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Registered Nurse - Clinical Decision Unit. Tucson Medical Center is currently seeking medical professionals to work on our new, 18 bed observation unit. This unit is needed when the Emergency Department treatment is not able to improve the patient’s condition for discharge and transfer to the observation unit is necessary for ongoing treatment and stabilization requiring reassessment for discharge or hospital admission. The registered nurses on the unit will be responsible for carrying out the nursing process: including assessment, diagnosis, outcomes identification, planning, evaluation, documentation and time management. A nurse on Observation is responsible for the care of general patients that do not meet inpatient admission criteria, these patients must be 18 years or older, clinically and psychologically stable.
Job Responsibility:
Provides direct patient care, evaluates outcomes, consults with other specialists as required and adjusts nursing care processes as indicated to ensure safe patient care
Writes or obtains initial nursing histories, assesses patients' conditions and develops individual care plans
maintains patient documentation
Receives and reviews preceding shift reports and floor nurse reports
makes complete rounds of all units, and notes patients' condition
Notifies appropriate physician regarding any unusual or unexpected events or problems requiring direct physician consultation
Works with other members of the interdisciplinary patient care team, implements and reinforces patient instructional needs with patient and family offering informational material and pointing out special areas of concern
Evaluates outcomes of patient care, consults with other specialists as needed and adjusts nursing care processes as necessary to ensure optimal patient care
Identifies and resolves workplace health and safety issues
Provides appropriate, direct patient care utilizing appropriate aseptic techniques
May manage IV lines, ensure that sterile techniques are adhered to, and oversee patient movement and positioning to ensure that the patient is handled in a medically safe manner
May perform the administration of pharmacological vasodilator medications for the purpose of nuclear myocardial perfusion imaging
complies with examination competency as defined in the Imaging Services Practice Standards
Complies with policies, procedures, regulations, and standards and takes corrective action when violations occur
Orients, instructs, and educates assigned personnel
Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication
Adheres to TMCH organizational and department-specific safety, confidentiality, values, policies and standards
Requirements:
Current RN licensure permitting work in the State of Arizona and Basic Life Support (BLS) certification required
Additional certification may be required per department
One (1) year of nursing experience in an acute care setting preferred
Knowledge of direct patient care and critical care procedures and techniques, tools, and responses required to ensure optimal patient care
Knowledge of exam indicators, contraindications, and patient preparation
Skill in communicating in a clear and concise manner with staff involved in critical care, and physicians to ensure the proper care of patients
Skill in reading 12-lead EKG
Skill demonstrated in assigned disciplines such as EP, directly involved in patient care
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals
Ability to complete routine reports and correspondence
Ability to listen and accurately interpret others’ communication or instructions to take appropriate action
Ability to speak and communicate effectively
Ability to define problems, collect data, establish facts, and draw valid conclusions
Ability to interpret an extensive variety of instructions and deal with several abstract and concrete variables
Nice to have:
Bachelor's degree preferred
One (1) year of nursing experience in an acute care setting preferred