• Job Description

  Req#: 7697
  Overview
  
  

  As a member of the Resource Team, it is expected that the REACH Nurse / RN will strive to achieve the highest standards of excellence every day, demonstrating

  • Exemplary Covenant Values

  • Outstanding Clinical Skills

  • Amazing Flexibility

  The REACH / RN demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant and the commitment to Extraordinary Care for Every Generation. The REACH Nurse is responsible and accountable for assisting with the delivery of care and patient to move safely and effectively through the hospitalization. The REACH Nurse responsibilities include leadership, direction and feedback to care team members; assessment, collaboration and coordination regarding plan of care; patient and family education; pain management; patient safety; and planning for patient discharge. The REACH Nurse is a supportive role assisting the care givers and patients through critical events in their hospitalization such as Code Blue, Code 180, REACH Calls and other patient clinical needs.
  

  
  Responsibilities
  
  

  Contributes to the organization success targets for net operating margin.

  Models Covenant’s Mission, Vision and Values of keeping our commitment to Extraordinary Care for Every Generation.

  Contributes to organizational success for patient satisfaction.

  Demonstrates excellent customer service in all contacts with internal and external customers.

  Communicates with patients and families in a professional, therapeutic, and courteous manner.

  Intervenes with problematic issues with patients, families, visitors, employees and physicians as needed, involving managers appropriately.

  Demonstrate outstanding communication methods and skills, using lines of authority appropriately.

  Effectively relates to and interacts with patients, families, visitors and other staff.

  Records observations and care interventions on all appropriate forms.

  Demonstrate thorough knowledge of hospital policies, procedures and guidelines.

  Role Models the adherence to all policies

  Collaboratively interacts with other hospital employees to increase their knowledge and adherence to policies

  Displays professional responsibilities

  Demonstrates an awareness of self-responsibility and accountability for own professional practice. Seeks validation of knowledge base, skill level, decision making as necessary and assertively seeks guidance in area of question.

  Provides leadership, direction, encouragement , and feedback on unacceptable performance and exemplary performance.

  Serves as a role model / mentor for staff

  Maintains professional standards by actively participating in continuing education activities, quality management activities inservices related to area of practice and age(s) of patient population.

  Maintains specific PICC and Med Port Certifications

  Adheres to Unit, Department and Hospital budgetary practices

  Attends and participates in Staff Meetings

  Demonstrates critical thinking skills as evidenced by ability to perform efficiently in emergent patient situations following established standards.

  Assist with bedside emergencies, including REACH calls, Code Blues, and Code 180 Calls

  Demonstrate ability to make critical independent decisions

  Demonstrates ability to be flexible based on priority, as determined by an assessment and triage of situations and individual crisis.

  Demonstrates ability to care for a variety of patient age, acuity and clinical presentation.

  Assist with bedside procedures and monitoring of critical patients

  Assist with the Admission Process and subsequent EMR documentation in the Admission Navigator

  Assist with Transporting and monitoring critically ill patients to X-rays and other procedures.

  Provides patient care as directed:

  Performs assessment and synthesizes data collected by self and others in an ongoing and systematic manner, focusing on the patient's physiologic, psychologic, and cognitive status.

  Formulates and coordinates a goal directed plan of care which is prioritized and based on determined nursing diagnoses and/or identified patient care concerns.

  Delegates, supervises and implements care in a knowledgeable, skillful, consistent and continuous manner by utilization of/adherence to standards which define the process.

  Collaborates effectively with all health care disciplines to facilitate patient outcomes, assess readiness for discharge and anticipate discharge needs.

  Identifies patient/significant other learning needs and their ability to follow through, including discharge instructions, while implementing appropriate measures to meet these needs.

  Administers medications as outlined by Patient Service guidelines and policies.

  Assist with peripheral intravenous catheter insertions, med-port access, and trouble shooting of PICC lines for patient care areas.

  Assist with application/maintenance of wound vac dressings.

  Performs as a role model and mentor for all staff during patient care delivery.

  Demonstrates Staffing Flexibility:

  Remains flexible in staffing patterns.

