is used for interventions/outcomes; the care plan is routinely updated.
Teamwork and Collaboration
Inclusion of teamwork in orientation and continuing education-interdisciplinary.
Enhanced utilization of interdisciplinary resources.
FMLA paperwork, CPS paperwork, 504 plans- coordination of care
Patient-Centered Care planning
Motivational interviewing; eliciting patient's goals and priorities.
Individualized care plan; care planning activities transcend barriers/transitions keeping the patient at the focus
Understands and supports their role in regulatory /compliance issues/the health care team.
Maintain division medical records
Completes organized and quality documentation as require.
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