Working at The Miriam
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The Miriam Hospital's philosophy and definition of professional nursing is consistent with the RI State Nurse Practice Act. The Act states that "the practice of professional nursing is a dynamic process of assessment of an individual's health status, identification of care needs, determination of health care goals with the individual and/or family participation, and the development of a plan of nursing to achieve these goals.
Nursing actions, including teaching and counseling, are directed toward the promotion, maintenance and restoration of health and evaluation of the individual's response to nursing actions and the medical regimen of care.
Our professional practice model is aligned with professional and accrediting agency standards and the hospital's strategic plan and initiatives. The ANA's Principles of Nurse Staffing are utilized in the allocation of nursing resources and in preparation of patient assignments. Considerations for continuity of care and nurse competencies are integrated into our Model of Care. Key tenets of this model include the following:
Principles of Primary Nursing
The Miriam Hospital implements a modified primary nursing care delivery system, based on the three principles of primary nursing. The modified primary nursing care delivery system recognizes that no one individual is accountable for patient outcomes, but rather, the care team and each individual are accountable for patient outcomes. The nursing team includes nurse manager, clinical nurse leader (CNL), clinical coordinator, registered nurse (RN), collegiate nurse intern (CNI), and certified nursing assistant (CNA). Advanced practice registered nurses (APRNs) and the case management team are also accountable for patient care.
The modified primary care nursing care delivery systemincorporates: