Ambulatory Care/PACU RN-PRN

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 Ohio
• Maintain a current AHA (American Heart Association) Healthcare Provider BLS card while in this position.

PREFERRED ATTRIBUTES:

• BSN
• Clinical Certification

OTHER REQUIREMENTS:

Employees in this position may be:

1. Exposed to blood, body fluids and/or airborne pathogens and are required to wear personal protective equipment
2. Employees in this position must be able to push, pull, lift, carry, turn, crouch, and bend as necessary to complete nursing care tasks
3. Required to take "on call" status
4. Reassigned to another nursing unit to provide nursing care within current job description
5. Subject to STHR (short term hour reduction) according to policy

POSITION EXPECTATIONS : All expectations detailed below are considered ADA (American Disabilities Act) Essential.

Leadership

1. Demonstrate ability to lead/direct a team of caregivers in providing care for a group of patients
2. Facilitates teamwork by adhering to Nursing Practice Model

1. Accepts and responds to change productively, while maintaining a positive attitude
2. Role models professional nursing practice and behavior
3. Demonstrates conflict resolution skills

1. Effectively implements the nursing process for assigned group of patients including appropriate delegation
2. When/if assigned as Relief Charge Nurse, functions in a professional and thoughtful manner, demonstrating:
   • Decision-making and priority setting skills
   • Time management and effective use of resources
   • Appropriate delegation skills
   • Conflict resolution skills
   • Adherence to Relief Charge RN unit responsibility list
   • Professional communication that fosters a calm and orderly environment

Communication

1. Maintains awareness of verbal / non verbal communication in interactions with staff, other departments, physicians, patients and families
2. Maintains patient confidentiality in all communication interactions: written, verbal, electronic, and digital

1. Collaborates and communicates effectively with all members of the health care team
2. Reports critical information to physician and others as indicated
3. Properly utilizes chain of command to handle issues
4. Facilitates communication between staff members, i.e. conducts shift huddles
5. Demonstrates basic ability to initiate and manage crucial conversations

1. Utilizes AIDET (Acknowledge, Introduce, Duration, Expectations, Thank You) strategies to foster positive communication

1. Interacts with clinical students in positive, productive manner
2. Communicates 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)

Operations

1. Maintains appropriate clinical skills:
   • Administers care according to WCH/unit policy/procedure, current standards of care and Ohio Nurse Practice Act
   • Performs 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 back

1. Administers medication safely:
   • Correctly demonstrates use of CPOE(Computer Physician Order Entry)
   • Demonstrates knowledge of drug purpose and effectiveness as related to diagnosis
   • Follows 6 rights of medication administration
   • Demonstrates appropriate/safe medication handling/administration
   • Reassesses and documents effectiveness of medication
2. Assures team members huddle and round on patients to :
   • Evaluate the environment to assure safety & infection control standards are met
   • Evaluate the care provided to assure it is based on practice standards and evidence based practice
   • Evaluate the educational plan and its implementation; assessing for and addressing gaps in care
   • Evaluate for any additional /alternative care needs, and patient/family satisfaction
   • Evaluate adherence to nursing practice standards of care and documentation of care by the nurse and team members

1. Coordinate 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.

1. Demonstrate reasonable and rational judgment in decision making
2. Other duties as assigned by management team

Customer Service

1. Displays positive attitude. Treats others with honesty and respect. Speaks positively in all customer interactions internal and external.

1. Assess customer satisfaction when rounding on patients and use appropriate chain of command for unresolved issues or problems.
2. 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 compliance
   • Develop positive relationships with other departments to foster patient satisfaction

1. Use 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:

1. 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.

