Registered Nurse - Advanced / Specialized Heart Failure

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values-integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. SUMMARY As an integral member of the Yale New Haven Health System (YNHHS) healthcare team, the Registered Professional Nurse (RN) upholds the YNHHS mission, vision, values and strategic initiatives to provide the highest level of patient centered care. The RN practices professional nursing as a registered nurse within the legal and ethical framework established by the Connecticut Nurse Practice Act, American Nurses Association Scope and Standards for Nursing Practice, ANA Code of Ethics for Nurses and the YNHHS Professional Practice Model. The professional role of the RN is exemplified by the qualities of leadership, delegation, collaboration, effective communication, ensuring quality outcomes. YNHHS nurses practice in a framework outlined in our professional practice model, which states, "Achieving outcomes through Autonomy and Accountability". We value Nursing Professional Governance, and use evidence and ata to support our practice with the patient and family at the center, always. The RN provides care that: * Establishes and maintains a therapeutic relationship with the patient and family encompasses an understanding and integration of cultural and diversity into practice * Includes communicating and working collaboratively with the patient, family and health care team members * Includes respecting the patient's values, preferences, expressed needs and knowledge of the healthcare situation in holistic data collection, in formulating health care outcomes and in the evaluation process. EEO/AA/Disability/Veteran. Responsibilities 1. STANDARDS OF PRACTICE RN practice is guided by the ANA Scope and Standards of Practice (2015). The Standards of Practice describe a competent level of nursing care as demonstrated by utilizing the nursing process components of assessment, diagnosis, outcomes identification, planning, implementation and evaluation. Assessment: The registered nurse collects pertinent data and information relative to the healthcare consumer's health or situation. Diagnosis: The RN analyzes the assessment data to determine the actual and potential diagnoses or the issues. Outcomes Identification: The RN identifies expected outcomes for a plan individualized to the healthcare consumer or the situation. Planning: The RN develops and modifies a plan of care that prescribes strategies and alternatives to attain expected outcomes. Implementation: The RN implements the identified plan. Coordination of Care: The RN coordinates care delivery and transitions in care. Health Teaching and Health Promotion: The RN employs strategies to promote health and a safe environment. Evaluation: The RN evaluates progress toward attainment of outcomes. 2. STANDARDS OF PROFESSIONAL PERFORMANCE The ANA Standards of Professional Performance (2015) describe a competent level of behavior in the rofessional role, including activities related to: ethics, culturally congruent practice, communication, collaboration, leadership, education, evidence-based practice and research, quality of practice professional practice evaluation, resource utilization and environmental health. The RN is expected to engage in professional role activities, including leadership, appropriate to their education and position. The RN is accountable to for their professional actions to themselves, their healthcare consumers, their peers and ultimately to society. Ethics: The RN practices ethically. Culturally congruent practice: The RN practices in a manner that is congruent with cultural diversity and inclusion principles. Communication: The RN communicates effectively in all areas of practice Collaboration: The RN collaborates with healthcare consumer and other key stakeholders in the conduct of nursing practice. Leadership: The RN leads within the professional practice setting and the profession. Education: the RN seeks knowledge and competence that reflects current nursing practice and promotes futuristic thinking. Evidence-Based Practice and Research: The RN integrates evidence and research findings into practice Quality of Practice: The RN contributes to quality nursing practice. Professional Practice Evaluation: The RN evaluates owns' and others' nursing practice. Resource Utilization: The RN utilizes appropriate resources to plan provide and sustain evidence -based nursing services that are safe, effective and fiscally responsible Environmental Health: The RN practices in an environmentally safe and healthy manner Qualifications EDUCATION: Graduation from an accredited school of nursing. BSN preferred. All newly hired registered nurses must have current BCLS certification or must obtain within one month of hire. EXPERIENCE: Registered Nurse is the foundational job description for all RNs. All RNs are encouraged to advance through the SPIRE clinical advancement program. ACCOUNTABILITY: Accountable to practice within the Scope and Standards of Practice within the Nurse Practice Act of their state of practice. RNs at YNHH are accountable to YNHHS standards of professional behavior. Nursing practice is overseen by the Chief Nursing Officer (CNO) in each delivery network, and RNs are accountable to their chain of command . RNs are accountable to team members and upholding standards of professional behavior. COMPLEXITY): In personal and job-related decisions and actions, consistently demonstrates the values of integrity (doing the right thing), patient-centered (putting patients and families first), respect (valuing all people and embracing all differences), accountability (being responsible and taking action), and compassion (being empathetic). Accountable to the Scope and Standards of practice noted in this job description. LICENSURE/CERTIFICATION: Licensed and a currently registered nurse in the State of Connecticut. Clinical specialty certification highly encouraged. Additional Information HVC Cardiac Medical Intermediate Care Unit (5-2 SP): 5-2 is a busy 26 - bed cardiovascular medicine inpatient unit. Cardiovascular specialty care including medical and interventional management of coronary artery disease and atrial/ventricular dysrhythmias (cardia procedures such as catheterization, angioplasty/stent, pacemaker, ICD, ablations). HVC Cardiac Surgery Intermediate Care and Step Down Unit (5-3 SP): SP 5-3 is a fast-paced, dynamic 25-bed cardiac surgery unit, inclusive of 3 step down beds that cares for a diverse range of cardiac populations. This includes post-operative management for CABG, valve replacement and aneurysm repairs. HVC Cardiac Intermediate Care and Stepdown Unit (V3E): Verdi 3 East is a 30 bed cardiac unit located at the Saint Raphael Campus. Our unit's primary population include patients with cardiac procedures i.e., cardiac catheterization, angioplasty, pacemaker and defibrillators. The population also includes dysrhythmia management, heart failure and electrophysiology procedures. Six of our beds are designated for the cardiac step down population. HVC Cardiac Intermediate Care-Advanced Heart Failure and Stroke Unit (V5E): Verdi 5 East is a 29-bed cardiac unit located at saint Raphel Campus. Our unit patient population consists of advanced heart failure and stroke diagnoses including, advanced Heart Failure (HF), MI, Pre/Post Cardiac Catheterization and/or intervention, Pre/Post Pacer/ICD placement, Stroke patients post TNK after an ICU stay, those not eligible for TNK, ruling out for Stroke/TIA, and medical issues including COPD, Pneumonia, ACS, chest Pain and patients requiring inotropic or vasodilator support to enhance diuresis. HVC Cardiac Medical Intermediate Care Unit (5-7 EP): 5-7 is a 26 bed , fast paced , full telemetry heart and vascular unit. This is NOT a med-surg unit. Patients on 5-7 are predominantly comprised of general cardiology, post cardiac procedure,

heart failure, and vascular surgery patients.