Scope of Service

Pauahi 4 is a 32-bed hospitalist medical unit with semi-private rooms, which operates on a 24 hour basis.

The primary diagnoses for medical patients include but are not limited to: cellulitis, pneumonia, heart failure, urinary tract infection, asthma, septicemia, renal disease, gastrointestinal bleed, COPD, altered mental status, and syncopy. The patients cared for on the unit are adults, 18-64 years old and geriatric patients, 65+ years old.

Staffing
The nurses care for patients on the day and evening shifts with ratio of 4-5:1 and on night shift with ratio of 6-7:1. Patient ratios may flex up or down based on overall census and patient acuity. The Primary Nursing Mode is used as the method to deliver care.

Responsibilities

I. JOB SUMMARY/RESPONSIBILITIES
Responsible for coordinating clinical care of patient. Integrates all health care providers to ensure high quality patient/family outcomes, and establishes a consistent and accountable relationship with patient/family. Key responsibilities include, but are not limited to, initiation and development of the plan of care, patient/family education, utilization management and discharge planning.

II. TYPICAL PHYSICAL DEMANDS
Essential functions- Continuous: lifting up to 1/2 lb., seeing, hearing, talking, grasping, fingering. Frequent to continuous: standing, walking, stooping, forward reaching, handling. Frequent: pushing and pulling up to 30 psi, lifting up to 10 lbs., sitting, bending. Occasional to frequent: squatting, twisting. Occasional: pushing and pulling up to 70 psi; lifting: horizontal lift/carry up to 75 lbs. with assistance, floor to waist up to 35 lbs., waist to shoulder up to 25 lbs., overhead level up to 15 lbs.; carrying up to 35 lbs, running, climbing, side bending, kneeling, crouching, overhead reaching. Operates various machines/tools/work aids.

III. TYPICAL WORKING CONDITIONS
Inside work. Exposure to body fluids, blood products, and communicable diseases. Work environment may be highly stressful, fast paced and hectic. Assignment to inpatient adult psych areas and Family Treatment Center includes occasionally accompanying patients outdoors. Management of confused/disoriented and combative patients may involve tasks which may compromise physical safety.

IV. MINIMUM QUALIFICATIONS
A. Education/Certification and Licensure:
1.Licensure: Registered Nurse, State of Hawaii
2.Diploma or Associate Degree in Nursing; Baccalaureate Degree in Nursing preferred.
3.Current BLS/HCP card in all areas; ACLS, NALS and/or PALS in designated areas.
4.Ability to read, write, speak and understand English effectively.

Additional Requirements

Additional Requirements for Experienced RN:

A. EDUCATION/CERTIFICATION AND LICENSURE:

• N/A

B. EXPERIENCE:

• Twelve (12) months of Medical/Surgical RN experience required, preferably within the last three (3) years.