| Summary:
The team member’s Number One job responsibility is to deliver the most remarkable patient experience, in every dimension, every time, and understands how to contribute to the health system’s vision of achieving that commitment to patients and families. At Novant Health, people are our business. We treat each other with respect and compassion. We embrace the differences in our strengths while fostering an environment of inclusion, empowerment, inspiration and courage. The team member will use Novant Health’s First Do No Harm (NHFDNH) safety behaviors/error prevention tools and high reliability strategies as appropriate to ensure a safe, remarkable patient experience. Professional Nursing Resource Team (PNRT) RNs are responsible for providing safe, continuous quality patient care in a variety of settings. The PNRT RN is part of a market based nursing resource team that is assigned to varying units during their shift to ensure that patient care needs are met within the assigned facility. These RNs possess the skills, competency and qualifications, as well as a requirement to work in at least 3 facilities within a defined market: Greater Charlotte (GCM) or Greater WinstonSalem (GWSM). This group shall be known as the Local Resource Team - RN. PNRT RNs: Are experienced, proficient nurses within their specialty (medical/surgical, telemetry, critical/intermediate care, behavioral health, emergency or women's services) Demonstrate independence, rule consciousness, social boldness, and change readiness. Exhibit a strong commitment to professional nursing standards and inter-professional collaboration Are early adopters of Novant Health systems, technology, and workflows Serve as reliable consultants and mentors to clinical nurses Share lessons across teams to advance the practice of nursing throughout Novant Health.
Responsibilities:
Essential Functions • Assessment: Demonstrates refined assessment skills to collaboratively discover the patient's story, integrating the following elements: subjective data, objective data, physical picture, psychosocial components, personal preferences and norms, and learning needs and preferences. Must be able to utilize an ongoing process to interpret data and recognize patterns and trends to determine both immediate and future care needs. • Planning: Dialogues with the patient/chosen support system to identify what is important to them and incorporate his/her preferences and norms into the individualized care plan. Engages the interdisciplinary care team in planning individualized care. Identifies relevant resources based on necessity and availability. Determines immediate needs and establish realistic short term and long term goals based on desired outcomes. Prioritizes interventions to advance the patient toward optimal health or a comforting peaceful death. Constantly considers ongoing modification of care plan based on patient’s needs, capabilities and condition. • Implementation of Interdisciplinary Plan of Care: Acts with patient advocacy at the core of nursing care when implementing the interdisciplinary plan of care. Collaborates with healthcare team to educate patients and their support system. Analyzes, modifies and implements strategies to progress the patient through their plan of care. Ensures completion of nursing interventions, medical orders, and other related therapies. Possesses the ability to prioritize job duties according to patients' needs and changing acuity levels. Administer and evaluate medication therapies, performs patient transfers and transport patients via wheelchair, hospital bed, or stretcher to other departments. Ability to lift and carry various equipment including portable cardiac monitors, bedside commodes, etc. Ability to provide routine nursing care such as start IV's, perform dressing changes, etc. to multiple patients in a timely manner. Ability to perform in critical situations, including administering CPR. • Evaluation: Continuously assesses patient’s progress towards goals and outcomes. Seeks input from patient and their chosen support system regarding progress toward goals. Analyzes and modifies plan of care with patient and interdisciplinary team as indicated to achieve desired outcomes. • Communication and Documentation: Communicates individualized plan of care and patient's progress toward goals to all members of the care team including the patient and his/her chosen support system. Consistently utilizes appropriate communication tools such as Situation, Background, Assessment, Recommendation, and Question (SBARQ) when communicating within the interdisciplinary team and when handing off patient care. Documents appropriate information within a timely manner. • Delegation: Appropriately delegates to ensure the implementation of the plan of care while ensuring patient safety, considering the nature of the task, competence of the delegate, and the patient’s response. Demonstrates commitment to quality patient care by holding self and others accountable for optimal role performance. Professional Accountability/Evidence Based Practice: Demonstrates independence in the foundation of nursing care practice within the specialty. Practice according to your states Nurse Practice Act, ANA Code of Ethics and ANA Bill of Rights. Seeks involvement in Shared Governance through council participation and/or by staying current with council activities. Identifies opportunities for process improvement, evidence based practice and research. Demonstrates the utilization of evidence based practice in nursing process. Engage in self-reflection and develop personal goals to enhance knowledge, obtain professional certification or pursue academic degree. Integrate gained knowledge into practice. Maintain a professional portfolio. • Teamwork: Develops and maintains positive relationships with team members/internal customers. Consistently demonstrates a willingness to adjust activities to accommodate the needs of team members/internal customers. Develops team members through mentoring, precepting and orientation. Resolves conflict independently, as appropriate. Accepts responsibility for actions and acts positively upon feedback from others. • Clinical resource: Serves as a knowledgeable mentor for unit staff regarding Novant Health policies, procedures, workflows, documentation, and technology. Completes required education early in an effort to support clinical staff in learning and adopting new initiatives. Participates in go-live support as determined by P-NRT leadership. Identifies clinical and cultural gaps within assigned units and shares findings with leaders. Imparts positivity and compassion in all interactions to foster trust and promote growth and development of all team members. • Sub Category Specific: • Critical Care Specific: Hemodynamic monitoring, ventilator management, sedation and delirium management, continuous renal replacement therapy, hypothermia management, vasoactive medication management, cardiac rhythm interpretation and management, management of code blue, infection prevention management related to central lines, ventilators, foley catheters and pressure ulcers. Management of patient with neurological, pulmonary, cardiovascular, immunological, renal, and or gastrointestinal insufficiencies. Management of patients experiencing multi-organ dysfunction related to sepsis/septic shock. May serves as a mentor/coach, a code blue leader and/or RRT responder. • Emergency Services Specific: Management of patients experiencing neurological, pulmonary, cardiovascular, musculoskeletal, immunological, endocrine, genitourinary, obstetrical, gynecological and gastrointestinal emergencies. Management of patients experiencing multi-organ dysfunction related to shock. Hypothermia management, vasoactive medication management, cardiac rhythm interpretation and management, management of code blue, infection prevention management related to central lines, ventilators, foley catheters and pressure ulcers. May serve as a mentor/coach, charge and code blue leader. • Behavioral Health Specific: Facilitate groups, including but not limited to Medication education, diagnosis education, life skills groups, 1 to 1 therapeutic interactions with patients and participation in treatment team. Knowledge of psychiatric medications, side effects and treatment interventions, knowledge of psychiatric diagnosis, mental health concepts, and evidence based therapeutic interventions and treatments. Ability to establish and maintain control of violent patients, defend self and others against violent assaults, ability to react appropriately in psychiatric crisis, ability to use violent and non-violent restraints per policy and procedure. Ability to comprehend policies and procedures plus ability to lead and influence others and collaborate with others in an interdisciplinary team. Ability to intervene in a therapeutic manner for behavior patterns demonstrated by patients with a mental illness, personality disorder, substance abuse or developmental disabilities. All other duties as assigned. |
