Presbyterian Healthcare Services
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RN - URGENT CARE
at Presbyterian Healthcare Services
- Requisition ID
- Default: Location : City
- Location : Name
- PMG - Paradise Hills
- Default: Location : State/Province (Full Name)
- New Mexico
Type of Opportunity: Part Time (.45 to .89)
Work Schedule: Varied Days and Hours
Provides patient care in an urgent care setting in collaboration with Medical Providers and other members of the care team. Oversees departmental flow to ensure quality care is provided. Acts as a resource person and professional role model for other members of the healthcare team.
*Determines patient acuity and makes placement decisions for patients who are not able to be roomed on arrival.
*Identifies patient visit preparation needs based on patient preparation guidelines to include initiating POCT and radiology tests in collaboration with medical provider.
*Coordinates patients care through collaboration with the patient, family and healthcare team.
*Delegates patient care activities to healthcare team members commensurate with their validated competency to perform the task.
*Assists with treatments and administers medication within protocols approved by medical staff and as ordered by medical provider.
*Assists in orientation of new staff or students, and serve as a resource person and professional role model.
*Maintains oversight of departmental flow and patient care in the Urgent Care setting.
*Works to the level of licensure or education providing direct patient care.
*Assists Providers with various procedures.
*Assist in patient transfers to higher level of care, as order by medical provider.
*Performs testing such as oximetry, ECG, glucometry, POCT, urinalysis and other tests.
*May be assigned to Code Blue Team.
*Operates patient monitoring systems specific to unit needs (such as, cardiac monitoring).
*Uses computerized systems at the skill level commensurate with the responsibilities included in this description.
*Insures cleanliness of nutrition areas and general unit. Cleans and stores equipment. Empties trash, linen bags and sharps containers.
*Attends department staff meetings and/or in-services and keeps current with developments in the field through participation in seminars, workshops and/or publications. Participates in and endorses the established Presbyterian Healthcare Services (PHS) patient satisfaction programs
*Maintains positive communications and collaboration with staff and providers regarding patient status and/or problems.
*Organizes care in a manner that contributes to the overall quality of the team.
*Performs other functions as required and/or under medical direction.
Licensure: State of New Mexico or Compact State Nursing License or Graduate Nurse Permit required
*Degree from accredited academic nursing program (If a program is under conditional status, approval may be granted by system CNO)
*Minimum ADN preparation with expectation of BSN completion within 5 years of hire
* BLS within 90 days of hire
* Associate Degree
* Registered Nurse-NM
Competencies and skills:
* SKILL-Ability to effectively interact with customers to understand their needs and explain data
* SKILL-Microsoft Office
* Caring Practices: Incorporates nursing activities that create a compassionate, supportive and therapeutic environment for patients and significant others with the aim of promoting comfort and healing and preventing unnecessary suffering or harm.
Critical Elements and Performance Expectations of Caring Practices Competency
* Ensures an Exceptional Patient Experience (EPE) by applying EPE principles and practices (e.g. comfort rounding, AIDET, First Touch, Service Recovery, etc.).
* Interacts with patients, significant others, and other health care team members incorporating listening skills and respectful, timely and collaborative communication.
* Communicates and interacts with patients and significant others in a compassionate, non-judging, empathetic manner.
* Clinical Inquiry: Uses evidence-based guidelines and protocols along with critical thinking, nursing research and evaluation skills to support nursing practice.
Critical Elements and Performance Expectations of Clinical Inquiry Competency
* Utilizes Healthy Planet-Care Management Reports to identify gaps in patient care, takes action based on protocol, and performs patient outreach to discuss individualized plan of care.
* Supports identified process/quality improvement initiatives, and incorporates them into nursing practice.
* Actively participates in the deployment of new initiatives, adopts practice changes, and serves as a resource to the care team.
* Clinical Judgment and Action: Utilizes clinical reasoning which includes global grasp of situations, critical thinking, decision making, critical actions, priority setting, and escalation of concerns with associated knowledge, skills, and evidence-based guidelines in managing care of patients.