  Participates in temporary staffing assignments

  Demonstrates professionalism and flexibility with the resolution of staffing conflicts

  Supports Patient rights/safety/legal issues:

  Demonstrates awareness and sensitivity to patient/significant other rights, as identified within the organization.

  Functions with an awareness and application of safety as identified within the organization

  Demonstrates awareness of legal issues in all aspects of patient care, unit function and strive to manage situations in a reduced-risk manner

  Maintains Patient confidentiality

  Promptly reports actual or potential medication errors and adverse drug events

  Primary Responsibilities – Center around Patient Safety

  1.Respond to ALL Code Blue calls

  Includes Code Blue to Critical Care Units / Select / Ancillary Areas

  2.Respond to REACH calls, paged and unpaged

  If patient condition necessitates, act immediately for patient safety

  All other calls, talk with the primary care RN.

  Should be a mentoring/learning opportunity for the primary RN

  DO NOT take over the patient care

  Review the assessment and interventions with the RN

  Contact the patient’s physician PRN

  Ask the RN / Charge Nurse “How would you like me to help?”

  Document the REACH call in the patient’s EMR using the .exprn phrase

  Document REACH call in REACH Database

  3.Activate a Code 180 when appropriate.

  Prefer to have a AST (Acute Stroke Team) member respond

  If you are not a AST member, report to 4E (Neuro ICU)

  Cover the floor so one of them can respond

  Code 180 calls in the ECC are initiated by the ECC Physician

  Express RNs do NOT need to respond to these.

  Code 180 calls in the CDU are handled by the Express RNs

  All Code 180s use the appropriate flowsheets / order sets in Epic

  4.Check Crash Cart in Cooper Admitting every shift

  Secondary Responsibilities –Center around Patient / Staff Support

  Experienced resource to novice RN

  Staff Mentoring / Nurturing / Education

  Transport patients from general floors to ICU, when asked

  Lower to higher acuity

  Cover Critical Care Unit when RN leaves floor with patient for a procedure

  Approved in advance by Shift Administrator or Resource Team / Staffing Coordinator

  Assist RN in Critical Care with transport of unstable patient to procedure

  Approved in advance by Shift Administrator or Resource Team / Staffing Coordinator. Will be the 2nd RN on transport

  Tertiary Responsibilities – Done as time permits

  Hard to Start IVs

  It is expected that an experienced RN attempt initially

  Unit Rounds

  Visual check monitors for rhythm/rate issues, talk with primary RN

  Ask the Charge Nurse if there are any questions/needs

  PICC trouble shooting and dressing changes

  If have specialized training by PICC Team

  If PICC team not available.

  Supply retrieval

  Wound care/Dressing supplies in ET Offices

  Other supplies: Materials Management

  Cooper basement- between Main elevators and Room 63

  Harrison 1st floor- just past Room 63

  Wound photography If the ET RN is not available, you may be asked to take pictures of wounds

  If the ET RN is not available, you may be asked to take pictures of wounds
  

  
  Qualifications
  
  

  EDUCATION/EXPERIENCE

  Current Michigan licensure to practice as a Registered Nurse

  BLS and ACLS certification

  PALS Preferred TNCC within 1 year of acceptance into position

  Specialty training in Acute Stroke Management required

  Minimum of 3years clinical experience required

  Minimum of 1 year Critical Care experience required

  Minimum of 1 year Emergency Care experience preferred

  KNOWLEDGE/SKILL/ABILITIES

  Experienced in clinical area

  Demonstrated understanding of communication and customer service principles

  Demonstrated understanding of patient’s rights, legal issues, and policies related to confidentiality

  Demonstrated ability to make critical independent decisions

  Strong clinical assessment skills

  Excellent communication, and critical thinking skills

  Strong interpersonal and customer service skills

  Strong computer skills, including EPIC

  Strong organizational and time management skills

  Demonstrate ability to care for various patient population

  Functions as a RN III with the ability to care for patients in all identified clusters

  Demonstrate ability to be flexible based on priority

  Demonstrate ability to perform and prioritize independently

  WORKING CONDITIONS/PHYSICAL DEMANDS

  Ability to maintain punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards

  Constant talking, hearing, tasting/smelling, near vision, midrange vision, far vision, depth perception, visual accommodation, color vision and field of vision

  Frequent lifting 0-25 lbs.

