Overview DCH Health System is proud to offer Level 3 Neonatal Intensive Care Service at both our Regional and Northport Campuses. We specialize in the critical care of neonates and infants in our 21 bed unit at DCH Regional and 18 bed unit at Northport Medical Center. Our team of Neonatologists , Neonatal nurse practitioners, Neonatal nursing staff, NICU dedicated Respiratory Therapist, and NICU dedicated pharmacist provide in house care 24-7. We support a multi-disciplinary approach to patient care that also includes speech therapist, lactation consultants, child life therapists, and social workers. Our RN staff are especially skilled in the assessment and treatment of infants with complex, multisystem dysfunction. Our nurse to patient ratio is usually 1:2 or 1:3 depending on the acuity of the patient. They practice family-centered rounding to provide support and education so that families understand the needs for their baby. Responsibilities Plans, coordinates and directs quality, compassionate care by maintaining standards of professional nursing practice and creating positive therapeutic relationships with patients/families. Provides leadership to other team members by articulating and delegating expected standards of care, supervising and encouraging team members, and supporting their contributions. Supervises LPNs, PCAs, PCAs/US, US, ED Tech, ED Clerical/PCA, CRSS and OTs. Assesses condition on each assigned patient on admission and on an ongoing basis to include but not limited to the patient’s physical condition, psychological status, social status, spiritual and cultural needs, pain assessment/management, nutritional and functional status, developmental or age related factors, and discharge planning needs. Plans, provides, and documents patient and/or significant other education based on physical, behavioral, psychological, developmental, and age-related factors, after identifying barriers to learning. Evaluates and regularly reevaluates patient care; coordinates care planning with patient, family, providers and other disciplines to achieve patient-centered outcomes. Assigns and delegates nursing care to team members in accordance with the patient’s needs and the capabilities of the team members. Applies safety principles when performing care Accurately documents observations, care provided, and changes in care plan. Provides accurate handoff reports and participates in unit based huddles Assists in performance improvement (PI) activities by serving on PI teams as warranted, assisting with PI measures and supporting and implementing changes necessary for improvement. Performs initial and annual competency per job class. DCH Standards: Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation. Performs compliance requirements as outlined in the Employee Handbook Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self. Requires use of electronic mail, time and attendance software, learning management software and intranet. Must adhere to all DCH Health System policies and procedures. All other duties as assigned. Qualifications Current Alabama RN licensure. Associate degree in Nursing required. Current American Heart Association (AHA) Basic Life Support (BLS) Provider training required. Professional Nursing Certifcation preferred. Must be able to read, write legibly, speak, and comprehend English.
Overview The Home Health Visit Nurse works collaboratively with the Home Health RN Care Manager and other disciplines, providing skilled care, education, treatment, and emotional support to patients. Monitors and assesses the care provided while insuring the patient attains and maintains their highest level of functioning. Insures that the Physician and all members of the care team are aware of pertinent changes in the patient’s condition and progress toward goals. Collaborates with the Home Health RN Care Manager insuring that the established plan of care is appropriate and is implemented and/or modified based on the patient’s responses to treatment. Responsibilities Provides skilled nursing care to an assigned caseload of patients. Monitors the care, treatment, and service provided by other disciplines (SN, PT, OT, ST, MSS, RD, HH Aide) to insure patient receives the care required to improve their health status. Educates patients and their families on proper home health care strategies and procedures. Instructs and supervises the patient and family in the care of the patient and maintenance of a healthy environment for the patient. Evaluates, and revises the plan of care in collaboration with the Home Health RN Care Manager as appropriate, based on patients identified needs and progress toward goals. Reviews the plan of care of assigned patients to insure that the physician orders are being followed and that the patient receives the care required to achieve established goals. Performs skilled assessments and documents findings in the OASIS accurately and timely. Measures wounds weekly. Maintains an accurate and current list of each patient’s medications. Communicates regularly with the Home Health RN Care Manager regarding patients, progress toward goals, barriers to care and outcomes. Establishes positive working relationship with physicians and physician’s office staff and keeps them informed of patient’s problems and progress towards goals as appropriate. Assess patient’s outcomes and offer suggestions on ways to improve outcome scores. Participates in the performance improvement plan and process to ensure positive patient outcomes Actively participates in IDT meetings. Participates in on-call rotation Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation. Performs compliance requirements as outlined in the Employee Handbook Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self. Requires use of electronic mail, time and attendance software, learning management software and intranet. Must adhere to all DCH Health System policies and procedures. All other duties as assigned. Qualifications Registered Nurse with a current Alabama license. Prefer 1 year of recent home health or acute care nursing experience or a combination of both. Prefer experience in home health care. Prefer extensive clinical knowledge and experience in the care of patients with multiple and complex diagnoses, disease processes and care needs. High speed internet when working from home. Must be able to read, write legibly, speak, and comprehend English. Must have current BLS certification or be able to obtain within 60 days of employment and before first independent patient visit. WORKING CONDITIONS Is able to lift 50 pounds, turn and position patients weighing over 200 pounds. Ability to stand, walk, kneel, sit, crouch or stoop with good balance for extended periods of time. Must be able to maneuver over a variety of uneven surfaces including fields, grass, ditches, gravel, concrete, wood, vinyl, or carpet. Good manual finger dexterity. Must have good communication skills. Must be licensed and insured to operate a motor vehicle. Must have tolerance in a variety of environments to include the presence of pets and infestation. Physical presence onsite is essential. Hearing and vision must be normal or corrected to within normal range. Able to perform the duties with or without reasonable accommodation.
