POSITION TITLE: Registered Nurse
DEPARTMENT: Mother Baby
GENERAL DESCRIPTION: Utilizing the Nursing Process, coordinates and implements care of patients within an assigned unit of the hospital under the direction of the Nurse Manager/Patient Care Manager. Performs work of considerable difficulty.
MINIMUM QUALIFICATIONS: A. EDUCATION, TRAINING & EXPERIENCE: Must be a graduate of accredited School of Nursing. Previous acute care experience preferred. B. KNOWLEDGE, ABILITIES & SKILLS: The following is required: a. Knowledge of the nursing care required for patients throughout the age continuum; b. Ability to use the nursing process; c. Knowledge of teaching/learning theories; d. Ability to critically think, problem solve; plan, organize, and coordinate patient care activities; e. Ability to communicate effectively, orally, and in writing.
LICENSES, REGISTRATIONS AND CERTIFICATIONS: Current Registered Professional Nurse licensure in the State of Iowa. Registered Nursing licensure in the state of Illinois required within 3 months of hire date. Current CPR Certification required. Must obtain NRP certification and successfully complete a basic fetal monitoring class within 6 months of hire date within the maternal child division. JOB RELATIONSHIPS: A. RESPONSIBLE TO: Patient Care Area Manager B. WORKERS SUPERVISED: Unlicensed assistive personnel, student nurses, LPNs, Unit Clerks, and volunteers C. INTER-RELATIONSHIPS: All members of the health care team, patients, visitors, families, and community leaders WORKING CONDITIONS: · May be exposed to infections and contagious diseases · Potential exposure to the risk of bloodborne pathogens Category I · Exposed to hazards from electrical/mechanical/power equipment · Exposed to housekeeping/cleaning agents/chemicals · May be exposed to toxic chemicals · Contact with patients under wide variety of circumstances · Exposed to unpleasant elements (accidents, injuries and illness) · Handles emergency or crisis situations · Occasionally subjected to irregular hours · Requires judgment/action which could result in serious consequences · Occasional pressure due to multiple calls and inquiries · May be exposed to environmental temperature changes: hot to cold, etc. · Works in a smoke-free environment · Occasional exposure to video display terminal PHYSICAL DEMANDS: · Extremely heavy physical effort (lift/carry 50 lbs or more) · Frequent prolonged standing/walking · Lifts, positions, pushes and/or transfers patients · Assists with lifting and moving patients · Lifts supplies/equipment · Manual dexterity and mobility · Intermittent exertion when performing treatments · Occasional reaching, stooping, bending, kneeling, crouching · Requires far acuity: ability to see clearly at 20 feet or more · Requires near acuity: ability to see clearly at 20 inches or less PATIENT POPULATIONS SERVED: · Refer to Scope of Service for Patient Care Area
JOB DUTIES: I. RESPONSIBILITIES/TASKS: TECHNICAL/ADMINISTRATIVE/CLINICAL: Demonstrates competence in the skills, (critical thinking, interpersonal, and technical[i]) necessary to carry out assigned duties as identified below. Demonstrated competence in recognizing and responding to patients physical, mental, emotional and developmental needs should be evaluated in relation to the patient populations served as appropriate for each responsibility. A. Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, the alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations.[ii] B. Consistently conforms to high standards of practice[iii]. 1. Assessment – collects comprehensive data pertinent to the patient’s health or the situation. a. Completes initial assessment within 24 hours of admission or established policy time frame if sooner. b. Completes physiological, psychological, spiritual, and educational assessment of the patient/family within established policy time frame. c. Maintains ongoing assessment following established practice guidelines that accurately reflects patient status. d. Documents nursing assessment clearly and concisely. e. Notifies physician of pertinent changes in patient status 2. Diagnosis – analyzes the assessment data to determine the diagnoses or issues. a. Identifies issues/problems in Care Graph within established patient population time frames. b. Updates, adds or deletes issues/problems as patient condition changes. 3. Outcomes Identification – identifies expected outcomes for a plan individualized to the patient or the situation. a. Identifies realistic and measurable outcomes which are complimentary to medical plan of care and centered on the patient’s and family's/significant other's needs and appropriate practice guidelines. 4. Planning – develops a plan that prescribes strategies and alternatives to attain expected outcomes. a. Collaborates with co-workers, physician, other disciplines, patient, and family to develop individualized plan of care to address patient diagnoses or issues that attains patient outcomes. b. Revises plan of care based on evaluation of patient’s response. c. Includes discharge planning needs in plan of care. 5. Implementation – implements the identified plan. a. Coordinates care delivery - Assumes responsibility for assigning and coordinating patient care with ancillary personnel consistent with patient needs, staff competencies and licensure. b. Employs strategies to promote health and a safe environment c. Demonstrates competence in the administration of age appropriate patient care and implementation of physician orders. d. Implements age appropriate patient care in accordance with established practice guidelines, policies, procedures, state and federal law. e. Facilitates a healing environment for patients through an evaluation of current hospital practice as it relates to the individual patient's welfare, i.e. patient needs for rest, nourishment, exercise, emotional, and spiritual support. f. Serves as a patient advocate. g. Communicates response to care, i.e. documentation and verbal report. h. Responsible for providing education for patients and their families regarding the patient's illness, treatment, medications, and discharge planning needs. 