Must have and maintain ACLS and PALS Certification or obtain within six (6) months of hire date.Must have and maintain current BLS Certification or obtain within orientation process, prior to hands-on patient care.Must have current licensure as a Registered Nurse in the State of California.Possesses knowledge of growth and development and has an understanding of the range of treatment needed for all patient groups. Demonstrates the ability to obtain and interpret information in terms of the patient’s needs. Is responsible for the assessment, treatment or care appropriate to the ages of the patients served. Demonstrates the ability to obtain and interpret information in terms of the patient's needs. Is responsible for the assessment, treatment or care appropriate to the ages of the patients served.Contributes to the Sierra View Medical Center Department of Patient Care Services and the nursing profession in a positive manner. Independently performs general and unit-specific clinical skills. Demonstrates an advanced level of clinical competency, nursing judgment, teaching skills, and a commitment to improving the quality of patient care. Under the general direction of the Unit Director, Clinical Manager and Charge Nurse, the Clinical Decision Unit's Registered Nurse (R.N.) independently provides holistic, individualized care using the nursing process for patients routinely seen on the unit.
#Clinical decisions unit full#
Must have full open availability to be considered.
Individual is required to work 3 scheduled shifts per week.Individual will work a 13-week seasonal assignment.© 2018 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine. The substantial improvements in ambulance ramping and escalations also indicated that the department was able to cope better with periods of high activity.Įfficiency emergency medicine hospital organisational emergency service. In summary, this ED led, consultant run CDU model of care resulted in significantly improved performance on a range of KPIs, including improvement in access block and NEAT figures. The percentage of patients that did not wait and 30 day representations showed a small but statistically significant decrease. Overall there was no change to hospital mortality numbers. Total ambulance ramping time fell by 58% and ambulance service level three escalations fell from 21 to 5 post-CDU implementation. There was a significant improvement in NEAT adherence. Primary outcomes were access block (percentage of patients admitted >8 h), discharge National Emergency Access Target (NEAT) adherence and Queensland Ambulance Service level three escalations.Īfter the implementation of the CDU, access block significantly improved.
This present study describes the impact of a new model of care using an ED led, consultant run clinical decision unit (CDU) on performance, using a retrospective analysis of data for 9 month periods before and after the introduction of the CDU model of care. Multiple models of care have been studied in an effort to improve access block and other key performance indicators (KPIs) of ED. ED access block is an ongoing significant problem and has been associated with excess mortality.
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