The Hospice RN Weekender reports to the Team Manager. He/she is responsible for identifying patient/family care needs, and for providing nursing and supportive care for the terminally ill patient and their families. Education: Diploma, ADN and/or BSN from an accredited institution Licensures/Certifications: • Current Maryland State license as a Registered Nurse Experience: One to two years of nursing. Home Health or Hospice experience preferred. Skills: • Knowledgeable of universal precautions for infection control and practices safe nursing standards for self protection • Strong time management skills • Excellent interpersonal and communication skills • Ability to be patient and family focused • Skill in the use of EMR (Electronic Medical Record) and/or ability to learn • Skill in the use of Blackberry and portable computer Principal Duties and Responsibilities: • Completes initial assessment of patient and family to ascertain home care needs - including physical, emotional, spiritual and mental status. • Prepares and implements the care plan for patient/family unit in cooperation with the Interdisciplinary Group. • Provides direct nursing care to patients in order to maintain highest level of care for the patient in conjunction with the primary physician. • Cooperates with Clinical Team Leader in utilization of other team members, outside agencies, and community resources. Updates primary physician when necessary and regularly on a monthly basis. Updates interdisciplinary team at patient care conference • Teaches family members or hired caregivers, patient care skills, including: pain control, medication (RN titrates medication within prescribed range), injections, draws blood for labs, manages IV's, dressing changes, hygiene, nutrition, checking vital signs in accordance with orders from physician, as well as addressing emotional needs. • Ensures that arrangements for equipment necessary in the home setting are made available. • Attends to patient and family at time of patient’s death. All roles must demonstrate GBMC Values: Respect I will treat everyone with courtesy. I will foster a healing environment. Treats others with fairness, kindness, and respect for personal dignity and privacy Listens and responds appropriately to others’ needs, feelings, and capabilities Excellence I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others. Meets and/or exceeds customer expectations Actively pursues learning and self-development Pays attention to detail; follows through Accountability I will be professional in the way I act, look and speak. I will take ownership to solve problems. Sets a positive, professional example for others Takes ownership of problems and does what is needed to solve them Appropriately plans and utilizes required resources for various job duties Reports to work regularly and on time Teamwork I will be engaged and collaborative. I will keep people informed. Works cooperatively and collaboratively with others for the success of the team Addresses and resolves conflict in a positive way Seeks out the ideas of others to reach the best solutions Acknowledges and celebrates the contribution of others Ethical Behavior I will always act with honesty and integrity. I will protect the patient. Demonstrates honesty, integrity and good judgment Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers Results I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals. Embraces change and improvement in the work environment Continuously seeks to improve the quality of products/services Displays flexibility in dealing with new situations or obstacles Achieves results on time by focusing on priorities and manages time efficiently Pay Range $64,992.56 - $99,876.12 Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs. Equal Employment Opportunity GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
Under general supervision, provides direct patient care to assigned patients. Education Associate degree from an accredited School of Nursing required; BSN preferred. Bachelor’s degree required within 3 years of start date. Experience Minimum of 2 year of relevant clinical experience, preferably in long term care, hospice, palliative, or home care. Skills Ability to read, write, speak, and understand the English language. Ability to make independent decisions when circumstances warrant such action. Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. Interpersonal communication (oral and written) skills required in order to educate and comfort patients and their families, maintain effective contacts with a variety of hospital personnel, and maintain appropriate documentation records. Proficiency in developing nursing plan of care, implementing effective nursing care, and evaluating outcome of nursing intervention. Licensures, Certifications Current registration with the Maryland State Board of Examiners of Nurses as a registered nurse. Physical Requirements Ability to stand and walk almost constantly up to ninety 90% of work time and lifting and positioning patients up to fifty 50% of work time. Ability to concentrate and pay close attention to detail and often in stressful situations. Must be able to move intermittently throughout the work day. Must be able to cope with the mental and emotional stress of the position. Must be able to see and hear or use prosthetics that will enable these senses to function adequately so that the requirements of the position can be fully met. Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies to follow through with residents requests and use this information for evaluation of situation. Must meet the general health requirements set forth by the policies of this facility which include medical and physical examinations. Must be able to relate to and work well with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility. Working Conditions Normal patient care environment with possible exposure to excessive noise, dust, temperature. Exposed to adverse working conditions due to performance of patient care activities and exposure to communicable diseases. Principal Duties and Responsibilities: Utilization of Nursing Process Assessment Compiles database and formulates nursing diagnosis. Utilizes physical assessment and interviewing techniques. Anticipates need for intervention by other disciplines. Determines priorities for patient care needs or problems. Reassesses the patient as indicated by changes in condition and/ or response to treatment(s) Planning. Initiates and updates a written nursing plan of care for patients by incorporating scientific and psychosocial principles that support the nursing diagnosis. Incorporates information obtained from the Team into written nursing plan of care. Coordinates patient, family, significant other, and health team members in the planning. Implementation Performs clinical nursing skills independently. Administers medications, IV therapy and treatments appropriately and accurately. Initiates appropriate emergency procedures as necessary. Appropriately delegates and coordinates the duties of LPN & Hospice Aide staff. Communicates the patient's status and plan of care through written documentation in the patient's medical record. Verbally communicates the patient's status to physicians, nurses and other health care professionals. Communicates in a therapeutic manner with the patient, family and visitors. Applies teaching/learning principles in education of patient and family. Patient Care Coordination Manages daily patient assignment by appropriately setting priorities. Delegates responsibility appropriately and monitors the nursing care delivered to patients by ancillary personnel. Coordinates patient activities with other disciplines. Teaching and Quality Improvement Develops, documents and implements Patient Teaching and Discharge Planning Record. Participates in established patient, family, staff and/or student education program. Identifies patient care problems. Takes action or refers problems to appropriate resources when indicated. All Roles Must Demonstrate the GBMC Values: Respect Treats others with fairness, kindness, and respect for personal dignity and privacy Listens and responds appropriately to others’ needs, feelings, and capabilities Excellence Meets and/or exceeds customer expectations Actively pursues learning and self development Pays attention to detail; follows through Accountability Sets a positive, professional example for others Takes ownership of problems and does what is needed to solve them Appropriately plans and utilizes required resources for various job duties Reports to work regularly and on time Teamwork Works cooperatively and collaboratively with others for the success of the team Addresses and resolves conflict in a positive way Seeks out the ideas of others to reach the best solutions Acknowledges and celebrates the contribution of others Ethical Behavior Demonstrates honesty, integrity and good judgment Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers Results Embraces change and improvement in the work environment Continuously seeks to improve the quality of products/services Displays flexibility in dealing with new situations or obstacles Achieves results on time by focusing on priorities and manages time efficiently Pay Range $34.29 - $58.84 Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs. Equal Employment Opportunity GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
The Surgical First Assist works in collaboration with the surgeon and the health care team members to achieve optimal patient outcomes. The Surgical First Assist must have acquired the necessary knowledge, judgment, and skills specific to the expanded role of the Surgical First Assist clinical practice. Intraoperatively, practices under the direction and guidance of the surgeon and does not concurrently functions as a scrub nurse. The Surgical First Assist has the obligation and responsibility to refuse to perform any delegated act, whether oral or written, if not within the parameters of his/her defined role and licensure. Education Successful Completion of Physician assistant program or an accredited course in RNFA first assisting program that meets the ‘AORN standards’ Experience Minimum of 1 year experience. Two (2) to three (3) years experience preferred. Knowledge, Skills and Abilities Advanced knowledge of anatomy, physiology, surgical interventions, surgical techniques and surgical hazards relative to operative procedures. Advanced knowledge and skill in handling surgical instrumentation, in aiding in exposure, retraction, hemostasis, suctioning, tissue handling including dissecting, suturing, tying, stapling and stab wound. Analytical ability to conduct pre-operative and post-operative patient assessment, to evaluate physical and laboratory findings and to conduct patient teaching appropriate to