1. Demonstrates initiative and responsibility to develop personal, leadership and professional goals
2. Demonstrate professional development by attending conferences, participating in committees/unit projects and ongoing educational activities

1. Demonstrate professional growth by maintaining awareness of changes in nursing practice/evidenced based nursing care

1. Accept feedback as opportunity for growth
2. Demonstrates 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

1. Identify processes to be improved and communicate to management team. Assists in data collection as directed

1. Participates on at least one team, project and/or committee: unit, departmental or hospital based

1. Develop and maintain awareness of DNV, CMS (Centers for Medicare Services) and other required quality and safety measures
2. Develop 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)

1. Handles infants in gentle manner
2. Speaks in soothing voice
3. Holds and cuddles infant when necessary
4. Facilitates parental interaction and care of infant

Infant (29 days thru 12 months)

1. Approaches infant in slow, non-threatening way
2. Speaks in soothing way
3. Holds and cuddles infant as much as possible
4. Encourages parental interaction with infant
5. Allows for familiar toys/blankets to be brought from home

Pediatrics (one year thru 11 years)

1. Allows choices when possible

1. Speaks directly using few, clear, simple terms and explanations
2. Limits number of strangers entering room
3. Provides consistent nursing assignments
4. Does not shame parents for lack of cooperation
5. Holds child for painful procedures

Adolescents (12 years thru 18 years)

1. Allows participation in care and choices as appropriate
2. Provides for patient's modesty
3. Tells patient exactly what will be expected
4. Allows patient control
5. Speaks directly to patient in simple medical terms

Geriatrics (65 years and older)

1. Identifies physical/social/emotional barriers and physical limitations at discharge
2. Teaches patient about one item at a time
3. Repeats instructions several times
4. Speaks slowly and distinctly when talking to the patient

Unit Specific Requirements:

AC / 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 position
• PALS within 1 year of hire, and maintain while in position
• Minimum of 1 year PACU, ED or critical care experience

PREFERRED ATTRIBUTES:

• Previous perioperative nursing experience
• Ability to perform phlebotomy and IV therapy
• Recognize cardiac arrhythmias and institute appropriate interventions

OTHER REQUIREMENTS:

• Required to take "scheduled on call" status (PACU) depending on PRN Tier Contract
• 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 medications
• BLS and ACLS certification and maintain both while in this role
• For new hires into the cath lab, must be able to respond to the hospital within 30 minutes

Other Position Expectations

• Experience with hemodynamic monitoring and operation of temporary pacemakers and Intra- Aortic Balloon Pumps
• 1 year experience in Interventional Cardiology
• Required to scrub, circulate and monitor patients in the cath lab
• Knowledge of coronary and peripheral anatomy
• Knowledge of coronary and peripheral blood vessels and blood flow (venous and arterial)
• Takes on-call status
• Knowledge of sterile field technique
• Recognize cardiac arrhythmias and institute appropriate interventions

PREFERRED 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 position
• Ability to read and operate cardiac monitor, recognize normal/abnormal rhythms, and institute appropriate interventions
• Demonstrate knowledge and use of Vasoactive medications

OTHER REQUIREMENTS:

• Prescribes initial target heart rates and exercise with in conjunction with exercise physiologist
• Ensures appropriate warm-up, exercise workloads, and cool down for each client
• Adjusts workloads according to observed or reported symptoms, or as requested by the exercise monitor
• Develops 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 interventions
• Demonstrate knowledge and use of Vasoactive medications
• Demonstrate competency using cardiac monitor and other equipment
• Recognize 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 minutes
• Must be able to work flexible hours including half days
• Cleans and checks scopes and instruments according to procedures
• Schedules/coordinates patients and overall department schedule
• Assist physician with Endoscopy procedures

Emergency Dept Staff RN

MAIN FUNCTION:

Assesses, plans, implements, evaluates and documents the care of emergently ill medical and surgical patients of all ages. Assists with special procedures. Prioritizes the care of critically ill and less acutely ill patients. Directs the care delivered by others in the ED.

PREFERRED ATTRIBUTES:

• CEN (Certified Emergency Nurse)
• TNCC ( completion of Trauma Nurse Core Curriculum)

• Current general nursing, emergency or critical care experience. Completion of emergency or critical care course.
• Minimum of 1 year current experience in hospital or clinical setting as an RN

OTHER REQUIREMENTS:

• ACLS within 1 year of hire, and maintain while in position
• PALS within 1 year of completion of orientation and maintain while in position
• Complete NIH Stroke Certification with 6 months and maintain while in position

Additional Position Expectations

• Demonstrates competence in patient triage using the established method, within 6 months

• Demonstrates knowledge and use of Vasoactive medications
• Ability to read and operate cardiac monitor , recognize normal/abnormal rhythms , and institute appropriate interventions

• Quickly identifies signs and symptoms of Stroke and Acute Myocardial Infarction and follows appropriate protocols, policies and procedures to ensure goal times are met

• Answers the EMS line, obtains squad report and appropriately communicates the report to the Charge RN and ED Physician
• Demonstrates skills to assess and intervene in life-threatening situations
• Attends in house codes, RRT and Stroke calls as required

Float Registered Nurse- Float A (Inpatient and Peds) Float B (Inpatient, Peds, and ED units) Float C (Inpatient, Peds, ED, and ICU Units).

