RN – Med Surg Telemetry, Part Time Night Shift

Arizona Department of Economic Security

This job was posted by https://www.azjobconnection.gov : For more
information, please see: https://www.azjobconnection.gov/jobs/6734595

Requisition Number:[RNMED003262]{bind=”text: RequisitionNumber()”
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Medical/Surgical/Telemetry (MS1)

– 18 private rooms
– Nursing is 4 or 5:1
– Patients include:
– Cardiac diseases
– Non-ST elevated myocardial infarction (NSTEMI)
– Post-cath lab care
– Acute cerebrovascular accident (CVA) without use of
thrombolytics
– Transient ischemia attack (TIA)
– DVT/PE
– Alcohol and drug withdrawal
– Respiratory failure
– Pneumonia
– COPD Exacerbation
– GI bleed

(they do not have tele-ICU) tele-neurology and tele-nephrology available

Essential Functions / Major Responsibilities:

Standard 1: Assessment

– Provides initial and ongoing assessment and interpretation of
patients within the framework of holistic professional nursing
practice, and in accordance with the principles of patient and
family centered care.
– Integrates knowledge from environmental factors into the assessment
process.
– Assesses and interprets information and data regarding the patients
culture and values system, lifestyle, and interest and ability to
participate in their care, and other factors impacting successful
treatment outcomes.
– Recognizes the impact of ones own attitudes, beliefs and values on
the assessment process.
– Identifies barriers to effective communication based on
psychosocial, literacy, economic, cultural and religious
considerations.
– Assesses and interprets patients ability (physical, social and
psychological) to manage their health in order to transition their
care or discharge. In collaboration with the patient or family
identifies patient or family needs based on analysis of data.
– Identifies and communicates patient or family needs to the
interdisciplinary health care team and other providers of care as
appropriate through accurate documentation and vocal communication.
– Provides ongoing monitoring of patients and / or their familys
response to intervention; identifies deviations from expected
outcomes and assesses change in patient status.

Standard 2: Diagnosis

– Identifies risks to the patients health and safety including risk
from interpersonal, systematic, cultural or environmental lifestyle.
– Uses assessment data and clinical decision support tools to identify
and communicate actual or potential diagnoses, problems, and issues.
– Corroborates the diagnoses with the patient, family, group or
community.
– Prioritize diagnoses based on mutually agreed goals to meet the
healthcare needs of the patient, family, group or community.
– Documents diagnoses in a manner that facilitates the determination
of the expected outcomes and plan.

Standard 3: Outcomes Identification

– Identifies expected outcomes for an individualized patient treatment
plan, in collaboration with the interprofessional team,
– Creates culturally sensitive expected outcomes from assessment data
in collaboration with the patient and their care partner that
facilitate coordination of care.
– Documents expected outcomes as measurable goals.
– Evaluate the actual outcomes against the expected outcomes.

Standard 4:Planning

– Develops, coordinates and updates an individualized plan of care,
based on evidence, in collaboration with the patient and their
family, the interdisciplinary health care team and other providers
of care promoting continuity of care across the continuum.
– Develops evidence-based strategies to address each of the identified
diagnoses, problems, or issues including but not limited to the
following: Promotion of health, prevention of illness or injury,
healing, and supportive care.
– Prioritizes nursing interventions to achieve patient outcomes and
goals.
– Modifies the plan according to the ongoing assessment of the
patients response and other outcomes.
– Develops and coordinates a comprehensive discharge and education
plan to meet the patient and their familys needs, including health
promotion, self-management, identifying and coordinating resources
to promote continuity of care across the continuum.

Standard 5: Implementation

Establishes and maintains a therapeutic relationship with patient or
families.

Identifies, initiates and coordinates therapeutic interventions
consistent with the legislated scope of practice and level of
competence.

Implements prescribed interventions (e.g. diagnostic tests, medications)
and performs independent nursing interventions (e.g. patient and family
education).

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