The RN I initially demonstrates a novice level of nursing practice. This level of practice is characterized by Nursing skill acquisition and the developing ability to identify and perform appropriate nursing assessments and interventions per the established guidelines or plans of care for assigned patients. With increasing experience and confidence the RN will progress to an advanced beginner, usually within the first year of employment. The advanced beginner will provide safe and effective basic patient and family centered care and has gained enough experience to begin to anticipate usual courses of actions in the care of patients on 3E Surgical department. Common patient assignments are patients from newborn to young adult with the following illnesses: fractures, osteomyelitis, spinal fusion, Ilizarov bone lengthening procedures, congenital anomaly repair, Blount's disease, Perthes disease, developmental dysplasia of the hip, orthopedic trauma, ENT procedures, and various medical diagnoses.
Nursing Process and Clinical Responsibilities
- Nursing practice demonstrates beginner level understanding and application of the ACH Model of Patient and Family-Centered Care.
1) Demonstrates respectful and compassionate behavior.
2) Demonstrates awareness of individualized patient and family needs and a willingness to include patients, families and other providers in the planning, delivery & evaluation of care to meet those needs
3) Care is complete and addresses physical, psychosocial, and educational needs of the patient and family
- Consistently provides safe and effective nursing care at a beginner level.
1) Practice is in accordance with policies and procedures, professional practice standards, State Practice Act/Rules and Regulations (e.g. Arkansas State Board of Nursing, American Nurses’ Association Pediatric Scope and Standards, Code of Ethics for Nurses, The Joint Commission).
2) Demonstrates basic technical and procedural nursing skills.
3) Maintains a safe environment.
4) Practice is in compliance with ACH patient safety initiatives.
5) Ensures that all care is completed for assigned patients.
6) Communicates through accurate clinical documentation and complete hand-offs to assure continuity of care.
- Demonstrates basic knowledge and skills to assess patients and provide developmentally appropriate and culturally sensitive care.
1) Applies knowledge of growth and development at a beginner level.
2) Uses developmentally appropriate language and demonstrates awareness of potential cultural issues.
3) Utilizes appropriate diversional, play, or recreational activities.
- Consistently applies the nursing process in patient care.
1) Uses patient information to identify basic patient/ family needs and desired outcomes. Begins to recognizes variations from norms and patterns and trends in patient data.
2) Demonstrates basic knowledge of common patient conditions and seeks additional information as needed.
3) Participates in developing the plan of care in collaboration with the patient, family, and interdisciplinary team members.
4) Identifies, seeks help from others prn, and responds appropriately to changes in patient condition.
- Provides individualized patient and family education at beginner level.
1) Participates in assessing patient and family learning needs and developing appropriate education plans.
2) Consistently documents all patient and family education activities
3) Identifies and uses appropriate patient education materials for assigned patients.
4) Evaluates effectiveness of patient education for assigned patients.
- Implements evidence-based nursing practice using best available evidence, patient’s and family’s preferences and values, and team’s clinical expertise at a beginner level.
1) Participates in the search for evidence to guide clinical practice.
2) Participates in sharing search findings with peers.
3) Participates in efforts to incorporate evidence into clinical decision making, policies and practice initiatives.
4) Participates in the implementation of practice changes.
5) Participates in the evaluation of practice changes.
6) Begins learning about evidence based practice.
Professional Nursing Practice
- Recognizes and supports the ACH Professional Practice Model.
1) Evaluates own performance to identify areas of strength and needs for professional development.
2) Seeks constructive feedback regarding their own practice; Begins to share constructive feedback with others.
3) Maintains personal records/portfolio to identify accomplishments and future goals.
4) Seeks experiences to maintain and enhance clinical skills and competence in practice setting.
5) Identifies plan for professional certification and advanced education.
- Contributes to the education of peers and students.
- Begins to participate in interdisciplinary Shared Decision Making activities.
- Demonstrates professional behaviors and supports a positive, professional work environment.
- Demonstrates a positive image of nursing and ACH.
- Begins to participate in improvement of patient care, nursing practice and the work environment.
1) Identifies and provides feedback on areas of improvement.
2) Participates in improvement activities (performance improvement, quality improvement, evidence-based practice, research)
3) Begins to participate in the evaluation and implementation of equipment, products and technology.
4) Demonstrates awareness of improvement activities.
5) Identifies the importance of an evidence base for improvement activities.
Leadership in Patient Care
- Demonstrates accountability for quality of patient care.
1)Advocates for patients, families, and ACH Team as needed.
- Demonstrates beginning level leadership skills in the practice setting.
1) Provides input into staff assignments and demonstrates appropriate delegation skills to complete patient care.
2) Seeks help when needed to complete patient care assignments and accurately shares information about assigned patients' anticipated care needs.
3) Completes assigned unit tasks as requested.
4) Demonstrates basic time management and the ability to effectively organize care activities.
5) Seeks assistance as needed to achieve patient care goals for the assigned shift.
6) Seeks assistance from others and reviews available resources in unusual or high risk situations.
- Participates in professional leadership.
1) Is aware of and attentive to changes which affect practice.
2) Begins to participate in councils, committees, taskforces and hospital initiatives.
3) Participates in objectively evaluating peer performance as needed.
4) Shares ideas and participates as appropriate in on boarding, recruitment, & retention activities.
5) Acknowledges and discloses mistakes by self and others.
6) Uses beginning leadership skills to engage others as needed in the patient/ family plan of care.
- Begins participating in professional activities.
1) Learns about and begins exploring professional nursing organizations appropriate for role.
2) Assists with and begins to participate in community activities which promote health and wellness.
Associate's degree or equivalent from two-year college program or technical school or nursing diploma
• Field of Study: RN Note: ACH will consider applicants who: (1. Are senior nursing students (2. Will successfully graduate from an accredited school of nursing within the current year and (3. Possess a temporary or permanent RN license by date of hire.
Bachelor's degree from four-year college or university
• Field of Study: BSN
RN License (AR or Compact State)
• Candidate must possess at time of hire
Certification specific to patient population
Physical Activity - Stand
Physical Activity - Walk
Physical Activity - Sit
Physical Activity - Use hands to touch, handle, or feel
Physical Activity - Reach with hands and arms
Physical Activity - Talk or hear
Physical Activity - Taste or smell
Physical Environment - Inside Office Environment / conditions
Physical Environment - Risk of radiation
Physical Environment - Infectious disease
Physical Environment - Blood or bodily fluid
Lifting/Pushing/Pulling Weight - Up to 50 pounds
• (Manage safely with assistance of equipment or another person)
Noise Level - In general, the noise level for this position is considered to be:
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