RN SANE - PRN

Job Description

Job Description:\n\n WOOSTER COMMUNITY HOSPITAL JOB DESCRIPTION Registered Nurse MAIN FUNCTION: Provides nursing care to patients in an efficient, professional, compassionate and caring manner. Directs the activities of paraprofessional as they provide care. Responsible for assuring effective communication with patients, support persons and members of the healthcare team. Responsible for implementing nursing care of assigned patients via the Nursing Process including assessment, diagnosis, planning, implementation and evaluation. Acts in compliance with hospital, Nursing Department policies/procedures and the Nurse Practice Act of the State of Ohio. Follows WCH Nursing Philosophy and practice model which are derived from the Synergy model and appropriate Service Standards as outlined in Employee Handbook. RESPONSIBLE TO: Department Director, Clinical Manager, Charge Nurses MUST HAVE REQUIREMENTS:Active license in the State of OhioMaintain a current AHA (American Heart Association) Healthcare Provider BLS card while in this position. PREFERRED ATTRIBUTES:BSNClinical Certification OTHER REQUIREMENTS: Employees in this position may be:Exposed to blood, body fluids and/or airborne pathogens and are required to wear personal protective equipmentEmployees in this position must be able to push, pull, lift, carry, turn, crouch, and bend as necessary to complete nursing care tasksRequired to take "on call" statusReassigned to another nursing unit to provide nursing care within current job descriptionSubject to STHR (short term hour reduction) according to policy POSITION EXPECTATIONS: All expectations detailed below are considered ADA (American Disabilities Act) Essential. LeadershipDemonstrate ability to lead/direct a team of caregivers in providing care for a group of patientsFacilitates teamwork by adhering to Nursing Practice Model Accepts and responds to change productively, while maintaining a positive attitudeRole models professional nursing practice and behaviorDemonstrates conflict resolution skillsEffectively implements the nursing process for assigned group of patients including appropriate delegation When/if assigned as Relief Charge Nurse, functions in a professional and thoughtful manner, demonstrating:Decision-making and priority setting skillsTime management and effective use of resourcesAppropriate delegation skillsConflict resolution skillsAdherence to Relief Charge RN unit responsibility listProfessional communication that fosters a calm and orderly environment CommunicationMaintains awareness of verbal / non verbal communication in interactions with staff, other departments, physicians, patients and familiesMaintains patient confidentiality in all communication interactions: written, verbal, electronic, and digitalCollaborates and communicates effectively with all members of the health care teamReports critical information to physician and others as indicatedProperly utilizes chain of command to handle issuesFacilitates communication between staff members, i.e. conducts shift huddlesDemonstrates basic ability to initiate and manage crucial conversationsUtilizes AIDET (Acknowledge, Introduce, Duration, Expectations, Thank You) strategies to foster positive communicationInteracts with clinical students in positive, productive mannerCommunicates all pertinent information regarding patient and their care needs to nursing and other departmental staff as reasonable and necessary (ex. handoff communication, hall pass, report) OperationsMaintains appropriate clinical skills:Administers care according to WCH/unit policy/procedure, current standards of care and Ohio Nurse Practice ActPerforms assessments/reassessments and documentation relevant to patient's condition, needs and age, per nursing documentation guidelines. Communicates changes in patient condition to physician in timely manner and suggests possible interventions and course of care as appropriate in a collaborative manner.Initiates, evaluates and reviews plan of care Provides age appropriate health teaching related to diagnosis, identified patient/family needs and medication, using available teaching resources and assuring patient family understanding by teach backAdministers medication safely:Correctly demonstrates use of CPOE(Computer Physician Order Entry)Demonstrates knowledge of drug purpose and effectiveness as related to diagnosisFollows 6 rights of medication administrationDemonstrates appropriate/safe medication handling/administrationReassesses and documents effectiveness of medicationAssures team members huddle and round on patients to :Evaluate the environment to assure safety & infection control standards are metEvaluate the care provided to assure it is based on practice standards and evidence based practiceEvaluate the educational plan and its implementation; assessing for and addressing gaps in careEvaluate for any additional /alternative care needs, and