MUST HAVE CURRENT ALASKA LICENSE AT TIME OF SUBMISSION TO BE CONSIDEREDMUST HAVE/OBTAIN FLU VACCINATIONPosition Summary
The
clinical nurse coordinates and performs a variety of nursing care procedures
for patients of all ages, requiring professional knowledge and consideration of
specific patient conditions and treatments; and the ability to work
independently in completing assignments. Guidelines include provider’s orders;
standards of care, nursing policies and procedures manuals, hospital policies,
and nursing duties include support to individuals of all ages and their
families.
Position
Complexities
Clinical
decisions are made independently during the scheduled shift; maintains complete
accountability for all actions taken. Consults with the appropriate
manager/supervisor and/or ancillary department in difficult situations
requiring additional input or resources.
Able to react in a calm manner and make sound nursing judgments in an emergent
situation. Accountable for proper
delegation and supervision of CNA/Tech.
Accountabilities
·
Promotes the SEARHC Seven Standards of Excellence;
implements safe, therapeutic and efficient care for patients with needs due to
multisystem disease and/or complications of treatment using appropriate
infection control measures; sets priorities for care of patients based on
acuity and/or patients’ preference; anticipates potential problems; adapts to
change in the area by setting priorities for emergencies; changes in patient
status and unusual occurrences; initiates, manages and documents the nursing
procedures consistent with scientific principle and departmental policy;
demonstrates knowledge of equipment use; accurately administers age-specific
medications and therapeutics; carries out the medical and nursing care plan and
coordinates patient care activities with physicians and other healthcare team
members; initiates action to reduce, correct or prevent immediate, ongoing or
potential risks to the patient; facilitates healing by providing nursing care
that is individualized, goal oriented, based on scientific principles and the
nursing process; seeks out resources when beyond the scope of skill, knowledge
or experience, explains tests, procedures and disease process to
patient/significant others; follows through on nursing care plans by teaching
and demonstrating skills essential for understanding and coping with illness
and promoting optimal health; communicates and interacts with
patient/significant others in a positive and supportive way; provides
counseling using emotional, intellectual and psychological supports and
utilizes other healthcare professionals in dealing with psychosocial problems
if needed; takes steps to decrease stress and/or increase effectiveness of
coping mechanisms of patient/significant others; evaluates patient’s progress
or lack of progress towards goals, directing new goal setting and implementing
revised patient care plans as directed by reassessment; documents the patient’s
response to care; closes out patient care plan by discharge (with instructions)
or has in place an after care plan to meet the patient’s needs. Assures confidentiality of patient
information.
·
Accomplishes nursing assessment through
interviewing, observation and nursing process; obtains, interprets and applies
age-related (pediatric, adult and geriatric) patient information terms of
cognitive, physical, emotional and normal growth/development needs of the
patient; completes thorough Nursing Admission Databases/initial patient
assessment; documents assessment findings that are consistent with other
providers and include review of body systems, laboratory results, diagnostic
findings, chart reviews and inter disciplinary input; identifies problems and
nursing diagnosis by recognizing the impact of health problems on patients and
families; distinguishes between normal and abnormal assessments in order to
identify patient capabilities and limitations including psychosocial risks,
utilizes resources to assess patients with conditions that are new, unfamiliar
or not commonly seen. Shall perform
duties as assigned and insure quality patient care despite the situation
encountered, be it routine or emergent.
Develops and contributes to a plan of nursing action based on existing
and potential patient problems and obtainable patient responses which are
mutually acceptable to the healthcare team; transcribes and notes physician
orders accurately, utilizes past experience to provide a range of options for
nursing care; initiates patient care plans using patient care standards;
addresses identified nursing diagnosis and coordinates the plan with the
healthcare team by using methods that include interventions, goals and time
frames; utilizes resources to formulate a written plan of care; documents
reassessments which include laboratory results, diagnostic findings,
interdisciplinary notes and documented patient observations; gives shift report
according to guidelines. Other duties as
assigned.