Overview Coordinates total nursing care for patients; participates in patient and family teaching; and provides leadership by working cooperatively with other team members and disciplines in maintaining standards for professional nursing practice in the clinical setting. Supervises LPNs, NAs, USs and Techs. Responsibilities Assesses condition on each assigned patient on an ongoing basis to include but not limited to the normal systems review, behavioral, psychological, developmental, and age-related factors. Specific ages: adolescent, adult, and geriatric. Plans, directs, supervises and evaluates nursing care provided to patients according to problems identified. Acts in charge nurse capacity as assigned. Collaborates and coordinates with physicians and other disciplines regarding individualized patient treatment/care plans by participating in team conferences, care planning/problem identification. Administers medication, IV therapy and performs treatments to all assigned patients according to policy and procedure. Plans and provides patient and/or significant other education based on physical, behavioral, psychological, developmental, and age-related factors, after identifying barriers to learning. Follows safety practices and helps to maintain a safe, clean environment. Reports pertinent patient observations and test results to the appropriate person (i.e., physicians, nurse manager, charge nurse and/or nursing supervisor) and records those observations accurately and concisely. Documents all patient care assessments, evaluations, activities and/or observations according to policies and procedures. Assigns nursing care to team members in accordance with the patient’s needs and the personnel’s capabilities and qualifications, and assigns other duties as needed. Assists with or institutes emergency measures for sudden adverse development in-patients such as cardiac arrest. Records vital signs to include blood pressure, pulse, respiration, and O2 saturation on recovering patients with moderate sedation. Assists with programming and refilling of Medtronic pump patients after passing training provided by Medtronic. Assists with programming of Medtronic dorsal column stimulators and Boston Scientific stimulators after passing training provided by Medtronic and Boston Scientific. Works in callbacks as assigned, including taking off calls, pulling charts, completing orders, assisting with form completion, assisting physicians with chart reviews, and returning calls to patients. Attends in-service programs (mandatory), all required training/education and unit/departmental service meetings. Flexibility in scheduling may be necessary based on patient care needs. DCH Standards Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation. Performs compliance requirements as outlined in the Employee Handbook Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self. Requires use of electronic mail, time and attendance software, learning management software and intranet. Must adhere to all DCH Health System policies and procedures. All other duties as assigned. Qualifications Current Alabama RN Licensure. Must be ACLS and BLS certified upon hire or within 90 days of start date. Must be able to read, write legibly, speak, and comprehend English.
