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Registered nurse-pd

Company Name:
Elliot Hospital
REGISTERED NURSE-PD
Department: NEWBORN INTENSIVE CARE UNIT
Schedule: Flexible
Shift: All Shifts Available
Hours: 8
Job Summary:
PRIMARY PURPOSE
To deliver care to patients and families whose needs range from basic to complex by utilizing the nursing process.To create a therapeutic and trusting environment for patient and family care.To carry out functions in a manner consistent with the Elliot Hospital Model of Care utilizing the APIE method (Assessment, Planning, Implementation and Evaluation) of quality improvement.
DUTIES AND RESPONSIBILITIES
Under the general direction of the VP, Patient Care Services/Chief Nurse Executive and the direct supervision of the Department Director and in accordance with:
The Elliot Health System Code of Conduct;
Standards of care and practice established by Nursing Services and, the specific department;
The rules, regulations and/or standards established by the State Board of Nursing, the Joint Commission for Accreditation of Healthcare Organizations, and appropriate specialty organizations relevant to the patient population under care;
The Elliot Health System policies and procedures including:
Safety standards;
Infection Control Standards;
Standards of confidentiality, protection of patient rights;
Documentation guidelines;
Attendance requirements.
Meeting department based competencies and certification as defined in the Department Specific Manual.
the Clinical Nurse II performs the following functions:
Essential Functions:
Caring
1.Establishes relationships between the nurse and the patient and/or family.
Is self directed to individualize care based on knowing the patient and family.
2.Respects patient values and influence in the care and outcome.
Respects patient/family values and their influence on care/outcomes.
Recognizes common variations in response to health/illness and incorporates into the plan of care.
Able to anticipate most patient/family needs; begins to recognize individual differences and incorporate into plan of care.
3.Directs comforting modalities toward decreasing discomfort or distress.
Individualizes interventions to provide comfort based on patient and family needs.
Provides for patient s dignity during provision of care.
Assures calm, supportive and therapeutic environment for patients and their families, serving as an advocate when appropriate.
Continuity
4.Demonstrates responsibility and accountability for nurse/patient relationships to ensure continuity.
Establishes a trusting patient/family relationship from which the nurse works towards establishing mutuality in the relationship and extending of self to achieve positive patient goals.
Develops plans of care for patient/family.
Assumes responsibility for caregiver-to caregiver communication.
Prioritizes and manages assignment effectively as evidenced by task completion in a timely manner.
Monitors the care students and/or ancillary staff provide.
Identifies self as a resource for patients that are re-admitted to enhance continuity.
5.Involves patient/family in goal setting and planning.
Establishes a plan of care and ensures follow through by the inter-disciplinary team.
Initiates and evaluates referrals that will assist to meet patient and family needs.
Communicates plan of care to patient/family for input.
Ensures discharge needs are met.
effectively and efficiently within the health care team to deliver patient care across the continuum.
Follows through with plan of care to meet patient and family needs.
Communicates appropriate patient information to ensure continuity.
Initiates and consults with peers regarding patient needs for referrals.
Reviews and updates the plan of care in collaboration with the patient/family and other multidisciplinary team members.
Reassesses patients abilities and incorporates anticipated needs into the plan of care.
Identifies specific resources within health care system/community to facilitate the care of the patient and the family.
Competence
7.Demonstrates competent clinical practice utilizing clinical decision making and critical thinking skills.
Identifies patient and family s development status, behavior, cultural and health needs by completing patient assessment.
Examines the patient to obtain objective physical data.
Reviews clinical data from diagnostic studies and previous record.
Completes a physical and psychosocial assessment based on interview examination and review of clinical data.
Independently manages routine and complex patients.
Reassesses patient status at established time frames and as indicated by the patient s status.
Begins to demonstrate pattern recognition.
8.Individualizes the plan of care according to the developmental stage and needs of the patient.
Develops a mastery of standard skills and begins to anticipate needs of patients.
Utilizes appropriate resources to guide practice.
Assesses the patient s response to and understanding of care provided.
9.Demonstrates a commitment to incorporate the learning needs of both patients and families.
Assesses patient and family learning needs.
Utilizes and modifies appropriate internal and external patient education resources.
Evaluates patient and family understanding of teaching.
Changes plan of care to meet patients needs.
Investigates barriers to patient and family education and incorporates plans to overcome those barriers.
10.Demonstrates the ability to recognize and manage rapidly changing situations.
Assesses potential for crisis and intervenes before crisis situations develop.
Effectively prioritizes tasks and reprioritize based upon changes in patient s condition to achieve desired outcomes.
Recognizes and responds appropriately to crises and emergencies, including the family in the line of communication.
Teamwork
11.Establishes effective relationships with unit colleagues and other members of the healthcare team to achieve the best patient care outcomes.
Participates in decision making.Seeks assistance through collegial relationships between nursing and other disciplines.
Provides guidance to less experienced peers.
positive and cooperative relationships within work environment.
Promotes positive work environment within departments.
Delegates responsibilities appropriately within the team.
Uses effective communication and feedback to enhance team relationships.
Performs department duties independently.
Supports hospital management.
13.Uses effective communication to identify patient/family needs and determine plan of care.
