RN III Nurse - Gastroenterology / Family Care Coordination

Washington, District of Columbia
Oct 30, 2017
Nov 29, 2017
Gastroenterology, Other
Contract Type
Full Time
6EN is a 12 bed Intestinal Rehabilitation and Gastroenterology Unit. This unit provides inpatient services mainly to the intestinal rehab population but also to other gastrointestinal patients with diagnosis such as Ulcerative Colitis and Crohn’s disease and acute and chronic liver failure. Intestinal failure is characterized by the inability of the bowel to maintain adequate absorption of fluids and nutrients, and without treatment it is life threatening. This very complex condition requires a multidisciplinary approach from physicians, nursing, social work, surgeons, child life, and case management. Patients have ostomies, central lines, NG/NJ or GT tubes, are on multiple medications, and families require extensive teaching prior to discharge. The Intestinal Rehabilitation program at Children’s National provides children with intestinal failure the chance to receive comprehensive medical and surgical care, giving them the chance for improved long-term survival ( 98%) including weaning from parenteral nutrition and avoidance of the need for transplantation and long term immunosuppression.

This position is an in office role and will be responsible for working with families and coordinating care, answering questions, providing education, and at times, may be called upon to perform hands on patient care.

All nursing practice is based on the legal scope of practice, national and specialty nursing standards, Children’s National Policies and Procedures, and in accordance with all applicable laws and regulations. The Professional Model of Care requires registered professional nurses to be responsible and accountable for their own practice. Children’s National supports the development of RN relationships within the community; specifically those relationships associated with the health and well being of the community at large .

The nurse provides telephonic clinical assessment, advice, health education and counseling giving appropriate clinical disposition and facilitating referral . The nurse engaging in telenursing practice assesses, plans, intervenes, and evaluates the outcomes of nursing care, using technologies such as the Internet, computers, telephones, digital assessment tools, and telemonitoring equipment.

Minimum Education

Minimum Work Experience
5 years

Specific Requirements and Preferences
At least 5 years of RN experience required.

Required Licenses and Certifications |

Registered Nurse licensed in the District of Columbia, Maryland or Virginia dependent upon location of practice.
Cardio-Pulmonary Resuscitation (CPR)

Required Skills/Knowledge

The licensed Registered Nurse will successfully complete the hospital and nursing orientation at Children’s National. Havae basic computer skills (Experience with Microsoft® Windows operating system database and word processing software required -such as 30 wpm ). Ability to handle multiple line phone. clinical knowledge in disease, prevention, wellness, health risk assessment, self-care management, and health education. Demonstrate effective prescription management skills. Application of the nursing process in telehealth care. Delivery of culturally sensitive, age-specific care to identified populations. Assessment and provision of care using telecommunication devices. Use of the clinical decision support tools. Demonstration of problem-solving, prioritization, collaboration, and customer relation skills. Communication skills: including effective listening, negotiation, counsel and crisis management. Knowledge and appropriate use of internal and external resources (people, services, and materials.) Prevention and reporting of unusual occurrences and adverse events.

Functional Accountabilities

Tele-Health Nursing

  • Demonstrate appropriate and efficient use of department specific equipment/software necessary to perform role (multi-feature telephones, automatic call distribution (ACD), keyboard skills, Windows and call processing software, fax, copier, etc.

  • Comply with call/email management standards.

  • Demonstrate thorough knowledge of the program’s identified top 10 triage/ symptom guidelines.

  • Manage clinical calls/emails using the nursing process; document caller encounters in the system.

  • Be able to manage and document calls if computer system is down.

  • Achieve telehealth and other applicable national certifications.
  • Leadership

  • Contribute to Magnet re-designation as evidenced by independent involvement or leadership in: committees, task forces and/or community outreach.

  • Communicate plan of care and ability to advocate to meet patients’ needs; make suggestions for resolution of system issues.

  • Role model procedures for escalation of issues, utilize chain of command.

  • Demonstrate proper use of identified hand off processes; follow up on inconsistent practice related to handoff.

  • Demonstrate a collegial and respectful relationship with peers, physicians and other departments.

  • Take the lead to implement change and support management decisions.
  • Structural Empowerment

  • Maintain regulatory requirements e.g. license, BLS.

  • Initiate professional activities to enhance nursing practice; provide telephonic and electronic clinical assessment, advice, health education and counseling - giving appropriate clinical disposition and facilitating referral.

  • Engage in active review of peers giving constructive feedback through timely participation in evaluations.

  • Serve as a resource as needed and know when to escalate to next level.
  • Professional Practice

  • Analyze assessment data gathered from patient and family to ensure completion of database and plan of care within identified timeframes.

  • Role model excellent clinical skills with complex patients; care reflects analysis of patient status and appropriate interventions.

  • Direct prioritization and organization for complex patient with rapidly changing needs.

  • Anticipate and proactively plan for educational needs verified with patient and family throughout the hospital/outpatient stay and prior to discharge.

  • Role Models caring in all encounters with patient and family as evidenced by feedback from parents and an increase in patient satisfaction scores
  • Safety

  • Speak up when team members appear to exhibit unsafe behavior or performance

  • Continuously validate and verify information needed for decision making or documentation

  • Stop in the face of uncertainty and takes time to resolve the situation

  • Demonstrate accurate, clear and timely verbal and written communication

  • Actively promote safety for patients, families, visitors and co-workers

  • Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance

  • Organizational Accountabilities (Staff)

    Program Improvement

  • Initiate ways to improve operations through quality improvement and implement related solutions.

  • Identify self-learning needs and take initiative to meet those needs.

  • Serve as a resource for current, new information or changes in specialty area.

  • Care incorporates best practices based on benchmarks and evidence within the literature.
  • Organizational Commitment/Identification

  • Partner in the mission and upholds the core principles of the organization

  • Committed to diversity and recognizes value of cultural/ ethnic differences

  • Demonstrate personal and professional integrity

  • Maintain confidentiality at all times
  • Customer Service

  • Anticipate and responds to customer needs; follows up until needs are met
  • Teamwork/Communication

  • Demonstrate collaborative and respectful behavior

  • Partner with all team members to achieve goals

  • Receptive to others’ ideas and opinions
  • Performance Improvement/Problem-solving

  • Contribute to a positive work environment

  • Demonstrate flexibility and willingness to change

  • Identify opportunities to improve clinical and administrative processes

  • Make appropriate decisions, using sound judgment
  • Cost Management/Financial Responsibility

  • Use resources efficiently

  • Search for less costly ways of doing things

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