  Frequent standing, walking and sitting

  Occasional lifting 26-100 lbs. or more

  Occasional reclining, lifting, carrying, pushing, pulling, climbing, balancing, stooping, kneeling, crouching, squatting, crawling, twisting, reaching, handling and feeling

  
  

  EDUCATION/EXPERIENCE

  Current Michigan licensure to practice as a Registered Nurse

  BLS and ACLS certification

  PALS Preferred TNCC within 1 year of acceptance into position

  Specialty training in Acute Stroke Management required

  Minimum of 3years clinical experience required

  Minimum of 1 year Critical Care experience required

  Minimum of 1 year Emergency Care experience preferred

  KNOWLEDGE/SKILL/ABILITIES

  Experienced in clinical area

  Demonstrated understanding of communication and customer service principles

  Demonstrated understanding of patient’s rights, legal issues, and policies related to confidentiality

  Demonstrated ability to make critical independent decisions

  Strong clinical assessment skills

  Excellent communication, and critical thinking skills

  Strong interpersonal and customer service skills

  Strong computer skills, including EPIC

  Strong organizational and time management skills

  Demonstrate ability to care for various patient population

  Functions as a RN III with the ability to care for patients in all identified clusters

  Demonstrate ability to be flexible based on priority

  Demonstrate ability to perform and prioritize independently

  WORKING CONDITIONS/PHYSICAL DEMANDS

  Ability to maintain punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards

  Constant talking, hearing, tasting/smelling, near vision, midrange vision, far vision, depth perception, visual accommodation, color vision and field of vision

  Frequent lifting 0-25 lbs.

  Frequent standing, walking and sitting

  Occasional lifting 26-100 lbs. or more

  Occasional reclining, lifting, carrying, pushing, pulling, climbing, balancing, stooping, kneeling, crouching, squatting, crawling, twisting, reaching, handling and feeling

  
  

  Contributes to the organization success targets for net operating margin.

  Models Covenant’s Mission, Vision and Values of keeping our commitment to Extraordinary Care for Every Generation.

  Contributes to organizational success for patient satisfaction.

  Demonstrates excellent customer service in all contacts with internal and external customers.

  Communicates with patients and families in a professional, therapeutic, and courteous manner.

  Intervenes with problematic issues with patients, families, visitors, employees and physicians as needed, involving managers appropriately.

  Demonstrate outstanding communication methods and skills, using lines of authority appropriately.

  Effectively relates to and interacts with patients, families, visitors and other staff.

  Records observations and care interventions on all appropriate forms.

  Demonstrate thorough knowledge of hospital policies, procedures and guidelines.

  Role Models the adherence to all policies

  Collaboratively interacts with other hospital employees to increase their knowledge and adherence to policies

  Displays professional responsibilities

  Demonstrates an awareness of self-responsibility and accountability for own professional practice. Seeks validation of knowledge base, skill level, decision making as necessary and assertively seeks guidance in area of question.

  Provides leadership, direction, encouragement , and feedback on unacceptable performance and exemplary performance.

  Serves as a role model / mentor for staff

  Maintains professional standards by actively participating in continuing education activities, quality management activities inservices related to area of practice and age(s) of patient population.

  Maintains specific PICC and Med Port Certifications

  Adheres to Unit, Department and Hospital budgetary practices

  Attends and participates in Staff Meetings

  Demonstrates critical thinking skills as evidenced by ability to perform efficiently in emergent patient situations following established standards.

  Assist with bedside emergencies, including REACH calls, Code Blues, and Code 180 Calls

  Demonstrate ability to make critical independent decisions

  Demonstrates ability to be flexible based on priority, as determined by an assessment and triage of situations and individual crisis.

  Demonstrates ability to care for a variety of patient age, acuity and clinical presentation.

  Assist with bedside procedures and monitoring of critical patients

  Assist with the Admission Process and subsequent EMR documentation in the Admission Navigator

  Assist with Transporting and monitoring critically ill patients to X-rays and other procedures.

