RN STAFF 1(TELE)

POSITION SUMMARY

Responsibilities include but are not limited to: The assessment, planning, implementation and evaluation of nursing care for patients and their families in a safe environment. Functions as an Advance Beginner nurse (Benner, Novice to Expert Nursing Theory) within the competency checklist of assigned unit. Accountable for effective leadership and direction to the nursing care team ensuring patients' comfort, safety and personal care. Must be able to perform jobs in all patient care and operational areas subject to reasonable accommodations, also be able to employ all mandatory safety devices and procedures. Must participate in the Respiratory Protection Program, which may include the wearing of a respirator which requires a clean-shaven face. This is a union position.

ESSENTIAL JOB FUNCTIONS:
1. Clinical Practice

a. Performs comprehensive assessment on assigned patients.

• Assesses patient condition thoroughly, utilizing information obtained from physician, health team members, family and diagnostic measures.
• Identifies patient and family level of knowledge and understanding illness and managing health and identifies language and learning barriers.
• Identifies discharge planning needs.

b. Develops individualized comprehensive documented plan of care for all patients.

• Accurately identifies patient needs based on interpretation of observations and clinical knowledge and judgment.
• Sets priorities and makes decisions in timely manner.
• Develops individual plan of care with realistic outcome criteria and adjusts this plan on a continuing basis.
• Knows physician’s plan for patient, expected length of stay, outcome criteria and discharge goals. Communicates them to patient/significant others and other members of the healthcare team.

c. Implements patient care.

• Demonstrates competency in performing safe nursing care for patient population based on unit standards.
• Logically sequences nursing care to meet patient needs within defined time frames.
• Displays understanding of standard pharmacological agents used in treating patient conditions in assigned unit. Safely administers medication according to policy.
• Includes on-going patient education within care delivery, include wellness strategies, and keeps patient informed of the treatment modalities.
• Recognizes, reports and corrects unsafe practice.
• Demonstrates primary concern for infection control and for patient safety including utilization of “time outs” prior to procedures.
• Independently utilizes complex equipment and supplies.
• OR, Endoscopy: Assists in patient preparation according to routine of the procedure to be done.
• OR only: Circulates for general cases; able to scrub for minor procedures.

d. Evaluates patient response to nursing care and medical regimen.

• Continually monitors each patient’s response to treatment and consults with other health team members in the modification and re-assessment of the plan of care.
• Promptly recognizes and interprets changes in patient’s physiological and psychosocial status and reports timely to shift management and physician, activating emergency response system as needed.

e. Communicate patient care concisely and completely.

• Documents completely, per unit standards, patient history and physical assessment findings as well as ongoing observations and assessments and care delivered.
• Documentation is completed concurrently per unit standards.
• Communicates pertinent findings to appropriate health personnel.
• Oral communication is professional, respectful using the SBAR format.

2. Leadership and Coordination

a. Contributes to Administrative function of Nursing Unit.

1) Practices within and promotes awareness of legal responsibilities (Joint Commission, Title 22, Hospital Policy and Procedures).

2) Demonstrates understanding of organizational structure by utilizing chain of command appropriately.

3) Promotes communication and cooperation within physicians, coworkers and other health team members.

4) Nursing practice reflects values of Dameron Hospital.

• a) Demonstrates leadership.
• b) Demonstrates integrity.
• c) Demonstrates fiscal responsibility.
• d) Demonstrates teamwork.
• e) Demonstrates service excellence.

5) Utilizes organizational skills and effective cost containment methods in completing daily assignments.

6) Attends and engages in staff meetings

• a) Meets expectation: 80% attendance
• b) Exceeds expectation: Above 80% attendance

7) May be required to work other shifts, weekends and/or be on-call.

8) Maintains departmental readiness at all times (i.e. restocking, equipment checks, room preparation).

9) Maintains a clean, organized work environment.

10) OR Only: Using physician preference cards, ensures that OR room is ready prior to case start time.

b. Supports and participates in hospital wide quality improvement program.

1) Reports (written/verbal) unusual circumstances in timely manner.

3. Professional Growth

a. Demonstrate role of professional registered nurse to other health team members, patients and public.

1) Attends didactic educational offerings and entry-into-practice as assigned.

2) Responds to float assignments in a professional manner performing core nursing tasks.

3) Completes assigned duties in a timely manner. Independently performs assigned tasks.

4) Recognizes own knowledge level and limitations. Seeks out assistance, resources and references.

5) Maintains professional discretionary standards and confidentiality within hospital and community.

FTE 0.9 - DAYS - Full Time

POSITION QUALIFICATIONS:

Education:

Education required to qualify for license as a registered nurse. B.S.N. preferred.

Experience:

An RN I is an RN who has less than 6 months acute care experience. Academic clinical experience must enable the applicant to pass required clinical competencies, including demonstrating EKG rhythms by exam, within probationary period.

Licenses/Certificates:

Current California Registered Nurse License Current Basic Life Support (BLS) Certification through American Heart Association (AHA) required Current Advanced Cardiac Life Support (ACLS) Certification through AHA required Current National Institutes of Health Stroke Scale (NIHSS) Certification required