Healthcare Careers’ Post

Registered Nurse - Cardiology - Kingsport, Tennessee APPLY HERE ->https://lnkd.in/gaY_SJiy **Description** Completes assessments as established by scope of practice and unit standards. Addresses physical, psychological, social, cultural, and spiritual needs of patient and family throughout the continuum of care. Documents all assessment and care provided in electronic medical record. Formulates coordinates, and provides care as established in unit standards including patient and family education, family needs, and discharge planning throughout hospitalization with members of interdisciplinary team. Provides direct patient care including treatments, medications and diagnostic studies according to policy and procedure. Prepares patients for procedures, which includes but is not limited to, initial patient assessment, procedure site prep, insertion of intravenous lines, and patient education. Provide post-procedural care, which includes but is not limited to, patient assessment, monitoring of vital signs and procedural site, patient education, and ensuring that discharge criteria has been met and communicated to advanced practitioner and physician. Makes assignments in collaboration with other team members. Directs and alters assignments in response to changes in patient situations. Delegates on the basis of skill, expertise, and time availability of the team member, acuity, and needs of the patient. Problem solves, troubleshoots, and takes corrective measures in care and handling of equipment. Provides input to the manager for performance appraisal in area of goal development and peer performance. Assumes responsibility for identifying processes or systems that could potentially lead to errors and adverse events. Precepts new staff as required. Performs appropriate billing for services rendered or equipment used as related to Cardiac Recovery Suite. Provides support to clinical trials and research projects. Monitors conscious sedation patients until recovery is complete. Assists in the development of educational programs and procedures. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.

Registered Nurse - Cardiology - Johnson City, Tennessee APPLY HERE ->https://lnkd.in/gFViSmgC **Description** Completes assessments as established by scope of practice and unit standards. Addresses physical, psychological, social, cultural, and spiritual needs of patient and family throughout the continuum of care. Documents all assessment and care provided in electronic medical record. Formulates coordinates, and provides care as established in unit standards including patient and family education, family needs, and discharge planning throughout hospitalization with members of interdisciplinary team. Provides direct patient care including treatments, medications and diagnostic studies according to policy and procedure. Prepares patients for procedures, which includes but is not limited to, initial patient assessment, procedure site prep, insertion of intravenous lines, and patient education. Provide post-procedural care, which includes but is not limited to, patient assessment, monitoring of vital signs and procedural site, patient education, and ensuring that discharge criteria has been met and communicated to advanced practitioner and physician. Makes assignments in collaboration with other team members. Directs and alters assignments in response to changes in patient situations. Delegates on the basis of skill, expertise, and time availability of the team member, acuity, and needs of the patient. Problem solves, troubleshoots, and takes corrective measures in care and handling of equipment. Provides input to the manager for performance appraisal in area of goal development and peer performance. Assumes responsibility for identifying processes or systems that could potentially lead to errors and adverse events. Precepts new staff as required. Performs appropriate billing for services rendered or equipment used as related to Cardiac Recovery Suite. Provides support to clinical trials and research projects. Monitors conscious sedation patients until recovery is complete. Assists in the development of educational programs and procedures. Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.

Still a core part of my nursing philosophy today.

The InSee is a reusable and programmable smart sensor technology that attaches to existing disposable Incentive Spirometers to enhance patient adherence to sustained maximal inspiration therapy. Over 2 million Incentive Spirometers are dispensed annually to improve better lung function and clear the airways thus helping prevent atelectasis and pneumonia in hospitalized patients. Research has shown that the main challenge with conventional Incentive Spirometry is the lack of patient compliance. And, with no way to quantifiably monitor patient compliance, it’s difficult to identify patients at the highest risk for pneumonia. In a comprehensive survey study of clinicians members of the American Association for Respiratory Care (AARC), the Academy of Medical-Surgical Nurses (AMSN), the American Society of Peri-Anesthesia Nurses (ASPAN), and the American Association of Critical-Care Nurses (AACN) and Academy of Medical-Surgical Nurses (AMSN), 86% of believe that patient IS adherence is poor and 95.4% believed that IS adherence should be improved. Additionally, recent studies have shown that adding "patient-reminders" and "nurse-guidance" to IS therapy significantly improved patient compliance leading to reductions in atelectasis, hypoxic events, and ICU length of stay.  With InSee, the Respiratory Therapist or Nurse can program the patient's Incentive Spirometry protocol (goal volume and repetition) and the system coaches the patient in their absence to ensure the patient is compliant. Furthermore, InSee continuously tracks patient compliance and max tidal volume empowering clinicians' decision-making with objective data that allows them to identify high-risk patients.  The InSee Smart Incentive Spirometry System may assist in treating respiratory conditions and improve clinical outcomes by monitoring and encouraging more frequent and consistent usage of the incentive spirometer, without reliance on the presence of the healthcare provider or reliance on the patient's memory and reporting for use of the spirometer. #respiratorytherapy #pneumonia #incentivespirometry

