Registered Nurse Diabetes – 8 hrs/wk – Diabetes
Job Summary: Delivers quality nursing care according to the standards within the ANA Standards of Clinical Practice and Maine Nurse Practice Act. Demonstrates competence in nursing assessment, diagnosis, planning, implementation and evaluation. Exhibits leadership skills and teamwork. Promotes patient advocacy and supports learning needs of staff and students. Collaborates with other disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Supports the organization’s vision and mission. Utilizes knowledge of patient’s age and culture in provision of patient care. Maintains organizational and unit requirements. Promotes a collaborative and cooperative environment with emphasis on customer service. The Diabetes Education Program will have Diabetes Education Back-up Instructors to assist with the Diabetes program.
- Completes assessment and recognizes actual and potential health problems.
- Documented nursing assessment reflects review of patient’s psychosocial, spiritual, environmental, and health education status and data is reflected in the DSMES Data Record. (Diabetes Self- Management Education and Support)
- Completes nursing assessment on Diabetes patients promptly and adequately at Education session.
- Continuously assesses patient response to illness and intervention, and ensures documentation of ongoing assessments is appropriate and complete.
- Uses critical thinking skills to assess, anticipate and problem solve and identifies patient and family needs as expressed verbally and through behavior and initiates action to meet them.
- Interprets clinical and diagnostic data with evidence of recognition of deviation from norm, and differentiates between clinically significant and insignificant data. Takes appropriate action when assessment and/or lab and diagnostic data is abnormal or significant.
- Initiates DSMES Program and behavior goals and adjusts as needed.
- Problem list is completed within 24 hours of Education Session and is appropriate for patient needs, using data obtained from assessments.
- DSMES Program and behavior goals form is adjusted as goals are met as new problems occur.
- Supports multidisciplinary involvement in the plan of care, collaborates and communicates with Case Manager/Diabetes staff and other disciplines to address patient needs, problems, and response to interventions, and documents as appropriate on multidisciplinary data record.
- Demonstrates a systematic approach to care and treatment, consistently demonstrates and documents a logically planned sequence of actions and activities to expedite intervention.
- Administers care according to established nursing standards and hospital policy, initiates, modifies as appropriate, and implements patient care interventions using critical thinking skills, and actions reflect knowledge of nursing science and good judgement.
- Carries out and adapts medically ordered interventions, follows orders when appropriate, withholding actions on questionable orders while seeking clarification in a timely manner. Collaborates with CDCES (Certified Diabetes Care and Education Specialist) RN/supervisor/manager with questions.
- Accountable for safe administration of medication and IV therapy according to nursing standards and hospital policy.
- Recognizes adverse/critical changes in patient condition and acts appropriately to initiate intervention.
- Administers supportive care until help arrives and/or orders received.
- Evaluates and documents actions, interventions, and outcomes, uses critical thinking skills to evaluate interventions and select new interventions, documents modification in patient problem list necessitated by changing patient needs, nursing notes reflect utilization of current problems, nursing actions, and patient response.
- Recognizes patient’s right to choose own options for healthcare, accepts the rights of patients/families to their own beliefs, cultural practices, moral codes, and lifestyles, assists patient/family in obtaining information on healthcare options, actively involves patients/families in decision making, and supports decisions made by patient/family.
- Demonstrates knowledge of cultural factors, risk factors, preventative health measures, and complications associated with the age group of patient population served, evaluates and documents pertinent observations, concerns, and issues relating to the age, culture and life stage of the patient, and recognizes common age related and cultural issues and modifies care to prevent complications or improve outcomes.
- Formulates and/or updates teaching plan for patient/family that is appropriate to their needs, readiness to learn, learning style, and learning needs assessed, family included in teaching when possible, and learning needs prioritized so as not to overwhelm.
- Functions effectively in the Diabetes Education role, establishes priorities based on patient needs, takes responsibility for assuring that safe patient care is maintained.
- Communicates pertinent information about patient to other co-workers for continual care, and reports organized and complete.
- Demonstrates knowledge and skill in the use of hospital utilities, utilities frequently used in the patient care environment, special applications and emergency procedures, procedures for reporting failures, and procedures for emergency shutdowns.
- Plan, organize and implement the DSMES Program according to the ADCES Guidelines.
- Conduct one to one pre-assessment interviews with assigned client referred to the Diabetes Program.
- Instruct all clients with diabetes referred to the Diabetes Program in the coordination with the dietary instructor, either in class or individual sessions, based on the individual’s needs.
- Assists in all areas of the Diabetes Program (Diabetes classes, Support groups, Insulin pump program, Camp Adventure, GDM Program, Health Fairs, outside community programs.)
- Be an active member of the Diabetes Advisory Committee and attend meeting.
- Provide and/or assist coordinating in-service health fairs and support groups on diabetes education for the nursing personnel, diabetes staff and community as needed.
- Assists in the planning, reviewing, QA, and evaluation process of the Diabetes Program and its effectiveness per the recommendations of the Diabetes Advisory Committee.
- Acts as resource/consultant for in-house nursing staff, patients and community.
- Responds appropriately to workload changes during the shift, recognizes when own workload exceeds time/ability to complete and makes arrangements to obtain assistance (notifies Diabetes Coordinator for reassignment, delegates tasks, asks for assistance from coworkers, etc.) so that continuity of care is maintained, offers assistance when able and steps in to assist coworkers whose workloads exceed time/ability to complete.
- Meets the identified organizational requirements, work habits and promotes a collaborative and cooperative work environment.
- Performs other work-related duties as assigned.
- Complies with local, state, and federal laws and regulations.
- A Registered Nurse licensed to practice in the State of Maine.
- Depending on department staffing needs, you may be asked to work on non-scheduled days for emergency needs and emerging situations in addition to scheduled time.
Education, Skills, Experience Requirements:
- Meets a minimum of 15 hours per year of continuing education in diabetes or diabetes related topics.
- Meets the unit’s annual competency training requirements.
- Maintains current BLS certification.
- Works toward CDCES within 2 years in position.