patient/family satisfactionEvaluate adherence to nursing practice standards of care and documentation of care by the nurse and team membersCoordinate work to achieve maximum productivity. Able to multitask and prioritize workload. Work habits are consistently adjusted to accommodate multiple responsibilities and are prioritized and completed in a timely manner.Demonstrate reasonable and rational judgment in decision makingOther duties as assigned by management team Customer ServiceDisplays positive attitude. Treats others with honesty and respect. Speaks positively in all customer interactions internal and external.Assess customer satisfaction when rounding on patients and use appropriate chain of command for unresolved issues or problems.Use AIDET (Acknowledge, Introduce, Duration, Explanation, Thank you) to:Optimize the patient’s experience by reducing the patient and family’s anxiety and increasing the patient’s complianceDevelop positive relationships with other departments to foster patient satisfactionUse face to face resolutions (crucial conversations) to intervene with patients or staff in situations where customer needs have not been met to determine a positive, mutually agreeable resolution Staff Development / Personal Growth In conjunction with the Department Director Clinical Manager, Clinical Specialist and / or Educator:Function as a preceptor, seeking learning opportunities for orientee/student. Interact with department manager, clinical educator/instructor, to evaluate orientee/student progress toward goals, identifying additional needs. Demonstrates initiative and responsibility to develop personal, leadership and professional goalsDemonstrate professional development by attending conferences, participating in committees/unit projects and ongoing educational activitiesDemonstrate professional growth by maintaining awareness of changes in nursing practice/evidenced based nursing careAccept feedback as opportunity for growthDemonstrates knowledge and understanding of new policies and procedures, practices, changes in practice, and initiatives. Obtains this knowledge via staff meeting attendance, reading of communication, required hospital education, discussion with departmental leadership and peers. Performance Improvement Identify processes to be improved and communicate to management team. Assists in data collection as directedParticipates on at least one team, project and/or committee: unit, departmental or hospital basedDevelop and maintain awareness of DNV, CMS (Centers for Medicare Services) and other required quality and safety measuresDevelop and maintain ongoing understanding of Nursing best practices for the types of patients for whom care is provided AGE SPECIFIC COMPETENCY Dependent upon department and the population served: Neonatal (Birth thru 28 days) Handles infants in gentle mannerSpeaks in soothing voiceHolds and cuddles infant when necessaryFacilitates parental interaction and care of infant Infant (29 days thru 12 months) Approaches infant in slow, non-threatening waySpeaks in soothing wayHolds and cuddles infant as much as possibleEncourages parental interaction with infantAllows for familiar toys/blankets to be brought from home Pediatrics (one year thru 11 years) Allows choices when possible Speaks directly using few, clear, simple terms and explanationsLimits number of strangers entering roomProvides consistent nursing assignmentsDoes not shame parents for lack of cooperationHolds child for painful procedures Adolescents (12 years thru 18 years) Allows participation in care and choices as appropriateProvides for patient's modestyTells patient exactly what will be expectedAllows patient controlSpeaks directly to patient in simple medical terms Geriatrics (65 years and older) Identifies physical/social/emotional barriers and physical limitations at dischargeTeaches patient about one item at a timeRepeats instructions several timesSpeaks slowly and distinctly when talking to the patient Unit Specific Requirements:AC / PAT/ PACU RN MAIN FUNCTION: To assess, evaluate, implement, collect data, document, monitor, administer pre and post operative medications to all surgical patients. Directs the care delivered by others in AC/PAT/PACU. Assist with physicians with procedures. Prioritize care for all types of surgical patients. MUST HAVE REQUIREMENTS:ACLS within 1 year of hire, and maintain while in positionPALS within 1 year of hire, and maintain while in positionMinimum of 1 year critical care experience PREFERRED ATTRIBUTES:Previous perioperative nursing experienceAbility to perform phlebotomy and IV therapyRecognize cardiac arrhythmias and institute appropriate interventions OTHER REQUIREMENTS:Required to take "scheduled on call" status (PACU)Must be able to respond to the hospital within 30 minutes Cardiac Cath/Special Procedure Lab MAIN FUNCTION: Also, functions independently in the Cath Lab/Special Procedures holding room and provides nursing