LOCATION: Greensboro, Moses Cone Hospital
Benefit Eligible (12 - 39 hours/week)
FTE: 0.9 (36 hours/week)
Schedule:(3) 12 hour shifts - nights 7p-7a
On Call: No
Critical Care nursing clinicians who provide early and rapid intervention to patients outside ICU setting whose condition is deteriorating. Bring critical care expertise to medical –surgical /telemetry floor and assist with assessment, stabilization and transfer to higher level of care as needed at the patient’s bedside. Prevention of cardiopulmonary arrests is major goal. Also serves as member of other emergency care teams including: Code Stroke Team; Code STEMI team, Code Blue team, and Code Sepsis Team.
MAJOR WORK ACTIVITIES:
Collaborates with patient's current health care team to provide critical care expertise for early intervention and stabilization in preventing Code Blue Events. Completes advanced focused assessment to assist medical-surgical /telemetry RN in caring for unstable patients. Assists RN staff with communication to MD utilizing SBAR communication tool. May communicate directly with MD as necessary. Implements critical care interventions as needed. May initiate emergency standing orders as necessary per Rapid Response Team Protocols. Initiates Code Blue Team as needed. Assists MD as needed with triage higher level of care. (30%)
Serves in additional nursing roles as needed when not assisting with critical care patients. Makes rounds on all patients transferred from ICU or SDU to medicalsurgical floors at 24 and 48 hours. Purpose is to target early signs and symptoms of deterioration. If detected, Rapid Response RN will assist the bedside RN caring for the patient to obtain early intervention orders from MD. Serves as educational/clinical resource for RN staff as needed regarding patient care. Assist Administrative Coordinators with patient throughput by triaging patients during high census/acuity situations. Completes QI data on each RRT call to include, Call Data form, Code Blue reviews, Safety Zone Portal as necessary, and Condition HELP Data form and Staff Questionnaire. (25%)
Collaborates with other health care team members to assist on specialty Emergency teams. Functions in collaboration with stroke team service in responding to Code Stroke activations in ED and in-house patients. Maintains 8 hours stroke continuing education per year. Functions in collaboration with cardiology services as team member of Code STEMI team in caring for patients with acute MI's. Functions as ACLS team member of Code Blue Team. Functions in collaboration with ED services/CCM as team member of Code Sepsis Team. Collaborates with caregivers regarding ethical dilemmas, new procedures and chain of command interventions. (20%)
Responds to Condition HELP activations - patient/family oriented Rapid Response Team activations. Serves as team leader to maintain collaboration with Rapid Response Team and current health care team. Provides QI follow-up on Condition Help calls to include Safety Zone Portal reporting. (15%)
Completes QI data on each RRT call to include, Call Data form, Code Blue reviews, Safety Zone Portal as necessary, and Condition HELP Data form and Staff Questionnaire. (10%)
RN - Registered Nurse licensed in North Carolina or a Compact state.
BLS (CPR) - AHA Health Care Provider BLS
ACLS - Advanced Cardiovascular Life Support
Pediatric Advanced Life Support
Certification in Critical Care – preferably CCRN
5 or more year’s bedside Critical Care RN experience
KNOWLEDGE, SKILLS, AND ABILITIES:
•Ability to delegate
•Responds appropriately to emergency situations (Cone Health Codes) and demonstrates knowledge of how to respond. Always uses appropriate safety devices and techniques (examples: using safe lift equipment and needle safe devices; pushing carts; correctly lifting copy paper).
•Ability to present information to a group
•Ability to communicate effectively through both oral and written formats.
•Effectively assesses and adjusts to changes in circumstances, resources, or environment, using the creativity and flexibility required to remain effective. Views change as a constant, accepting and adjusting to twists and turns. Adjusts to the especially unpredictable nature of a healthcare environment, shifting focus as necessary, and taking reasonable action, even when faced with various levels of uncertainty.
•Takes responsibility for own actions, including the impact of own decisions on patients and others. Also takes responsibility for actions of any direct reports, avoiding blame or excuses. Takes appropriate action when anyone in the organization violates standards or regulations, viewing it as unacceptable to "look the other way".
•Ability to work independently
•Accepts responsibility for effective two-way communication using clear and well-organized oral and written techniques. Demonstrates self-awareness of non-verbal messages, keeping verbal and non-verbal messages consistent. Incorporates recognition of cultural impact on understanding and effectively uses interpreters and language translation devices.
•Working knowledge of personal computer and communications technology.
•Possess knowledge of concepts, procedures and troubleshooting techniques.
•Identifies practices or procedures that are not working effectively and challenges underlying assumptions. Includes a representative number of persons when addressing issues (including patients and their families), resulting in the best resolution from various perspectives. Looks for the root cause of any problem, resulting in solutions that are enduring and sustainable.
•Ability to demonstrate proficiency in the application of tools, test equipment and meters to effectively diagnose equipment problems and/or failures consistently.
•Reacts promptly when requests are made or situations clearly call for it. Shifts priorities when a timely response is essential. Actions reflect sensitivity to patient/customer needs and sense of urgency. Balances speed of response with safety concerns.
•Establishes priorities during routine daily operations, addressing time-sensitive matters first, while also accomplishing day-to-day tasks and duties. Effectively triages tasks and events according to urgency level, impact on patients and outcomes desired under special conditions (e.g., during crises and emergencies). Makes choices that result in maximum completion of essential duties and minimum personal stress.
•Ability to remain calm and composed in stressful situations (ie: fast paced environment, meeting deadlines/work quotas, etc.)
•Demonstrates an unwavering commitment to do what is ethically "right". Consistently tells the truth unless doing so would violate confidentiality or compromise the safety or privacy rights of patients or others. Behaves in a manner fully consistent with stated intentions and commitments, even when there is no one to witness activities. Stands up for what is right even when there are personal risks or when there are clear rewards for doing otherwise.
•Demonstrates an ability to interact with others in a courteous and professional manner and establish good working relationships.
•Project Management Skills
•Ability to influence others not under direct control
CONDITIONS OF EMPLOYMENT:
*Annual flu shot
*Annual TB test (if applicable to your job location)
*Annual HLCs (Healthstream, formerly CBL)-Safety at Work and Corporate Compliance
*Maintain licensure/certification/registry/listing (if applicable to your job)
ABOUT CONE HEALTH:
Cone Health is a state of the art network of facilities providing patients access to the latest developments in medical care from their first moments of life through later years. Our network offers the most breakthrough treatments and technology available in healthcare today. As a teaching hospital, we offer employees the opportunity to become leaders in the industry and continued growth from their first day on. Extraordinary patient care is about being “high-touch” as well as “high-tech”. Community service and superior patient care are the cornerstones of our organization, a philosophy that is demonstrated by each and every one of our valued team members. We are proud to be the largest private, not-for-profit employer of choice in the Piedmont, NC area community. Additionally, as one of the region’s largest and most comprehensive health networks, Cone Health has more than 100 locations, including six hospitals, three ambulatory care centers, three outpatient surgery centers, four urgent care centers, a retirement community, and more than 100 physician practice sites. Our tagline – “The Network for Exceptional Care” – highlights our commitment to excellence, which is shared by our more than 11,000 employees, 1,300 physicians and 1,200 volunteers.
Cone Health is an equal opportunity employer. If you require assistance with our online job submission process, please contact our Talent Acquisition team at 866-266-3767 to request an accommodation.