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Work Shift
Day (United States of America)
Clinical Dietitian
Full Time -
8:30 am - 5:30 pm
Great Benefits!
Practices as a member of the interdisciplinary health care team responsible for the provision of medical nutrition therapy. Fosters continuity of the Nutrition Care Process across all phases of the continuum of care as recommended by the Academy of Nutrition and Dietetics. Performs nutrition assessment for patients identified to be at nutrition risk based on criteria outlined by the hospital and best practice standards. Calculates metabolic nutrient requirements according to the age and disease specific needs of patients. Performs nutrition focused physical exam to further evaluate risk of malnutrition as indicated. Develops a nutrition diagnosis as appropriate and consistent with the Nutrition Care Process. Creates and implements a nutrition intervention and care plan for all patients with a nutrition diagnosis. Continuously evaluates and monitors the effectiveness and outcomes of medical nutrition therapy intervention. Provides nutrition education to patients, family, and/or members of the health care team on recommended nutrition intervention(s) to accomplish nutrition goals; which may include, but is not limited to any of the following topics: specialized diet, enteral/oral medical nutrition supplements, food selections, eating behaviors, and community nutrition resources. Manages the delivery of nutrition care services according to the site of care assigned. Participates in performance improvement and research activities. Mentors dietetic interns/diet technicians. Actively assess, evaluates and maintains professional development and competencies outlined in the position description.
Core Responsibilities and Essential Functions:
Provide medical nutrition therapy according to system policy and A.N.D. Nutrition Care Process practice
standards
* Utilizes the Nutrition Care Process and WellStar Nutrition Care Policies when assessing patients
* Responsible for nutrition screen, assessment, diagnosis, intervention, and monitoring/evaluation of identified at risk patients
* Apply psycho-social, age appropriate, evidence-based nutrition care
* Document all patient encounters in the health care record in accordance with hospital and department policies and procedures
* Identify, monitor, and evaluate enteral nutrition support regimens. Manage enteral nutrition support under the supervision of medical staff
* Develop and implements transitional feeding plans
* Perform Nutrition Focused Physical Exams to evaluate malnutrition severity as appropriate
* Assess patients learning needs, barriers to learning, preferred learning styles and educational level and provides nutrition education accordingly
* Utilizes community resources through the continuum of care to foster positive patient outcomes
Develops, implements, and promotes quality services based on client expectation and needs.
* Collaborates with patient and/or family member, and health care team to assess nutrition and education needs of patients.
* Provides services and establishes goals based on the identified needs of patients and/or family members.
* Applies knowledge and skills in developing, implementing and maintaining nutrition care plans
* Continuously evaluates nutrition care processes and patient outcomes and implements quality practice by following system policies, procedures, and evidenced based research
* Provides care according to organizational ethics, licensure and Standards of Professional Practice for Dietetics Professionals
* Applies Joint Commission and/or regulatory standards in the provision of nutrition care
* Utilized patient experience and empathy skills when interacting with patients and family members
* Participates in multidisciplinary rounds, appropriate committees, and team member huddles
Locates, reviews, and utilizes best practice research findings for their application in optimally managing a disease or condition and improving patient outcomes.
* Bases clinical practice on sound scientific principles, current research and theory
* Shares and reports research and patient outcomes utilizing various media
* Demonstrates knowledge related to clinical practice.
* Communicates sound scientific principles, research, and theory to health care team members and dietetic interns in optimally managing patients' care
* Shares knowledge and expertise with dietetic interns, patients, family members and health care team members
* Documents understanding of relevant information and results of communication with dietetic interns/technicians/patients/families and healthcare team members
* Contributes to the development of new knowledge and services
* Seeks out information effectively and independently to provide effective services
Systematically evaluates the quality and effectiveness of practice and revises practice as needed to incorporate results of evaluation.
* Participates in and identifies performance improvement criteria for nutrition care by completing peer chart audits as assigned and reviewing with their nutrition leader
* Continuously evaluates and refines service based on measurable outcomes by keeping a productivity log
* Identifies expected outcomes of patient care
* Participates in quality improvement initiatives and projects
Engages in lifelong self-development to improve knowledge and skills that promote continued competence.
* Conducts yearly self-assessment to identify professional strengths and weaknesses
* Identifies needs for professional development and mentors dietetic interns
* Documents professional development activities according to system policies
Engage in continuous learning opportunities to further develop skills and capabilities in application technical and functional areas
Performs other duties as assigned
Complies with all Wellstar Health System policies, standards of work, and code of conduct.
Required Minimum Education:
Bachelors Dietetics or Bachelors Nutrition
Other / Certificate Dietetics or Other / Certificate Nutrition
Required Minimum License(s) and Certification(s):
All certifications are required upon hire unless otherwise stated.