·
Imparts
educational knowledge to develop skills to enhance decision making and promote
understanding by interacting with patients, family, staff and community;
engages in ongoing evaluation of the effectiveness of teaching in terms of
patient understanding and behavioral outcomes; organizes and participates in
patient care conferences as applicable; identifies staff, patient and family
needs and develops a plan for education and/or makes appropriate referrals;
develops/implements educational programs and learning aids in the department
(i.e. in-services, special projects, learning aides, patient care standards);
documents education accurately and completely; provides discharge patient
information; participate in in-services and educational programs in the
department, hospital and/or community as assigned; ACLS, PALS, TNCC/ATCN, and NRP certified
(depending on specialty area) within the first 6 months of employment and
bi-annually thereafter; completes all mandatory training and competency checks;
utilizes opportunities for incidental teaching with staff members.
·
Communicates with staff, patients, significant
others and other members of the healthcare team in a way that is supportive,
constructive and positive; gives
feedback to other staff and healthcare team members in regard to behavior that
does not support achievement; assists in the orientation of new staff,
travelers and students by sharing knowledge, experience and verbal
encouragement; guides others in choosing nursing intervention, developing
skills and applying knowledge; follows and directs others to follow corporate,
hospital and departmental policies, procedures and patient care standards; supports
the area and overall Nursing services mission by assigning staff to productive
tasks and floating to other units as needed; provides input regarding the need
for change in policies, procedures and patient care standards able to perform
as Contact RN leading assigned RNs and CNAs and accomplishes all assigned
patient care and area support activities during the shift.
·
Attends and participates in at least 50% of
departmental staff meetings; applies information presented in staff meetings;
participates in unit goal setting; complies with area and departmental
scheduling guidelines; initiates discussion with nurse manager regarding area
or department issues; completes annual competencies, evaluation material,
maintains certification sand licensure; complies with dress code; refers
un-resolved problems with patients/visitors/co-workers to Nurse Manager or
Administrative Manger for resolution, addresses employee concerns consistent
with Human Resources policy.
Baseline Qualifications
Education/Experience
Education required to obtain a valid, current, full and
unrestricted RN license in the State of Alaska
·
One-year
clinical nurse experience preferred
·
Prior
experience in the area of specialty is preferred
License/Certification
Valid, current, full and unrestricted RN
license in the State of Alaska
Must have BLS and PALS upon hire, ACLS must be obtained within 6 months of
hire date
Knowledge, Skills
& Abilities:·
Knowledge
of nursing care principles, practices, diagnosis and processes (assessment,
planning, implementation and evaluation) including specialty areas when
appropriate, to provide professional nursing care to patients.·
Competency
to recognize emergently ill patients and adverse signs and symptoms and to act
promptly in emergency situations.·
Knowledge
of general pharmaceuticals, their desired effects, side effects and
complications in their use. For specialty nursing units, knowledge should
include the medication used in to area.·
Skills
to apply scientific principles in operating and monitoring of basic medical
equipment (ex: defibrillator, monitors, beds/lifts, etc.), Specialty area
equipment might also include chest tube set up, immobilization, EKG machines, ventilators,
etc.·
Specialty
areas will require proficiency in assisting with emergency procedures (i.e.
intubations, arterial line set up, arterial blood gas puncture, thoracentesis,
lavage, etc.).·
Oral
and written communication skills, can enter and retrieve patient data
accurately, can verbally communicate findings with healthcare team.·
Ability
to provide guidance, leadership and work cooperatively with others by
establishing and maintaining interpersonal relationships with patients,
visitors and other healthcare team members.·
Ability
to implement appropriate nursing therapeutic interventions based on the
knowledge of a wide variety of nursing diagnosis, evidenced based practice,
medical and psychosocial disorders, the normal courses of disease and
anticipated complications.
·
Ability
to recognize adverse signs and symptoms, which are not always apparent and to intervene
promptly in emergency situations including the implementation of life saving
procedures.
Shift: 3x12s Nights
Specialty Type: Nursing
Sub Specialties: Emergency Room Nurse
General Certifications: Nursing Certifications(CPI ,ENPC,RNFA,TNCC,AWHONN,NIHSS,STABLE,ASLS,NBSTSA)
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