RN Clinical Nurse IV - Medical Surgical / Outpatient / Cardiac Recovery

RN Clinical Nurse IV - Medical Surgical / Outpatient / Cardiac Recovery

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2nd Brightleaf/Cardiac Recovery Department:

UNC Health Johnston 2nd Brightleaf/Cardiac Recovery Department includes 18 inpatient and observation beds, 6 outpatient rooms and 11 Cardiac Recovery rooms. In our inpatient/observation rooms, we provide acute routine level of care to patients with cardiac diseases, respiratory diseases, and other diagnosis'. In our outpatient rooms, patients come for blood transfusions, IV antibiotics, wound dressing changes, IV fluids, etc. 2nd Brightleaf is a unique department that works together with our Cardiac Recovery department. We cross train our team to work in all areas. Our Cardiac Recovery department delivers high quality care to our post left and right heart cath patients, arteriograms, pacemakers, carotid stenting, and many other cardiovascular procedures. Our 2nd Brightleaf department is the Stroke and Chest Pain Unit for our organization. UNC Johnston is a Stroke, Chest Pain, and STEMI accredited facility by Joint Commission. Our 2nd Brightleaf/Cardiac Recovery team consists of Registered Nurses and Patient Care Assistants that are committed to provide excellent, compassionate, and innovative care for our growing community.

Summary: The Clinical Nurse IV practices at the level of an expert practitioner of nursing as defined by Benner, P. (1984). From Novice to Expert. Addison-Wesley Publishing Company. The nurse at this level demonstrates expertise in caring for patients with multiple and complex problems. In addition to demonstrating clinical leadership on the unit, the Clinical Nurse IV serves as a resource and system-wide consultant to staff and participates in endeavors to increase nursing knowledge. The CN IV functions as a clinical leader.

Responsibilities:

• Clinical Nursing Practice - Promotes an environment that values diversity, open communication, teamwork and exceptional service. Ensures that appropriate care and services are available to patients, clients and families for assigned shift. Facilitates interdisciplinary collaboration in patient/client care planning to achieve desired patient outcomes. Coordinates care with interdisciplinary team members. Demonstrates and role models clinical expertise in specified patient population and shares expertise with other staff. Promotes and ensures the use of the nursing process to provide quality patient care. Assesses and anticipates patient and family learning needs and organizes resources to ensure that they are met. Performs bedside point of care testing as required for patient care plan.
• Education and Professional Development - Coordinates, designs and implements educational programs to meet identified learning needs of staff, patients and families. Promotes and ensures staff participation in continuing education, orientation, competency, in-service and staff development offerings. Participates in development and implementation of competency initiatives. Serves as an area of specialty consultant in the design of educational programs. Participates in development of and provides clinical expertise for patient education materials. Promotes professional growth of self and staff. Promotes a conducive environment for learning and provides educational experiences for students.
• HR Management - Creates and promotes an environment conducive to recruiting and retaining staff. Provides feedback to Manager/Supervisor and Director to assist in hiring, promoting, transferring and terminating staff. Assists Nurse Manager by providing assigned staff with performance feedback and opportunity to set professional goals. Models and promotes behaviors that effectively give continual feedback to staff and colleagues. Integrates best practice standards regarding retention of staff in all aspects of practice.
• Operational and Fiscal Management - Establishes and promotes standards of excellence for areas of responsibility and ensures consistent implementation by staff. Provides input about trends related to program development, space needs and fiscal realities. Ensures appropriate and adequate clinical staffing and skill mix to meet patient care needs on own shift and upcoming shift. Effectively uses clinical and financial information to assist Nurse Manager to establish and meet budgetary goals. Collaborates with Nurse Manager to implement strategies to increase revenue and cost-effectively manage personnel, supply and equipment resources. Evaluates the impact of strategic fiscal changes on quality outcomes. Assists Nurse Manager to ensure that internal and external regulatory standards are met or exceeded.
• Research and Performance Improvement - Collaborates with Nurse Manager to evaluate research that is applicable to practice and promotes changes in standards of care as appropriate. Guides research development and implementation. Utilizes resources in asking research questions and applying appropriate research methods Shares knowledge with colleagues through publication, presentations or other means.Develops, implements and evaluates new and creative approaches to meeting goals. Leads, participates and promotes performance improvement initiatives that focus on identified patient safety or quality of care opportunities.