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 (Postpartum, Nursery, Pediatric, Adolescent, Adult and Geriatric), 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. Performs as a Resource RN to a Qualified Labor and Delivery Nurse to meet the needs of Obstetrical Patients in the Antepartum, Intrapartum and Postpartum Phases. *DECH is an equal opportunity employer. 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. Successfully completes general nursing and unit orientation. Effective communication skills; both orally and written. Ability to work with others within a team to ensure quality patient care. Strong critical thinking skills. Good customer service skills. Current BCLS Acute care experience preferred. ACLS, PALS and Neonatal Resuscitation Certificate (NRP) within 6 months of hire for experienced nurses and within one year for newly licensed RNs. S.T.A.B.L.E certification within 2 years. Excellent assessment, communication, computer, and documentation skills needed. Ability to function independently. ESSENTIAL JOB FUNCTIONS Clinical proficiency within scope of practice. 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. 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. Take expected action and intervention. 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.
Description The Quality Improvement (QI) RN is responsible for managing hospital-wide activities related to continuous improvement of clinical quality outcomes. Serving to support leadership at an entity level to achieve the hospital’s strategic objectives in quality, regulatory, patient safety, and pay-for-performance programs. Responsible for data gathering, analysis, and reporting of quality processes and outcomes. Acts as a role model and coach in creating a culture of safety and quality throughout the organization. Works with others of the healthcare team to coordinate a consistent strategy of comprehensive patient-centered care. This position independently researches, audits, and abstracts data from hospital electronic systems and other outside systems and/or platforms as needed. The QI RN uses internal and external software to compile data and complies with all hospital policies and procedures as well as CMS requirements. Requirements QUALIFICATIONS/REQUIREMENTS Healthcare experience preferred. Clinical experience preferred and RN license required. Understanding of the use of data and basic statistical understanding with the ability to interpret data, develop reports and collaborate on developing action plans to achieve necessary changes. Skilled in human relations and ability to communicate with and to deal constructively with all levels of staff, including front line, providers, and senior leaders, as well as patients and families. Strong familiarity with computer programs and able to learn new platforms with relative ease. Microsoft Word, Outlook, and Excel skills required; EMR and Power Point experience preferred. Demonstrates initiative, flexibility, and integrity. The ability to work both independently and in a collaborative environment is essential. Strong, professional organizational and interpersonal communication skills, both verbal and written. GENERAL Perform assigned tasks in a confidential manner for the Quality Department. Creates and prepares visual aids and reference material for staff as appropriate pertaining to quality, risk, and safety. Research and retrieve material for policies, procedures, education, and system studies. Completes special projects assigned by the Quality Supervisor/Chief Quality and Nursing Officer. Coordinate with Quality leaders to schedule meetings, including time and location. Send attendee notification as needed. Start meetings via zoom and/or other platforms as indicated. Maintain attendance and minutes as specified. Organize/lead meetings as assigned. Prepare credential letters and associated variance (Q-statim) reports. Assist with management of complaints/grievances as assigned. Assist with Risk Management duties as assigned and collection of needed documents. Assist with Employee Health duties such as vaccinations and fit testing. DATA MANAGEMENT Chart reviews/audits, conducting studies and preparing statistical data for assessment. Complete reviews/audits and maintain records for patient safety related topics. Assist with managing department triggers for case review. Assist with coordinating completion of external case reviews as needed. Trend variances and report findings to department leaders. Assist providers, managers, and staff in responding to variances and complaints. Prepare Quality and patient safety reports as needed. Abstract core measures and report failures to appropriate department leaders. Submit to regulatory bodies as indicated to meet required timelines. Gather and submit data to approved quality programs by deadlines. Data related tasks include completing reports, updating logs/spreadsheets, conducting data specific chart audits, completing monthly dashboards for nursing departments. QUALITY MANAGEMENT Assist Quality with preparation and presentation of education programs and orientation presented by the Quality Department. Assist with research, development, and implementation of policies and procedures. In conjunction with the Quality Department, assist in maintaining CMS survey readiness. Provide leadership within scope of responsibility such as regulatory, patient safety, patient experience, and others to establish appropriate priorities and resources to achieve expected outcomes. Summarize findings of the AHRQ Culture of Patient Safety Survey biennially. Track and report on Patient Satisfaction survey reports. Active member on committees as assigned. Committee lead as assigned and appropriate. Represent the Quality Department on hospital committees as needed. Coordinate follow up, tracking/record keeping, and writing of grievance letters. Participate in and provide oversight with various pay-for-performance programs as defined by administration as needed. This includes, but is not limited to: QHIP, MBQIP, MIPS. Annually collaborate on preparation of Quality Assurance / Performance Improvement (QAPI) Plan and Periodic Review & Evaluation of Services. In coordination with Quality, identify and report all Sentinel Events (SE) and ensure a Root Cause Analysis (RCA) is conducted. Facilitate and participate in RCAs as needed. Maintain a record of all SEs and RCAs and ensure action items are completed. Promote effective understanding of quality initiatives by being knowledgeable about various programs in which the organization participates. Work with Quality to prioritize NQF safe practice goals for the hospital through the evaluation of variances, complaints, QHIP, and Patient Safety survey, etc. Performs other duties as requested/assigned.
