Medical Records Nurse
5 months ago
If you are interested please apply online send your resume to anjimenez@mlkch.The Clinical Staff Nurse is a skilled and experienced professional Registered Nurse (RN) responsible for excellence in the clinical practice of nursing and the management of patient care. Reporting to the Clinical Unit Supervisor of the Emergency Department, the Clinical Staff Nurse has 12 hour accountability for organizing, planning, directing, coordinating, and providing high quality, individualized patient/family centered care based on the Watson Model of Care for a defined group of patients, including the identification and demonstration of abilities to meet special needs and considerations of Age and Population Specific awareness. Community Hospital. Community Hospital's strategic plan and the goals and direction of the quality and performance improvement process activities.
The nurse demonstrates the use of nursing process as a problem solving model; Nursing assessment is focused to target areas most productive for a given patient population or situation. evaluates and appropriately alters the plan of care. Is accountable for prioritizing and organizing patient care and ensuring follow through with planned care.
# Demonstrates the knowledge and skills necessary to provide care appropriate to the age and needs of the patients served on the assigned unit. Demonstrates the Hospital's Patient Satisfaction effort when interacting with patients, families, and co-workers.
# The nurse develops and maintains a therapeutic nurse/patient relationship throughout the health care continuum. Conducts hourly rounding on patients.
# Performs documentation of patient care including: assessment, interdisciplinary plan of care (IPOC), implementation, evaluation, and the Watson Model of Care following unit specific and hospital documentation policies and procedures.
# Works with Care Mangers during the patient's stay and takes a proactive role in coordinating interdisciplinary discharge planning for a specific patient population.
# Contacts the physician promptly with significant changes in patient's condition, collaborates professionally for required orders and follows-up with revised care.
# Evaluates the effectiveness of nursing interventions and documents outcomes in the IPOC.
# Demonstrates ability to plan, supervise, instruct and evaluate ancillary nursing personnel, floats, orientees and registry staff. Ensures that an evaluation is completed each shift for registry/floats.
# Wears hospital I.D. badge and promotes the standard of proper identification for peers and staff.
# Maintains a safe and clean environment that complies with regulatory standards including Patient Safety Goals.
# Participates in the implementation of the unit specific Quality and Performance Improvement Plan, completes monitoring forms and reports findings to the Clinical Unit Supervisor and Nurse Manager.
Bachelor of Sciences degree in nursing perferred
Associates in nursing required
Minimum of one (1) year of clinical nursing experience in Emergency Department nursing with regard to regulatory guidelines and standard of practice. RN's new to the specialty will have a minimum of one year clinical nursing experience.
Current California Nursing license.
Certification in Emergency Department Nursing preferred.
Bilingual skills preferred (Spanish)
Basic computer skills
Completion of Emergency Nursing Department course preferred
Electronic Medical Record experience preferred
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