Tyann Seals

RN Staff Nurse Float functions as a Staff Nurse in the ER, PCU, MED/SURG, Psychiatry and Neuro, Ortho, Cardiac. Accountable for providing the highest quality of nursing care possible for patients. This responsibility includes the utilization of general clinical nursing skills and knowledge in the area of care and patient safety, coordination of patients and education of patients/significant others as indicated. Based on a broad skill set and a high amount of critical thinking. This position involves floating from unit to unit based on patient care needs. Flexible and adaptable to changing units and patient care needs. Demonstrates area-designated competencies and delivers quality care to the patient using advanced clinical knowledge and judgement.

Delivers nursing care and assessment consistent with the standards of practice in the units assigned.

Accurately and completely documents assessment, finding, any changes in patient status and nursing interventions in a timely manner, following established unit procedure/ protocol utilizing electronic medical record.

Successfully performs bedside monitoring (EKG & remote telemetry) per hospital/unit policy & procedures, recognizes common cardiac rhythms/arrhythmias and processes the knowledge and skill to take appropriate action.

Accurately and safely administers and documents all forms of medication per route ordered, including sedation medications by following approved protocols, orders.

Demonstrates proficiency in venipuncture/IV start techniques, maintenance of vascular access sites, and the infusion of parental infusions consistent with facility policy.

Demonstrates appropriate cares for pre- and post-operative Med/Surg. recognizing possible complications and acts to prevent these developments.

Demonstrates proficiency / knowledge in in the application of Oxygen support equipment / devices consistent with facility policy.

Demonstrates the skill and knowledge to manage the care of a patient with artificial airways and mechanical ventilation assessing the changes in status and intervening to resolve actual or potential problems.

Demonstrates knowledge and skill in deferent modalities of invasive/ non-invasive hemodynamic monitoring including but not limited to arterial and central venous pressure.

Demonstrates the skills and knowledge required to safely assist the medical providers in the performance of routine bedside procedures including the performance of moderate sedation.

Effectively cares for pre- and post-operative patients recognizing possible complications and acts to prevent these developments.

Demonstrates the ability to recognize impending or actual cardiac and/or respiratory arrests and initiates appropriate actions in an organized and efficient manner consistent with the policies of the hospital.

Assures own professional development through certification, ongoing continuing education activities, and involvement in professional organizations.

Maintains up to date competencies for the ED, PCU, Med Surg, and Mental Health units.

Maintains current and active BLS, ACLS, and CPI certifications.

Demonstrates professional behavior, and effective communication skills that enhance working with others.

Uses interpersonal communication strategies with individuals or groups that result in the achievement of the intended outcomes.

Demonstrates positive team building skills.

Demonstrates ability to adapt to rapid changes in acuity and workload and is flexible in changing assignments when needed.

Participates in Performance Improvement activities.

Identifies opportunities to improve patient care through monitoring, analyzing, and assessment.

Designated first-line supervisory authority, responsibility, and accountability for the 24/7 operations of inpatient units, to include acting as a direct patient care provider when needed and ensuring that subordinate personnel provide timely nursing care which complies with generally accepted standards of clinical practice. This includes the authority to accept, amend, or reject the work of subordinates.