Critical Elements and Performance Expectations of Clinical Judgment Competency
* Incorporates service line adopted evidence-based principles and guidelines (e.g. Advanced Access, Patient-Centered Medical Home, etc.) in providing safe, timely, effective, efficient, equitable, and patient-centered care to patient populations.
* Utilizes appropriate evidence-based guidelines and protocols for health promotion and disease management to improve health outcomes for identified patient populations.
* Utilizes approved telephone triage protocols to assess patient needs, determine disposition, and provide care advice when indicated.
* Utilizes approved Rx Refill protocols to take action on patient requests for medication refill(s) as an agent of the provider.
* Demonstrates critical thinking that results in good decision making and appropriate actions to obtain desired outcomes.
* Anticipates, recognizes, and responds to changes in patient's condition.
* Utilizes patient safety and infection control practices (e.g. red rules, approved protocols, policies & procedures, etc.) to prevent risks and achieve quality outcomes.
* Follows accepted standards for administering medications, performing procedures, using equipment, and providing care safely.
* Collaboration: Communicates and collaborates with the patient and significant others and interprofessional team to promote optimal and realistic goals and outcomes.
Critical Elements and Performance Expectations of Collaboration Competency
* Collaborates with interprofessional care team to coordinate care interventions that meet patient needs.
* Appropriately delegates functions to other team members and monitors delegated care for completion and desired results.
* Incorporates appropriate, safe and timely handoffs of patient care using accepted tools and standards (e.g. SBAR)
* Facilitation of Learning: Fosters patient and significant others learning to promote self-care using both formal and informal processes to create an appropriate level of understanding. Contributes to the orientation and professional growth of colleagues.
Critical Elements and Performance Expectations of Facilitation of Learning Competency
* Prepares patient and significant others for after visit care by providing timely, need-based education using identified resources to ensure safety and continuity of care.
* Provides patient education and health coaching to promote self-management for disease management.
* Uses available resources within system to enhance individual learning and advancement of nursing practice.
* Contributes to the orientation and professional growth of colleagues.
* Patient Advocacy: Works on behalf of patients and significant others representing their concerns and helping resolve ethical and clinical issues that impact the patient's situation.
Critical Elements and Performance Expectations of Patient Advocacy Competency:
* Maintains patient confidentiality of personal and medical information.
* Identifies and resolves ethical and clinical issues in collaboration with healthcare team.
* Advocates for patient's needs, values, and goals.
* Upholds patient rights and responsibilities.
* Response to Diversity: Uses holistic body, mind, spirit approach in provision of care by recognizing, appreciating, and incorporating cultural, spiritual, gender, race, ethnicity, lifestyle, socioeconomic, age, and value differences in practice.
Critical Elements and Performance Expectations of Diversity Competency
* Uses established resources/vendors to provide communication / medical interpretation services to patient population as needed.
* Consistently provides care to populations served with appreciation for diversity elements as designated above.
* Systems Thinking: Effectively manages and uses environmental and system resources across the healthcare system and community to provide safe, efficient, and timely care to meet patient and significant other's needs.
Critical Elements and Performance Expectations of Systems Thinking Competency
* Incorporates evidence-based policies, procedures, protocols and standards of care to guide nursing practice.
* Integrates patient safety technology and tools to optimize a safe patient environment.
* Demonstrates ability to initiate, maintain, troubleshoot, and discontinue patient care equipment safely and effectively.
* Incorporates designed workflows for optimal utilization of electronic health record and accurate and timely documentation of care.
* SKILL-Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, and physician office staff using strong dialogue and customer service competencies.
* SKILL-Written communication
Benefits are effective day-one (for .45 FTE and above) and include:
- Competitive salaries
- Full medical, dental and vision insurance
- Flexible spending accounts (FSAs)
- Free wellness programs
- Paid time off (PTO)
- Retirement plans, including matching employer contributions
- Continuing education and career development opportunities
- Life insurance and short/long term disability programs
Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.
Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.
We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.
About New Mexico
New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.
Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.
New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.