MAIN FUNCTION:

Float staff will be assigned to one unit director for performance evaluation, but will also be responsible to management team where they are assigned each shift. Float staff may be pulled to different units during any given shift, depending where the staffing needs must be met. Float staff may be assigned to any area when needed and will take assignments within the scope of their skills and experience. Float nurses will be expected to take pediatric patients. In the ED, float nurses will be expected to provide care of patients from various types of illness or trauma requiring emergency attention and must be able to recognize and effectively treat life threatening conditions. In ICU, float nurses will be expected to manage critical care patients within the scope of the unit. Float staff will be expected to maintain competency in main assigned departments for their float group. Float staff will be expected to attend some of the assigned department staff meetings and/or read the meeting minutes.

MUST HAVE REQUIREMENTS:

• ACLS within 1 year of hire, and maintain while in position
• PALS within 1 year of hire, and maintain while in position (for Float A only)
• Complete NIH Stroke Certification with 6 months and maintain while in position
• Ability to read and operate cardiac monitor, recognize normal/abnormal rhythms, and institute appropriate interventions

PREFERRED ATTRIBUTES

• ED/Critical care experience/telemetry experience.
• IV therapy/Phlebotomy experience
• One year current hospital nursing as RN

Home Health Registered Nurse

MAIN FUNCTION:

Provides nursing care in patients' homes on a skilled, intermittent basis. Coordinates patient care with other disciplines, PT,OT, Home Health Aide, Speech Therapy and Social Worker to ensure that patient meets their goals. Follows Medicare Condition of Participation requirements in delivering patient care.

MUST HAVE ATTRIBUTES:

• One year hospital nursing experience or long term care experience
• Hold a valid driver's license
• Maintain car insurance
• Flexibility with assignments and work hours based on patient's needs

PERFERRED ATTRIBUTES:

• High personal productivity and energy
• Able to establish priority with daily schedule
• Demonstrates appropriate decision making skills/time management, problem solving techniques, conflict resolution skills, priority setting, effective use of resources

Other Position Expectations

• Performs follow-up patient treatment and assessment visits according to plan of care
• Assesses patients appropriately for fall risk intervention and education
• Follows patient discharge goals and reviews with patient and/or caregiver at each visit
• Plans and institutes health teaching for individual patients and/or caregiver
• Utilizes/incorporates teaching packets
• Prioritizes and documents problems based on assessed needs
• Completes all required documentation appropriately and in a timely manner according to department policies
• Monitors services provided, reviews medical record documentation for accuracy and completeness

• Demonstrates competency in performing the patient evaluation tool OASIS (Outcome and Assessment Information Set)
• Develop and maintain awareness of regulations governing Home Health practice (Ohio Department of Health, CLIA, and Pharmacy Board )
• Maintain productivity at established guidelines
• Monitors services provided, reviews medical record documentation for accuracy and completeness

Home Health Services RN Call Nurse

MAIN FUNCTION:

Provides direct on-call coverage to home health patients under the direction and coordinator of the Clinical Coordinators. Answers all phone calls and makes decisions according to the patient's best interest. May need to make patient visits depending on patient's situation while on-call. Reports calls to Clinical Coordinator for follow-up.

Infusion RN

MAIN FUNCTION:

To assess, evaluate, implement, and monitor the care of patients receiving chemotherapy, IV infusions injections and various medical outpatient infusion needs.

MUST HAVE ATTRIBUTES:

• BLS
• Current Chemotherapy Bio-Course or completion within 6 months of hire

PREFERRED ATTRIBUTES:

• Previous oncology and IV experience
• Oncology Certified Nurse Certification (OCN)

Other Position Expectations:

• Must be able to work flexible hours including half days and weekends as needed
• Complete mandatory yearly competency
• Schedule and coordinate patients and overall department schedule
• Coordination of care with Wooster Cancer Care (WCC) staff

Inpatient Rehab RN

MAIN FUNCTION:

Assesses, plans, implements, evaluates and documents care of the Rehabilitation patients. Uses the Functional Instrument of Measure to develop goals for improving functional status.

