Emory Healthcare/Emory University InEmory Nurse Extern in Atlanta, Georgia
JOB DESCRIPTION: This role allows for individuals currently enrolled in nursing school to gain valuable patient care exposure commiserate with their academic experiences and competencies. Activities are designed enable the Nurse Extern I to see and assist with all aspects of the care delivery process including clerical activities. Patient Centered Care: The Nurse Extern I performs assigned patient care and observation duties under the direction of nurse tech/Registered Nurse (RN) dyads, within a framework of understanding the patient/families values, preferences and expressed needs appreciating diverse cultural and ethnic backgrounds. The Nurse Extern I must appreciate the inherent suffering of patients/families who are hospitalized and strive to alleviate additional suffering potentially caused by health systems through a lack of respectful care; ensuring to assess for and acknowledge both physical and emotional pain. The Nurse Extern I must constantly reflect on personally held values and beliefs and willingly support patient centered care for individuals and families. Activities the Nurse Extern I may perform include, but are not limited to: Introduce yourself to patients and families; clarifying your role and your goal to ensure they are comfortable Cleaning the patient's room; Assist with ADL's and linen changes as needed; Assist with Range of Motion, ambulating and turning patients per plan of care; Greets visitors, answers/screens telephone calls; provides information or takes messages and distributes them to appropriate employee to meet caller's needs; Assess presence and extent of pain and suffering of patients/families; sharing information with RN and understand steps to alleviate; Promotes a supportive and healing environment so that patient/family experiences are enhanced;Assists in the use TED stockings/pneumatic compression stockings, oxygen and incentive spirometer; Reinforces patient and family teaching up admission and ongoing (e.g. orientation to room, any restrictions, SCD's, bed and TV use, call button, call don't fall etc.) Teamwork and Collaboration: As a Nurse Extern I, it is important to fully understand all the various roles and responsibilities, including your own, of those on your unit as well as those outside of the unit that contribute to the overall care of the unit¿s patient population. Fundamental to team work is to value each other's roles (e.g. Nurse Tech and RN) understand responsibilities and utilize effective communication techniques that are inclusive of the patient (e.g. bedside shift report, change of shift huddle, Interdisciplinary rounds). Appreciate your role in helping the broader team function effectively and reflect on your communication skills and abilities as they are critical to overall teamwork. Introduce yourself to all staff, ask their role and to describe their responsibilities; share yours as well; Participates in bedside shift reports, change of shift huddle and rounds; Seeking out opportunities to help the team within your scope of responsibilities; Request periodic feedback on how well you are communicating with the team; Maintains clerical and related unit supplies; places orders to replenish stock; Accepts, verifies, and stores supply deliveries upon receipt; Promptly and courteously responds to patient requests via the patient intercom system. Relays appropriate information to appropriate staff for immediate attention; Prepares room to receive patient; sets up necessary equipment and ensures neatness and cleanliness of room; Transports and collects patient specimens throughout hospital, and contributes to the completion of admission, discharge, transfer, and death procedures and forms Evidence Based Practice Critical to safe patient care is the appreciation of the evidence that supports the plan of care that are developed and deployed as conditions change. As a Nurse Extern I, familiarize yourself with patient diagnosis, utilized unit based resources (e.g. Lippincott, articles, expert staff, etc.) to help understand the patient's diagnosis and associated care plan. Familiarize yourself with ways to access clinical practice guidelines and if you identify a lack of available resources, seek out journal articles or other sources of evidence. Compare the documented care plan with the patient/families to ensure their values and goals are incorporated. Understand what is expected and non-expected within the patient's physical presentation and clinical data. Locate unit and system policies and procedure¿s repository (Policy Manager); Observes color, consistency, amount and odor from drainage tubs; notifies nurse tech/RN of findings; Observes IV site appearance, discontinue peripheral INT's; Assist with range of motion, ambulation, patient transfers, diet, elimination, hygiene; Performs pre-and postoperative procedural care, and assists with respiratory functions/procedures; Performs vital signs; reports observations and unusual information regarding patients to the RN; Collecting and transporting patient urinary or sputum specimens; completing applicable forms; Operates converter chair, lifts, scales, beds, stretchers, and wheelchairs; Performs non-invasive BP monitors, automatic thermometers, sphygmomanometer, computer and pulse oximeter. Quality Improvement As a Nurse Extern I, you will be assigned to a unit (or microsystem) that is just one functioning unit within the system (macro system). It is important to appreciate that every individual has significant impact on the overall success of the unit and the system. Often this is measured in clinical outcomes which are transparently displayed on units to help staff be aware of performance. Equally important is the need to familiarize yourself with the unit's performance goals/metrics and how they relate to the system's goals. Unit leadership and their teams are constantly initiating or participating in quality improvement efforts to positively influence the clinical outcomes to ensure a positive patient experience. Identify where your unit metrics are displayed and how often they are updated; Understand the unit metrics, how they are influenced by individual practice and current unit performance; Understand what the team does to ensure outcomes improve or are positive; Appreciate the process by which performance improvement plans are created, implemented and measured; Identify how your role can support these efforts through your activities; Familiarize yourself with the unit based council meeting and attend when possible. Safety Critical to the success of Nurse Extern I in the context of a complex healthcare system, is the understanding of human factors engineering; such that humans will make errors and the systems in which they work often have systems of work design to mitigate this known fact. Reflect on your own practice activities to see how you can utilize existing resources to mitigate the potential for error. Ensure work flow is evidence based and not a 'work around' due to a confounding factor. Intentional rounding on patient's hourly and as needed to assess needs; Promoting and using asepsis techniques, including PPE, at all times; Maintain Hand Hygiene per policy at all times; Identify practices that are in place to help avoid error such as checklists, structure/standard communication tools, two patient identifier, error reporting process/systems) Informatics Technology has become increasingly more prevalent within the day to day activities of healthcare professionals in both direct care, such as medication pumps and blood pressure machines, but also in information management tools that harvest data that guide decision making for individuals and the system. It is important to continually self-assess your competence using existing and new technology and seek development as needed. Document intake and output and vital signs in the electronic health record; Identify how and what technology is used to assist in providing safe patient care; Utilize electronic resources to understand evidence based practice that guides your patient's care.
MINIMUM QUALIFICATIONS: One year of experience which includes direct patient care, OR the successful completion of a nursing assistant training course, or currently enrolled in a RN program and completion of 1 clinical rotation. Clerical experience and experience with various computer applications Preferred. CPR certification required.
PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs, 0-33% of the work day (occasionally); 20-35 lbs, 34-66% of the workday; (frequently); 10-20 lbs, 67-100% of the workday (constantly); Lifting 75 lbs max; Carrying of objects up to 35 lbs; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks;
ENVIRONMENTAL FACTORS: Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation ; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks
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Division Emory Healthcare Inc.
Campus Location Atlanta, GA, 30322
Campus Location US-GA-Atlanta
Department EHI System Nursing
Job Type PRN / Registry
Job Number 35774
Job Category Nursing
Standard Hours 36 Hours
Emory Healthcare is an Equal Employment Opportunity employer committed to providing equal opportunity in all of its employment practices and decisions. Emory Healthcare prohibits discrimination, harassment, and retaliation in employment based on race, color, religion, national origin, sex, sexual orientation, gender identity or expression, pregnancy, age (40 and over), disability, citizenship, genetic information, service in the uniformed services, veteran status or any other classification protected by applicable federal, state, or local law.
Emory Healthcare/Emory University
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