Overview Coordinates total nursing care for patients; participates in patient and family teaching; and provides leadership by working cooperatively with other team members and disciplines in maintaining standards for professional nursing practice in the clinical setting. Supervises LPNs, NAs, USs and Techs. Responsibilities Assesses condition on each assigned patient on an ongoing basis to include but not limited to the normal systems review, behavioral, psychological, developmental, and age-related factors. Specific ages: adolescent, adult, and geriatric. Plans, directs, supervises and evaluates nursing care provided to patients according to problems identified. Acts in charge nurse capacity as assigned. Collaborates and coordinates with physicians and other disciplines regarding individualized patient treatment/care plans by participating in team conferences, care planning/problem identification. Administers medication, IV therapy and performs treatments to all assigned patients according to policy and procedure. Plans and provides patient and/or significant other education based on physical, behavioral, psychological, developmental, and age-related factors, after identifying barriers to learning. Follows safety practices and helps to maintain a safe, clean environment. Reports pertinent patient observations and test results to the appropriate person (i.e., physicians, nurse manager, charge nurse and/or nursing supervisor) and records those observations accurately and concisely. Documents all patient care assessments, evaluations, activities and/or observations according to policies and procedures. Assigns nursing care to team members in accordance with the patient’s needs and the personnel’s capabilities and qualifications, and assigns other duties as needed. Assists with or institutes emergency measures for sudden adverse development in-patients such as cardiac arrest. Records vital signs to include blood pressure, pulse, respiration, and O2 saturation on recovering patients with moderate sedation. Assists with programming and refilling of Medtronic pump patients after passing training provided by Medtronic. Assists with programming of Medtronic dorsal column stimulators and Boston Scientific stimulators after passing training provided by Medtronic and Boston Scientific. Works in callbacks as assigned, including taking off calls, pulling charts, completing orders, assisting with form completion, assisting physicians with chart reviews, and returning calls to patients. Attends in-service programs (mandatory), all required training/education and unit/departmental service meetings. Flexibility in scheduling may be necessary based on patient care needs. DCH Standards Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation. Performs compliance requirements as outlined in the Employee Handbook Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self. Requires use of electronic mail, time and attendance software, learning management software and intranet. Must adhere to all DCH Health System policies and procedures. All other duties as assigned. Qualifications Current Alabama RN Licensure. Must be ACLS and BLS certified upon hire or within 90 days of start date. Must be able to read, write legibly, speak, and comprehend English.
Overview Plans, coordinates and directs quality, compassionate care by maintaining standards of professional nursing practice and creating positive therapeutic relationships with patients/families. Provides leadership to other team members by articulating and delegating expected standards of care, supervising and encouraging team members, and supporting their contributions. Supervises LPNs, PCAs, PCAs/US, US, Ortho Techs and other non-licensed staff. Responsibilities Assesses condition on each assigned patient on admission and on an ongoing basis to include but not limited to the patient’s physical condition, psychological status, social status, spiritual and cultural needs, pain assessment/management, nutritional and functional status, developmental or age related factors, and discharge planning needs. Plans, provides, and documents patient and/or significant other education based on physical, behavioral, psychological, developmental, and age-related factors, after identifying barriers to learning. Evaluates and regularly reevaluates patient care; coordinates care planning with patient, family, providers and other disciplines to achieve patient-centered outcomes. Assigns and delegates nursing care to team members in accordance with the patient’s needs and the capabilities of the team members. Applies safety principles when performing care Accurately documents observations, care provided, and changes in care plan. Provides accurate handoff reports and participates in unit based huddles Assists in performance improvement (PI) activities by serving on PI teams as warranted, assisting with PI measures and supporting and implementing changes necessary for improvement. Performs initial and annual competency per job class. DCH Standards: Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation. Performs compliance requirements as outlined in the Employee Handbook Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self. Requires use of electronic mail, time and attendance software, learning management software and intranet. Must adhere to all DCH Health System policies and procedures. All other duties as assigned. Qualifications Current Alabama RN license required. Current American Heart Association (AHA) Basic Life Support (BLS) Provider training required. AHA Advanced Cardiac Life Support (ACLS) training required within the first 6-12 months of employment in role. AHA Neonatal Resuscitation (NRP) training required within the first 6 – 12 months o femployment in role. Professional Nursing Certifcation preferred. Must be able to read, write legibly, speak, and comprehend English. WORK CONTEXT Demonstrate leadership skills Requires decision making that will affect others Responsible to achieve outcomes Must be able to communicate clearly and accurately Ability to delegate to team members and students Must be able to receive delegation Address conflict and stressful situation Communicate with different personalities and engage in face to face discussion Dealing with unpleasant or verbally/physically aggressive personalities Must be able to use electronic mail, telephone and texting Must be able to work in groups Must be able to perform structured and unstructured work Must be meet time pressure and time lines Includes possible exposure to human body fluids, disease, infection, lab chemicals and hazardous materials and/or cleaning solutions Requires wearing of common protective and safety equipment such as gloves, safety glasses, mask, gowns, etc. PHYSICAL FACTORS Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.Must be able to tolerate prolonged periods of standing and walking Must be able to reach reasonable distances in any direction Must be able to stand, walk, kneel, bend, sit and stoop Must be able to run in an emergency Must have the ability to exert maximum muscle force to lift, push, pull and carry objects Must be able to move fingers in a coordinated manner and must be ablet o feel and perceive temperature, texture, shape and size with fingertips Must be able to perform the duties with or without reasonable accommodation Must possess stamina to work prolonged shifts Hearing and vision must be normal or corrected to within normal range. Physical presence onsite is essential.