age, background, psycho-social needs, medical/physical condition of the surgical patient. Ability to communicate effectively and appropriately with surgical patients and their significant others to enlist their involvement and cooperation in the entire treatment process. Ability to perform effectively in stressful and emergency situations with behaviors that are unique to functioning as a first assistant. Licensures, Certifications Current registration with the Maryland State Board of Examiners of Nurses as a Registered Nurse or Licensed as a Physician Assistant by the Maryland Board of Physicians. Healthcare Provider (CPR Certification). ACLS preferred CRNFA certification preferred (if RNFA) Principal Duties and Responsibilities Clinical competency- Provided a safe, therapeutic core by collaboration with the surgeons and healthcare team in performing a safe operation with optimal outcomes for the patient. Teamwork – Communicates effectively and works cooperatively with others. Has respect for and understanding of clinical disciplines. Uses an integrated approach toward patient outcomes. Demonstrates effective communication skills. Delegates patient care activities to other healthcare team members and redirects unit activities to patient acuity and census changes. Using evidence based practice model to works with a multidisciplinary team to implement practice changes and other initiatives in a positive and productive manner. Assists the clinical partner/charge nurse by coordinating the staff and surgery schedule and handling day-to-day issues with positive outcomes. Assists as needed with the staffing schedule coverage to meet daily department needs. Assists with room set-up, opening supplies and room turn-over. Helps with lunches and breaks. Assists with patient positioning and safe transport of patient to the PACU. Assists staff to identify learning needs and helps to educate and train as needed. Acts as a preceptor. Collaborates with the team in keeping costs under control and controls wastage in the room with regard to supplies; promotes maximum productivity. Quality/Best practices – Utilizes standards, guidelines, and pathways for care delivery. Incorporates data and information to continuously improve care and practice to enhance outcomes. Acts as a leader or participates in quality improvement process. Professional development- Ensures improvements in practice settings by assuming responsibility for self-development in life-long learning. Provides direction and guidance to others regarding practice, serves as a resource, preceptor, and mentor. Leadership skills demonstrated in decision making and problem solving. Demonstrates knowledge of procedures to which assigned. Participates in clinical decision making and modifies techniques based on clinical findings. Identifies normal and abnormal anatomy. Anticipates the needs of surgeon, steps in surgical procedure. Assesses, plans, implements, and evaluates patient care needs. Interviews the patient and family preoperatively to assess patient care needs. Collaborates with the surgical team members to plan perioperative patient care. Communicates relevant date to team members. Reports lab results, x-rays. Diagnostic tests. Discusses procedures and special techniques to be implemented during surgery. Identifies any unusual instrumentation required. Analyzes critical situations and initiates appropriate corrective or preventative action. Applies principles of aseptic technique and reports any variances. Identifies and reports safety hazards. Monitors changes in patient’s condition and reports concern to appropriate team members. Prioritizes calmly and efficiently in emergency situations. Demonstrates the following skills: Preparation of the surgical site Shaving Positioning Surgical Prepping Draping Surgical Site Exposure - under the direction and guidance by the surgeon Retraction Wound Exposure – i.e. Dissection, initial surgical incision/stab wound, secondary trocar insertion Tissue Handling Suctioning Manual dexterity in appropriate use of surgical instrumentation Hemostasis Electrosurgery Bipolar cautery Sponging Clamping Collagens Bone wax Suturing skills Knot-tying Stapling Cutting Approximation Ligating vessels Skin closure Subcuticular closure Securing wound drains Application of wound dressing Assists in post-op care and transfer of the patient from the operating room. Intra-operative phase (under the direct supervision and direction of the operating surgeon.) Positions, preps, and drapes patient. Provides hemostasis by clamping blood vessels, coagulating bleeding points, ligating vessels, and by other means as directed by the surgeon. Provides exposure through appropriate use of instruments, retractors, suctioning, and sponging techniques. Handles tissue as directed by the surgeon (i.e. dissecting, stab wound (nick) for laparoscopy surgery or drains). Performs wound closure as directed by the surgeon: sutures the peritoneum, fascia, subcutaneous tissue, and skin. Applies surgical dressings. Physical Requirements Ability to stand and walk almost constantly up to ninety (90) percent of work time. Working Conditions Works in surgical suites with exposure to anesthesia gases, lasers and surgical plume, radiation chemicals, blood and body fluids, cleaning solutions, surgical brushes and soap. Conditions of Employment Must maintain current licensure and certification. All roles must demonstrate GBMC