HSCPC Skilled Nursing Facility RN - Washington, United States - Children's National Hospital

Description

ABOUT THE HSC HEALTH CARE SYSTEM

The HSC Health Care System is a nonprofit organization combining the resources of a care coordination plan; (Health Services for Children with Special Needs, Inc.), pediatric specialty hospital (The HSC Pediatric Center), home health agency (HSC Home Care, LLC), and parent foundation (The HSC Foundation) to offer a comprehensive approach to caring, serving and empowering people with disabilities. The HSC team of 750 employees and more than 100 volunteers together serve children and young adults with special health care needs and their families at our District of Columbia and Maryland locations.

ESSENTIAL HSC MISSION AND VALUES

Mission Statement
HSC Health Care System provides and coordinates innovative, high quality, community-based care for individuals with complex needs and their families. HSC empowers all we serve to improve the quality of their lives.

Organizational Beliefs
HSC supports individuals and families to maximize their potential. The following beliefs drive our work. HSC believes that:
- A culturally diverse community is a strength.
- Inclusiveness for individuals, families, and staff promotes positive outcomes.
- Everyone should be treated with compassion and empathy.
- Our skillful, dedicated, and resourceful staff is key to our success.
- We must continually adapt to the changing needs of our community.
- Increased independence is an important goal for individuals and their families.

POSITION SUMMARY

The Inpatient Skilled Nursing Facility Nurse (RN) is responsible for assessing, planning, providing and documenting direct and indirect nursing care for a designated group of hospital patients or skilled nursing facility residents in accordance with the physician's plan of care. All nursing practice is based on the legal scope of practice, national and specialty nursing standards, HSC Policies and Procedures, and in accordance with all applicable laws and regulations. The RN also provides nursing care interventions, preventing complications and promoting improvement in the patients'/residents' comfort and wellness, informing the interdisciplinary team of their condition as appropriate. All efforts are directed towards continuous quality improvement and family-centered care.

Job Functions
Nursing Care Functions

• Provide direct care to assigned patients/residents.
• Perform admission, discharge, and transfer procedures, and assist others with patient's/resident's activities and care.
• Execute physician's orders for all assigned patients/residents; safely and properly administers medications and treatments.
• Assesses patients/residents; determines nursing diagnosis; plans, implements, and evaluates patient/resident care upon admission and throughout hospitalization. The assessment must include biophysical, psychosocial, environmental, self-care, education, and discharge planning factors incorporating data from the patient/resident and or family when appropriate, in collaboration with the interdisciplinary team.
• Demonstrate critical thinking skills by problem-solving appropriately when providing patient/resident care.
• Anticipate and proactively plan for educational needs verified with patient/resident and family throughout the hospital stay.
• Assesses teaching/learning needs of patient/resident/caregiver(s) while preparing for independence/discharge. Documents patient/resident and caregiver's education and understanding of information.
• Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and hospital or regulatory standards.
• Integrate nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient/resident outcomes.
• Anticipate patient/resident needs and secure proper equipment and personnel for transport to outside clinic appointments. Accompany patient/resident to outside clinic appointments and community integration when necessary.
• Participates in interdisciplinary patient/resident rounds and related activities.
• Administers medications according to policy and monitors patient/resident's response and documents in the electronic medical record according to policy.
• Verifies physician orders accurately and acknowledges new orders in the electronic medical record.
• Maintains documentation that exemplifies adherence to the highest standards of practice.
• Perform hospital-wide and unit specific technical skills competently and independently in accordance with policy and procedure guidelines, and as instructed by the Nurse Manager and/or House Supervisor.
• Demonstrate proper use of the identified hand-off processes.
• Adhere to standard precautions and infection control policies.
• Acts as a member of the Code Blue Team as assigned.

Professional Practice

• Independently maintain regulatory requirements e.g. RN license, BLS, etc.
• Independently initiate escalation of concerns/issues utilizing chain of command.
• Plan for attendance at mandatory education and professional activities to enhance nursing practice.
• Demonstrate professional review of peers through timely participation in evaluations.
• Seek out opportunities to participate in enhancing departmental goals by ensuring adherence to national safety standards and service excellence standards; support the advancement of education and certification as well.
• Collaborate with members of the healthcare team and role model professional behavior and teamwork with coworkers.
• Communicate in a courteous, professional, and empathetic manner with patients/residents, and families.
• Participate in implementing change and support management decisions.
• Role model organizational skills, adjust for changes and can complete assignments on time.