• Developed strategy to target nursing and patient satisfaction issues, improve response and patient care quality and suggest actionable improvements to promote hospital-wide quality and safety initiatives.
• Reviewed patient transfer records routinely to verify patients received appropriate levels of care.
• Collaborated with leadership to devise initiatives for improving nursing satisfaction, retention and morale.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Led staff meetings to keep team informed of departmental changes and provide opportunities for nurses to share ideas and concerns.
• Follows staffing guidelines to ensure safe, appropriate patient care staffing throughout the clinical and procedural area.
• Assures patient flow through efficient and timely utilization of capital and human resources.
• Monitors performance improvement compliance, functions as a resource for patient care staff, and is responsible for pertinent records and reports to meet the needs of patient care services and the organization.
• Applies the nursing process to systems or processes at the unit/team/work group level to improve care. In addition, they create a safe and healthy work environment by promoting safe patient handling strategic plans.
• Demonstrates the ability to utilize problem solving skills to identify, analyze, and resolve issues/concerns.
• Assures compliance with national patient safety goals and evaluates practice of self and others against standard of practice and relevant accrediting and regulatory bodies (i.e., professional nursing organization, nurse practice acts, Joint Commission, OSHA) implementing action to improve compliance.
• Responsible for preparing formal evaluations of performance of employees
• Plans and implements effective educational programs for in-services, orientation, continuing education, and other personnel training in conjunction with the education department.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Maintains the nursing guidelines by writing and updating policies and procedures
• Maintains nursing staff by recruiting, selecting, orienting, and training nurses and auxiliary staff
• Maintains nursing staff by coaching, counseling, and disciplining through monitoring and appraising nurses’ job performance
• Maintains a cooperative relationship among health care teams by communicating information and participating in team-building exercises
• Overseeing the effectiveness of operations, including patient record maintenance
• Serving as a liaison between nurses, physicians, and upper management
• Ensuring the unit aligns with strategic goals of the hospital, including following best legal and safety practices
• Ability to provide leadership, strong organizational and, problem solving skills
• Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches
• Developed and implemented quality improvement initiatives to provide best possible patient care and identify and address areas of concern.
• Promoted professional development opportunities to encourage nurses to pursue continuous training.
• Fostered improvement in staff development, personnel training, and standards of patient care.
• Managed staff scheduling and time off to adequately staff nursing floors and allow nurses earned time off.
• Investigated and independently resolved complaints from staff, physicians, and patients by leveraging clinical judgment and unit management expertise.

In collaboration with the Nurse Manager, functioned as a supervisor and assumed accountability for the operation of the inpatient unit. This included the management, supervision and evaluation of care delivered by nursing and other allied healthcare staff. In collaboration with the Nurse Manager, created a positive work environment which enhanced care delivery and professional development of clinically competent staff.

• Promoted, created, demonstrated, and ensured a culturally diverse workforce in which the values and needs of all individuals are respected.
• Demonstrated a high level of clinical expertise, leadership, and creative approaches to management of complex care. In addition, applied skills are necessary to identify and coordinate discipline-specific education, as well as training in leadership, professional staff development and emerging needs to all levels of staff.
• Provided oversight for the administration of leave, counseling, and disciplinary actions in collaboration with the Nurse Manager.
• Initiated process to improve staffing effectiveness and served in leadership role to build strong relationships with individuals and system leaders
• Oversaw scheduling and staffing effectiveness
• Monitored expenditures and assisted with decreasing overtime cost and implemented guidelines to decrease employee scheduling deficiencies
• Assessed performance of staff and provided feedback to the unit manager
• Assumed responsibility for remaining current on the job-related knowledge, skills and ongoing education/in-service/certification/licensure requirements
• Provided hands-on care as needed; served as a resource for trouble shooting clinical issues
• Insured effective beds utilization; determined staffing needs based on acuity levels, census and resources
• Responded to codes and emergencies; broad knowledge of emergency disaster plans and crisis management
• Supported the Nurse Manager by instilling the unit specific and professional standards of practice based on current literature
• Facilitated communication among interdisciplinary team members
• Maintain confidentiality of electronic, written, and/or verbal patient/employee information
• Demonstrate working practices that include adherence to Infection Control standards, Patient Safety standards in the safe use and operation of equipment
• Demonstrate ability to lead and direct diverse and dynamic groups of staff in the delivery of safe and effective patient care
• Demonstrate strong organization and prioritization skills

