PCU RN-PRN Days

Registered Nurse

MAIN FUNCTION

Provides nursing care to patients in an efficient, professional, compassionate and caring manner. Directs the activities of paraprofessional as they provide care. Responsible for assuring effective communication with patients, support persons and members of the healthcare team. Responsible for implementing nursing care of assigned patients via the Nursing Process including assessment, diagnosis, planning, implementation and evaluation. Acts in compliance with hospital, Nursing Department policies/procedures and the Nurse Practice Act of the State of Ohio. Follows WCH Nursing Philosophy and practice model which are derived from the Synergy model and appropriate Service Standards as outlined in Employee Handbook.

RESPONSIBLE TO: Department Director, Clinical Manager, Charge Nurses

MUST HAVE REQUIREMENTS

• Active license in the State of Ohio
• Maintain a current AHA (American Heart Association) Healthcare Provider BLS card while in this position.

PREFERRED ATTRIBUTES

• BSN
• Clinical Certification

OTHER REQUIREMENTS

Employees in this position may be

• Exposed to blood, body fluids and/or airborne pathogens and are required to wear personal protective equipment
• Employees in this position must be able to push, pull, lift, carry, turn, crouch, and bend as necessary to complete nursing care tasks
• Required to take "on call" status
• Reassigned to another nursing unit to provide nursing care within current job description
• Subject to STHR (short term hour reduction) according to policy

POSITION EXPECTATIONS : All expectations detailed below are considered ADA (American Disabilities Act) Essential.

Leadership

• Demonstrate ability to lead/direct a team of caregivers in providing care for a group of patients
• Facilitates teamwork by adhering to Nursing Practice Model
• Accepts and responds to change productively, while maintaining a positive attitude
• Role models professional nursing practice and behavior
• Demonstrates conflict resolution skills
• Effectively implements the nursing process for assigned group of patients including appropriate delegation
• When/if assigned as Relief Charge Nurse, functions in a professional and thoughtful manner, demonstrating:
• Decision-making and priority setting skills
• Time management and effective use of resources
• Appropriate delegation skills
• Conflict resolution skills
• Adherence to Relief Charge RN unit responsibility list
• Professional communication that fosters a calm and orderly environment

Communication

• Maintains awareness of verbal / non verbal communication in interactions with staff, other departments, physicians, patients and families
• Maintains patient confidentiality in all communication interactions: written, verbal, electronic, and digital
• Collaborates and communicates effectively with all members of the health care team
• Reports critical information to physician and others as indicated
• Properly utilizes chain of command to handle issues
• Facilitates communication between staff members, i.e. conducts shift huddles
• Demonstrates basic ability to initiate and manage crucial conversations
• Utilizes AIDET (Acknowledge, Introduce, Duration, Expectations, Thank You) strategies to foster positive communication
• Interacts with clinical students in positive, productive manner
• Communicates all pertinent information regarding patient and their care needs to nursing and other departmental staff as reasonable and necessary (ex. handoff communication, hall pass, report)

Operations

• Maintains appropriate clinical skills:
• Administers care according to WCH/unit policy/procedure, current standards of care and Ohio Nurse Practice Act
• Performs assessments/reassessments and documentation relevant to patient's condition, needs and age, per nursing documentation guidelines. Communicates changes in patient condition to physician in timely manner and suggests possible interventions and course of care as appropriate in a collaborative manner.
• Initiates, evaluates and reviews plan of care
• Provides age appropriate health teaching related to diagnosis, identified patient/family needs and medication, using available teaching resources and assuring patient family understanding by teach back
• Administers medication safely:
• Correctly demonstrates use of CPOE(Computer Physician Order Entry)
• Demonstrates knowledge of drug purpose and effectiveness as related to diagnosis
• Follows 6 rights of medication administration
• Demonstrates appropriate/safe medication handling/administration
• Reassesses and documents effectiveness of medication
• Assures team members huddle and round on patients to :
• Evaluate the environment to assure safety & infection control standards are met
• Evaluate the care provided to assure it is based on practice standards and evidence based practice
• Evaluate the educational plan and its implementation; assessing for and addressing gaps in care
• Evaluate for any additional /alternative care needs, and patient/family satisfaction
• Evaluate adherence to nursing practice standards of care and documentation of care by the nurse and team members
• Coordinate work to achieve maximum productivity. Able to multitask and prioritize workload. Work habits are consistently adjusted to accommodate multiple responsibilities and are prioritized and completed in a timely manner.
• Demonstrate reasonable and rational judgment in decision making
• Other duties as assigned by management team

Customer Service

• Displays positive attitude. Treats others with honesty and respect. Speaks positively in all customer interactions internal and external.
• Assess customer satisfaction when rounding on patients and use appropriate chain of command for unresolved issues or problems.
• Use AIDET (Acknowledge, Introduce, Duration, Explanation, Thank you ) to:
• Optimize the patient’s experience by reducing the patient and family’s anxiety and increasing the patient’s compliance
• Develop positive relationships with other departments to foster patient satisfaction
• Use face to face resolutions (crucial conversations) to intervene with patients or staff in situations where customer needs have not been met to determine a positive, mutually agreeable resolution