PREFERRED ATTRIBUTES:

• Recognition of positive interactions with patients and customers
• Willingness to assist with community education
• 1 year experience in acute rehab or acceptable related training and experience

Other Position Expectations:

• Maintains competency in functional independence measures scoring (FIM)
• Supports and documents worker's comp care
• Demonstrates working knowledge of equipment, hazmat, micromedix
• Performs highly specialized assessments/reassessments and documentation relevant to patient's condition, needs (including pain control, and age in a policy-specified time frame

Intensive Care Registered Nurse

MAIN FUNCTION:

Assesses, plans, implements, evaluates and documents the age appropriate and evidence-based care of acutely and critically ill medical, cardiac and surgical adolescent/adult patients. Provides acute stroke care per protocols of the WCH designated stroke unit. Assists with special and invasive bedside procedures. Directs the care delivered by others in the department. Collaborates with Physicians to evaluate patient readiness for transfer out of critical care environment. Accepts med surg and telemetry overflow patients as necessary. Communicates effectively with the intraprofessional team and families.

MUST HAVE REQUIREMENTS:

• ACLS within 1 year of hire, and maintain while in position
• 1 year current hospital nursing; New graduates only with completion of critical care preceptorship or current Nurse tech position
• Complete NIH Stroke Certification with 6 months and maintain while in position
• Strong interpersonal skills and ability to work with a diverse community

Other Position Expectations

1. Ability to interpret and operate cardiac and other invasive and noninvasive monitors, recognize normal/abnormal rhythms /trends, and institute appropriate interventions.
2. Performs ECGs
3. Performs phlebotomy and collects blood for testing and blood culture analysis
4. Responds to in house codes, RRTs, STEMIs and Stroke alerts as required

1. Maintain competency in:
   • Caring for patients with complex needs including hemodynamically compromised, acute stroke and mechanically ventilated patients
   • Initiating and maintain complex IV therapy , including thrombolytic administration, vasoactive medications, central IV catheters, dialysis catheters & arterial lines
   • Safe use of less invasive, life supporting modalities i.e BiPAP, ETCO2, core temperature monitors, IABP
   • Prevention and management of complications associated with critical illness, e.g. CAUTI, CLABSI, VAE, VAC
   • End of life care decisions, management and terminal extubation
   • Creating and maintaining a healing and humane environment for patients and families
   • Identifying and supporting CPI (continuous process improvement) activities in the ICU and hospital
   • Engagement with coworkers, unit leadership and key hospital leaders

Med Surg Registered Nurse

MAIN FUNCTION:

Assesses, plans, implements, evaluates and documents the care of medical/surgical, oncology and orthopedic adolescent/adult patients. Assists with special procedures. Directs the care delivered by others in the department.

PREFERRED ATTRIBUTES:

• Oncology/orthopedic experience
• Ability to read and operate cardiac monitor, recognize normal/abnormal rhythms, and institute appropriate interventions

Patient Flow Facilitator (Registered Nurse)

MAIN FUNCTION:

Provides nursing care to patients in an efficient, professional, compassionate and caring manner. Facilitates patient flow throughout the organization by reporting to the area of need and performing admission assessments/requirements, medication reconciliation, discharge instructions, and other necessary activities under the discretion of the Nursing Supervisor, the unit Managers, and or charge nurses. The scheduled working hours are Monday through Friday from 1400 - 2030 (may be subject to STHR). Frequently 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 the Employee Handbook.


RESPONSIBLE TO: Med Surg Director , House Supervisor

MUST HAVE REQUIREMENTS :

• Licensed in Ohio
• Maintain a current AHA (American Heart Association) Healthcare Provider BLS card while in this position.

PREFERRED ATTRIBUTES:

• BSN
• Clinical Certification

Pediatrics Registered Nurse

MAIN FUNCTION:

Assesses, plans, implements, evaluates and documents the care of medical/surgical pediatric, adolescent and adult patients. Assists with special procedures. Directs the care delivered by others in the department.

