Description JOB SUMMARY AND SCOPE Under the general direction of the Unit Director, independently provides holistic, individualized care using the nursing process for patients routinely seen on the unit. Demonstrates clinical competency, nursing judgment, teaching skills, as well as a commitment to improving the quality of patient care. Independently performs general and unit specific clinical skills. Performs the functions of a Registered Nurse in assessing, planning, implementing and evaluating all assigned patient care under supervision of the Charge Nurse. Is responsible for adhering to all Standards of Nursing Practice, implementing and evaluating the age appropriate care of all patients in the department (antepartum, intrapartum, postpartum, nursery and post-op gyn patients), for managing supplies and equipment, and for promoting teamwork with physicians and personnel of the unit and other hospital departments. RN adheres to hospital policies regarding confidentiality, sexual harassment, advance directives and American Disabilities Act. Performs Charge Nurse duties as needed. Maintains a high degree of confidentiality and supports the mission, vision and values of the organization. ESSENTIAL JOB FUNCTIONS Assessment of Patients: Systematically and continually assesses the health and status of the patient assuring the application of age specific standards. Care of the Patient: In collaboration with the patient/family, with regard to developmental, cultural and age specific differences, develops and implements patient care plans to include problems, goals, evaluations and interventions. Education of patient/family: Provides patient/family education with regard to assessing ability to learn, special learning needs, and evaluating effectiveness of teaching procedures. Surveillance, prevention and control of infection: Follows established policies, identify and reduce the risks of acquiring or transmitting infection by use of personal protective measures. Management of information: Documents assessments, interventions and evaluations of care objectively and timely, using the computer technology required by the department. Leadership: Provides clear, concise and pertinent direction to the care team, based on resources, identified patient care needs and nursing staff skill level, documents critical incidents, uses time and supplies resourcefully, functions as charge nurse as needed. Documents assessments, evaluation data and interventions accurately and completely in a timely fashion. Observes patient symptoms and changes in condition and alerts appropriate personnel. Takes expected action and intervention. Follows through in reporting problems or critical incidents that may adversely affect patients, staff or the unit. Uses appropriate chain of command in acting as a patient advocate. Utilizes safety precautions and reduces risks of acquiring or transmitting infection by using protective equipment and cleaning contaminated bay equipment. Provides clear, concise and pertinent patient report of information to departments including special patient needs and concerns. Demonstrates motivation by assisting with unit responsibilities. These may include chart review, inventory, precepting new employees, or completing QI projects. Attends 75% of Unit Staff Meetings. Responds with flexibility in an attention to high and low fluctuations in staffing needs according to census. Works effectively with students as appropriate. Remain knowledgeable of all department equipment and supplies; report need for necessary repairs and replacements. Restock all supplies as necessary. Knowledge of the disaster, fire, bomb threat and evacuation plans and role in the plans as they relate to the unit. Seeks out needed information by staying informed and involved by attending meetings, reading memos, policies, meeting minutes, newsletters, email and other appropriate information in a timely manner. Uses patient handling equipment appropriate to the needs of the individual patient in keeping with the Safe Patient and Handling and Movement Policy. Reliable attendance and punctuality, including observing appropriate break times and extending a scheduled shift when necessary to meet patient demands Performs duties in a safe manner, in compliance with all safety policies and procedures Complies with the Code of Conduct and all appropriate policies and procedures Completion of annual EFM training Other duties, as assigned, that are relevant to the position and department *DECH is an equal opportunity employer. Requirements MINIMUM REQUIREMENTS One year minimum of acute care experience as an RN. Graduate of an accredited School of Nursing. Successfully completes general nursing and unit orientation. Effective communication skills; both orally and written. Computer skills needed. Ability to work with others within a team to ensure quality patient care. Strong problem-solving skills. Good customer service skills. Current BLS ACLS Neonatal Resuscitation Certificate within 6 months of hire. STABLE within 2 years PHYSICAL EFFORT AND ENVIRONMENT Clinical: Frequently lifts up to 35 pounds independently. Frequently pushes/pulls 100 pounds using mechanical and other assistive devices. Walks, stands, kneels, bends most of the time. Exhibits fine motor skills and manual dexterity necessary to perform the essential job functions of the position. Visual acuity correctable to 20/20. Color vision is necessary. Normal hearing acuity. EXPOSURE RISK Exposure Category I: Employee at risk for exposure to blood borne pathogens. Employee will properly utilize Personal Protective Equipment provided to minimize risk of exposure as directed by Infection Control Policies. QUALITY IMPROVEMENT Maintains current knowledge of the hospital-wide Quality Improvement Program. Collaborates with management to improve the effectiveness of the department through the Quality Improvement plans and processes. Participates in the departmental and hospital-wide Quality Improvement activities as directed by the manager. COMPLIANCE Adheres to the federal, state, and local statutes and regulations. Adheres to the Compliance Program policies and procedures of Down East Community. Adheres to all Privacy and Security policies and procedures of Down East Community. Communicates any concern related to compliance issues to manager of department Compliance Officer. Communicates any concern related to confidentiality issues to the Privacy Officer.