BLS - Basic Life Support or ARC-BLS - Amer Red Cross Basic Life Support or BLS-I - Basic Life Support - Instructor or BLS-P - Basic Life Support-Provisional (30 Days) within 30 Days
LD - Lic Dietician or LD-P - Lic Dietician - Provisional (180 Days) within 180 Days
RD - Registered Dietician or RDN - Reg Dietician Nutritionist or RDN-P - Reg Dietician Nutritionist - Provisional (180 Days) within 180 Days
Additional License(s) and Certification(s):
Required Minimum Experience:
One to two years clinical experience Preferred and Completion of a supervised practice didactic program accredited by the Accreditation Counsel for Education in Nutrition and Dietetics (ACEND)
Required Minimum Skills:
Excellent interpersonal, customer service, verbal and written communication skills.
Knowledge of best practices in clinical nutrition and the dietetics profession.
Knowledge of N
Provides routine and complex care, in accordance with patient treatment plans.
Continues to develop the ability to cope with and manage contingencies of clinical nursing.
Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.
Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Meets expectations for flexibility of assignment within the ministry.
Proactively provide assignment availability on a regular basis.
Able to be assigned to more than one unit.
Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
Documents patient history, symptoms, medication, and care given.
Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.
CORE COMPETENCIES Standard I: Utilizes the Nursing Process Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families.
Communicates findings to appropriate healthcare team members.
Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice.
Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals.
Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s).
Performs timely reassessment and documentation.
Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population.
Standard II.
Patient Throughput & Patient Flow Process Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow.
Utilizes appropriate systems of communication and tools to facilitate the discharge process.
Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy.
Standard III.
Unit Operations Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift.
Demonstrates good stewardship in proper use and maintenance of equipment and Supplies.
Assesses departmental staffing needs; actively participates in resourcing efforts.
Educates and trains others on the operations, ethics, and regulations within the industry.
Standard IV.
Safe Practice/Quality Care/Regulations Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes.
Demonstrates accountability for nursing research and quality improvement activities.
Provides evidence-based nursing care.
Communicates patient information effectively across the continuum of care.
Educates and trains others on the operations, ethics, and regulations within the industry.
Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities.
TECHNICAL COMPETENCIES Clinical Policies and Standards Follows a specific set of standards and associated clinical procedures.
Analyzes policy and standards documentation and ensures organizational compliance.
Provides feedback for improvement of procedures.
Assists in the development and implementation of specific procedures.
Works with control and monitoring mechanisms, tools and techniques.
Health Information Documentation Shares experiences with maintaining paper and electronic patient documentation.
Walk through the steps and procedures for receiving, validating and updating patient records.
Describes the flow of information between various stations or units.
Discusses the functions, features and document flow of electronic documentation.
Transcribes verbal orders; explains techniques for ensuring their accuracy.
Explains health information documentation best practices and their rationale across health care practices.
Medical Equipment Describes experience with basic medical equipment used in own unit or facility.
Uses standard diagnostic tools and techniques to resolves common equipment problems.
Educates patients about the appropriate use of home medical equipment.
Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety.
Inspects, troubleshoots and evaluates incoming equipment.
Medical Order Processing Shares experiences with processing medical orders for one or more groups of patients or conditions.
Describes functions and features of the system used to enter, validate, update and forward medical orders.
Discusses common errors, their sources and procedures for correcting.
Explains considerations for entering and following standing orders.
Differentiates between standing orders and preprinted orders and considerations for each.
Patient Chart Reading and Interpretation Describes experiences in reading and interpreting patient charts for patients on unit and under own care.
Reviews patients' charts for completion and accuracy; identifies and alerts to mistakes or omissions.
Recognizes unexpected readings and alerts nursing or medical staff.
Relates examples of mis-readings or misinterpretations and lessons learned.
Reviews, discusses and validates own interpretation with others.
Patient Safety Shares experiences with ensuring safety for one or more patient groups or settings.
Explains key features of safety guidelines and procedures for those groups and settings.
Listens and responds to safety inquiries from patients and family members.
Recognizes and addresses physiological and psychological signs of problems.
Describes considerations for patients who can cause to harm to self, versus harm to others.
Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time.
