Registered Nurse

34416 Navicent Health Medical Center: Baldwin - Nursing: Medical/Surgical IU 4 Park TowerFull timeYes36Variable

NAVICENT HEALTH

JOB DESCRIPTION/ PERFORMANCE REVIEW TOOL

Job Title: Clinical Nurse Job Grade: N01 Job Code: JA10, JA11, JA12, JW10, JW11, JW12 FLSA: Non-Exempt

Department Name:Various Company Number: 200 Department Number: Various

Reports To (Title):Director

Job Summary: Provides professional nursing care for assigned patient(s) in one or more patient care departments according to State Board of Nursing Practice Act, American Nursing Association Code of Ethics and standards of practice and professional performance. Responsible for assessment, diagnosis, outcomes identification, planning, implementation and evaluation for patients served. As an active participant in decisions related to patient care and nursing practice, serves as instructor, colleague, researcher, advocate and leader. Must demonstrate competency in assuring quality care, Process Improvement, patient and employee safety, collaboration, consultation and professional development. Assumes responsibility for planning, organizing, delegating and evaluating patient care rendered by LPNs, technicians, medical receptionists and other staff.

Cultural Behaviors Measurement Problem Solving and Decision-Making: Approaches problems using a methodical approach and analyzes information to make well thought-out decisions. Anchors Environment of Care Consciousness: Demonstrates awareness of best practices and promotes patient safety. Is compliant with Fire Safety, General Safety, Hazardous Materials and Wastes, Emergency Management, Medical Equipment, and Security and Utility Systems policies, procedures, and guidelines. Anchors Operation Excellence/Diversity: Embrace, practice and promote the principles of Operation Excellence by offering assistance and meeting the needs of patients, visitors, physicians, and co-workers with a sense of urgency and in alignment with organizational metrics for Experience. Creates an inclusive welcoming environment and recognizes the importance of individual, religious and cultural diversity in developing effective teams/ workgroups. Anchors Personal Accountability: Takes responsibility and demonstrates reliability and dependability by taking initiative, following through on commitments, and assuming ownership for successfully completing job responsibilities. Anchors Performance/Quality Improvement/Contribution to Achieving Goals: Contributes to positive outcomes for the department, strives for excellence and helps to achieve departmental goals. Practices and contributes to the organization's vision, mission and values by identifying opportunities for improving services, processes, or outcomes and participating in defining and implementing solutions. Continually develops personally and professionally. Anchors Corporate/ Regulatory Compliance/Ethics: Demonstrates understanding and assures compliance with federal and state regulations and accrediting agency standards. Is familiar with and complies with departmental and organizational policies and procedures. Anchors Patient Satisfaction/Employee Satisfaction: Identifies and communicates direct relationship between employee satisfaction and patient satisfaction. Strive for high employee and patient satisfaction at all times. Anchors Job Criteria - Major Job Functions Measurement Assessment: Involves the patient, family, other healthcare providers in collecting and prioritizing patient health information (PHI). Uses appropriate evidence - based assessment techniques and tools. Documents relevant data in the appropriate format. Performs initial and ongoing assessments. Notifies physician of significant changes in patient status, including critical results. Interprets and documents PHI for determining plan of care. Identifies and documents patient/family learning and discharge needs. Incorporates information from other resources in assessment and planning care of the patient. Assesses discharge barriers on admission and when appropriate. Observation, documentation, feedback, Nursing diagnosis: Identifies and documents the diagnoses, problem list or issues based on assessment. Validates the diagnoses, problem list or issues with the patient, family, and others when appropriate. Observation, documentation, feedback, Outcomes Identification: Involves the patient, family, and other healthcare providers in identifying and documenting expected outcomes & timelines. Defines expected outcomes in terms of the patient, patient values, ethical and cultural considerations, environment, situation and continuity of care. Observation, documentation, feedback, Planning: Involves the patient, family and other healthcare providers in developing and documenting a plan of care that is culturally sensitive, to include discharge and learning needs. Updates the care plan to address each of the identified diagnoses, problems or issues and assures plans are achievable and patient-centered. Utilizes the plan to assure continuity of care. Integrates evidence based practice and research affecting care in the planning process. Observation, documentation, feedback, Implementation: Provides/ documents age appropriate care into a culturally sensitive manner. Provides nursing care based on patient-focused outcomes and are evidence based standards of care. Safely administers patient care, medications and treatments in accordance with standards of practice. Recognizes and responds appropriately to emergency situations. Utilizes community and other resources and systems to implement the plan, facilitating referrals when appropriate. Observation, documentation, feedback, Coordination of Care and Professional Models of Care: Coordinates all facets of care. Coordinates implementation of the plan, documenting in a timely and appropriate manner. Demonstrates familiarity and awareness of regulatory agency impact on various aspects of care. Demonstrates how the patient/family centered care model addresses patient's needs and patient satisfaction. Assists the patient and family in identifying and securing appropriate and available services and resources to address health-related needs. Assists the patient and family in becoming informed consumers about the options and benefits of treatment and care. Demonstrates application of Benner's novice to expert model in patient education and staff competency. Demonstrates understanding of shared governance participation providing input, feedback and varying degrees of involvement and participation to assure involvement in budget and resource development and accountable care. Observation, documentation, feedback, Evaluation: Evaluates and documents the effectiveness of the plan. Uses ongoing assessment data to revise the nursing diagnoses, outcomes, plan and the implementation as needed. Observation, documentation, feedback, Quality: Uses the results of quality improvement activities, creativity and innovation to improve patient care. Incorporates new knowledge to initiate changes in nursing practice. Verbalizes/participates in, unit-specific nurse-sensitive/ National Patient Safety Goals/ core measures/ throughput indicators being monitored, results and actions taken to improve coordination and delivery of care. Maintains awareness of current professional trends and procedure/policy changes, which affect the delivery of patient care and unit activities. Ensure documents are legible using concise terms, correct terminology and approved abbreviations. Assures timely throughput patient processes via demonstration of “pull” behavior, effective/ proactive discharge planning, utilization of visual and RFID technology to enable communication and flow, monitoring and intervening to assure appropriate turnaround times. Participation/ observation, documentation, meeting rosters, reports.