Description Day Shift JOB SUMMARY AND SCOPE The Registered Nurse directs and coordinates members of the patient care team, focusing on the provision of individualized quality patient care consistent with Down East Community Hospital and Maine State standards. The Registered Nurse will develop the patient care plan in partnership with the physicians, other patient care team members, the patient, and, if applicable, the patient’s family. Demonstrates professional nursing practice skills of an RN utilizing the nursing process in assessing, planning, implementing and evaluating the care of all assigned patients, appropriate to the age of the patient ie. pediatric, adolescent, adult, geriatric, on the unit. The Registered Nurse is responsible for meeting the established Medical-Surgical Standards of Nursing Practice, for supervising assigned direct care staff and for care of supplies and equipment on the unit. The Registered Nurse shall promote teamwork with medical staff and personnel throughout the hospital with relation to the unit. Additionally, the Registered Nurse shall adhere to hospital policies regarding confidentiality, sexual harassment, advance directive and Americans with Disabilities Act. ESSENTIAL JOB FUNCTIONS Clinical proficiency within scope of practice. Provide appropriate education to the patient and/or family regarding individualized plan of care Promote good communication, teamwork, professional relationships, and positive attitudes among the health care team. Coordinate all aspects of nursing care to achieve desired patient outcomes Assess, plan, implement, and evaluate the age appropriate care of patients Document nursing care according to hospital policies and approved standards Participate in discharge planning for assigned patients in collaboration with the multi-disciplinary health care team, patients, family, and care givers. Adhere to Universal Blood and Body Fluid Precautions Adhere to Infection Control policies Document all care performed and patient response Ensure documentation is thorough and accurately represents care delivered Inform charge nurse and physician of reportable changes in patient status Use equipment and supplies in a safe and efficient manner Remain current in practice through attendance at in-services, seminars, and workshops, and through relevant reading Initiate and present in-service education programs based on seminars and workshops attended outside the hospital or in areas of interest Participate in Organ/Tissue Donation Program Knowledge of the hospital disaster, fire, bomb threat and evacuation plans as they pertain to the unit Participate in the planning, revision and implementation of policies, procedures, and standards of care in collaboration with the department manager Serve on hospital committees as assigned Ensure variance reporting process occurs in accordance with policy Promote positive community relations Participate in orientation of new employees and in evaluation of orientation procedures Contribute to the performance evaluation of personnel in the department when requested Adhere to unit dress code Adhere to employee health policies Attend 75% of unit staff meetings Support and adhere to administration and nursing service policies and procedures Seeks out needed information by staying informed and involved by attending meetings, reading memos, policies, meeting minutes, newsletters, email and other appropriate information in a timely manner. Uses patient handling equipment appropriate to the needs of the individual patient in keeping with the Safe Patient and Handling and Movement Policy. Reliable attendance and punctuality, including observing appropriate break times and extending a scheduled shift when necessary to meet patient demands Perform duties in a safe manner, in compliance with all safety policies and procedures Comply with the Code of Conduct and all appropriate codes, policies, and procedures Other duties, as assigned, that are relevant to the position and department *DECH is an equal opportunity employer. Critical need position Requirements MINIMUM REQUIREMENTS Current licensure as a registered nurse in the State of Maine or Authorization to Practice pending licensure by endorsement Graduate of an accredited school of nursing Current BCLS Acute care experience preferred ACLS and PALS within 6 months of hire for experienced nurses and within one year for newly licensed RNs. Excellent assessment, communication, computer, and documentation skills needed. Ability to function independently PHYSICAL EFFORT AND ENVIRONMENT Clinical: Frequently lifts up to 35 pounds independently. Frequently pushes/pulls 100 pounds using mechanical and other assistive devices. Walks, stands, kneels, bends most of the time. Exhibits fine motor skills and manual dexterity necessary to perform the essential job functions of the position. Visual acuity correctable to 20/20. Color vision is necessary. Normal hearing acuity. EXPOSURE RISK Exposure Category I: Employee at risk for exposure to blood borne pathogens. QUALITY IMPROVEMENT Maintains current knowledge of the hospital-wide Quality Improvement Program. Collaborates with management to improve the effectiveness of the department through the Quality Improvement plans and processes. Participates in the departmental and hospital-wide Quality Improvement activities as directed by the manager. COMPLIANCE Adheres to the federal, state, and local statutes and regulations. Adheres to the Compliance Program policies and procedures of Down East Community. Adheres to all Privacy and Security policies and procedures of Down East Community. Communicates any concern related to compliance issues to manager of department or Compliance Officer. Communicates any concern related to confidentiality issues to the Privacy Officer.
Description JOB SUMMARY AND SCOPE The certified nursing assistant (CNA) will perform the functions of carrying out all assigned work as delegated by the nurse. The CNA will perform his/her job within their scope of practice and is accountable for all patient care given to them during the assigned shift. It is one’s responsibility for adhering to all standards of nursing practice, managing supplies and equipment under the direction of the nurse and promoting positive team work with unit staff and other hospital employees. The CNA will adhere to hospital policies including but not limited to confidentiality, sexual harassment, advance directives, and the American Disabilities Act. ESSENTIAL JOB FUNCTIONS Demonstrate clinical proficiency within scope of practice Provide basic personal hygiene needs for patient to include but not limited to: bathing, skin care, oral hygiene, toileting, bed making, and positioning Assist patient with dietary needs as needed and ordered Obtain patient vital signs and weights as ordered Use equipment and supplies in a safe and efficient manner Document all performed care given by oneself including but not limited to: intake and output, vital signs, ambulation and hygienic care Collection of specimens as ordered according to instructions for collection and as delegated Assist with patient treatments within the scope of practice, i.e.: enemas, perineal care, application of hot/cold compresses, surgical preps, foley care, application of ace wraps and TED stockings Assist with assigned patients for examinations, procedures and X-rays Knowledge of the disaster, fire, bomb threat and evacuation plans and your role in the plans as they relate to the unit Perform any other duties as assigned to insure age appropriate quality patient care Attend 75% of unit staff meetings Perform duties in a safe manner, in compliance with all safety policies and procedures Comply with the Code of Conduct and all appropriate codes, policies, and procedures Other duties, as assigned, that are relevant to the position and department Assist nurses with admission, transfer and discharge of patients following procedures Provide patient comfort measures such as patient privacy, answering call bells promptly, supporting patients and families during hospital stay Follow all procedures to ensure patient, family, visitor and employee safety Report changes in patient's condition, requests or problems to nurse team leader Maintains confidentiality of patient information Clean utilities, equipment according to procedure and assists in maintaining unit in an orderly manner Demonstrates practice of infection control policies such as hand-washing, aseptic technique, and universal precautions Acts rapidly and calmly during emergencies and provides necessary materials called for by RN or physician Cooperates and offers help to all personnel, patients and visitors Exhibits good attendance practices and alters work schedule when need arises; conforms to procedure for reporting illness when necessary Stays available and accessible at all times while on duty Assists in all hospital units as needed Follows unit dress code Requirements *DECH is an equal opportunity employer.MINIMUM REQUIREMENTS Current placement as a CNA on the Maine Registry of Certified Nursing Assistants BLS Hospital experience preferred Excellent communication skills needed Ability to multi-task and take direction well Positive attitude required PHYSICAL EFFORT AND ENVIRONMENT Clinical: Frequently lifts up to 50 pounds independently. Occasionally lifts up to 200 pounds with assistance. Frequently pushes/pulls 100 pounds. Visual acuity correctable to 20/20 which is essential for assessing patient condition, reading physician orders and patient records. Color vision essential in assessing patient skin color. Walks, stands, kneels and bends most of the time. Exhibits fine motor skills and manual dexterity necessary to perform the essential job functions of the position. Talking and hearing is essential in dealing with patients, families, and hospital staff. EXPOSURE RISK Exposure Category I: Employee at risk for exposure to blood borne pathogens. QUALITY IMPROVEMENT Maintains current knowledge of the hospital-wide Quality Improvement Program. Collaborates with management to improve the effectiveness of the department through the Quality Improvement plans and processes. Participates in the departmental and hospital-wide Quality Improvement activities as directed by the manager. COMPLIANCE Adheres to the federal, state, and local statutes and regulations. Adheres to the Compliance Program policies and procedures of Down East Community. Adheres to all Privacy and Security policies and procedures of Down East Community Communicates any concern related to compliance issues to Department Director or Compliance Officer. Communicates any concern related to confidentiality issues to the Privacy Officer. *DECH is an equal opportunity employer.
Description Greets and prepares patient for office visit or outpatient procedure. Obtains vital signs and weighs each patient. Updates problem and medication list at each patient visit. Assists in procedures requested by the medical provider. Performs phlebotomy as needed. Checks charts routinely for omissions and compliance. Maintains sterilization process of all instruments. Makes referral and prescription calls per medical provider’s orders. Refilling prescriptions, per protocol and as applicable. Screens calls including emergency calls. Assures that all necessary release and consent forms are signed. Performs lab testing according to set protocols and maintains yearly competency. Performs look up per protocol on the Maine Prescription Monitoring Program. Performs Medication Prior Authorizations, as needed. Prepares electronic charts with all requested information in preparation of patient encounters. Schedules patients for procedures in OR and any outpatient test (x-rays, labs, etc), if applicable. Communicate with patients via various communication avenues, including secure messaging. Participates with any department quality indicators. Responsible to collect provider quality data as requested. Completes daily, weekly, and monthly checklists with duties to include inventory management, samples management, and other monitors. Obtains working knowledge of IMMPACT procedures, policies, performance expectations, etc. as needed. Maintains compliance with all hospital policies as well as compliance with all State, Federal and CMS policies of licensing and certification. Responsible to maintain medical record privacy and security according to hospital policies and procedures at all times. Demonstrate a clear understanding of, and commitment to, the hospital’s mission, vision and values as well as the service excellence standards while completing all tasks and responsibilities. Provides coverage for other DECH physician offices when necessary. Seeks out needed information by staying informed and involved by attending meetings; reading memos, policies, meeting minutes, newsletters, email and other appropriate information in a timely manner. Uses patient handling techniques as appropriate to the needs of the individual patient in keeping with the Safe Patient and Handling and Movement Policy. Reliable attendance and punctuality, including observing appropriate break times and extending a scheduled shift when necessary to meet patient demands. Performs duties in a safe manner, in compliance with all safety policies and procedures Complies with the Code of Conduct and all appropriate policies and procedures Other duties, as assigned, that are relevant to the position and department *DECH is an equal opportunity employer. Requirements Ability to work with the public Able to handle multiple tasks simultaneously Immunization and injection administration, vision & hearing, phlebotomy Certified Medical Assisting degree or appropriate training. CMA or RMA certification with 90 days of hire if graduating from an accredited school On the job training-1 year of training with competency completed within that same, then CCMA certification within 90 days.