Description Essential Job Functions: Located at AMMC Full Time Demonstrates critical thinking, professionalism, and competency in the RN Role. Clinical oversight and support of Licensed Practical Nurse (LPN) and Medical Assistants (MA) in the clinic(s). Nursing dotted line to Chief Nursing Officer. Collaborates effectively with all members of the care team to ensure excellent patient care. Provides telephone in in-person triage and patient care according to established practice protocol and scope of practice. Engages patients in education regarding chronic illnesses such as diabetes, chronic obstructive pulmonary disease, hypertension, cardiac disease, cancer and chronic pain. Provides telephone care, follow-up and consultation for transitional care management, medication management, INR management, et cetera. Determines the need for and initiates consultations with other services and healthcare providers and coordinates services and care with the patient to ensure continuity and follow up. Documents all care and pertinent information in the patient's medical record accurately and timely. Participates in program development and quality initiatives related to improving patient care, health, and safety. Stays informed of necessary information by attending required meetings and reading correspondence such as emails, memos, newsletters, and policies in a timely manner. Demonstrates a clear understanding of, and commitment to, DECH/CCH mission, vision,and values. Supports and advocates for Evidence Based Medicine and Just Culture. Other duties as assigned by manager. 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. *DECH is an equal opportunity employer. Requirements The Provider Practice RN works in partnership with the clinic providers and other members of the healthcare team to provide care to the entire patient population. The RN focuses on providing critical thinking, assessment, screening, healthy lifestyle support, education, and chronic disease management with a goal of improving health outcomes and facilitating access to services. Minimum Requirements: Graduate of accredited school of nursing. Active RN License in the State of Maine; or currently licensed RN from Compact state and must become licensed in the State of Maine within 90-120 days. Proficient in the use of electronic medical records, Microsoft Office, and telephone communication. Current BLS or certification prior to start date. Maintains all licensure and certification requirements. Two (2) years of clinical experience preferred.
Description JOB SUMMARY AND SCOPE The Emergency Department Registered Nurse is responsible for the delivery of safe, effective and quality patient-family centered care consistent with Down East Community Hospital and Maine State Standards. The nurse must be able to communicate effectively with all members of the health care team in developing a patient care plan. They must maintain a high degree of confidentiality and support the mission, vision, and values of the organization. ESSENTIAL JOB FUNCTIONS Assess, plan, implement, and evaluate the age appropriate care of patients Provide appropriate education to the patient and/or family regarding individualized plan of care Promote good communication, teamwork, professional relationships, and positive attitudes among physicians, staff, and personnel in other departments Coordinate all aspects of nursing care to achieve desired patient outcomes Assess, plan, implement, and evaluate the age appropriate care of patients Adhere to Standard Blood and Body Fluid Precautions Use equipment and supplies in a safe and efficient manner Ensure that patient charts are complete Document all care given and patient response Inform physician of reportable changes in patient status 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 Participate in the implementation of planned unit changes and activities 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 Attend 75% of unit staff meetings 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. 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 ACLS and PALS within six months of hire date 2 years minimum experience preferred Excellent assessment, communication, computer, and documentation skills needed Ability to function independently Ability to act rapidly and efficiently in emergency situations 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 Sign on Bonus $2000 for CCMA's and $3000 for CMA's and RMA 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.