Education/Teaching/Community Involvement: Participates in at least 4 hours of education beyond the mandatories.

Maintains professional records that provide evidence of competency and acquired knowledge, skills and certification appropriate to the practice setting. Participates in at least one community activity, which does not have to be nursing or hospital-related. Teaches others to succeed by mentoring, in-servicing, role modeling, precepting, orienting, and facilitating new graduate transition.

Participation/ observation, documentation, CE transcripts, meeting rosters Professional Development: Engages in self-evaluation to include peer feedback on a regular basis, identifying areas of strength and opportunity. Participates in at least one peer review activity, which may include chart review, interviews, feedback, and audits, among others. Develops and implements plans to achieve identified personal/ professional goals. Participates in at least 50% of unit meetings, reading and initialing minutes of all meetings not attended. Utilizes effective interpersonal skills to facilitate optimal patient care and unit activities. Recognizes peer accomplishments and accepts and gives constructive feedback appropriately. Demonstrates “Commitment to Co-workers” in daily practice. Participation/ observation, feedback, documentation, meeting rosters Collegiality: Shares knowledge and skills with peers and colleagues via conferences, presentations, discussions, and serving as a resource in areas of expertise. Verbalizes/ demonstrates how to manage interdisciplinary conflict. Demonstrates effective interdisciplinary collaboration. Contributes to a supportive and healthy work environment to help recruit/retain the best co-workers. Participation/ observation, feedback Collaboration, Consultation, Resources and Autonomy: Demonstrates effective utilization of available nursing resources, including policies- procedures and literature in providing patient care. Demonstrates ability to exercise independent judgment in resolving patient care issues.

