: Moses Cone Hospital, MHC-Spine Div 3500 CITY
: Greensboro JOB DETAILS
Exempt: No | FTE: 0.9 (36 hours/week) | Schedule: 3-12s/week occ holidays, weekends | On Call: NO NightsJOB SUMMARY
Assesses, plans, implements, documents, organizes, prioritize, delegates, supervises and coordinates the care of neonatal, pediatric, adolescent, adult, geriatric patients as prescribed within the parameters of the NC Nurse Practice Act and hospital complex.EDUCATION
Graduate of a School of Nursing. BSN required or with approval of the VP of Nursing, experienced RN's with an AD or Diploma with an active plan to obtain their BSN within four years from date of hire may be considered.LICENSURE/CERTIFICATION/REGISTRY/LISTING-REQUIRED
RN - Registered Nurse licensed in North Carolina or a Compact state.
BLS (CPR) - AHA Health Care Provider BLSLICENSURE/CERTIFICATION/REGISTRY/LISTING-PREFERRED
Advanced Cardiovascular Life Support
Pediatric Advanced Life SupportMoses H. Cone Memorial Hospital Scope of Services3C Spine Center
1. Department Description
The purpose of the Spine Center is to provide pre-operative and post-operative care and education to patients with musculoskeletal and/or neurological functions by facilitating the patients' promotion of wellness and self-care to maintain their health and prevent further injury and illness.
3C is an 11-bed observation with extended recovery patient care department that provides care primarily to patients who have spine problems corrected by elective spine surgery. The department consists of 11 private rooms. The floor plan consists of one hallway with 11 beds, with a central nursing station that contains a patient call system, telephones, computers and fax machine. Beside the nurses station is a storage room, a soiled linen room and a medication room. A family room/ kitchen area is located midway to the left of the main hallway.
2. Population/Clients Served
Patient populations served include those patients requiring discectomies, microdiscectomies, spinal fusions, laminectomies, kyphoplasties, vertebroplasties, spinal stimulator trails, implants and other spinal surgeries as appropriate. Age groups served are the adult and geriatric populations.
3. Services Provided
Nursing care is provided 24 hours/day beginning each Monday at 0700 through each Saturday until the last patient is discharged. Care is provided by RN staff supported by an ancillary staff of a combined Nurse Technician/Nursing Secretary role. Nursing care includes assessment of musculoskeletal and neurological conditions, periodic physiologic monitoring, observation and assessment and medical and nursing interventions for
disease management and to prevent complications and expands to self-care needs, environmental management, resources and support systems. The nursing care facilitates rehabilitation and promotes adaptation to related health deficits or disabilities. The department provides health education to ensure optimal wellness of the spine patient.Discharge/Transfer Criteria
q Transfer to a higher level of care should be considered whenever physiologic instability develops or changing from outpatient to inpatient status.
q In situations of physiologic instability, where the patient might rapidly respond to treatment, transfer to a higher level of care may not be necessary.
q Discharge to home is considered when medical and nursing assessments or interventions are infrequent and can safely be provided in a lower level of care.
4. Staffing Plan/Ratios
Registered Nurses, Nurse Technicians/Nursing Secretaries are scheduled Monday through Saturday, 24 hours a day, closing on Saturdays. Patient assignments are based upon patient acuity and staff skill. Nurse-to-patient ratios range from 1:8 and NT ratios range from 1:8 on all shifts.
Staff are scheduled for 6-week periods and distributed based upon anticipated daily and shift census, and staff experience.Staff competencies and skills to provide servicesRN/LPN
q Current licensure
q Current CPR
q Life Safety to include Fire Safety, Infection Control, and general safety
q Neurologic and Orthopedic assessment and intervention skills
q Surgical assessment and intervention skills
q General medical assessment and intervention skills
q Pain Management knowledge
q Current NT I and/or NT II certification
q Support role in Code Blue
q Life Safety
q Personal care of post-operative spinal surgery patients
q Reportable signs and symptoms, patient problems
q Performing 12 lead EKG
q Order transcription and entry
5. Competency/Education Plan
Orientation/Initial Competency - Each role has a defined orientation modules/pathway or competency validation list that is completed prior to the person taking an independent assignment. Key competencies are validated by direct observation by the individual preceptor or experienced staff. The Department Director determines, with input from the preceptor(s) and by observation, when the orientation is complete.