• Duties include documenting observations, assessments, and changes in patient's condition; collaborating with health team members to facilitate positive patient care outcomes; providing a full range of nursing care to patients with a variety of physical problems; and accountable for meeting and maintaining the qualification standards
• Ability to assume leadership in a patient centered care, and the ability to establish effective communication with patients, families, visitors and members of the interdisciplinary team.
• Ensures that whenever possible works to cultivate partnerships with customers in developing solutions to meet their needs
• Communicate and interact appropriately and courteously with all internal and external customers
• Maintain confidentiality of electronic, written, and/or verbal patient/employee information
• Completing and documenting nursing assessments, seeking assistance to identify priority needs.
• Recognizing overt abnormal signs and symptoms and/or changes in the patients' condition and responding appropriately
• Demonstrating the knowledge and skills necessary to provide care appropriate to the patients' served and interpreting information to identify each patient's individual needs
• Developing the initial nursing plan of care and updating plan with assistance as needed
• Addressing patient safety needs when communicating patient care needs to other nursing staff and disciplines
• Safely and effectively using equipment required for patient care, including Procedures for cleaning, transporting and storing reusable medical equipment (RME)
• Appropriately using safe patient handling equipment
• Adhering to infection control practices while using equipment and providing patient care (proper hand washing techniques, use of PPE)
• Recognizing actual or potential changes in condition and response to treatment, initiating appropriate action and revising the plan of care accordingly
• Initiating and documenting basic health teaching and discharge planning based on patient's/family's identified needs
• Documenting care given in the medical records in a consistent, accurate, concise and timely manner per hospital protocol
• Revising plan of care according to evaluations
• Ensuring staff adheres to workplace protocols and procedures
• Assisting nurses in their charge with patient related questions
• Overseeing the smooth transition from one shift to another
• Acting as a liaison between nurses and doctors
• Creating and evaluating staffing plans and schedules
• Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
• Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
• Implemented care plans for patient treatment after assessing physician medical regimens.
• Facilitated therapeutic communication, conflict resolution and crisis intervention by redirecting negative behaviors and helping patients regain or improve coping abilities.
• Quickly responded to situations impacting safety and security to unit, actualizing crisis prevention interventions to control and de-escalate situations.
• Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
• Educated family members and caregivers on patient care instructions.
• Communicated with healthcare team members to plan, implement and enhance treatment strategies.
• Supervised and managed daily scheduling, tasking, and administration.
• Strengthened unit care standards and policies with focus on patient safety and dignity.
• Documented information in patients' electronic medical record, relaying information to clinicians and care providers to facilitate continuity of care.
• Assisted in development and implementation of new policies and procedures to improve healthcare quality.

• Duties include documenting observations, assessments, and changes in patient's condition; collaborating with health team members to facilitate positive patient care outcomes; providing a full range of nursing care to patients with a variety of physical problems; and accountable for meeting and maintaining the qualification standards
• Ability to assume leadership in a patient centered care, and the ability to establish effective communication with patients, families, visitors and members of the interdisciplinary team.
• Ensures that whenever possible works to cultivate partnerships with customers in developing solutions to meet their needs
• Communicate and interact appropriately and courteously with all internal and external customers
• Maintain confidentiality of electronic, written, and/or verbal patient/employee information
• Demonstrate working practices that include adherence to Infection Control standards, Patient Safety standards in the safe use and operation of equipment
• Demonstrate ability to lead and direct diverse and dynamic groups of staff in the delivery of safe and effective patient care
• Demonstrate strong organization and prioritization skills
• Demonstrate ability to collect data, analyze results, and implement program recommendations/changes based upon the findings
• Administered oral, IV, subcutaneous, intramuscular medication as part of patients' treatments
• Recorded changes in patient conditions and laboratory test results
• Intervened and stabilized patients during emergencies with immediate first aid, CPR, or advanced life support care
• Conducted accurate chart updates in computer system
• Educated patients and caregivers on proper at home care and treatment regimens
• Managed patient flows for unit, handling admissions and processing discharge paperwork
• Maintained patient privacy and confidentiality in alignment with HIPPA regulations and protocols
• CPR and ACLS certified
• Proficient in Epic and Cerner Millennium computer charting systems