Position Summary
The Registered Nurse (RN) in TeleCare and Remote Patient Monitoring (RPM) triages and prioritizes patient care using EvidenceBased Practice Standards. The RN practices effective problem identification, resolution, and/or escalation while addressing urgentpatient clinical inquires and any RPM patient values out of range requiring intervention. This position directly supports our ED Diversion and Readmission Reduction efforts.
Responsibilities
Under the general supervision of the Manager, the RN will be responsible for patient triaging, remote patient monitoring,outbound and inbound phone lines, assisting with nurse case management, nursing assessments, collaboration with providersand other departments, and provision of quality patient care in compliance with local, state, and federal regulations andaccreditation standards.• Accurately assesses each patient’s condition by actively listening to callers and asking probative questions. Identifies emergentsituations and effectively gives appropriate dispositions.• Prioritizes patient care in an ongoing manner in accordance with Evidence-Based Practice Standards of Care.• Provides appropriate and courteous telephone advice including plan of care and patient education to callers according toapproved protocols.• Appropriately and accurately documents initial and ongoing telephone conversations, with documentation being completedimmediately after the call ends.• Places outbound follow up calls to caregivers as needed.• Accurately communicates information to physician on call as needed, either over the telephone or by routing the necessaryinformation to the physician.• Meets unit expectations for call volumes, call duration, and customer service expectations.• Works autonomously while adhering to organizational standards and core values.• Attends and participates in staff meetings and required departmental meetings.• Appropriately utilizes and maintains supplied equipment; troubleshoots tech issues to ensure uninterrupted service to patients.• Assesses patients’ needs when developing an individualized plan of care for each patient.• Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on assigned unit.• Demonstrates knowledge of the principles of growth and development over the life span, assesses data reflective of patient’sstatus and interprets the necessary information needed to identify each patient’s requirements relative to age-specific needs.• Provides, delegates, coordinates, and documents patient care in a knowledgeable, skillful, and consistent manner. This includesbut is not limited to patient assessment, education, medication administration, and patient safety.• Demonstrates competency in nursing and use of patient care/unit equipment as defined by unit-specific requisite skills.• Delegates tasks and duties to healthcare team members in accordance with the patient’s needs and the team member’scapabilities and qualifications.• Communicates appropriate information regarding patient condition or unit concerns to other health care team members.• Monitors and responds to triage calls in person and/or on the nurse phone line.• Talks directly to patients on the telephone and then directs them to emergency rooms (ERs), urgent care centers, and homecare advice, or to schedule patients to their physician during office hours.• Determines urgency of seeing the patient based on brief assessment and on familiarity with a patient’s condition and history.• Uses computerized clinical decision-making including algorithms as guide.• Sends patients with high-risk chief complaints such as chest pain, abdominal pain, or severe headaches to ER immediately orarranges for ambulance.• Provides appropriate home health advice to patients who do not need to go directly to the ER.• Ensures accurate notes of all consultations and treatments are recorded in the patient’s Electronic Health Record.• Arranges appointments for patients who do not need to go to ER but need to see a physician. Consults with physician asneeded.• Acts, when designated, in “Ask a Nurse” capacity, handling routine information requests from patients, e.g., “Do I need a flushot every year? When are you giving these shots?”
Qualifications
Education/Training• For Team Members hired into this job prior to January 1, 2020: Graduate of an approved school of nursing.• Effective January 1, 2020: New Hires and Team Members moved into this job and/or transferring Depts. must obtain aBachelor of Science in Nursing degree (BSN) within 36 months of placement.• Assumes responsibility for professional development and continuing educational.• Meets all mandatory and developmental requirements for Orlando Health and unit/department.
Licensure/CertificationMaintains current RN license in the State of Florida. Maintains current BLS/Healthcare Provider certification. ACLS, NRP, PALS, TNCCas required based on the appropriate certification for the patient population.
ExperienceTwelve months hospital RN experience required. Based on area of assignment, specialty courses and specialty experience may berequired. Must meet unit specific performance competencies.