Position SummaryThe registered nurse is accountable for the delivery and supervision of safe, quality care that is individualized for their assigned patients and follows the nursing process in accordance with the Nurse Practice Act (assessment, planning implementation, evaluation). She/He is responsible for the assessment, treatment and care of patients in populations and ages as assigned. The registered nurse accepts and promotes professional development as an integral part of nursing practice. She/He will access, analyze, customize, coordinate and communicate the patient's plan of care and activities collaboratively with other members of the health care team. Families and or significant others will be included within the plan of care as appropriate. She/He will direct, delegate and manage the care delivered by colleagues and subordinates. The registered nurse performs all duties in a manner that respects and supports the family centered care model. Collegial and collaborative care will reflect the philosophy of the Division of Nursing, the Mission and Core Values of the Sisters of Providence, and National Patient Safety Standards.
Position Specific Responsibilities- Possesses knowledge of developmental needs and competent in the assessment and treatment as it relates to the age of the patient population served.
• Conducts and documents a comprehensive patient assessment upon admission.
• Continually reassesses and applies appropriate advocacy and interventions as indicated.
• Competent in the interpretation of a patient's self-assessment and behavior. This information must be interpreted with an understanding of the cognitive, physical emotional, psychosocial and chronological maturation process.
• Actively involves patient and family in the collaborative plan of care.
• Consistently demonstrates and promotes safe patient care practices: (i.e.
• Hand washing/Patient ID, Communication, Reduction of infection Risks, Medication Safety & Reconciliation, Falls Prevention, No Preventable Deaths/Injuries, Inclusion of patients/families concerns and access to healthcare team).
• Collaborates with the patient, family and members of the healthcare team; develops, documents, implements and monitors an individualized plan of care which reflects a standard of care based on best practice and evidence-based medicine.
• Provides, documents, and consults to assure necessary patient and family education in support of the treatment plan.
• Adaptive to change and updated patient care practices within an evolving healthcare environment.
• Collaborate with team members, the patient, the patient's family and others as appropriate in the development of a proactive discharge plan.
• Performs procedures and treatments according to accepted department/unit protocols, guidelines, standards and the Nurse Practice Act.
• Legibly and electronically documents patient care activities and information in an accurate, concise, and timely manner.
• Competent in the input and retrieval of information within the various forms of written and electronic documentation.
• Provides safe quality care in an efficient, cost effective manner.
• Supports and assists with orientation of new staff and students.
• Acquires necessary training and skills to competently perform the preceptor and charge nurse function when selected and functioning in those roles.
• Demonstrates advancement of professional nursing practice through continuing education, required training, certification, and participation in department and unit activities.
• Assures all competencies, certifications, safety information and courses are completed as required.
• Identifies concerns and takes appropriate action(s) to involve colleagues and management in the development and promotion of a safe patient care environment.
• Actively engages in positive communication, feedback, and the on-going development of self and team.
• Takes an active role in building and maintaining an environment that fosters open communication, patient and family-centered care and healthy collegial relationships.
• Demonstrates adaptive/timely communication based on individual patient/family needs.
• Attends and participates in a minimum of 50% of scheduled staff meetings or has read the minutes and signed off on them, and is responsible for meeting content regardless of attendance.
• Promotes and role models collaborative practice and relationships with other health care professionals.
• Recognizes the role that the cultural diversity of patients and their families, employees, medical staff, volunteers and community members plays in achieving productive and positive relationships.
• Rounds with physicians and other team members to promote continuity of care and patient's confidence in their care delivery team.
• Monitors patient's condition, notes changes in status, utilizes judgment and takes appropriate action.
• Communicates patient status to colleagues and physicians to include: situation, background, assessment, and recommendations (S.B.A.R). Utilizes tools adopted through quality and safety initiatives when communicating patient status change and at the time of patient handoff.
• Uses the Providence Early Assessment Team (P.E.A.T.) when indicated by changes in patient's conditions or concerns.
• Promotes and routinely offers comfort and pain management measures.
• Documentation reflects assessment, treatment and re-assessment as required to meet patient goals.
• Consistently demonstrates and incorporates principles and policies of safety and infection control as defined by policy and procedure, National Patient Safety Goals and Emergency Response procedures.
• Complies with Hospital standards to assure continued compliance and regulatory requirements are met. Examples include but are not limited to: JCAHO, OSHA, State and Federal requirements.
• Actively participates in Departmental and Unit based activities, including Quality Improvement Programs and processes.
• Participates in departmental activities that improve patient care and process systems, Participates in Tracer Rounds and actively assists others in transitioning and applying knowledge to the clinical and operational setting.
• Safeguards all forms (Electronic, written and oral) of confidential information as it relates to patients, their families, medical staff and employees.
• Is aware of and compliant with organizational polices regarding Fraud and Abuse, Conflict of Interest and the Code of Conduct.
Education and/or Experience- AK:
Required - Graduate of an accredited/approved school of Nursing. - CA:
Required - Associate's Degree Nursing - OR:
Required - Education to meet certification, license or registration requirement. - WA:
Required - Associate's Degree Nursing
Preferred - Bachelor's Degree Nursing - AK:
- Preferred - 1 year One year Registered Nurse experience in an acute care hospital preferred unless hired as an intern or fellow.
- CA:
- Required - 1 year Professional nursing experience.
- Preferred - Home Health field experience.
- Preferred - IV and Central Line experience
- Preferred - Experience with wound care including negative pressure devices.
- OR:
- Required - 1 year Medical/surgical experience in an acute care setting.
- Preferred - Recent Home Health experience.
- Required - 2 years Experience in acute care or community mental health setting for Mental Health RN work assignment.
- Preferred - Hospice or Palliative Care experience for Palliative Care RN work assignment.
- Preferred - Point of Care experience.
- WA:
- Required - 1 year Experience in home health, acute care or a skilled nursing facility.
- Preferred - 1 year Recent home health, acute care or skilled nursing facility.
Skills- Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
- Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
- Other Skills and Abilities:
- Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy.
- Schedule varies to meet department needs.
- Must be able to prioritize multiple tasks, and work with a variety of health unit teams.
Certifications, Licenses, and Registrations- AK:
- Required upon hire: Alaska Registered Nurse License (Vendor Managed)
- Required within 30 days of hire: National Provider BLS - American Heart Association (Vendor Managed)
- Required upon request: Driving may be necessary as part of this role. Caregivers are required to comply with all state laws and requirements for driving. Caregivers will be expected to provide proof of driver license and auto insurance upon request. See policy for additional information.
- CA:
- Required upon hire: California Registered Nurse License (Vendor Managed)
- Required within 30 days of hire: National Provider BLS - American Heart Association (Vendor Managed)
- OR:
- Required upon hire: Oregon Registered Nurse License (Vendor Managed)
- Required within 30 days of hire: National Provider BLS - American Heart Association (Vendor Managed)
- WA:
- Required upon hire: Washington Registered Nurse License (Vendor Managed)
- Required within 30 days of hire: National Provider BLS - American Heart Association (Vendor Managed)
- Required within 30 days of hire: National Provider Identifier (NPI) number
Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization.