Description ESSENTIAL JOB FUNCTIONS Greets and prepares patient for office visit or outpatient procedure. Obtains vital signs and weighs each patient. Updates problem and medication list at each patient visit. Assists in procedures requested by the medical provider. Performs phlebotomy as needed. Checks charts routinely for omissions and compliance. Maintains sterilization process of all instruments. Makes referral and prescription calls per medical provider’s orders. Refilling prescriptions, per protocol and as applicable. Screens calls including emergency calls. Assures that all necessary release and consent forms are signed. Performs lab testing according to set protocols and maintains yearly competency. Performs look up per protocol on the Maine Prescription Monitoring Program. Performs Medication Prior Authorizations, as needed. Prepares electronic charts with all requested information in preparation of patient encounters. Schedules patients for procedures in OR and any outpatient test (x-rays, labs, etc), if applicable. Communicate with patients via various communication avenues, including secure messaging. Participates with any department quality indicators. Responsible to collect provider quality data as requested. Completes daily, weekly, and monthly checklists with duties to include inventory management, samples management, and other monitors. Obtains working knowledge of IMMPACT procedures, policies, performance expectations, etc. as needed. Maintains compliance with all hospital policies as well as compliance with all State, Federal and CMS policies of licensing and certification. Responsible to maintain medical record privacy and security according to hospital policies and procedures at all times. Demonstrate a clear understanding of, and commitment to, the hospital’s mission, vision and values as well as the service excellence standards while completing all tasks and responsibilities. Provides coverage for other DECH physician offices when necessary. Seeks out needed information by staying informed and involved by attending meetings; reading memos, policies, meeting minutes, newsletters, email and other appropriate information in a timely manner. Uses patient handling techniques as appropriate to the needs of the individual patient in keeping with the Safe Patient and Handling and Movement Policy. Reliable attendance and punctuality, including observing appropriate break times and extending a scheduled shift when necessary to meet patient demands. Performs duties in a safe manner, in compliance with all safety policies and procedures Complies with the Code of Conduct and all appropriate policies and procedures Other duties, as assigned, that are relevant to the position and department PHYSICAL EFFORT AND ENVIRONMENT Clinical: Frequently lifts up to 35 pounds independently. Frequently pushes/pulls 100 pounds using mechanical and other assistive devices. Walks, stands, kneels, bends most of the time. Exhibits fine motor skills and manual dexterity necessary to perform the essential job functions of the position. Visual acuity correctable to 20/20. Color vision is necessary. Normal hearing acuity. EXPOSURE RISK Exposure Category I: Employee at risk for exposure to blood borne pathogens. QUALITY IMPROVEMENT Maintains current knowledge of the hospital-wide Quality Improvement Program. Collaborates with management to improve the effectiveness of the department through the Quality Improvement plans and processes. Participates in the departmental and hospital-wide Quality Improvement activities as directed by the manager. COMPLIANCE Adheres to the federal, state, and local statutes and regulations. Adheres to the Compliance Program policies and procedures of Down East Community. Adheres to all Privacy and Security policies and procedures of Down East Community. Communicates any concern related to compliance issues to manager of department or Compliance Officer. Communicates any concern related to confidentiality issues to the Privacy Officer. *DECH is an equal opportunity employer. Requirements JOB Performs medical assisting functions to support the provision of care within the physician department. Interacts with patients, families and staff member to maximize successful patient outcomes. MINIMUM REQUIREMENTS Ability to work with the public Able to handle multiple tasks simultaneously Immunization and injection administration, vision & hearing, phlebotomy Certified Medical Assisting degree or appropriate training. CMA or RMA certification with 90 days of hire if graduating from an accredited school On the job training-1 year of training with competency completed within that same, then CCMA certification within 90 days.
