Acute Care (5A) and Family Medicine (5C) is a conceptually contiguous Family Medicine and General Medicine Acute Care unit with 14 beds on the Family Medicine unit and 23 beds on the Acute Care unit. The patient population is adults who have a variety of medical diagnoses such as Diabetes, End Stage Renal Disease, End Stage Liver Disease, Gastro-Intestinal Disorders, Adult Cystic Fibrosis, chronic and acute pain, infection, diagnostic testing, and psychiatric patients with a medical overlay.
Patients require acute medical and nursing interventions such as intravenous fluids, nutritional support, pain management, antibiotics administration, diabetic management, respiratory care, remote telemetry, prepping for procedures, and education to optimize self-care. 5A/5C admits behavioral/psychiatric patients with medical issues that may have suicidal ideation or other behavioral risks that necessitate a court hold. Creating a therapeutic environment for this population includes establishing a therapeutic nurse-patient relationship that facilitates gathering critical patient data and implementing the interdisciplinary plan of care.
The Assistant Nurse Manager (ANM) is a registered nurse (RN) who is responsible for upholding excellence in the provision of nursing care through the implementation of the Profession Practice Model. The ANM, in association with the Nurse Manager, is responsible for the managerial and leadership functions within apatient environment. The ANM functions primarily on evening and nightshift hours to provide operational oversight, consistency and continuity.
The ANM partners with the interdisciplinary care team to ensure the delivery of safe, quality patient care and compliance with regulatory standards, and administrative and clinical policies and procedures. The ANM performs managerial activities, and demonstrates effective leadership behaviors including performing evaluations, employee mentoring, coaching, and performance management. The ANM implements quality and safety initiatives, engages in process improvement, ensures adherence to bargaining unit agreements and human resource management. The ANM creates and sustains a patient care environment that supports a safe, knowledgeable, compassionate, productive, and engaged staff.
The ANM’s decisions and actions are based on ethical principles as outlined by the American Nurses Association. The ANM practices in adherence with the American Nurses Association’s (ANA) Nursing Administration: Scope and Standards of Practice for Nurse Administrators, the ANA Code of Ethics, the Oregon State Board Nurse Practice Act, and within the context of the Nurse Executive Competencies developed by the American Organization of Nurse Executives (AONE). The ANM exemplifies the principlesn of the OHSU Culture of Safety Position Statement by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.
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