Understands unit-based structures that assist in communication between team members.
Participates in inter-disciplinary forums.
Promotes positive customer relations.
Secondary Functions:
1.Identifies needs for innovative nursing practices.
2.Identifies needs for new or revised policies, procedures, guidelines, etc.
3.Participates constructively in staff meetings.
4.Participates in and supports Quality Improvement.
5.Utilizes the self-evaluation process for professional growth.
6.Increases skills and knowledge in area of interest as a resource nurse.
7.Develops 1-2 goals in area of interest.
8.Attends mandatory inservices.
9.Participates in department projects/committees.
constructive feedback and follows appropriate direction.
11.Utilizes research as a resource in clinical practice.
12.Demonstrates awareness of cost effective use of resources.
13.Demonstrates evidence of at least 2 of the following:
Coordinates a patient care conference.
Provides an inservice on a topic of interest.
Presents a poster or literature review on a topic of interest.
Functions as a preceptor after attending preceptor workshop.
Functions in the Charge Nurse role.
Coordinates a department project approved by Department Director.
KNOWLEDGE, SKILLS AND ABILITIES
Individuals must possess these knowledge, skills and abilities or be able to explain and demonstrate that the individual can perform the primary functions of the job, with or without reasonable accommodation, using some other combination of skills and abilities and possess the necessary physical requirements with or without the aid of mechanical devices to safely perform the primary functions of the job.
1.Physical requirements include ability to bend body downward and forward by bending spine at the waist; bend legs at knee to come to rest on knee or knees; bend the body downward and forward by bending leg and spine; extend hand (s) and arm (s) in any direction; standing for sustained periods of time; moving about on foot to accomplish tasks; use upper extremities to exert force in order to thrust forward, downward, or outward; use upper extremities to exert force in order to draw, drag, haul or tug objects in a sustained motion; raise object from a lower to a higher position or moving objects horizontally from position-to-position; pick, pinch, type or otherwise work with fingers and palm; perceive attributes of objects, such as size, shape, temperature or texture by touching with skin, particularly that of fingertips.
2.Ability to deliver patient care in a manner that is appropriate to patient s age, physical ability and intellectual development.Must demonstrate proficiency in assessing treatment and responses and adapting care to meet the needs of the patient population served; NICU-neonatal, PEDI-newborn/ pediatric/adolescent.
3.Ability to express or exchange ideas by means of the spoken word.Primary functions include activities in which incumbent must convey detailed or important spoken instructions to patients, physicians, families and other employees accurately, loudly or quickly.
4.Ability to receive detailed information through oral communication and to make discriminations in sound.
5.Visual acuity sufficient for work which deals largely with visual inspection involving small anatomic or physiologic details, as well as the whole patient, and sufficient for preparing and analyzing data and figures, accounting, transcription, computer terminal operation, extensive reading and visual inspection involving small parts/defects.
6.Ability to plan and perform diversified duties requiring knowledge of nursing of the patient including age related changes, and the use of a wide range of procedures.Involves the exercise of judgment in the analysis of facts and conditions regarding individual s problems, concerns or cultural factors to determine the plan of care and what actions should be taken, within the limits of standardpractice.
7.Ability to work in surroundings which may subject incumbent to inside environmental conditions without protection from temperature changes; hazards including proximity to moving mechanical parts, electrical current, exposure to high heat and exposure to drugs and chemicals; atmospheric conditions with one or more conditions that affect the respiratory system or the skin (i.e. fumes, odors, dust, mists, gases).
8.Ability to wear protective clothing such as gown, mask, glove, head cover, lead apron, safety glasses and/or safety shoes.
9.Ability to perform job alone following standard practices and any of several procedures, but refers questionable cases when they arise out of standard practice.
10.Ability to exert up to 50 pounds offorce frequently, and or/up to 20 pounds of force constantly to move objects.
11.Ability to demonstrate courtesy, compassion and respect in relating to patients, families, visitors, physicians and co-workers.
12.Ability to communicate effectively and establish a cooperative, collaborative working environment.
13.Ability to accept constructive feedback and initiate appropriate actions to correct situations.
14.Ability to obtain BCLS qualification during orientation period and maintain during employment.
15.Ability to perform all activities outlined in the department specific orientation guidelines.
16.Willingness to identify and take action toward meeting own learning needs.
If applicable, ability to advance basic computer skills as the health system adds new systems or performs upgrades to existing systems.
Direct caregivers and certain others, involved in working with critical patient care equipment, sterile pharmaceutical preparation or food preparation, may not wear artificial nails.
OSHA RATING:1
LATEX ADDENDUM:Ability to work in an environment where latex may be present.
WORK SCHEDULE:Work schedule may include 8-12 hours per day with weekend coverage based on individual unit needs.Personnel are expected to cover for absences by rotating or working extra shifts and take on-call as needed.Nursing personnel are assigned to one area upon employment, but may be required to assume assignments in other areas to meet patient needs.
QUALIFICATIONS:
Education:Graduate of an accredited school of nursing.
Experience:Minimum 1 year of recent clinical experience.Demonstrates clinical expertise consistent with behaviors as outlined for a RN II nurse.
Licensure:Current registration in the State of New Hampshire as a Registered Nurse.

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