Ongoing Competency - Staff member's ongoing competency to provide care on 3C is determined by direct observation and record review by the Department Director, Preceptors, Clinical Nurse Specialists and Educators. Competency is also maintained by Skills fairs, CE offerings, and continued staff educationEducation Plan FY12
- The following educational activities are planned:
q Nurse(s) and NT/NS's to attend spinal surgery related conference/s if applicable.MAJOR WORK ACTIVITIES
Provides nursing care via the nursing process for the development, implementation and evaluation of nursing care. Collects and analyzes patient/significant other data. Completes an admission database and ongoing assessment to include collaboration with patients, significant others and other health care providers. Implements a plan of care for each patient (utilizing clinical pathways where applicable) and individualizes to meet the age specific needs of patients/significant others. Identifies variances and makes adjustments in the plan of care based on evaluation of the plan and effectiveness of nursing interventions. Documents and updates the plan of care, nursing care, nursing interventions and patient response to care, and keeps healthcare team, patients and significant other informed. Contributes to the discharge plan by identifying homecare needs. Recognizes changes in patients conditions and revises the plan of care appropriately. Demonstrates advanced competencies and critical thinking skills in day to day practice. Identifies and implements educational needs for patients/significant others. (30%)
Establishes a caring and therapeutic nurse/healthcare team/patient/significant other relationships. Recognizes communication barriers, identifies resources and establishes plans to resolve barriers to communication. Demonstrates respect for diversity and cultural differences in patient/significant others related to age, ethnicity, gender, religion, socioeconomics, education, personality, or other unique variable. Formulate individualized plans to address individual needs related to diversity, cultural difference or other unique variables. Advocates for the patient/significant other. Demonstrates skillful responses to customer needs based on particular context of the situation. (25%)
Supports an environment of evidence based practice/research/quality improvement. Demonstrates knowledge of Shared Governance accountabilities and principles, supports DSGC directly as a council member or indirectly by keeping informed of council activities/supporting council decisions, brings forth issues to council. Demonstrates knowledge of how to access reference documents containing policies, procedures, standards, and additional resources. Participates in QI/ Research activities based on role and major work activities as outlined in the research point system guidelines. Demonstrates knowledge of department QI plan. Demonstrates understanding of resource management and implements opportunities. Collects QI data and participates in analysis and action plan development, incorporates changes into practice. Facilitates ongoing activities to meet and adhere to regulatory standards (TJC, DFS, OSHA). (20%)
Supervises other members of the team. Contributes to a supportive and healthy work environment. Holds self and others accountable for complying with policies, procedures and standards. Participates in learning needs assessments. Provides input into and supports the precepting and mentoring process. Delegates appropriate tasks to support staff, ensure completion of delegated tasks and provides feedback as needed. Demonstrates team spirit and collegiality. Supervises select personnel in performance/patient care. (15%)
Demonstrates effective conflict resolution/negotiation skills. Promotes positive, supportive, and professional work environment free of disruptive behavior. Practices, in all professional relationships, with compassion and respect for the inherent dignity, worth and uniqueness of every individual. Follows Chain of Command for assistance with issues related to unresolved/problem-solving and/or conflict resolution. Provides, seeks and receives constructive feedback. Provides peer to peer feedback and seeks mediation as necessary. Promotes effective conflict resolution. (10%)CONDITIONS OF EMPLOYMENT
* Annual flu shot
* Annual TB test (if applicable to your job location)
* Annual HLCs (Healthstream, formerly CBL)-Safety at Work and Corporate Compliance
* Maintain licensure/certification/registry/listing (if applicable to your job)ABOUT CONE HEALTH
Cone Health is a state of the art network of facilities providing patients access to the latest developments in medical care from their first moments of life through later years. Our network offers the most breakthrough treatments and technology available in healthcare today. As a teaching hospital, we offer employees the opportunity to become leaders in the industry and continued growth from their first day on. Extraordinary patient care is about being "high-touch" as well as "high-tech". Community service and superior patient care are the cornerstones of our organization, a philosophy that is demonstrated by each and every one of our valued team members. We are proud to be the largest private, not-for-profit employer of choice in the Piedmont, NC area community. Additionally, as one of the region's largest and most comprehensive health networks, Cone Health has more than 100 locations, including six hospitals, three ambulatory care centers, three outpatient surgery centers, four urgent care centers, a retirement community, and more than 100 physician practice sites. Our tagline - "The Network for Exceptional Care" - highlights our commitment to excellence, which is shared by our more than 11,000 employees, 1,300 physicians and 1,200 volunteers.
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