A-F Bundle Part 6️⃣ E is for… Early Mobility! This is my favorite element of the Society of Critical Care medicine’s A-F Bundle. I love it so much I’m on a team striving to improve early mobility on my unit. I could talk forever about this topic but I’ll keep it simple today 😉 Early mobility of critically ill patients is shown to have a wide range of positive outcomes. To name a few: 🏃♀️ decreased delirium, complications, pain, ventilator days, hospital days 🏃♀️ increased wellbeing, cognition, lung recruitment A daily mobility goal should be set for each patient based on clinical status and resources. John Hopkins has a wonderful scale depicted below we use at my facility to clarify the goal. To determine the most therapeutic and safest goal for each patient, ask the following questions: 🧠 Neuro: How alert is my patient? Are they weak or deconditioned? 💓 Cardiac: Are they hemodynamically stable or on vasopressors? 💨 Pulmonary: What are their oxygen needs? Are vented or trached? ⛔ Lines/Drains: Where are these at? Are the painful? Loose? Tangled? 👩⚕️ Staffing: Who’s qualified and available to help? PT and RT? Just because a patient is vented or connected to a device, does not mean they can’t be mobilized. The CVICU at my facility is incredible at getting patients up. When our mobility team asked why the unit is so successful, the nurses pointed to the surgeons, saying they expect EVERY stable patient to be in the chair by 6am – regardless of device, line, or tube. It takes time and a team effort but any movement counts! What experiences do you have with mobilizing your patients? 🔽 🔽 🔽 ------------------------------------------------------------------------------------ Red Rose Legal Nurse Consulting is here for all your medical review needs. Feel free to reach out. 🌹 Hannah 🌹 [email protected] 🌹 (717) 940-3717

We know colonoscopy screening saves lives. So, why are many people afraid of getting one? "Not having knowledge of the procedure can make patients fearful, and they will frequently express anxiety to us about it," explains Melissa Michael, RN, BSN, GI Resource Coordinator, Center for Digestive Diseases. "Patients will ask questions such as: “Will I wake up during the procedure?” “Will I have pain?” “What if you find something bad?” "Patients may have also heard of a bad experience during a family member or friend's procedure which heightens their anxiety. This is when communication from a cheerful, compassionate, and competent GI nurse is the key to calming them. Education begins during pre-op because when patients understand the process from beginning to end, it helps reduce the fear of the unknown. The patient has the opportunity to speak with the GI nurse, anesthesiologist, anesthetist, and the physician prior to undergoing anesthesia. We always want our patients to feel confident that they have been heard. "There are also some simple things we do that helps put our patients at ease—assuring them that bathrooms are accessible, giving them a warm blanket, and turning down the lights to avoid glare." More at https://lnkd.in/e-xrQjyy