Values GBMC Values Value Description Respect I will treat everyone with courtesy. I will foster a healing environment. Treats others with fairness, kindness, and respect for personal dignity and privacy Listens and responds appropriately to others’ needs, feelings, and capabilities Excellence I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others. Meets and/or exceeds customer expectations Actively pursues learning and self-development Pays attention to detail; follows through Accountability I will be professional in the way I act, look and speak. I will take ownership to solve problems. Sets a positive, professional example for others Takes ownership of problems and does what is needed to solve them Appropriately plans and utilizes required resources for various job duties Reports to work regularly and on time Teamwork I will be engaged and collaborative. I will keep people informed. Works cooperatively and collaboratively with others for the success of the team Addresses and resolves conflict in a positive way Seeks out the ideas of others to reach the best solutions Acknowledges and celebrates the contribution of others Ethical Behavior I will always act with honesty and integrity. I will protect the patient. Demonstrates honesty, integrity and good judgment Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers Results I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals. Embraces change and improvement in the work environment Continuously seeks to improve the quality of products/services Displays flexibility in dealing with new situations or obstacles Achieves results on time by focusing on priorities and manages time efficiently Pay Range $80,363.74 - $133,809.65 Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs. Equal Employment Opportunity GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
The Hospice Admissions Nurse reports to the Admissions Team Manager. The Hospice Admissions Nurse assesses patients in their place of residence or in hospitals and prepares the patient for entry into the spectrum of services provided by Gilchrist Hospice Care. The Hospice Admissions Nurse serves also as ambassador for Gilchrist Hospice Care within the service area. Education: Diploma, ADN and/or BSN from an accredited institution Licensures/Certifications: Current MD nursing license. Experience: Three years of nursing. Home Health or Hospice experience preferred but not required. Skills: • Knowledgeable of universal precautions for infection control and practices safe nursing standards for self protection • Strong time management skills and the ability to function with a changing daily schedule. • Excellent interpersonal and communication skills • Ability to be patient and family focused and provide patient/caregiver education • Skill in the use of EMR (Electronic Medical Record) Principal Duties and Responsibilities: • Completes initial assessment of patient and family/caregivers to ascertain Hospice eligibility and needs - including physical, emotional, spiritual and mental status. • Prepares and implements the initial care plan for patient/family unit with Medical Director approval. • Provides direct nursing care to patients in order to maintain highest level of care. • Inform Team Leader of utilization of other team members, outside agencies, and community resources upon initial assessment findings. • Document clinical findings to assure initial hospice eligibility and participate in discharge planning when necessary working with relevant patient care, social services, and other departments. • Teaches family members or hired caregivers, patient care skills, including: pain control, medication (RN titrates medication within prescribed range), injections, draws blood for labs, manages IV's, dressing changes, hygiene, nutrition, checking vital signs in accordance with orders from physician • Ensures that arrangements for equipment necessary in the home setting are made available. • Attends to patient and family at time of patient’s death if it occurs at the time of visit. • Participates in Admissions department projects and process improvement strategies. • Establishes and maintains effective working relationships with all possible Hospice referral sources in the service area. Meet with healthcare administrators representing Gilchrist Hospice Care within the community. • Obtain necessary consents in accordance with applicable regulations & reimbursement policies. All roles must demonstrate GBMC Values: Respect I will treat everyone with courtesy. I will foster a healing environment. · Treats others with fairness, kindness, and respect for personal dignity and privacy · Listens and responds appropriately to others’ needs, feelings, and capabilities Excellence I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others. · Meets and/or exceeds customer expectations · Actively pursues learning and self-development · Pays attention to detail; follows through Accountability I will be professional in the way I act, look and speak. I will take ownership to solve problems. · Sets a positive, professional example for others · Takes ownership of problems and does what is needed to solve them · Appropriately plans and utilizes required resources for various job duties · Reports to work regularly and on time Teamwork I will be engaged and collaborative. I will keep people informed. · Works cooperatively and collaboratively with others for the success