Other Job Duties

• The SNF RN delegates and supervises the care provided by certified nursing assistants (CNAs) and licensed practical nurses (LPNs).
• The Inpatient RN provides supervision to the Pediatric Care Aides (PCAs).
• Serves as an active member of departmental or hospital committee as requested.
• Participates in interdisciplinary, interdepartmental performance improvement activities.
• Serves as a resource for other nursing staff members.
• Refer to Inpatient RN and SNF Roles and Responsibilities document for additional duties within each area.
• Other duties, as assigned.

Organizational Accountabilities
Organizational Accountabilities (Staff)
Employee Excellence

• Demonstrates understanding of quality of service and collaborates with co-workers to ensure excellence standard is achieved
• Innovates through improvement of care and/or efficiency of operational processes.
• Dedicated to a standard of performance excellence and high quality

All In

• Embraces changes/improvements and actively participates in the implementation of new/improved programs, technology, new equipment, systems and resources that promote quality of care, safety and efficiency
• Identifies, prioritizes and selects alternative solutions to determine best outcome

Action Oriented

• Maintains a high level of activity/productivity, meeting deadlines and appropriately prioritizing tasks to meet business demands
• Anticipates problems and attempts to solve before they develop

Supervisory Responsibilities

• None

Blood Borne Pathogen Exposure

• Category I: Job usually involves contact with patients or patient specimens. Exposure to blood, body fluids, non-intact skin or tissue specimens, is possible.

Protected Health Information Access Level

• Level IV - Full Access Incumbents in this job may access any protected health information associated to a customer's needs, the service(s) rendered and the position's functions.

Working Environment

• This job operates in a hospital or office environment.

Physical Requirements
Travel Requirements

The Inpatient and Skilled Nursing Facility Nurse (RN) are responsible for assessing, planning, providing and documenting direct and indirect nursing care for a designated group of hospital patients or skilled nursing facility residents in accordance with the physician's plan of care. All nursing practice is based on the legal scope of practice, national and specialty nursing standards, HSC Policies and Procedures, and in accordance with all applicable laws and regulations. The RN also provides nursing care interventions, preventing complications and promoting improvement in the patients'/residents' comfort and wellness, informing the interdisciplinary team of their condition as appropriate. All efforts are directed towards continuous quality improvement and family-centered care.

Qualifications - External

Minimum Education
Associate's Degree Graduate of a fully accredited school of nursing (Required) Or
BSN Graduate of a fully accredited school of nursing (Preferred)

Required Skills/Knowledge
The ideal candidate must have basic computer skills. The RN must also be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients serves on his or her assigned unit. He/she must be able to demonstrate knowledge of principles of growth and development over the life span, possess the ability to assess data reflective of the patients' status and interpret the appropriate information needed to identify each patient requirement relative to his or her age-specific needs.

Required Licenses and Certifications
Current RN license from the District of Columbia Upon Hire (Required)
Cardio-Pulmonary Resuscitation (CPR) Upon Hire (Required)
Certification in Pediatric Rehabilitation (Preferred)

