Reporting to the Nurse Manager and according to the established policies, procedures, nursing standards of care and practice, and the direction of the medical staff, utilizes expert clinical skills to render competent, humane, individualized nursing care to each patient and their family. Performs a variety of nursing functions in support of patient care and unit work flow across all nursing units. Identifies and prioritizes opportunities to assist as needed with staff workload management, complex patient care needs, acute patient deterioration, admissions, staff clinical education, and customer service, etc. Directs, checks, and as needed, guides and corrects the work of the Patient Care Services staff in order to promote optimum patient care, customer service, and work flow.
Functions as needed and assigned in the staff nurse role taking a team of patients. As such, follows all expectations of the staff nurse job description, utilizing the nursing process to assess, plan, implement and evaluate the delivery of individual patient care to facilitate continuity of care through the continuum. Provides age and developmentally appropriate care to adult and geriatric patients. Complies with all RML hospital and departmental policies and procedures.
PRINCIPAL DUTIES & RESPONSIBILITIES:
Exemplifies the RML REACH (Service Excellence) culture by demonstrating respect, excellence, appreciation, concern and honor in all interactions with patients, families and co-workers, and as identified in departmental and hospital wide behavioral expectations.
Directs staff in clinical operations to insure that the quantity and the expected quality of work is accomplished. Assists staff as needed in solving clinical care problems, and utilizes appropriate nursing, medical and administrative chains of command to ensure that patients’ needs are met in a timely fashion.
Works closely with unit staff to ensure that customer service expectations are met. Assists staff in empathetically listening, responding to and resolving patient or family concerns. Promotes and role models active information sharing from staff to patients and families, and also between staff for effective continuity of care.
Intervenes as necessary to guide and correct staff behaviors and re-direct work. Guides and corrects staff who are not complying with hospital policy, customer satisfaction expectations, or appropriately completing assigned work. Involves department manager or clinical supervisor immediately for serious breach of conduct or hospital policy. Documents interventions and provides unit manager with written description of actions taken; does not perform staff discipline. Provides input from direct staff observation to the unit manager for incorporation into staff performance evaluation.
Coordinates the admission process. Activities include calling the referring facility for report, collaborating with nurse managers for patient bed placement, and obtaining specialty equipment as needed. If assigned, performs initial patient assessment with documentation in Meditech, and initiates the plan of care. Completes initial admission orders.
Works closely with other disciplines and the care coordinator to ensure timely interventions and education that lead the patient and family to readiness for discharge. Assists nursing staff to coordinate and provide discharge education. Coordinates materials individualized to patient and family’s identified needs. Communicates to care coordinator the patient or family’s response to the education provided, and any additional needs identified for timely discharge.
Maintains accountability for the overall care management of assigned patients. Accepts and responds to written and verbal physician orders, coordinates and participates in emergency and "code" situations, performs cardio-pulmonary resuscitation, performs clinical assessments, administers and monitors patients' response to medications, blood products and nutritional support, and performs complex patient treatments.
Assesses patients' progress in accordance with estab ished goals and initiates appropriate actions; documents according to established standards and reports information regarding patients' conditions and interventions performed (e.g., medications given, treatments performed, etc.) to all appropriate individuals. Notifies physician and documents significant changes in patient condition. Provides a complete and thorough report to the next shift. Documents thoroughly and timely in Meditech.
Executes the medical treatment plan by implementing physician orders. Seeks clarification or consultation on any unclear or questionable order by consulting with the ordering physician or on-call physician after hours, prior to implementation. If question is not resolved, refers question to the Nurse Manager, Clinical Supervisor, or Nursing Director as necessary for resolution.
Works in a team environment with the Patient Care Technicians and Respiratory Therapists to plan and provide patient centered care. Works closely with other disciplines to define an individualized plan of care and relevant interventions correlated with medical and team care goals. Represents nursing and provides nursing input when participating in organized "staffing" meetings to discuss patient's status, needs and expected outcomes. Reports outcomes back to unit nurses and manager as indicated.
Demonstrates the organizational skills and the ability to direct others in the planning and delivery of patient care. Gives clear direction to the RN and PCT at the beginning of shift on work to be accomplished, and collaborates with staff throughout the shift to ensure completion. Provides guidance and direction to other team members and notifies the department manager of apparent break in providing the expected standard of care, or of observations indicating potential educational needs of co-workers.
Maintains the basic human rights and confidentiality of each patient, family and significant others in providing information and in delivering patient care. Is aware of and complies with applicable regulations and laws related to healthcare workers and the care of hospitalized patients, such as abuse reporting. Recognizes and complies with patients' rights to have pain assessed and managed. Maintains confidentiality of the patient's medical information verbally, on-line and in print. Complies with all hospital policies related to computer use and system security.
Observes and reports the emotional and spiritual needs of patients and assists in providing and obtaining appropriate supportive care to them and their families.
Demonstrates appropriate psychosocial interventions based on patients' age and developmental status. Facilitates patient/family participation in self-care tasks as appropriate for each patient's age, developmental status and level of functioning.
Evaluates environmental safety and provides environment that is safe based on each patient's age, developmental status and level of functioning.
Demonstrates knowledge of and consistently adheres to infection prevention standards. Ensures that other healthcare workers and visitors are aware of and have the personal protective equipment available to appropriately interact with patients.
Participates in department quality improvement and performance improvement activities. Notes areas for improvement in day to day department operations or patient care practices, and brings to the attention of department manager. Actively participates in the educational development of new employees and healthcare students, and participates in the formal and informal education of other team members.
Maintains effective colleague relationships with other members of the health care team through consistently professional and respectful communications.
Identifies own learning and professional development needs and seeks opportunities within and outside of RML to meet these needs. Actively participates in staff meetings and continuing education activities. Provides information and feedback to other staff members on related clinical and professional topics. Meets all employee requirements including but not limited to: license renewal, TB Testing, CPR, ACLS, General Annual Review and Annual Clinical Validation, and performance evaluation, by demonstrating completion or participating in the required activity prior to the expiration or due date.
Demonstrates a welcoming attitude and participates in orientation and precepting of new team members, and orientation of temporary (agency) personnel.
Responsible for supporting a safe work environment for self and others, by reporting unsafe conditions, and by using appropriate safe work practices such as proper body mechanics and applicable safety devices (patient lift and transfer equipment, safety needles and sharps disposal, PPE, etc.)
JOB REQUIREMENTS AND CHARACTERISTICS
Skills and Abilities
The analytical ability necessary to assess patient conditions and utilize the nursing process and professional judgment to provide comprehensive care to patients.
The interpersonal skills necessary to positively interact with patients, families, physicians, and other members of the health care team.
The physical ability for almost constant standing, walking, lifting, and moving patients and patient care equipment.
The ability to perform effectively under the pressure of stressful and/or emergency situations.
The clinical and technical skills to work with high technology equipment and computers.
The ability to work in a team setting to provide patient centered care.
Knowledge and Experience
Minimum 2 years acute hospital experience providing care to complex medical patients, or minimum one year high-acuity LTCH experience, required.
Professional competence documented by references based on nursing experience and education.
Ventilator, critical care, and/or complex wound care experience preferred.
License & Certifications
1. Current Illinois registered nurse license.
2. Current CPR.
3. Current ACLS, or obtain within 90 days.
Work is performed in a patient care environment. The above statements are intended to describe the general nature and level of the work being performed by people assigned this job. They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities, and working conditions associated with it.