  Provides patient care as directed:

  Performs assessment and synthesizes data collected by self and others in an ongoing and systematic manner, focusing on the patient's physiologic, psychologic, and cognitive status.

  Formulates and coordinates a goal directed plan of care which is prioritized and based on determined nursing diagnoses and/or identified patient care concerns.

  Delegates, supervises and implements care in a knowledgeable, skillful, consistent and continuous manner by utilization of/adherence to standards which define the process.

  Collaborates effectively with all health care disciplines to facilitate patient outcomes, assess readiness for discharge and anticipate discharge needs.

  Identifies patient/significant other learning needs and their ability to follow through, including discharge instructions, while implementing appropriate measures to meet these needs.

  Administers medications as outlined by Patient Service guidelines and policies.

  Assist with peripheral intravenous catheter insertions, med-port access, and trouble shooting of PICC lines for patient care areas.

  Assist with application/maintenance of wound vac dressings.

  Performs as a role model and mentor for all staff during patient care delivery.

  Demonstrates Staffing Flexibility:

  Remains flexible in staffing patterns.

  Participates in temporary staffing assignments

  Demonstrates professionalism and flexibility with the resolution of staffing conflicts

  Supports Patient rights/safety/legal issues:

  Demonstrates awareness and sensitivity to patient/significant other rights, as identified within the organization.

  Functions with an awareness and application of safety as identified within the organization

  Demonstrates awareness of legal issues in all aspects of patient care, unit function and strive to manage situations in a reduced-risk manner

  Maintains Patient confidentiality

  Promptly reports actual or potential medication errors and adverse drug events

  Primary Responsibilities – Center around Patient Safety

  1.Respond to ALL Code Blue calls

  Includes Code Blue to Critical Care Units / Select / Ancillary Areas

  2.Respond to REACH calls, paged and unpaged

  If patient condition necessitates, act immediately for patient safety

  All other calls, talk with the primary care RN.

  Should be a mentoring/learning opportunity for the primary RN

  DO NOT take over the patient care

  Review the assessment and interventions with the RN

  Contact the patient’s physician PRN

  Ask the RN / Charge Nurse “How would you like me to help?”

  Document the REACH call in the patient’s EMR using the .exprn phrase

  Document REACH call in REACH Database

  3.Activate a Code 180 when appropriate.

  Prefer to have a AST (Acute Stroke Team) member respond

  If you are not a AST member, report to 4E (Neuro ICU)

  Cover the floor so one of them can respond

  Code 180 calls in the ECC are initiated by the ECC Physician

  Express RNs do NOT need to respond to these.

  Code 180 calls in the CDU are handled by the Express RNs

  All Code 180s use the appropriate flowsheets / order sets in Epic

  4.Check Crash Cart in Cooper Admitting every shift

  Secondary Responsibilities –Center around Patient / Staff Support

  Experienced resource to novice RN

  Staff Mentoring / Nurturing / Education

  Transport patients from general floors to ICU, when asked

  Lower to higher acuity

  Cover Critical Care Unit when RN leaves floor with patient for a procedure

  Approved in advance by Shift Administrator or Resource Team / Staffing Coordinator

  Assist RN in Critical Care with transport of unstable patient to procedure

  Approved in advance by Shift Administrator or Resource Team / Staffing Coordinator. Will be the 2nd RN on transport

  Tertiary Responsibilities – Done as time permits

  Hard to Start IVs

  It is expected that an experienced RN attempt initially

  Unit Rounds

  Visual check monitors for rhythm/rate issues, talk with primary RN

  Ask the Charge Nurse if there are any questions/needs

  PICC trouble shooting and dressing changes

  If have specialized training by PICC Team

  If PICC team not available.

  Supply retrieval

  Wound care/Dressing supplies in ET Offices

  Other supplies: Materials Management

  Cooper basement- between Main elevators and Room 63

  Harrison 1st floor- just past Room 63

  Wound photography If the ET RN is not available, you may be asked to take pictures of wounds

  If the ET RN is not available, you may be asked to take pictures of wounds
  

• About the company

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