#hiring *Registered Nurse (RN) - Cardiac Cath Lab, FT, Days*, Greenville, *United States*, fulltime #jobs #jobseekers #careers #Greenvillejobs #SouthCarolinajobs #HealthcareMedical *Apply*: https://lnkd.in/g6nAmrYU Inspire health. Serve with compassion. Be the difference. Job Summary Provides clinical direction for all aspects of patient care, specifically diagnostic and interventional Cardiovascular procedures. Supports the procedural team as circulator providing moderate sedation, scrubbing with the physician table side or monitoring and documenting the case. Maintains competency in each role, utilizing evidence-based practices and research consistent with an acute care registered nurse. Performs procedures effectively during call back. Exercises appropriate judgement utilizing resources. Sign-On Bonus This position is bonus eligible. Follow this link for details. Accountabilities Incumbents may be required to perform other job related tasks other than those specifically presented in this job description. The following is not an exhaustive list of responsibilities. This list of essential duties and responsibilities is intended to provide a representative summary of the major duties and responsibilities performed. Patient Assessment - Completes direct patient pre-procedure assessment for sedation. Reports and documents findings. Gathers pertinent records needed for procedures such as: History and Physical, Lab reports, and Medication Record. Anticipates and/or predicts changes and modifies any care delivered to best meet the needs of the patient. - 15% Circulating - Completes and maintains annual departmental competencies. Performs inpatient/outpatient treatment procedures and physician orders. Operates applicable hospital equipment. Takes immediate and appropriate action in life threatening emergencies and/ or crisis situations. Adheres to radiation safety guidelines. Performs point of care testing. - 15% Communication - Communicates appropriately. Functions as a team player demonstrating willingness to help whenever necessary, displaying a positive image of the department and Prisma Health. Utilizes SBAR communication tools. Ensures physician is informed of all pertinent patient information. - 5% Documentation - Follows Prisma Health guidelines for nursing documentation. Performs sedation documentation per Prisma Health policy. Creates and maintains Cath Lab/ Mac lab patient records in Epic EMR. Documents procedures and patient care which reflect treatment. - 10% Education - Ensures that the patient understands and consents to procedures to be performed; contact physician performing procedure as needed. Ensures that the patient and family are well informed; fulling explaining time frames to family members. Maintains BLS/ACLS certification. - 10% Organizational Skill - Demonstrates organizational ability by using time/equipment/resources effectively. Recog

Virtual nurses can be deployed within different hospital units to  help improve #patientsafety and experience. Read on to learn about  #VirtualNursing's impact in the ICU, the ED, Cardiology, and more!   https://lnkd.in/dTUTmjbm   #HybridCare #CareTeamOfTheFuture

A colleague, Karen Fennell posted on the inequitable treatment and penalties meted out to nurses when compared to physician with similar medical errors as discussed in an Alan Nash post. As l was researching a response, l came across this recent NYT article on a physician with a history of unreported and underreported medical errors. And it was only after a public protest, followed by a federal report, that the board of medicine pursued disciplinary action against Dr. Dmitry Shelchkov. Boards of Medicine bring a differing perspective to discipline. Although Boards of Nursing differ, most approach discipline by the book. They discipline strictly based on their interpretation of the state practice act, whereas Boards of Medicine look beyond the infraction to the career of the physician.Maybe that is why Dr. Shelchkov kept evading review and discipline. Maybe it was the problem with the documentation system. As reported in the NY Times, physicians had to manually submit their notes because of problems with the system. According to the Board of Medicine investigation, this deficit led to avoidance of discipline. Why didn't someone speak up? Clearly others knew about the physician's limitations - they spoke to such at the disciplinary hearing. Or sadly, was it his client base - poor, black and Hispanic women at a public hospital? Did these women deserve substandard care? Whatever, if all things equal, any physician with five adverse incidents, multiple patient complications clearly arising out of deficiencies in practice would have been reported and this physician removed. There are links in the article to the Board of Medicine order. The link to the federal report takes one to a removed report. A Deadly Epidural, Delivered by a Doctor With a History of Mistakes https://lnkd.in/eqmeyAaQ

In pulmonology clinic last week, we (my preceptor and I) had to send a patient to the Emergency Room. In the outpatient world we are tasked with doing everything within our power to prevent it. We house our own imaging, lab work, and treatment options to keep patients out of the emergency room or hospital. She definitely did not want to go. So we did what nurses do, we educated. We showed her that she didn't need oxygen at rest three weeks ago, but now needed 4L and was still short of breath. We discussed the list of antibiotics that she had been on in the last four weeks. One from 'us,' and two from two different urgent care visits prior to our appointment. Today, we received the results of her sputum culture. Within fifteen minutes of lab notification, we had connected with her daughter (medical decision maker), who then gave us the information of which unit she was admitted to. To complete the cycle of care, we connected with her primary nurse, faxed the result report, and encouraged their pulmonologist to contact us with any questions. 1) Quickly recognized trends of patient's worsening oxygenation status and escalated care appropriately. 2) Prevented a delay in care by passing along culture results which allows the current provider to modify antibiotic coverage for her specific organisms. 3) Maintained a positive relationship with the patient and their family by keeping them informed. Here for all of your legal nurse needs! Bailey [email protected]