Participation/observation,

feedback

Ethics: Uses the ANA Code of Ethics for Nurses to resolve ethical issues. Delivers care in a manner that preserves and protects patient autonomy, dignity, rights, confidentiality, privacy and security. Serves as a patient advocate. Maintains a therapeutic and professional patient-nurse relationship with appropriate professional role boundaries. Demonstrates a commitment to practicing self-care. Verbalizes avenues for confidential and anonymous reporting of unsafe practices/ environment.

Participation/observation,

feedback

Research: Utilizes the best available evidence and research findings to guide practice decisions. Participates in research activities which may include: identifying clinical problems; participating in data collection, serving on task forces; sharing research findings and activities; conducting research; analyzing and interpreting research and incorporating research as a basis for learning.

Participation/observation,

documentation,

meeting

rosters

Leadership: Verbalizes organizational pillars/ goals and nursing/ departmental goals and role in achieving. Exhibits creativity, flexibility and high personal standards for quality work. Willingly accepts mistakes by self and others, thereby creating a non-punitive culture. Inspires loyalty through valuing of people. Effectively utilizes scheduling and staffing processes, supplies, equipment and other resources. Assigns or delegates tasks based on patient acuity, task complexity, staff competency, skill mix, and Practice Acts. Demonstrates and assures utilization of proper body mechanics and lift devices, techniques and resources. Participates in the evaluation, competency assessment and orientation of other employees. Complies with unit-specific articulated job expectations. Participation/ observation, feedback, documentation, CE transcripts, meeting rosters, reports Demonstrates competency in Charge Nurse role including, but not limited to, the following where appropriate to the unit: Assure Quality Control activities completed including narcotics count/ reconciliation, crash cart/ suction checks, refrigerator temperature checks, point of care testing, defibrillator, among others. Assure equipment in appropriate working order to meet patient needs. Collaborate with management to assure adequate staff available for current and on-coming shift, utilizing appropriate resources, acuity/ classification systems and staffing budget and following communication pathway for involving Coordinator/ Nursing Administration. Appropriately documents patient throughput and staffing decisions. Makes appropriate patient room assignments based on patient need, infection risk, fall risk, restraints and other safety factors. Makes assignments based on skill level, competency, anticipated discharges and admissions. Maintains frequent communication with staff regarding patient status, workload and assignments. Makes patient/ family rounds to assist with prioritization and assuring needs met, quality care provided and concerns addressed. Assures patient log kept current. Notifies management/ Coordinator of any patient injuries, unresolved complaints, employee injuries or unexpected/ unusual situations, documenting on appropriate forms. Assures timely, concise, pertinent hand off communication from nurse to nurse and CN to CN, assuring continuity of care during change of shifts. Observation/ documentation, chart reviews, feedback, continuing education rosters. Assists in achieving unit quality scores which meet or exceed hospital/ national average for nurse-sensitive quality indicators such as skin breakdown, falls, and others as appropriate for the unit. Reports, observation,

Specifications:

1. Education: Graduate of an accredited school of nursing
2. Experience: None
3. Certification/License/Registration: Current RN or eNLC license with the Georgia Board of Nursing.Current BLS required within 30 days of hire.
4. Position Titles and Number Supervised: LPN's, novice RN's, Unit Secretaries, Clinical Technicians, students and other licensed and unlicensed staff.
5. Special Training/Skills: Must have excellent organizational, communication and interpersonal skills.Must be able to think analytically and work independently and as part of a team.
6. Physical Demands: Must be able to use visual near and distance acuity.Must have verbal ability to communicate in person and over the phone or radio. Must be able to assist co-workers in transfers and transport supplies, patients/residents, or equipment using good body mechanics. Must have functional range of motion of the cervical, thoracic and lumbar spines, upper and lower extremities with a grip strength of 60-80 pounds, specific to the job class evaluation. Must be able to forward reach, overhead reach, bend, squat, kneel and change from one position to the other rapidly. Must be able to lift 25-60 lbs. and carry 25-50 pounds specific to job class evaluation. Must be able to tolerate high noise, busy atmospheres and noxious odors. Must be able to work in noisy environments and be self directed to complete jobs as ordered. Must be able to remain calm under stressful situations. Must be able to assess and respond to multiple situations simultaneously. Must be able to assist co-workers in multiple overlapping tasks simultaneously. Must be able to prioritize job tasks and organize work space to be efficient and conducive to completing work tasks as assigned in a timely manner. If job class is identified as falling under POPE C, the individual must pass the cardiac recovery test.
7. Mandatory Training Required: Must attend hospital mandatory training annually. Must maintain and successfully complete all competencies including age specific and other department specific training on an annual basis. Training Requirements- internally developed and national/ professional organization courses- to be completed in unit-specified time period – see attached.
8. Patient Population Age Groups (Check all that apply)

___ Infant (0 – 12 months) ___ Toddler (1 - 3 years) ___ Preschooler (3 – 6 years)

___ School age (6 – 12 years) ___ Adolescent (12 – 16 years) ___ Adult (17 – 65 years)

___ Geriatric (65 + years) ___Appropriate for unit population ___N/A - Does not provide direct patient care.

1. Working Conditions: Works in hospital and clinical environments. May work in extreme heat with hot materials. Must be able to utilize appropriate universal and specific precautions for protection from potential exposure to infectious or communicable diseases.

I have read this job description and fully understand the requirements set forth therein.I hereby accept the position and agree to perform the identified essential functions in a safe manner and in accordance with the organization's established Procedural Guidelines. I understand that my job duties may be changed and amended from time to time as is needed to ensure quality care is administered, or to meet business needs of the organization. The organization reserves the right to amend this job description at any time.

I understand that my employment is at-will. This means that an associate has the right to terminate employment at any time, with or without cause, and the organization has a similar right. This document does not create any implied or expressed contractual obligation on the part of the organization. I further understand that I may also be exposed to the Hepatitis B Virus and that the organization makes available to me, free of charge, the Hepatitis B Vaccination.

_______________ _____________________________________

Date Signature

_______________ _____________________________________

Date Witness

Department Required Certifications/Course Time Frame M9 11800 ONS Chemotherapy and Biotherapy Course Within 1 year of hire and every 2 years after M8 - Ortho/Telemetry BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion Within 6 months of hire M7 - Center for Joint Care - 11350 H7 Medical Cardiology - 12100 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion Within 6 months of hire M6 - Academic Medical/Surgical - 11500 E6 - Psychiatric Services - 12000 H6 - Cardiac Short Stay/COU - 23950 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion Within 6 months of hire E5 - GNC Neuro/Tele - 12500 BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion Within 6 months of hire National Institute of Health Stroke Course - successful completion Within 6 months of hire H5 - IP Cardiac Procedural Telemetry - 12400 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion Within 6 months of hire M5 - Admission Unit - 11300 E4 - GNC Neuro - 11000 National Institute of Health Stroke Course - successful completion Within 6 months of hire W3E - Renal Services - 11100 NNIC Intensive Care Nursery/ L2N - Newborn Level II Nursery ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire Family Birth Center - Mother/Baby - 10200 NRP - Neonatal Resuscitation Program - Provider or Instructor Within 6 months of hire Labor & Delivery/OB Assessment/Perinatal Unit - 16100 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire Basic Fetal Monitoring Course - successful completion Within 6 months of hire Intermediate Fetal Monitoring Course - successful completion Within 6 months of hire NRP - Neonatal Resuscitation Program - Provider or Instructor Within 6 months of hire 3E - 10100 Acute Dialysis Unit - 16300 Discharge Unit - 17100 Medical Observation Unit (MOU) - 16700 Surgical Trauma Intensive Care Unit - STICU - 13200 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion Within 6 months of hire Neuro Intensive Care Unit - NICU - 13300 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion Within 6 months of hire Medical Intensive Care Unit (MICU) - 13700 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion Within 6 months of hire Critical Care Unit (CCU) - 12300 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion Within 6 months of hire Cardiovascula Intensive Care Unit (CVICU) - 13100 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion Within 90 days of hire M4 - CVSDU/SV Surgical - 11200 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire Centralized Remote Telemetry BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion Within 90 days of hire EKG (Cardiac Monitoring) BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion Within 90 days of hire Flex Pool and Bionic Nurse BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion Within 90 days of hire ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire PALS - Pediatric Advanced Life Support - Provider or Instructor Within 6 months of hire Central GA Breast Care Center Infusion Center - 17500 Cancer Life Center C3M General Pediatrics -10300 Association of Pediatric Hemotology Oncology Nurses (APHON) Chemotherapy Course - successful completion Within 6 months of hire PALS - Pediatric Advanced Life Support - Provider or Instructor Within 6 months of hire Children's Hospital OP Svcs (CHOPS) - 10320 PALS - Pediatric Advanced Life Support - Provider or Instructor Within 6 months of hire Pediatric Intensive Care Unit (PICU) - 13400 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire Association of Pediatric Hemotology Oncology Nurses (APHON) Chemotherapy Course - successful completion Within 6 months of hire PALS - Pediatric Advanced Life Support - Provider or Instructor Within 6 months of hire Pediatric Intensive Care Unit (PICU) Transport Team - 13400 ACLS - Advanced Cardiac Life Support - Provider or Instructor On Hire PALS - Pediatric Advanced Life Support - Provider or Instructor On Hire Emergency Nurse Pediatric Course (ENPC) - successful completion Within 2 years of hire Nursery Intensive Care Unit (NNICU) - 13500 NRP - Neonatal Resuscitation Program - Provider or Instructor Within 6 months of hire Nursery Intensive Care Unit (NNICU) Transport Team - 13500 PALS - Pediatric Advanced Life Support - Provider or Instructor Within 6 months of hire Main OR - 15040 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire PALS - Pediatric Advanced Life Support - Provider or Instructor Within 6 months of hire Just for Today - OP Holding - 15050 PACU - 15070 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire PALS - Pediatric Advanced Life Support - Provider or Instructor Within 6 months of hire Guest Relations - Chart Room - 15080 Within 6 months of hire Endoscopy/Cysto - 15700 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire ASC Pre-Op/Post Op - 15810 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire PALS - Pediatric Advanced Life Support - Provider or Instructor Within 6 months of hire ASC OR - 15820 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire PALS - Pediatric Advanced Life Support - Provider or Instructor Within 6 months of hire ASC PACU - 15830 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire PALS - Pediatric Advanced Life Support - Provider or Instructor Within 6 months of hire Heartburn Treatment Center - 15895 PICC Service - 17700 Vascular & Interventional Radiology - 21200 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire Interventional Radiology - 23000 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire Non Invasive Radiology - 23100 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire Advanced Heart Failure - 23410 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion Within 90 days of hire Arrhythmia Center - 23500 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion Within 90 days of hire Acute Recovery Unit - 23900 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire Central GA Wound-Hyperbaric Med - 25000 Hyperbaric Oxygen Course - successful completion Within 1 year of hire Emergency Center - 28000 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire Select ECCO modules online Within 90 days of hire PALS - Pediatric Advanced Life Support - Provider or Instructor Within 6 months of hire National Institute of Health Stroke Course - successful completion Within 1 year of hire Quick Meds - ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire PALS - Pediatric Advanced Life Support - Provider or Instructor Within 6 months of hire Family Health Center - 54300 ACLS - Advanced Cardiac Life Support - Provider or Instructor Within 6 months of hire Children's Health Center - 54700 Children's Hema-Onc Center - 54750 Anderson Health Center - 54900 Central GA Urogynecology - 54995 GA Gastroenterology Center - 56605 Inpatient Hospice - 72930 Heartworks - 23300 GA Pediatric Surgical Assoc - 40755 Physicians - Surgical Oncology - 51105 NHPG - Hospitalist - 51705 Pediatric Gastroenterology - 56605

Pay Range

$34.90 - $52.35

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program