Registered Nurse - SNF

Registered Nurse

Location: San Francisco Bay Area

About This Role:

Department: Nursing, SNF

Reports To: Nurse Manager/Shift Supervisor/Charge Nurse

Type: Full Time/AM Shift

Position Summary: The Clinical RN is a professional caregiver who assumes responsibilities and accounts for a group of patients for a designated time frame and provides therapeutic and safe care to patients using the nursing process of individualized patient/client assessment, outcomes identification planning, implementation/intervention and evaluation. The RN is responsible and accountable for nursing care delivered to their assigned patients by LVNs, HAs and others. Professional duties include patient teaching, staff development, delegation, supervision, coordination, and patient advocacy. The RN will demonstrate competency and commitment in achieving organizational and nursing department goals, as outlined in the RN Behavior List and Competency Checklist.

Essential Duties And Responsibilities

• Complies with CHA Compliance Handbook including Code of Ethics and all Statutes, regulations and guidelines applicable to federal and state programs.
• Practices Chinese Hospital service philosophy standards in all aspects of job performance and promotes professional, positive, supportive work relationships with all members of the hospital work force.
• Demonstrates positive behavior and the ability to perform ongoing clinical assessment of the patient, establishes and implements a plan of care and evaluates the outcome of that care, utilizing the nursing practice process that is specific of the patient.
• Demonstrates the personal responsibility to deliver high quality patient care, which is founded upon established nursing standards and practice, emphasizing education, practice skills and clinical competence.
• Responsible for delegating the delivery of care to others as well as motivating staff to deliver and maintain care that best demonstrates the mission, vision and values of Chinese Hospital through professional excellence with personal concern.
• Maintains Chinese Hospital's attendance and punctuality standards in a consistent and regular manner.
• Promotes and maintains a safe working environment and ensures safe conduct in all aspects of job performance.
• Formulates a plan of care based on assessment and information obtained from patient, family and other health team members. Reviews and revises discharge goals and care plans daily.
• Delivers care as outlined in plan of care in accordance to Policy and Procedures, Standards of Care and the Registered Nurse Practice Act, Blood borne Pathogens/Infection Control Standard and other professional standards.
• Communicates and accurately documents all nursing care delivered on the patient's medical record.
• Administers prescribed medications and treatments in accordance to approved nursing standards and protocols.
• Assesses, plans, teaches and provides the patient/family the necessary knowledge and skills to better address their knowledge deficits.
• Involved in the PI activities on the nursing unit.
• Provide general nursing care, which address the personal, hygienic, comfort and safety needs of the patient.
• Takes vital signs and complete other assessments as needed.
• Serves/collects food trays and assist in the feeding of patients.
• Greets and direct all visitors. Answer calls light and telephone promptly and professionally.
• Assist in the preparation of the unit, room, bed for admissions and completes or reviews admission assessment.
• Assist in preparation for discharge and/or provide post-mortem care.
• Must be proficient in the operation of the following: computer keyboard, patient call system, telephone copier, fax machine and addressograph.
• Must be proficient in the operation of the equipment used in the unit in which the nurse is assigned to work.
• Follows Hospital and Department policies and procedures at all times, including but not limited to: Administrative Manual, Environment of Care, Human Resources, Infection Control, Corporate Compliance, Code of Ethics, etc.
• Attend, actively participate and complete in-services, training classes, mandatory classes, seminars/workshops, staff meetings, exercises and drills; reads all department communication and assigned materials.
• Customer Service – Provides excellent customer service and shows compassion to all patients, visitors and co-workers. Seeks feedback to ensure all needs are met. Anticipates and recognizes the concerns of others, even if those concerns are not openly expressed.
• Communication – Keeps manager and team informed of progress, problems, development and plans. Gets along and interacts positively with co-workers and others.
• Accepts and performs other duties as assigned.

Behavior List

Work Relationship:

• Formulates and uses effective work relationship with all health care team, patients and families that will enrich and enhance team spirit.
• Actively works to build positive staff relationship by:
• Showing dignity, respect and honesty to all
• Compassionate care provided through teamwork
• Sensitivity to the feeling and points of view of others
• Be accountable for the results of the team

Conflict Resolution:

• Practices effective problem identification and resolution skills as a method of sound decision-making. Uses insight into own behavior and that of others to resolve conflict without prodding from others; uses positive mechanisms to resolve conflict.

Communication:

• Demonstrates effective communication methods and skills, using lines of authority appropriately.

Nursing Process:

• Performs assessment/data collection in an ongoing and systematic manner, focusing on physiologic, psychologic and cognitive status.
• Formulates a goal directed plan of care, which is prioritized and based on determined nursing diagnoses and patient outcomes that are appropriate to patient's age and developmental stage.
• Implements care in a knowledgeable, skillful, consistent and continuous manner by utilization of/adherence to pre-determined standards, which define the structure process and desired patient's outcomes of nursing process.
• Evaluates effectiveness of self, care given by all health care team members and contribution of systems, environment an instrumentation in progressing patients toward desired outcomes.

Technical skills:

• Demonstrates competency in selected psychomotor skills.
• Identifies learning needs, barriers to learning and implements measures appropriate to patient's age and developmental stage.

Documentation:

• Document in patient record which is timely, accurate, concise and according to documentation standards. Patient/SO rights
• Demonstrates awareness/sensitivity and confidentiality to patients/SO rights as identified in the organization. Also considers cultural/sexual/spiritual preferences.

Safety:

• Functions with an awareness and application of safety issues as identified by the hospital/department of nursing structure standards. Completes patient care in a safe and cost effective manner.

Emergency Situation:

• Performs efficiently in emergency patient situation following establish protocols, remaining calm, informing appropriate persons and documenting events.

Knowledge base:

• Demonstrates applied knowledge base in areas of Structure Standards, patient care resources/references, protocols, pertinent drugs, standards of care and significant laboratory values.

Professionalism:

• Demonstrates an awareness of self respect and accountable for own professional service.
• Attends the mandatory in-services offered.
• Comply timely with licensure and annual competency requirement.

Teaching others:

• Participates actively in staff development/preceptorship activities for unit and Department of Nursing.

Self-development:

• Demonstrates self directed learning and participates in CE to meet own professional development.

Self validates:

• Seeks validity of knowledge base, skill level and decision making as necessary and assertively seeks guidance in areas of question.

Legal issues:

• Demonstrates and strives to manage situation in a reduced/risk free environment.

Goals:

• Participates in development/attainment of unit and departmental goals. Standard/PI
• Participates in Standards Development, as well as unit and Department Performance Improvement (PI) activities.