MUST HAVE REQUIREMENTS:

• 1 year current clinical hospital experience
• PALS (Pediatric Advanced Life Support) within 6 months of hire

PREFERRED ATTRIBUTES:

Pediatric experience

Procedural Nurse

MAIN FUNCTION:

Assesses, plans, implements, evaluates and documents the care of patients undergoing radiological procedures, and/or recovery of cardiac cath lab patients. Function independently within multiple Imaging modalities, circulating, documenting, performing moderate sedation and ensuring patient safety while assisting physician in procedures. Duties include but are not limited to: admission/discharge of patients, pre and post procedure monitoring/instruction, completion of physician orders, and recovery of patients post procedure according to organizational policy.

Additionally, preforms follow-up call to procedural patient's day after procedure. Provides nursing support to other areas as needed.

RESPONSBILE TO: Intensive Care Unit Director in collaboration with Dept Directors where assigned

MUST HAVE REQUIREMENTS:

• Experience with performing/monitoring patients during moderate sedation
• BLS and ACLS certification: maintain both while in this role
• 2 years nursing experience

Preferred Experience:

• 1-2 years working in an Cardiac Cath Lab or Special Procedures lab
• OR Radiology Nurse Experience
• OR 5 years nursing experience in ED, Cardiac Step Down Unit, or Intensive Care Unit

PREFERRED ATTRIBUTES:

• Certified Radiology Nurse

Other Position Expectations

• Knowledge of safety and awareness of different Imaging environments. Specifically radiation areas and magnetic fields

1. Work areas will include, but not limited to:
   • Computed Tomography
   • Breast Imaging
   • Diagnostic X-ray
   • Ultrasound
   • Fluoroscopy
   • Nuclear Medicine
   • Magnetic Resonance Imaging
   • Cardiac Cath Lab Recovery Area (admitting, recovering, discharging patients)

• Excellent communication and teamwork needed as environment may have multiple physicians and technologists working for a common goal
• Knowledge of sterile field technique
• Ability to assess patient and monitor vital signs
• Ability to recover patients post procedure
• Ability to recognize and respond to adverse reactions/patient emergencies
• Knowledge of patient preparation, IV starts, IV port access/discontinuation, procedural preps
• Premedication for patients with history of contrast reactions
• Process knowledge to navigate patients with positive findings to appropriate next step in clinical process to ensure positive outcomes are achieved
• Clinical leadership and collaboration skills working in concert with Radiologist to implement evidence based practices within department
• Participate in taking an active role in planning effective, timely, and safe discharges following diagnostic and therapeutic cases performed on an outpatient basis.
• Participate in the development of appropriate training materials to promote staff development and knowledge

Progressive Care Registered Nurse

MAIN FUNCTION:

Assesses, plans, implements, evaluates and documents the care of medical and surgical adolescent/adult patients with a cardiac focus. Assists with special procedures. Directs the care delivered by others in the department. Designated stroke unit. Accepts med surg overflow patients as necessary. Recovers cardiac cath/special procedure patients. Provides care for patients on intravenous vasoactive medications (step down patients).

MUST HAVE REQUIREMENTS:

• Cross train and maintain competency to Step-down Nursing within 1 year
• ACLS within 1 year of hire, and maintain while in position
• Complete NIH stroke certification within 6 months and maintain while in position

PREFERRED ATTRIBUTES:

Ability to read and operate cardiac monitor, recognize normal/abnormal rhythms, and institute appropriate interventions.

Other Position Expectations

Demonstrates ability to care for step-down patients, including vasoactive medications, within 1 year of completion of orientation.

SANE (Sexual Assault Nurse Examiner)

MAIN FUNCTION :

Provides timely and accurate collection of forensic evidence in sexual assault cases. Collaborates with physicians, local law enforcement, county prosecutors and survivor advocate to maintain chain of evidence.