Job Requirements: Education/Skills Bachelor of Science Degree in Nursing, preferred Experience Minimum of 2 years of combined experience required in Medsurg and Telemetry 5 years of experience preferred Licenses, Registrations, or Certifications BLS required ACLS required RN License in the state of employment or compact required Work Schedule: 24 HOURS Work Type: Full Time
**Up to $15,000 Sign on Bonus, based on amount of relevant experience*
DMC Detroit Receiving Hospital, Michigan's first Level I Trauma Center, helped pioneer the evolution of emergency medicine and currently has one of the busiest and most well-equipped emergency departments anywhere. The first and largest verified burn center in the state is at Receiving, and it is one of only 43 in the nation. Receiving also offers the state's leading 24/7 hyperbaric oxygen program, Metro Detroit's first certified primary stroke center, and the nationally recognized and accredited DMC Rosa Parks Geriatric Center of Excellence.
Summary Description
Under general supervision and following established policies and procedures, performs diagnostic radiological exams utilizing appropriate imaging equipment.
- Verifies patient identity and reviews patient's medical record for appropriateness of exam or procedure.
- Interviews patient to obtain, verify or update medical history and assesses risk factors such as medications, pregnancy and/or psychological indicators.
- Explains procedure to patient, including side effects of pharmaceuticals administered, risks, benefits, alternatives and follow-up.
- Sets up equipment and acquires appropriate images as per script.
- Reviews images, makes initial observations, documents exceptions from established protocols and communicates data to radiologist.
- Recognizes and responds to medical emergencies as appropriate.
- Provides physician-prescribed post care instructions to patients.
- Participates in process improvement activities within radiology practice including but not limited to quality of care, patient flow, reject-repeat analysis and patient satisfaction.
- Provides imaging education to residents, student technologists and new employees.
- Able to take call/standby as required by the department.
Minimum Qualifications
1. Registered by the American Registry of Radiologic Technologist (ARRT) in Radiography (R).
2. Required to have or successfully complete American Heart Association (AHA) Basic Life Support - Healthcare Provider (BLS) training by end of orientation period.
Skills Required
1. Analytical and clinical skills necessary to determine the most age appropriate method of providing requested radiographs specific to patient's physical ability and/or limitations.
2. Interpersonal and communication skills necessary to deal effectively with and instruct patients who may be under physical/emotional stress; ability to comprehend and follow physicians verbal and written request and prescriptions; ability to work effectively in a culturally diverse atmosphere with a variety of hospital personnel and/or patients.
3. Technical knowledge necessary to operate equipment including but not limited to all specialized equipment and computers.
4. Ability to work productively and effectively within a complex environment, handle multiple/changing priorities.
5. Physical stamina for frequent walking, standing, lifting and positioning of patients. Physical ability to stand, bend, push, pull, reach and lift in order to provide patient care.
6. Manual dexterity and visual acuity to operate and utilize all types of x-ray equipment and supplies in order to produce radiographs of acceptable diagnostic quality.
Job: Imaging/Radiology
Primary Location: Detroit, Michigan
Facility: DMC Receiving Hospital
Job Type: Full Time
Shift Type: Evening
Reporting to the Practice Coordinator, Labor/Delivery, the Registered Nurse (Level I, II, III or IV) is responsible for coordinating and delivering patient care utilizing the nursing process. The Registered Nurse, after appropriate educational preparation, is capable of expanding the scope of practice in general or specialty areas of nursing. The criteria and specific job duties of the three levels are defined by each department area specific criteria.
REQUIREMENTS
1. Current licensure as a Registered Nurse in the State of California is required.
2. Current Electronic Fetal Monitoring (C-EFM) preferred.
3. Current American Heart Association (AHA) Healthcare Provider CPR card is required.
4. Current American Academy of Pediatrics Provider Neonatal Resuscitation Program (NRP) card is required within 90 days of hire or transfer into the position.
5. Current American Heart Association (AHA) Advanced Cardiac Life Support (ACLS) certification is required within 90 days of hire or transfer into the position.
6. Ability to communicate effectively with patients, family, and health care personnel is required.
7. Ability to handle varying issues in the midst of any situation and work effectively individually and as a member of a team within a stress-producing environment is required.
Pay Range:
$46.
*May be adjusted based on career ladder placement.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Reporting to the Practice Coordinator, Labor/Delivery, the Registered Nurse (Level I, II, III or IV) is responsible for coordinating and delivering patient care utilizing the nursing process. The Registered Nurse, after appropriate educational preparation, is capable of expanding the scope of practice in general or specialty areas of nursing. The criteria and specific job duties of the three levels are defined by each department area specific criteria.
REQUIREMENTS
1. Current licensure as a Registered Nurse in the State of California is required.
2. Current Electronic Fetal Monitoring (C-EFM) preferred.
3. Current American Heart Association (AHA) Healthcare Provider CPR card is required.
4. Current American Academy of Pediatrics Provider Neonatal Resuscitation Program (NRP) card is required within 90 days of hire or transfer into the position.
5. Current American Heart Association (AHA) Advanced Cardiac Life Support (ACLS) certification is required within 90 days of hire or transfer into the position.
6. Ability to communicate effectively with patients, family, and health care personnel is required.
7. Ability to handle varying issues in the midst of any situation and work effectively individually and as a member of a team within a stress-producing environment is required.
Pay Range:
$46.
*May be adjusted based on career ladder placement.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
This position is responsible for the entire admission process for a designated patient population. The Registered Nurse (Level I, II, III or IV) is responsible for coordinating and delivering patient care utilizing the nursing process. The Registered Nurse, after appropriate educational preparation, is capable of expanding the scope of practice in general or specialty areas of nursing. The criteria and specific job duties of the three levels are defined by each department area specific criteria.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
GENERAL SUMMARY:
Provides individualized, high-quality nursing care to patients of all ages. Uses a team approach to delegate and coordinate patient care at admission, transfer, and discharge. Independently delivers nursing care using the Nurse Practice Act, Mercy Medical Center policies, nursing standards, ethical principles, and professional judgment. Works rotating shifts, weekends, and holidays as scheduled. Job duties may vary by shift or may be unit-specific.
· Possession of a current or compact state license as a Registered Nurse issued/defined by the State of Iowa.
· Basic Life Support certified within six (6) weeks of hire. The acceptable credentialing body is the American Heart Association.
· Proof of completion of Mandatory Reporter abuse training specific to populations served within three (3) months of hire.
· Ability to read, write and speak English language.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
This position is responsible for the entire admission process for a designated patient population. The Registered Nurse (Level I, II, III or IV) is responsible for coordinating and delivering patient care utilizing the nursing process. The Registered Nurse, after appropriate educational preparation, is capable of expanding the scope of practice in general or specialty areas of nursing. The criteria and specific job duties of the three levels are defined by each department area specific criteria.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Reporting to the Practice Coordinator, the Registered Nurse (Level I, II, III or IV) is responsible for coordinating and delivering patient care utilizing the nursing process. The Registered Nurse, after appropriate educational preparation, is capable of expanding the scope of practice in general or specialty areas of nursing. The criteria and specific job duties of the three levels are defined by each department area specific criteria.
REQUIREMENTS
1. Current licensure as a Registered Nurse in the State of California is required.
2. Current American Heart Association (AHA) Healthcare Provider CPR card is required.
3. Valid Advanced Cardiac Life Support (ACLS) certification is required within three (3) months of hire into position.
4. Ability to communicate effectively with patients, family, and health care personnel is required.
5. Ability to handle varying issues in the midst of any situation and work effectively individually and as a member of a team within a stress producing environment.
Pay Range $46. *may be adjusted based on career ladder placement
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
ESSENTIAL FUNCTIONS:
Medical Assistant’s may have duties in one or more of the following areas:
Medical Assistant
· Demonstrates ability to recognize urgent/emergent needs of patients and initiate appropriate emergency procedures as needed.
· Demonstrates current level of knowledge of various payor regulations by functioning within those guidelines.
· Follows clinic procedure/protocol for the organization and management of the electronic medical record (i.e. test results, retrieval, filing, creation, repair, charging of electronic medical record).
· Acts to facilitate interdisciplinary communication. Utilizes other members of the health care team in assessing the patient and analyzes patient data. Assesses learning needs of the patient and significant others. Gives accurate and complete information to patient and family.
· Evaluates patient and family understanding of treatment plan and/or instructions.
· Assists with a variety of procedures, exams and/or operation of diagnostic equipment as assigned (i.e. EKG, spirometry, tympanometry, etc.).
· Maintains appropriate aseptic technique for preparation, procedures and medications administered.
· Accurately documents all patient interactions in electronic medical record.
· Reports results and pertinent information to patients and health care team members.
· Functions according to limitations or scope of license or certification.
· Performs basic medical assistant functions (vitals, rooming, assist with procedures, immunizations, medication injections etc), under direction and supervision of provider.
· Maintains professional appearance of patient exam and procedure rooms.
· Maintains supplies in assigned area
MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
· Successful completion of a medical assistant program accredited by the Commission on Accreditation of Allied Health Programs (CAAHP) or Accrediting Bureau of Health Education Schools (ABHES).
· Certified Medical Assistant (CMA) certification or Registered Medical Assistant (RMA) certification must be obtained within first year of employment and maintained thereafter.
· Clinic/physician office experience preferred.
· Basic Life Support (BLS) for the Healthcare Provider certified or obtained within three (3) months of hire.
· Proof of completion of Mandatory Reporter abuse training specific to population serve within three (3) months of hire.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
