RN Night shift (7p-7a) Emergency Dept

Registered Nurse Position

This position has the authority, responsibility, and shift accountability for the delivery of nursing care through the use of the nursing process. The incumbent accepts accountability, applies competent clinical knowledge skills, and uses independent nursing judgment for care provided by self and by health care providers to whom care is delegated to achieve quality patient care outcomes. Performs the duties and responsibilities within the scope of a Registered Nurse (RN) - Level I, II, III, & IV, as defined within the job description. The incumbent must demonstrate the knowledge and skills at the expert level necessary to provide care that is relevant to the patient(s) under their care, as well as apply principles of growth and development over the life span. The incumbent also must possess the ability to assess and interpret patient data needed to identify each patient's requirements relative to his or her age-specific needs. This role provides professional nursing care for patients in an inpatient hospital setting.

Minimum Qualifications:

Education, Certification, and/or Licensure:

1. Bachelor's Degree in Nursing (BSN).

2. Current Registered Nurse license issued by the state in which services will be provided or current multi-state Registered Nurse license through the enhanced Nurse Licensure Compact (eNLC).

3. Obtain certification in Basic Life Support within 30 days of hire date.

Experience:

1. Four (4) years of registered nurse experience if degree is MSN

OR

Four (4) years of registered nurse experience if degree is BSN WITH a health related Master's Degree

OR

Five (5) years of registered nurse experience if degree is BSN

Cape Program Professional Development:

1. Master of Science in Nursing with 4 years of experience, OR nurses with a BSN with 4 years of experience and a health-related Master's Degree, OR nurses with a BSN and 5 years of experience

2. Specialty Certification in applicable discipline.

Preferred Qualifications:

Education, Certification, and/or Licensure:

1. Master's degree in Nursing (MSN) or health-related field.

Core Duties and Responsibilities:

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Leads others in understanding organizational quality metrics/outcomes & improvement activities.

2. Participates in scholarly activities focused toward advancement/promotion of profession.

3. Participates in development of area or organization orientation programs & preceptor development.

4. Participates in departmental and organizational quality improvement activities.

5. Develops recruitment/retention strategies to a multicultural workforce.

6. Identifies opportunities for nurses to lead and collaborative improvement.

7. Fosters a culture of lifelong learning and provides resources for interprofessional continuing competency programs.

8. Mediates conflicts, educates, coaches, and facilitates use of external resources.

9. Mentors others, while advancing the profession.

10. Partners with organizational leaders to incorporate the development of organizational orientation/preceptor programs.

11. Demonstrates well developed clinical expertise within specialty.

12. Designs innovative nursing practices.

13. Models expert practice to interprofessional team members and healthcare consumers.

14. Designs and supports programs that facilitate access and provides appropriate point of service care.

15. Advocates for patient, families, and peers.

16. Differentiates outcomes that require care process interventions from those that require system-level actions.

17. Synthesizes results of system wide research leading to clinical understanding.

18. Builds an infrastructure for the collection and analysis of interprofessional health workforce data.

19. Integrates knowledge and experiences to improve community interactions system wide.

20. Promotes policy change or development to identify and reduce disparities regarding health and human rights.

21. Advocates for policies that promote health and prevent harm among culturally diverse, under-served or under-represented consumers.

22. Advances ethical nursing practice through the generation of system-wide policy.

23. Participates and/or leads implementations of structures/processes in practice setting that proactively identify ethical situations and deploy resources.

24. Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students

25. Required competencies to include demonstration of participation in QI and shared governance at the organization level

For facilities with specialty accreditation requirements:

1. Completion of annual required education related to specialty accreditation as defined by accreditation standards. Training may be completed through CBLs, trainings, In-services, and competency validation.

Physical Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. The National Institute for Occupational Safety and Health recommends minimizing the need for employees to manually lift patients, and limit safe patient handling to 35 pounds. All transfers, lifts and re-positioning will be completed utilizing the lift equipment and/or other patient handling aids as indicated by the patient's profile and appropriate algorithms.

2. Heavy/Hard work: Work requires strength and/or stamina, lifting, moving, stooping, reaching, standing, walking, and carrying of materials and equipment weighing 40+lbs.

3. Visual acuity must be within normal range.

4. Hearing within normal range is required (i.e. to assess breath sounds, bowel sounds, apical pulse, monitors, etc.)

Working Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Working protracted or irregular hours.

2. Working around biohazards.

3. Working around infectious diseases.

4. Working with or near the deceased.

5. Working with hands in water.

6. Working with electrical hazards associated with patient care equipment.

Skills and Abilities:

1. Possesses the interpersonal skills to positively and effectively communicate, negotiate, and resolve conflict.

2. Uses competent clinical practice and critical thinking skills to efficiently deliver patient care with all health care providers while maximizing efficient use of resources.

3. Ability to be flexible in response to changes in work volume, staff and scheduling changes.

4. Ability to work successfully under highly stressful conditions and capable of adapting to varying workloads and work assignments on a constant basis.

The Cape Program is a system-wide clinical advancement program (clinical ladder) to enhance professional development, provide a reward system for quality clinical performance, promote quality nursing, and improve job satisfaction for inpatient direct care nurses.

To apply for the next level, the Cape nurse must meet the requirements of their current level. They must also meet the required years of nursing experience, degree, and certification to apply for the next level. In addition, nurses who are approved for levels 3, 4, 5, or 6 must complete and submit five competencies on an annual basis to maintain their current level.

Level 1:

• No experience required
• All graduate nurses with less than 12 months of experience enter at Level one with a diploma, ADN, BSN, or higher

Level 2:

• Meets requirements for previous level
• One year of experience.

Level 3:

• Meets requirements for previous levels
• Two years of experience, plus one specialty certification
• Certification is Preferred but not required
• Required competencies to include demonstration of regularly being a charge nurse and/or precepting new staff or nursing students

Level 4:

• Available to those with a BSN or higher or nurses with ADN/diploma with 5 years of experience
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