MUST HAVE REQUIREMENTS:

• 1 year current experience as a RN
• Availability for on-call rotation including weekend and holiday coverage with a maximum response time of 60 minutes

PREFERRED ATTRIBUTES:

• Successful completion- of SART (Sexual Assault Response Team) training- mandatory within 1 year
• Excellent assessment and crisis intervention skills
• Excellent interpersonal and communication skills
• Ability to function autonomously and collaboratively with community agencies
• Membership in IAFN (International Association of Forensic Nurses)

OTHER REQUIREMENTS:

• Demonstrates ability to appropriately use colposcopy in the collection of evidence
• Demonstrates the ability to appropriately use a camera in the collection of evidence
• Makes appropriate referrals for sexual assault survivor
• Accurately identifies the need for medical intervention
• Documentation is clear, concise and follows guidelines of the SART program

Surgery RN

MAIN FUNCTION:

Responsible for circulating and scrubbing on surgical procedures, which includes caring for and meeting the surgical patient's needs

MUST HAVE REQUIREMENTS:

• Ability to respond to the hospital in 30 minutes when on call
• Able to work flexible hours

PREFERRED ATTRIBUTES

• Prior OR experience
• Current CNOR

OTHER REQUIREMENTS:

• Recognizes safety hazards and initiates appropriate corrective action
• Applies knowledge of surgical anatomy, physiology and ability to translate it into surgical care

Surgery- RNFA

MAIN FUNCTION:

Under supervision and direction of the operating surgeon, functions during the assistant role until conclusion of the operative procedure. Does not concurrently function as scrub nurse. When not working as a RNFA, works as scrub or circulating nurse as directed.

MUST HAVE REQUIREMENTS:

• Current CNOR certification, completion of an RNFA program, certification by an accredited AORN program as a RNFA
• 3 years diversified perioperative nursing experience both scrubbing and circulating proficiency

OTHER REQUIREMENTS:

1. Able to respond to the hospital in 30 minutes when on call
2. Able to work flexible hours
3. Maintains RNFA status

1. Applies principles of asepsis technique according to standards. Follows infection control according to current guidelines

• Recognizes safety hazards and initiates appropriate corrective action
• Applies knowledge of surgical anatomy, physiology, and operative technique relative to operative procedure wherein RNFA assists
• Performs positioning, prepping, and draping of patient
• Provides hemostasis by clamping blood vessels, coagulating bleeding points, ligating vessels, and by other means as directed by the surgeon
• Provides exposure through appropriate use of instruments, retractors, suctioning, and sponging techniques
• Handles tissue as directed by the surgeon during the operative procedure
• Performs wound closure as directed by the surgeon, sutures the peritoneum, fascia, subcutaneous tissue and skin
• Applies surgical dressings
• Assists with transferring the patient from the operating room
• Practices within limitations of preparation and experience
• Maintains continuing education relative to practice
• Verifies correct sponge, tape, needle and instrument count with other nursing personnel in room
• Labels specimens properly and takes to area for transfer to Lab

First Assistant in Surgery (RNFA, SA, CSFA, PA)

MAIN FUNCTION:

The Surgical First Assistant works in collaboration with the surgeon and other health care team members to achieve optimal patient outcomes and intraoperatively practices at the direction of the surgeon. Does not concurrently function as the scrub. When not working as an assistant will function as licensure/certification allows and as directed.

MUST HAVE REQUIREMENTS:

• Current certification/licensure from an accredited program

OTHER REQUIREMENTS:

• Able to respond to the hospital in 30 minutes when assigned
• Ability to work flexible hours
• Maintain certification/licensure as an assistant in good standing
• Applies principles of aseptic technique according to standards. Follows infection control according to current guidelines
• Recognizes safety hazards and initiates appropriate corrective action
• Applies knowledge of surgical anatomy, physiology, and operative technique relative to operative procedure wherein assisting in surgery.
• Performs positioning, prepping, and draping of patient
• Provides hemostasis by clamping blood vessels, coagulating bleeding points, ligating vessels, and by any other means as directed by the surgeon
• Provides exposure through appropriate use of instruments, retractors, suctioning, and sponging techniques
• Handles tissue as directed by the surgeon during the operative procedure
• Performs wound closure as directed by the surgeon, sutures peritoneum, fascia, subcutaneous tissue and skin
• Applies surgical dressings
• Practices within limitations of preparation and experience
• Maintains continuing education relative to practice
• Verifies correct sponge, tape, needle, and instrument count with nursing personnel in the room

Women's Pavilion

MAIN FUNCTION:

The RN focuses on all facets of perinatal care. Women's Pavilion employees care for patients and their families during the antepartal, intrapartal and pospartal periods, taking in to consideration their age, growth, developmental and emotional needs.