care in a calm, efficient manner. Admits and discharges patients. Provides pre-procedure teaching and assures physician orders are done prior to procedure. Recovers post-procedure patients according to dept policy and accurately follows physician post-procedure orders. Assists in transferring specific patients to other hospitals directly from the holding room. Provides follow-up care by phoning patients next day. Provides nursing support in other areas if needed (CT for biopsies). Keeps patients safe & calm while assisting physicians in cardiac cath/special procedures and related interventional procedures. Functions independently in the lab while using professional judgment in performance of services. Accurately & promptly implements physician's orders. Scrubs, circulates & records all cases done in the lab & helps to recover patients. Acts in compliance with hospital policies/procedures. Provides care to patients in a calm, efficient manner. MUST HAVE REQUIREMENTS:Experience in cardiovascular medicationsBLS and ACLS certification and maintain both while in this roleFor new hires into the cath lab, must be able to respond to the hospital within 30 minutesOther Position ExpectationsExperience with hemodynamic monitoring and operation of temporary pacemakers and Intra- Aortic Balloon Pumps1 year experience in Interventional CardiologyRequired to scrub, circulate and monitor patients in the cath labKnowledge of coronary and peripheral anatomyKnowledge of coronary and peripheral blood vessels and blood flow (venous and arterial)Takes on-call statusKnowledge of sterile field techniqueRecognize cardiac arrhythmias and institute appropriate interventionsPREFERRED ATTRIBUTES:1-2 years working in an interventional cardiac/peripheral cath lab OR 5 years nursing experience in ED, PCU, or ICU.Cath Lab transport team experience Cardiac Rehab Nurse MAIN FUNCTION: Collaborates with the exercise physiologist to prescribe and monitor exercise workloads and target heart rates appropriate to each individual during each exercise session. Monitors and records vital signs during exercise sessions. Communicates effectively with the healthcare team to monitor compliance and appropriately manage symptoms. Develops teaching curriculum in conjunction with Nutrition Services, Sleep Clinic, and the exercise physiologist including lectures, videos, class participation and patient educational materials.MUST HAVE REQUIREMENTS:ACLS within 1 year of hire, and maintain while in positionAbility to read and operate cardiac monitor, recognize normal/abnormal rhythms, and institute appropriate interventionsDemonstrate knowledge and use of Vasoactive medications OTHER REQUIREMENTS: Prescribes initial target heart rates and exercise with in conjunction with exercise physiologistEnsures appropriate warm-up, exercise workloads, and cool down for each clientAdjusts workloads according to observed or reported symptoms, or as requested by the exercise monitorDevelops cardiac rehab teaching curriculum and implements lectures and materials and reviews / revises them every three months Cardiovascular Services Registered Nurse MAIN FUNCTION: Provides nursing care to inpatients and outpatients in the Cardiovascular Services Department by working within the nursing process in an efficient, professional, compassionate and caring manner. Directs the activities of paraprofessionals as they provide care within the department. Communicates effectively with patients, support person(s) and other members of the health care team. Acts in compliance with hospital Nursing Department policies/procedures and the Nurse Practice Act of the State of Ohio.MUST HAVE REQUIREMENTS:ACLS within 1 year of hire, and maintain while in position Ability to read and operate cardiac monitor, recognize normal/abnormal rhythms, and institute appropriate interventionsDemonstrate knowledge and use of Vasoactive medicationsDemonstrate competency using cardiac monitor and other equipmentRecognize cardiac arrhythmias and institute appropriate interventions Endoscopy RN MAIN FUNCTION: To assess, evaluate, implement, and monitor the care of patients undergoing GI procedures and those patients who are receiving Medical Outpatient Services. To assist physicians with procedures and monitor patients who are receiving moderate sedation. Prioritize the care of all patient populations. MUST HAVE REQUIREMENTS: 1 year related medical surgical experience BLS and ACLS maintained while in position PREFERRED ATTRIBUTES: Previous endoscopy experience OTHER REQUIREMENTS:Must be able to respond to the hospital within 30 minutesMust be able to work flexible hours including half daysCleans and checks scopes and instruments according to proceduresSchedules/coordinates patients and overall department scheduleAssist physician with Endoscopy procedures Emergency Dept Staff RN MAIN FUNCTION: Assesses, plans, implements, evaluates and documents the care of emergently ill medical and su