of the team · Addresses and resolves conflict in a positive way · Seeks out the ideas of others to reach the best solutions · Acknowledges and celebrates the contribution of others Ethical Behavior I will always act with honesty and integrity. I will protect the patient. · Demonstrates honesty, integrity and good judgment · Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers Results I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals. · Embraces change and improvement in the work environment · Continuously seeks to improve the quality of products/services · Displays flexibility in dealing with new situations or obstacles · Achieves results on time by focusing on priorities and manages time efficiently Pay Range $64,992.56 - $99,876.12 Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs. Equal Employment Opportunity Gilchrist Inova and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
Serving Anne Arundel and Prince George's Co. The Hospice Admissions Nurse reports to the Admissions Team Manager. The Hospice Admissions Nurse assesses patients in their place of residence or in hospitals and prepares the patient for entry into the spectrum of services provided by Gilchrist Hospice Care. The Hospice Admissions Nurse serves also as ambassador for Gilchrist Hospice Care within the service area. Education: Diploma, ADN and/or BSN from an accredited institution Licensures/Certifications: Current MD nursing license. Experience: Three years of nursing. Home Health or Hospice experience preferred but not required. Skills: • Knowledgeable of universal precautions for infection control and practices safe nursing standards for self protection • Strong time management skills and the ability to function with a changing daily schedule. • Excellent interpersonal and communication skills • Ability to be patient and family focused and provide patient/caregiver education • Skill in the use of EMR (Electronic Medical Record) Principal Duties and Responsibilities: • Completes initial assessment of patient and family/caregivers to ascertain Hospice eligibility and needs - including physical, emotional, spiritual and mental status. • Prepares and implements the initial care plan for patient/family unit with Medical Director approval. • Provides direct nursing care to patients in order to maintain highest level of care. • Inform Team Leader of utilization of other team members, outside agencies, and community resources upon initial assessment findings. • Document clinical findings to assure initial hospice eligibility and participate in discharge planning when necessary working with relevant patient care, social services, and other departments. • Teaches family members or hired caregivers, patient care skills, including: pain control, medication (RN titrates medication within prescribed range), injections, draws blood for labs, manages IV's, dressing changes, hygiene, nutrition, checking vital signs in accordance with orders from physician • Ensures that arrangements for equipment necessary in the home setting are made available. • Attends to patient and family at time of patient’s death if it occurs at the time of visit. • Participates in Admissions department projects and process improvement strategies. • Establishes and maintains effective working relationships with all possible Hospice referral sources in the service area. Meet with healthcare administrators representing Gilchrist Hospice Care within the community. • Obtain necessary consents in accordance with applicable regulations & reimbursement policies. All roles must demonstrate GBMC Values: Respect I will treat everyone with courtesy. I will foster a healing environment. · Treats others with fairness, kindness, and respect for personal dignity and privacy · Listens and responds appropriately to others’ needs, feelings, and capabilities Excellence I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others. · Meets and/or exceeds customer expectations · Actively pursues learning and self-development · Pays attention to detail; follows through Accountability I will be professional in the way I act, look and speak. I will take ownership to solve problems. · Sets a positive, professional example for others · Takes ownership of problems and does what is needed to solve them · Appropriately plans and utilizes required resources for various job duties · Reports to work regularly and on time Teamwork I will be engaged and collaborative. I will keep people informed. · Works cooperatively and collaboratively with others for the success of the team · Addresses and resolves conflict in a positive way · Seeks out the ideas of others to reach the best solutions · Acknowledges and celebrates the contribution of others Ethical Behavior I will always act with honesty and integrity. I will protect the patient. · Demonstrates honesty, integrity and good judgment · Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers Results I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals. · Embraces change and improvement in the work environment · Continuously seeks to improve the quality of products/services · Displays flexibility in dealing with new situations or obstacles · Achieves results on time by focusing on priorities and manages time efficiently Pay Range Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs. Equal Employment Opportunity Gilchrist Inova and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