MUST HAVE REQUIREMENTS:

• NRP required within one year of hire and must be maintained
• Attend STABLE (post resuscitation program) at first opportunity when offered by WCH and must be maintained
• Must successfully complete perinatal unit orientation
• Participate in hospital and unit-based education, simulation drills and competencies
• Will work all areas of perinatal nursing
• Labor nurses are required to obtain electronic fetal monitoring certification by March 2023 or two years after completion of labor orientation."

PREFERRED ATTRIBUTES

• 1-year hospital experience as RN
• Perinatal experience

Wound Center RN/Case Manager

MAIN FUNCTION:

Under supervision of Clinical Nurse Manager, performs primary function of RN in assessing, planning, implementing and evaluating care of patient in the Wound Center. Administers hyperbaric oxygen therapy and diagnostic testing of patients under the supervision and orders of a hyperbaric physician

RESPONSIBLE TO : Program Director, Clinical Nurse Manager, RDCO

MUST HAVE REQUIREMENTS:

• 2 years medical/ surgical experience
• Completion of Principles of Hyperbaric Medicine and Wound Healing Course

PREFERRED ATTRIBUTES

• Wound care experience
• Wound care certification

OTHER EXPECTATIONS:

• Assess, stage, measure and photograph the patient's wounds accurately and in accordance to policy
• Assist physicians with wound care
• Implements wound care and HBO protocols when clinically indicated
• Functions as scribe for the physician or mid-level practitioner

• Accurately completes the superbill and ensures that all orders and charges are initiated accurately

• Coordinates activities with other disciplines (rehab, nutrition, diabetic education, home health, DME, nursing homes and other ancillary services)
• Completes the 4 week reviews in a timely manner and initiates all recommendations to the plan
• Fosters continuity of care between WHC and care taker (home, hospital, HH, etc)
• Prepares for clinic to enable accurate and complete updates to the physician
• Triages telephone calls and assists with scheduling

Transitional Care RN

MAIN FUNCTION:

Assesses, plans, implements, evaluates and documents care of the skilled nursing resident and rehab with nursing. Use assessment skills to develop rehab goals.

OTHER POSITION EXPECTATIONS:

• Maintain competency in documenting MDS and addressing rehab needs, plans and evaluation of such

• Previous long term care experience preferred. 11/20/2012

Dialysis RN

MAIN FUNCTION:

RESPONSIBLE TO: Director of Critical Care, Dialysis Coordinator

MUST HAVE REQUIREMENTS:
• Current Ohio RN licensure
• 1 year Acute or 2 years Chronic dialysis RN experience
• American Heart Association BLS


PREFERRED ATTRIBUTES:
• BSN
• Familiarity with NxStage System One
• Clinical expertise in vascular access
• American Heart Association ACLS within 6 months of hire

Dialysis RN Operations

In conjunction with Dialysis Program Coordinator

a. Perform safe and effective hemodialysis treatments within the facility.

b. Notify the Dialysis Coordinator of any additional supply needs, shortages, or concerns.

c. Participates in ongoing educational and professional growth opportunities within the

department.

d. Annual and ongoing competency validation to assure proficiency in performing

assigned tasks.

e. Accepts feedback as an opportunity for growth and development.

f. Demonstrates 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, and discussion with

departmental leadership and peers.

g. Demonstrates initiative and responsibility to develop personal, leadership and

professional goals/objectives and determines methods to meet these goals and objectives.

h. Timely documentation and notification of all critical events.

COMMUNICATION:

In conjunction with the Dialysis Coordinator:

a. Demonstrates ability to have and manage a crucial conversation.

b. Demonstrates conflict resolution skills.

c. Actively participates in staff meeting/communication sessions

d. Maintains patient confidentiality in all communication interactions written, verbal,

electronic, and digital.

e. Maintains awareness of verbal/nonverbal communication in interactions with other

departments, customers, physicians, patients, and families.

f. Facilitates collaboration and communication with physicians and all members of the

healthcare team.

8/hr shifts varied start times