Job Functions
Nursing Care Functions

• Provide direct care to assigned patients/residents.
• Perform admission, discharge, and transfer procedures, and assist others with patient's/resident's activities and care.
• Execute physician's orders for all assigned patients/residents; safely and properly administers medications and treatments.
• Assesses patients/residents; determines nursing diagnosis; plans, implements, and evaluates patient/resident care upon admission and throughout hospitalization. The assessment must include biophysical, psychosocial, environmental, self-care, education, and discharge planning factors incorporating data from the patient/resident and or family when appropriate, in collaboration with the interdisciplinary team.
• Demonstrate critical thinking skills by problem-solving appropriately when providing patient/resident care.
• Anticipate and proactively plan for educational needs verified with patient/resident and family throughout the hospital stay.
• Assesses teaching/learning needs of patient/resident/caregiver(s) while preparing for independence/discharge. Documents patient/resident and caregiver's education and understanding of information.
• Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and hospital or regulatory standards.
• Integrate nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient/resident outcomes.
• Anticipate patient/resident needs and secure proper equipment and personnel for transport to outside clinic appointments. Accompany patient/resident to outside clinic appointments and community integration when necessary.
• Participates in interdisciplinary patient/resident rounds and related activities.
• Administers medications according to policy and monitors patient/resident's response and documents in the electronic medical record according to policy.
• Verifies physician orders accurately and acknowledges new orders in the electronic medical record.
• Maintains documentation that exemplifies adherence to the highest standards of practice.
• Perform hospital-wide and unit specific technical skills competently and independently in accordance with policy and procedure guidelines, and as instructed by the Nurse Manager and/or House Supervisor.
• Demonstrate proper use of the identified hand-off processes.
• Adhere to standard precautions and infection control policies.
• Acts as a member of the Code Blue Team as assigned.

Professional Practice

• Independently maintain regulatory requirements e.g. RN license, BLS, etc.
• Independently initiate escalation of concerns/issues utilizing chain of command.
• Plan for attendance at mandatory education and professional activities to enhance nursing practice.
• Demonstrate professional review of peers through timely participation in evaluations.
• Seek out opportunities to participate in enhancing departmental goals by ensuring adherence to national safety standards and service excellence standards; support the advancement of education and certification as well.
• Collaborate with members of the healthcare team and role model professional behavior and teamwork with coworkers.
• Communicate in a courteous, professional, and empathetic manner with patients/residents, and families.
• Participate in implementing change and support management decisions.
• Role model organizational skills, adjust for changes and can complete assignments on time.

Other Job Duties

• The SNF RN delegates and supervises the care provided by certified nursing assistants (CNAs) and licensed practical nurses (LPNs).
• Serves as an active member of departmental or hospital committee as requested.
• Participates in interdisciplinary, interdepartmental performance improvement activities.
• Serves as a resource for other nursing staff members.
• Refer to Inpatient RN and SNF Roles and Responsibilities document for additional duties within each area.
• Other duties, as assigned.

Organizational Accountabilities
Organizational Accountabilities (Staff)
Employee Excellence

• Demonstrates understanding of quality of service and collaborates with co-workers to ensure excellence standard is achieved
• Innovates through improvement of care and/or efficiency of operational processes.
• Dedicated to a standard of performance excellence and high quality

All In

• Embraces changes/improvements and actively participates in the implementation of new/improved programs, technology, new equipment, systems and resources that promote quality of care, safety and efficiency
• Identifies, prioritizes and selects alternative solutions to determine best outcome

Action Oriented

• Maintains a high level of activity/productivity, meeting deadlines and appropriately prioritizing tasks to meet business demands
• Anticipates problems and attempts to solve before they develop

Supervisory Responsibilities

• None

Blood Borne Pathogen Exposure

• Category I: Job usually involves contact with patients or patient specimens. Exposure to blood, body fluids, non-intact skin or tissue specimens, is possible.

Protected Health Information Access Level

• Level IV - Full Access Incumbents in this job may access any protected health information associated to a customer's needs, the service(s) rendered and the position's functions.

Working Environment

• This job operates in a hospital or office environment.

Physical Requirements
Travel Requirements

Qualifications:
Minimum Work Experience

At least one (1) year pediatric experience (preferred) OR

At least one (1) to two (2) year nursing experience (preferred)

Minimum Education
Associate's Degree Graduate of a fully accredited school of nursing (Required) Or
BSN Graduate of a fully accredited school of nursing. (Preferred)

Required Skills/Knowledge
The ideal candidate must have basic computer skills. The RN must also be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients serves on his or her assigned unit. He/she must be able to demonstrate knowledge of principles of growth and development over the life span, possess the ability to assess data reflective of the patients' status and interpret the appropriate information needed to identify each patient requirement relative to his or her age-specific needs.

Required Licenses and Certifications
Current RN license from the District of Columbia Upon Hire (Required)
Cardio-Pulmonary Resuscitation (CPR) Upon Hire (Required)
Certification in Pediatric Rehabilitation (Preferred)