Performs the nursing process to deliver safe, therapeutic, and quality care through assessment of patients, establishment and implementation of the nursingcare plan, and evaluation of clinical outcomes within an inpatient environment. Develops a flexible, innovative, and confident self-directed approach to patient and family care and operates from a deep understanding of the total situation. Collaborates with other caregivers to challenge and coordinate institutional resources to maximize advocacy for patient and family care in achieving the most effective outcomes. Demonstrates expertise in the nursing process using effortless integration of research-based knowledge into nursing practice and critically evaluating own decision making and judgments.
Provides ongoing patient centered nursing care. Completes initial assessment of patient including obtaining vital signs and gathering pertinent health information. Provides triage and consultation to patient, family, and/or significant others according to protocol and established guidelines.
Initiates and implements a nursing plan of care individualized to the needs of each patient. Anticipates patient/family needs throughout the health care continuum. Promotes patient/family involvement in planning and implementing care and assists the patient/family to incorporate condition-related issues tolifestyle changes.
Anticipates and recognizes significant changes in patient's condition, status and need for care. Provides ongoing assessment of patient and takes appropriate nursing actions when changes occur. Anticipates and alters the plan of care as needed and collaborates with other health care team members to coordinate patient centered care.
Communicates with physicians and other members of the health care team. Provides patient status updates to physicians on a regular basis. Documents, maintains and updates accurate patient records according to agency, state, and federal guidelines.
Administers medications, under physician/provider orders, which may include: antibiotics, narcotic pain medications, vitamins, topical agents, insulin, blood thinners, and allergy antigens. Initiates, maintains and discontinues IV therapy; performs mixing of medications according to protocols.
Monitors the patient's medication needs and response to treatment. Adjusts medication as appropriate within scope of practice and utilizing protocols established by the physician. Performs laboratory procedures and assists the physician/provider with procedures and surgeries using principles of aseptic technique and standard precautions/infection control guidelines.
Assists the physician/provider with procedures and/or surgeries. Performs advanced clinical tasks or skills such as complex wound care, hickman/port-a-cath/PIC line, central line care, conscious sedation, hyperalimentation, venipunture, etc., with demonstrated competency and under clinical supervision.
Coordinates the discharge planning process with the patient/family, physician, social worker, and other staff members as appropriate. Assesses and provides complex patient education and counseling to the patient, family, and/or significant others. Completes maintenance and quality monitoring of equipment using appropriate technique when cleaning, sterilizing and caring for instruments and other equipment.
Leads all aspects of performance improvement for one or more initiatives which impact quality with demonstrated results. For example, baseline data analysis, identification of problem, creation of an evidenced-based intervention plan, implementation utilizing change theory, data collection, data analysis, and dataevaluation. Participates in professional activities which contribute to personal professional development and the development of others.
Acts as an expert clinical and department resource. Seeks opportunities to teach, coach and mentor others. Serves as a consultant for complex patient caseloads. Provides consultation to health care team members to foster therapeutic communication. Serves as a preceptor and assists in the development and implementation of staff orientation, competency and educational activities. Collaborates with other caregivers to challenge current practices and synthesize research findings to develop optimal systems to achieve the most effective patient and family outcomes.
Licenses & Certifications
Registered Nurse license issued by the state in which the caregiver practices, and
Nursing certification in one or more specialty-specific areas issued by the American Nurses Credentialing Center (ANCC) or other approved national governing body, and
Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) May obtain within 6 months based ondepartment discretion.
Bachelor's Degree in Nursing.
Required Functional Experience
Typically requires 5 years of experience in clinical nursing within an acute care setting.
Knowledge, Skills & Abilities
Demonstrates a holistic approach to nursing practice committed to meeting the needs of the patient and family.Ability to apply innovative interventions and nursing skills/technology to carefully correlate to the patient’s response to an individualized plan of care.Ability to recognize situational changes that requireunplanned or unanticipated interventions.Proficient computer skills including keyboarding, navigation within a windows operating system, use of electronic mail and electronic medical records systems.Excellent communication, listening and interpersonal skills.Demonstrates human relation skills with the ability todevelop rapport and maintain positive, professional relationships with a variety of patients, staff and physicians. Ability to take initiative and work collaboratively with others.Demonstrated ability to effectively make critical, independent decisions and the ability to think ahead, anticipate learning needs and take preventive actions.Excellent organization, prioritization and problem solving skills.Demonstrates time management skills with an ability to multi-task and prioritize withfrequent interruptions.Must meet the ‘Expert Characteristics of Practice’ as defined by the “Aurora Nursing Professional Advancement Model (ANPAM).