Staff Development / Personal Growth

In conjunction with the Department Director Clinical Manager, Clinical Specialist and / or Educator:

• Function as a preceptor, seeking learning opportunities for orientee/student. Interact with department manager, clinical educator/instructor, to evaluate orientee/student progress toward goals, identifying additional needs.
• Demonstrates initiative and responsibility to develop personal, leadership and professional goals
• Demonstrate professional development by attending conferences, participating in committees/unit projects and ongoing educational activities
• Demonstrate professional growth by maintaining awareness of changes in nursing practice/evidenced based nursing care
• Accept feedback as opportunity for growth
• Demonstrates knowledge and understanding of new policies and procedures, practices, changes in practice, and initiatives. Obtains this knowledge via staff meeting attendance, reading of communication, required hospital education, discussion with departmental leadership and peers.

Performance Improvement

• Identify processes to be improved and communicate to management team. Assists in data collection as directed
• Participates on at least one team, project and/or committee: unit, departmental or hospital based
• Develop and maintain awareness of DNV, CMS (Centers for Medicare Services) and other required quality and safety measures
• Develop and maintain ongoing understanding of Nursing best practices for the types of patients for whom care is provided

AGE SPECIFIC COMPETENCY

Dependent upon department and the population served

Neonatal (Birth thru 28 days)

• Handles infants in gentle manner
• Speaks in soothing voice
• Holds and cuddles infant when necessary
• Facilitates parental interaction and care of infant

Infant (29 days thru 12 months)

• Approaches infant in slow, non-threatening way
• Speaks in soothing way
• Holds and cuddles infant as much as possible
• Encourages parental interaction with infant
• Allows for familiar toys/blankets to be brought from home

Pediatrics (one year thru 11 years)

• Allows choices when possible
• Speaks directly using few, clear, simple terms and explanations
• Limits number of strangers entering room
• Provides consistent nursing assignments
• Does not shame parents for lack of cooperation
• Holds child for painful procedures

Adolescents (12 years thru 18 years)

• Allows participation in care and choices as appropriate
• Provides for patient's modesty
• Tells patient exactly what will be expected
• Allows patient control
• Speaks directly to patient in simple medical terms

Geriatrics (65 years and older)

• Identifies physical/social/emotional barriers and physical limitations at discharge
• Teaches patient about one item at a time
• Repeats instructions several times
• Speaks slowly and distinctly when talking to the patient

Unit Specific Requirements

AC / PAT/ PACU RN

MAIN FUNCTION

To assess, evaluate, implement, collect data, document, monitor, administer pre and post operative medications to all surgical patients. Directs the care delivered by others in AC/PAT/PACU. Assist with physicians with procedures. Prioritize care for all types of surgical patients.

MUST HAVE REQUIREMENTS

• ACLS within 1 year of hire, and maintain while in position
• PALS within 1 year of hire, and maintain while in position
• Minimum of 1 year critical care experience

PREFERRED ATTRIBUTES

• Previous perioperative nursing experience
• Ability to perform phlebotomy and IV therapy
• Recognize cardiac arrhythmias and institute appropriate interventions

OTHER REQUIREMENTS

• Required to take "scheduled on call" status (PACU)
• Must be able to respond to the hospital within 30 minutes

Cardiac Cath/Special Procedure Lab

MAIN FUNCTION

Also, functions independently in the Cath Lab/Special Procedures holding room and provides nursing care in a calm, efficient manner. Admits and discharges patients. Provides pre-procedure teaching and assures physician orders are done prior to procedure. Recovers post-procedure patients according to dept policy and accurately follows physician post-procedure orders. Assists in transferring specific patients to other hospitals directly from the holding room. Provides follow-up care by phoning patients next day. Provides nursing support in other areas if needed (CT for biopsies).

Keeps patients safe & calm while assisting physicians in cardiac cath/special procedures and related interventional procedures. Functions independently in the lab while using professional judgment in performance of services. Accurately & promptly implements physician's orders. Scrubs, circulates & records all cases done in the lab & helps to recover patients. Acts in compliance with hospital policies/procedures. Provides care to patients in a calm, efficient manner.

MUST HAVE REQUIREMENTS

• Experience in cardiovascular medications
• BLS and ACLS certification and maintain both while in this role
• For new hires into the cath lab, must be able to respond to the hospital within 30 minutes

Other Position Expectations

• Experience with hemodynamic monitoring and operation of temporary pacemakers and Intra- Aortic Balloon Pumps
• 1 year experience in Interventional Cardiology
• Required to scrub, circulate and monitor patients in the cath lab
• Knowledge of coronary and peripheral anatomy
• Knowledge of coronary and peripheral blood vessels and blood flow (venous and arterial)
• Takes on-call status
• Knowledge of sterile field technique

PREFERRED ATTRIBUTES

• 1-2 years working in an interventional cardiac/peripheral cath lab OR 5 years nursing experience in ED, PCU, or ICU.
• Cath Lab transport team experience