RN - Clinical Transition (Days) - Metropolitan Methodist Hospital
Metropolitan Methodist Hospital - San Antonio, TX

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General Statement of Duties :

The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.

Essential Job Functions :
1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include:

Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho-social and pain assessments; includes assessment of patient education needs.

Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses,

formulates goals, teaching plans and outcomes to create an individualized plan of care.

Identifies individual patient goals, readiness to learn and incorporates family into the plan

of care.

Implementation: Prioritizes and implements a competent, prioritized and efficient

nursing plan of care.

Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and

recognizes changes in patient conditions, determines when reassessments are needed and

adjusts the plan of care as necessary. Compares expected and achieved outcomes of

nursing care utilizing the plan of care.

2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Additional Job Duties

1. Recognizes and responds to crisis situations. Notifies appropriate individuals of actual or

impending crisis.

2. Incorporates patient's cultural and spiritual beliefs into care by making appropriate referrals to

chaplain, social services, case manager, etc. Documents pertinent data including assessment,

interventions and evaluations.

3. Participates in performance improvement activities of the hospital/unit. This may include data

collection. Participation on a team or implementing recommendations identified through quality

initiatives.

4. Assists in providing education for staff through being a liaison and/or through preceptor ship.

Assists coworkers willingly and shares information/resources with team members.

5. Supports the mission and vision of the Methodist Healthcare System and Methodist Excellence by

providing courteous, compassionate and quality service to all customers by anticipating and

accommodating customer’s needs.

6. Understands and is committed to helping the Methodist Healthcare System and its associated

facilities achieve its goals under the MHS Financial Performance Plan.

7. Must learn and comply with System and facility safety policies and rules; must use appropriate

safety equipment and procedures at all times; must immediately report all unsafe conditions to

supervisors; must be familiar with all safety features of equipment, tools or materials encompassed

by job duties; and must check with supervisors (prior to job performance) if there is a question as

to the safe procedure to be used for any job function.

8. Patient information is managed confidentially – including both written and electronic records.

Ensures physical and auditory privacy.

9. Completes other duties as assigned.

Qualifications

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics :

1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

* RNs hired as of 01/01/2013 that do not have a BSN upon hire must do ALL of the following:

1. Enroll in a BSN or higher degree nursing program within two years of hire date and submit documentation to facility CNO (or designated representative)

2. Complete the BSN or higher degree nursing program within five years of hire date

Note: Verification of high school graduation/GED is required for those who completed

nursing diploma programs.

2. Experience:

A. RN I – Less than six months experience. MHS practice for RNs with less than

six months experience is to attend an RN Residency program.

B. RN II - A minimum of six months clinical experience as a licensed RN

C. RN III - ALL of the following:

1) One year clinical experience in a RN II role (in Lawson) within Methodist Healthcare System. May submit completed application to Clinical Nursing Excellence committee prior to one year, but no sooner than 11 months experience in the RN II role.

2) Approved for and maintains requirements of the MHS Nursing

Clinical Excellence program RN level III.

D. RN IV - ALL of the following:

1) One year clinical experience in a RN III role (per Lawson) within Methodist Healthcare System. May submit completed application to Clinical Nursing Excellence committee prior to one year, but no sooner than 11 months experience in the RN III role.

2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence Program RN level IV.

E.

3. Employee completes initial and ongoing training and competencies as defined by service

line, facility and department/unit which are specific to the needs of the patient population

served (if applicable).

4. Preferred: Bachelor of Science in Nursing (BSN) on hire

Minimum License, Certificates, or Registrations Required :

1. Required: RN License to practice as a professional registered nursing in the state of

Texas

2. Preferred: Certification in their specialty

WORKING CONDITIONS

(X) INSIDE: Spends approximately _40_ hours or more per week inside.

( ) OUTSIDE: Spend approximately __ hours per week outside (driving/running work related errands).

( ) BOTH: The activities occur inside and outside in approximately equal amounts.

WORK POSITIONS: (defined in 5% increments of work time):

Sitting 10 % + Standing 30 % + Walking 60 % = 100%

LIFTING/CARRYING DEMANDS: Ability to lift, push and pull with assistance (mechanical or co-worker) the weight of an average patient/heaviest object specific to the department.

( ) SEDENTARY WORK: Lifting 10 lbs. maximum and occasional lifting and/or carrying articles.

(X) LIGHT WORK: Lifting 20 lbs. maximum with frequent lifting and/or carrying articles weighing up

to 10 lbs.

( ) MEDIUM WORK: Lifting 50 lbs. maximum with frequent lifting and/or carrying of objects

Weighing up to 25 lbs.

( ) HEAVY WORK: Lifting 100 lbs. maximum with frequent lifting and/or carrying of objects

weighing up to 50 lbs.

( ) VERY HEAVY WORK: Lifting objects in excess of 100 lbs. with frequent lifting and/or carrying of

objects weighing more than 50 lbs.

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