Start Date: 08/21/2022

End Date: 11/19/2022

Status: Open

Total Positions: 1

Skill: *Registered Nurse

Duration: 13 - Weeks

Location: NY - St. Peter's Hospital

Shift Start Time: 07:00:00

Shift End Time: 19:30:00

Description:
Type of Patients Served
3 McAuley (3 MC) is a 30 bed Adult Medical-Surgical, which provides care to the general medical-surgical adult patients, in particular those with gastro-intestinal illnesses and a pediatric population. The patient focused care model is utilized with the majority of patients remaining on 3 MC from admission to transfer to a different level of care and/or discharge.




Ages of Patients Served
The unit serves adults

Current Services for Patients and Patients’ Families:

Frequent Procedures, Processes, Services
• Respiratory Therapy
• Pulse Oximetry (not continuous)
• Hemodialysis / Peritoneal Dialysis
• Spiritual Care
• Occupational Therapy
• Physical Therapy
• Telemetry
• Phototherapy for hyperbilirubinemia
• Scope and Complexity of Patient’s Care Needs

Patient care is provided along the acute care continuum, beginning with diagnosis, symptom management, discharge planning and end of life care.

• Criteria for Entry to Services
Patients may be admitted to the unit via the emergency department, inter-unit transfer, PACU and as direct admission. Population includes non-critical medical patients, especially those with a gastrointestinal condition.

• Hours of Operation
The unit operates twenty-four hours a day, seven days a week.

Methods Used to Assess Patient/Patient Population Care Needs

Processes:
Evidence based assessment tools will be utilized in the assessment and evaluation of patient care needs. An individualized plan of care will be implemented upon admission and continuously updated to meet changes in the patient’s condition.




Methods Used to Determine Extent to Which Patient Needs are Met and Services Adjusted

Services:
Care will be provided to patients and patient families that include physiological, psychological, spiritual, and social needs in a collaborative team approach.


Staffing

Budgeted
Optimal staffing is achieved by established staffing patterns, which provide an optimum number of hours of care per patient day.

Minimum
A staffing plan is developed to include the number and mix of staff, provide a minimum number of hours of care per patient day to meet anticipated needs of the patient.



Qualifications of Staff

Registered Nurse
• Current Basic Life Support
• Successful completion of unit specific orientation
• Annual Competency Validation
A. Respiratory Therapist:
• Current Basic Life Support
• Successful completion of Core Orientation
B. Patient Care Associates
• Successful completion of orientation program
• Current Basic Life Support
• Annual Competency Validation
C. Information Associate:
• Successful completion of the orientation program



Methods Used to Adjust Staffing

• Staffing on 3 MC will be adjusted every shift and at peak activity times based on changes in the census and/or acuity. It will be the responsibilities of the charge RN to determine the appropriate changes, calling on the Nurse Manager/ Supervisor for assistance.

Goals of Department/Unit
• Provide quality patient care
• Maintain a collaborative multi-disciplinary approach to care utilizing the patient care focused care model
• Maintain overall positive patient outcomes
• Decrease length of stay while maintaining a high standard of quality


Methods for Communication, Collaboration, and Functional Relationship with Other Departments and Services

A. Internal: In order to provide for collaborative informed participation of all staff members within 3 MC, staff meetings are held monthly. Additionally, Management, Leadership, and unit Quality Improvement Committee meetings are held monthly as needed. There are several communication boards and communication books strategically located within the unit, in the break room to provide posting of notices, unit specific needs/information and educational information. Also provided electronically via email or share site are mandatory reviews, meetings and QI information. Each employee is required to view their email. Notices for all meetings are posted or communicated by e-mail.

B. External: Communication is accomplished through collaborative programs. Communication occurs monthly with Division, operations manager, and other units within Patient care services. Senior rounding occurs monthly on each unit with Staff, this is another form of communication.

C. A collaborative relationship exists between the staff of 3 MC and various other hospital departments and services including, Pharmacy, Clinical Engineering, Mother baby, Cardiac Services, Nutrition, Social Work and Continuing Care, Rehab Services (PT, OT, Speech, and Auditory), Home Care, Medical Records, and Materials Management. Spiritual Care’s presence addresses the role of spirituality to team members, focusing on providing a holistic approach of care for patient and team. There is a sharing of resources and knowledge between units within Patient Care Services.
• Multidisciplinary meetings are daily and include all appropriate disciplines involved with a patient’s care. The multidisciplinary team rounds daily and plans the patient’s care. This includes attending physicians, nurses, mid-level providers, PT, OT, Social Services as needed, and other services as necessary.


Medical Staff Integration/Relationship
• NICHE program
• Patient Safety and Quality Committees
• Daily Rounding
• Grand Rounds
• Partnering for excellence rounds

Plan to Improve

Patient Safety/Quality
The philosophy of the 3 MC quality improvement program is congruous with that of the hospital. We believe that continuous quality improvement is an essential component of patient care. Quality improvement is a creative, dynamic process by which standards are developed and actions are taken to ensure achievement of them. Continuous Quality Improvement (CQI) is the responsibility of all professionals and all are expected to participate in creative planning, and execution at the staff nurse level. Comprehensive evaluation of all aspects of nursing
(Structure, process, outcome) and integration with higher level activities through communication systems and quarterly reporting.
• The identification of unit based standards.
• The identification of actual or potential problems and documentation of problem solving and resolution.
• The monitoring of risk management activities, including review of event reports and case review.
• The use of pertinent audits, current or retrospective based on unit needs.
• The identification of unit goals with quarterly updates.
• Annual evaluation of QI process and outcomes. ( Unit Report Card)
• Patient satisfaction improvement process indicator.
• Information acquired from various means will be utilized to determine desired outcomes or opportunities for improvement.

Infection Control

Infection Control- 3 MC will follow the established infection control policies and procedures as outlined in the infection control manual.


Environmental Safety
3 MC will follow all emergency preparedness plans for the hospital. A disaster call list will be maintained and updated quarterly.
Plan and implement surveillance to ensure and optimize a safe environment for patients, families and staff.

Standards Governing Department
• The Joint Commission (JC)
• New York State (NYS) Hospital Code