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 JOB SUMMARY AND SCOPE Responsible for the delivery of safe, effective and quality patient-family centered care during the perioperative period. Able to scrub, circulate and work in the recovery room as needed. Must be able to communicate effectively with other members of the perioperative team. They must maintain a high degree of confidentiality and support the mission, vision, and values of the organization. ESSENTIAL JOB FUNCTIONS Assess patients at intervals as stated in department policies and procedures Develop an individualized perioperative plan of care Implement the plan of care using the following interventions: Protect patient from injury caused by chemical, electrical, laser, positioning, thermal sources and extraneous objects Perform count procedures to protect patient from unintended retained foreign objects Perform interventions necessary to ensure patient’s procedure is performed on the correct site, side and level Manage patient’s specimen(s) in the appropriate manner Communicate patient’s current status throughout the continuum of care Administer medication(s) appropriately Perform interventions to maintain patient’s wound and tissue perfusion at or above baseline levels Perform interventions to maintain the status of the patient’s genitourinary, gastrointestinal, musculoskeletal, endocrine, respiratory, cardiovascular and neurological systems, and fluid, electrolyte, and acid-base balances at or above baseline levels Perform interventions to ensure the patient is at or returned to normothermia at the conclusion of the immediate postoperative period Perform interventions to protect patient from infection Assess knowledge level of patient or designated support person and provide education regarding and expected psychosocial response, nutritional management, medication management, pain management, wound management, and expected responses to the operative or invasive procedure Actively involve patient or designated support person in decisions affecting his or her perioperative plan of care Protect patient’s rights, dignity and privacy Provide culturally competent, age-appropriate, ethical care within legal standards of practice Provide consistent and comparable care regardless of the setting Evaluate the patient’s progress toward attaining outcomes Transfer care as appropriate Delegate tasks as appropriate according to the state Nurse Practice Act Document nursing care Collaborate effectively with other disciplines as appropriate Participate in quality review and performance improvement projects Participate in the performance appraisal process Use problem-solving and conflict resolution skills to foster effective work relationships with team members Maintain required competencies Attend required meetings and education sessions Act as a patient advocate and maintain privacy of all appropriate information Requires taking scheduled call to handle surgical emergencies Requires doing PACU cases as needed 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 Other duties, as assigned, that are relevant to the position and department *DECH is an equal opportunity employer. Requirements MINIMUM REQUIREMENTS Graduate from an accredited school of nursing Current registered nurse licensure in the state of Maine Basic Life Support Certification required For PACU: Advanced Cardiac Life Support Certification (ACLS) required for all full time/part time employees: (may obtain within 6 months of hire); For PACU: Pediatric Advanced Cardiac Life Support Certification (PALS) required for all full time/part time employees: (may obtain within 12 months of hire); At least 1 year medical/surgical or perioperative experience Basic Computer Skills CNOR preferred 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 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.
Description ESSENTIAL JOB FUNCTIONS Monday-Friday 8am to 4:30pm 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 SUMMARY AND SCOPE 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.
Description SIGN ON BONUS 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.
