Registered Nurse - Intensive Care Unit, Registered Nurse - Emergency Department

Registered Nurse

Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior.

Provides oversight and coordination of patient care activities for the department using the nursing process. Performs leadership and teaching duties to support effective patient care. Participates in continuous quality improvement activities. Participates in patient/family teaching and provide leadership by working cooperatively with physicians, nursing services and other patient team personnel to maintain standards for professional nursing practice in the clinical setting. Functions within the limits of the State and Federal licensing, regulatory bodies and hospital policies.

Coordinates and provides direct patient care in accordance with accepted nursing standards while utilizing the nursing process.

Makes frequent patient rounds to assure the quality, customer service and appropriateness of patient care. Identifies areas needed for improvement in patient care delivery and plans for effective change. Serves as a resource to staff, colleagues and other departments.

Prepares patient care assignments considering the staff skill mix, competence of the employee and the complexity/acuity of the patient care needs.

Assures a safe patient care environment. Coordinates the maintenance repairs and environmental health needs for the department. Assures safety/ emergency checks are done according to department standards.

Assures that the daily reports and records related to the operations of their unit are complete and accurate per shift.

Provides the support necessary to assure appropriate patient/family teaching, discharge planning and phone calls.

Cooperates with affiliating instructor(s) to implement and evaluate students' clinical experience. Provides department environment conducive to future recruitment of students.

Coaches, counsels, mentors, and evaluates clinical staff under the guidance of the unit Manager/Director. Monitors and follows up appropriately with employees regarding work performance and attendance.

Provides input into the development of the staffing schedule for the assigned unit. In collaboration with unit manager, forecasts scheduling deficits and implements corrective action as necessary.

Provides for an effective orientation of new employees while adhering to appropriate payroll and scheduling policies. Serves as a mentor to staff on the nursing department. Supports new hires/orientees by ensuring reasonable patient assignment, keeping new employee with preceptor during scheduled shifts.

Conducts unit huddles, briefs and de-briefs every shift to provide support to all staff as appropriate.

Collaborates with the unit management team to develop and achieve departmental goals and objectives around all hospital pillars.

Maintain staffing worked hours to premier productivity standards within designated work shift.

Participates in the budget process by providing input into departmental needs, and participates in the implementation of the approved operational budget.

Identifies opportunities for improved services and quality of patient care. Encourages and arranges for staff involvement in PI efforts and implementation of evidence based practices.

In collaboration with Unit Manager and CNS, monitors compliance with documentation, metrics, quality and other performance standards applicable to that unit. Participates in activities to improve performance and proactively engages in staff education.

Consistently utilizes communication style that sets unit tone for positive professional behavior (TeamSTEPPS Model). Promotes meaningful focused communication between the physicians and staff using SBAR format.

Actively engages in unit efforts to promote retention of staff. Demonstrates effective delegation to colleagues for department tasks/projects to facilitate staff ownership of own department successes.

Participates and/or leads clinical task forces, special projects and unit huddles.

Completes education appropriate for their own developmental needs as well as hospital and department mandatory education requirements and competencies.

Ability to use technology and equipment to perform job duties

Effective use of proper body mechanics when handling patients, supplies and equipment

Skills and abilities to perform all job description duties according to the age specific patient population served by their department and standards of practice.

Resource Personnel Skills and abilities to perform all job description duties according to the age specific patient population served by the department to which they have been assigned.

Ability to keep patient and employee information confidential

Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status. Possess the ability to interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs and to provide the care needed as described in the unit's/department's policies and procedures.

Must have the ability to plan and direct work activities of staff to achieve organizational, unit, shift and quality safe patient centered care. He/she must be able to determine most effective use of resources to achieve unit fiscal stewardship.

Minimum Education, Training, and Experience Required:

Eligible for or currently licensed as a registered nurse in the State of Maryland

Registered nurse with BSN, or BSN agreement with degree achieved within 5 years from the start of the positon.

Achieve certification in area of appropriate clinical specialty after two years of clinical experience or within 1 year in Charge nurse role.

The following certifications are required for the nursing units specified. ALS or ACLS: Emergency Department, Float NSG, 4B, 4A, ICU, 4G, Preop, Surgical Services, PACU, Endoscopy Room, Cardiac Cath, Observation, 3A, Interventional Rad, Hyperbaric

PALS: Emergency Department, Pediatric Combined, PACU, Preop

NRP: Labor & Delivery, Family Center, NICU, Women & Children Float, Family Focus Baby Best

Oncology/Thorasic-Chemotherapy: Emergency Department

Family Focus Baby Best

Must demonstrate and maintain current knowledge and skills in providing appropriate care/contact for patients in the following age groups:

Child (13 months thru 12 years)

Adult (18 years thru 65 years)

Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour).

Ergonomic Risk Factors:

The severity of risk depends on how often the action is repeated, the speed of the movement, the required force and muscles involved

Forceful Exertion : The amount of physical effort required to perform a task (such as moving patients) or to maintain control of equipment or tools. Credenza Health