6. Evaluation – evaluates progress towards attainment of outcomes. a. Regularly evaluates the effectiveness of the coordinated medical and patient-centered plan of care and implements changes as necessary. b. Encourages feedback from the patient, families/significant others, peers, and other disciplines regarding perception of care provided to patients and utilizes feedback to improve patient care practices. C. Consistently conforms to high standards of professional performance.[iv] 1. Quality of Practice – systematically evaluates the quality and effectiveness of nursing practice. 2. Education – attains knowledge and competency that reflects current nursing practice. a. Progression towards goals from previous evaluation/orientation completion. 3. Professional Practice Evaluation – evaluates own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations. 4. Collegiality – interacts with and contributes to the professional development of peers and colleagues. 5. Collaboration – collaborates with patient, family and others in the conduct of nursing practice. a. Seeks supervision, consultation, or assistance when unable to perform effectively or safely. 6. Ethics – integrates ethical provisions in all areas of practice. a. Provides care consistent with the Code of Ethics for Nurses[v] i. Practices with compassion and respect for the inherent dignity, worth, and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems. ii. Primary commitment is to the patient, whether an individual, family, group, or community. iii. Promotes, advocates for, and strives to protect the health, safety and rights of the patient. iv. Responsible and accountable for individual nursing practice and determines appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum patient care. v. Owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to continue personal and professional growth. vi. Participates in establishing, maintaining, and improving health care environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action. vii. Participates in the advancement of the profession through contributions to practice, education, administration, and knowledge development. viii. Collaborates with other health professionals and the public in promoting community, national, and international efforts to meet health needs. ix. In conjunction with the profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy. 7. Research – integrates research findings into practice. 8. Resource Utilization – considers factors related to safety, effectiveness, cost, and impact on practice in the planning and delivery of nursing services. 9. Leadership – provides leadership in the professional practice setting and in the profession II. KEY PERFORMANCE GOALS – reference Scope of Service for Patient Care Area A. Quality of Care B. Service C. Efficiency III. DEMONSTRATION OF VALUES: Consistently demonstrates Trinity’s values in the performance of job duties and responsibilities. A. Demonstrates Excellence – A standard of the highest quality in the service we deliver to meet the various needs of our customers. B. Demonstrates Flexibility – An openness to the change which accompanies the exploration of new ways of delivering service. C. Demonstrates Integrity – The assurance that all our dealings with patients and their families, physicians, employees, suppliers, and the community members and others with whom we do business, will be filled with respect, fairness and honesty. D. Demonstrates Responsiveness – A commitment to work with others to identify the needs of our customers and to strive to meet these needs. E. Demonstrates Service – A pledge to offer appropriate services to all persons, regardless of socioeconomic status, race or religion. F. Demonstrates Teamwork – A cooperative effort, involving employees, physicians, patients, and community members, working together to provide quality, compassionate, cost-effective health care. IV. PRINCIPLES OF HOSPITALITY: Consistently demonstrates Trinity’s Principles of Hospitality when interacting with patients, families, physicians, co-workers, visitors, and others. A. Is friendly. B. Responds quickly. C. Takes ownership. D. Is a valued information resource. E. Shows respect for others. F. Provides value-added service. G. Projects a professional image. V. CORPORATE INTEGRITY PLAN: Consistently demonstrates support of Trinity’s Corporate Integrity Plan in the performance of job duties and responsibilities. A. Develops and maintains knowledge of current rules, regulations, policies, and statutes that affect his/her job. B. Monitors his/her work area to ensure corporate integrity issues are identified and addressed. C. Reports Corporate Integrity Plan compliance issues in an appropriate and timely manner. D. Supports Trinity’s Corporate Integrity Plan. VI. PERSONAL/PROFESSIONAL COMMITMENT: Consistently demonstrates appropriate commitment to professional development. A. Completes all mandatory in-services and competency requirements. B. Assumes responsibility for professional growth and development. Pursues opportunities for professional enrichment. C. Utilizes supplies and resources of the organization in a cost effective manner. D. Maintains commitment to working scheduled hours. E. Knows and follows the Safe Operating Procedures (SOP’s) for the department/unit. Takes appropriate measures to prevent unsafe actions or conditions from resulting in harm to self or others. Reports accidents/injuries in a thorough and timely manner. Reports for duty in the proper mental, physical, and emotional condition. This position description was developed to enhance the communication of job and performance expectations between the employee and the department manager/ director and/or vice-president and should not be considered a contractual agreement or an all-inclusive list of responsibilities, duties and skills required. The specifications, responsibilities and activities will be reviewed on a regular basis for modification or change, and may be initiated as needed.