Pulmonary Capacity RN Expectations and Guidelines

Name: _______________________ Date: _________________

Employee Number: _____________ Unit: 9
th
Floor Pulmonary
Employee and Charge RN must sign checklist to ensure understanding o roles!responsibilities"
Date Employee
#nitials
Capacity RN Scheduling Guidelines
o Capacity RN shits are rom $%&& to '$&& on (onday thru Friday
o )ta may be gi*en option to pick+up a capacity shit in place o being
cancelled on an o*er+staed day"
o )ign+up or shits limited to Pulmonary ull time sta at this time"
o )ta may sel+schedule to ,ork t,o -+hour capacity shits in lieu o one
$'+hour shit"
o .*ailable /0 shits to be posted in schedule book" )ta may only sign up
or one -+hour capacity shit per ,eek" )ta is discouraged rom signing
up or e1cessi*e /0 shits on ,eeks ,here hours ,orked 2 3& hrs!,k due
to meetings!committee in*ol*ement" )ta ,ill be held accountable or
keeping track o hours ,orked per ,eek"
o )ta ,ho sign up or Capacity shits are committed to shits unless
cancelled at the discretion o the Charge RN" Cancellation calls to be made
no later than $4&&"
o Capacity RN ,ill be re5uired to sign+o on 6Pulmonary Capacity RN
E1pectations and 7uidelines )heet89 ,hich ,ill outline perormance
e1pectations
Position Responsibilities- Admissions and Discharges
Pulmonary Unit Capacity RN )u:annah .*erill Re*ised 4!$&!$3
$" .dmission
o 0ake brie report rom sending unit
o .ssist ,ith transer o patient rom sending unit
o ;rie report to ancillary sta <.CP8 CN.8 P)C=
o .pply #D bracelet
o Re*ie, Road (ap to Care Folder
o Re*ie, Personal security code
o # P)C una*ailable8 assemble chart ,ith stickers and ace sheet
o Update Charge RN Report ,ith ne, patient inormation
'" Collect .d*ance Directi*e Documents
o Place copy o .D in chart and into plastic bin to be scanned by
(edical Records
o Complete charting in Epic
o Pro*ide patient ,ith copy 6>our Right to (ake ?ealthcare
Decisions9 pamphlet i re5uested
4" Charting E1pectations
o Chart .ll .dmission )creening #normation in Epic
o Complete (edication Reconciliation tab+ mark medications or (D
discontinuation or re*ie,
o @accination )creening and order *accines i indicated
o .ssess Pain!#@!Fall A Document
o Re*ie, @)8 ensure height!,eight obtained
o Re*ie, diet order A e1plain to patient
o Release any )igned and ?eld .dmission /rders
3" /rders
o #nitiate appropriate isolation
o #nitiate all precautions <bed alarm=
o #nsert #@
o # ordered8 place tele monitor and admit to tele screen
o Ensure #@ pole and pump ha*e been ordered
o .dminister PRN pain meds i needed
o .ll )0.0 orders
o Bab dra,s
o
%" ?ando to Primary RN
o Notiy Primary RN once patient is settled and admission tasks are
complete
o 7i*e brie report8 clearly identiying any remaining or uninished
tasks
-" Discharge patients
o Discontinue #@ or central line
o Remo*e and clean tele monitor
o Pro*ide discharge teaching and discharge thank you note
Pulmonary Unit Capacity RN )u:annah .*erill Re*ised 4!$&!$3
o .ssess *erbal understanding o discharge instructions
o Ensure discharge documents are signed
o Document discharge teaching in Epic
o ?elp coordinate discharge process <send scripts8 home /'8 etc=
o .rrange or transport or help escort patients to dc lounge
o Discharge patient rom Epic
o Update Charge RN Report and primary sta ,hen patient lea*es
C 0his list is not e1hausti*e8 and can thereore8 be altered according to
the needs o the unit"
Additional duties when not helping with admissions or discharges
o Floor resource to assist ,ith passing meds8 #@ starts8 blood dra,s8
administering blood8 double check medications8 etc
o ?elp Charge RN make badge assignments or ne1t shit
o Complete hand hygiene audits
o Check insulin e1piration dates
o Check C/DE cart
o 0ake phones and co*er or breaks8 as needed
o 0ranser patients to procedures <i RN must accompany=
C.s a rule8 please irst check in ,ith all sta irst and help out ,here needed" # no
one needs assistance8 then please check in ,ith Charge RN or additional duties"
)ignature employee: _______________________________________________ Date: ___________________
Charge RN: _______________________________________________________ Date: ___________________
Pulmonary Unit Capacity RN )u:annah .*erill Re*ised 4!$&!$3