Registered Nurse 2

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CORE JOB SUMMARY                                                                                                                                    

The Registered Nurse 2 delivers patient-family centered care in a culturally competent manner utilizing evidence-based standards of quality, safety, and service while ensuring population-specific patient care. The Registered Nurse 2 oversees nurses and allied health staff in their daily practice.

CORE JOB FUNCTIONS                                                                                                          

Assesses assigned patients and evaluates plans to include documentation of nursing care. Reports symptoms and changes in patients’ condition and vital signs.  Modifies patient treatment plans as indicated by patients’ responses, conditions and physician orders. Reviews, evaluates and reports diagnostic tests to assess patient’s condition. Consults with physicians and other healthcare professionals related to assigned patients to assess, plan, implement and evaluate patient care plans.  Prepares patients for, and assists with examinations, procedures and treatments.  Considers patient age and culture during patient treatments and provides any needed information regarding treatment plan.  Nurtures a compassionate environment by providing psychological support. Performs appropriate patient tests and safely administers medications within the scope of practice.  Administers and maintains accurate records related to medications and treatments as per regulatory bodies, policies, procedures and physician orders. Communicates plan of care in a timely manner to patient and family, as well as the appropriate team members, ensuring compliance with all regulatory guidelines (i.e. HIPAA). Uses best practices for transition of patient care. Uses available resources to assist in discharge planning. Plans, prioritizes, and adjusts assignments to accomplish goals and render superior patient care; seeks assistance when needed. Adapts to changing work demands and environment. Safely operates medical equipment. Serves as a preceptor and assists new staff in the provision of care in order to help them acclimate to the healthcare environment, and a direct patient care role. Provides concise and constructive feedback when needed. Adheres to University and unit-level policies and procedures and safeguards University assets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS                                                                                                         

Education:

Bachelor of Science in nursing required

Certification and Licensing:

Registered Nurse License; Basic Life Support Certification (BLS); Advanced Cardiac Life Support (ACLS), ONS Chemotherapy/Biotherapy Provider Card; Oncology Certification preferred

Experience:

Minimum 2 years of nursing experience

Knowledge, Skills and Attitudes:

• Knowledge of medical terminology
• Knowledge of nursing care methods and procedures
• In-depth knowledge of health and safety guidelines and procedures (i.e. sanitation, decontamination etc.)
• Excellent patient experience skills
• Ability to recognize, analyze, and solve a variety of problems.
• Ability to maintain effective interpersonal relationships
• Ability to communicate effectively in both oral and written form

Department Specific Functions

Accountabilities (For Non-exempt Employees Include Percent of Effort):

Meets requirements of Clinical Trials Senior Chemotherapy Nurse 30%

Administers research study agents, standard chemotherapy and biotherapy agents, and non-chemotherapy medications.  Monitors therapeutic responses and side effects, and obtains pharmacokinetic blood samples and other laboratory specimens as required by each protocol. Assists in maintenance of up-to-date protocol information in clinical areas. Documents in a concise, accurate and legible manner according to each clinical protocol and clinical practice standards. Provides documentation to the Research Nurse and/or Data Manager. Meets study timelines and objectives as defined by protocols. Abides by requirements in accordance with the Oncology Nursing Society’s Manual for Clinical Trials Nursing. Supports patients and their families during trial treatment. Works with research nurse and principal investigator to educate patients and their families about their treatment and protocol requirements. Follow policies and procedures for clinical trials. Functional knowledge about each protocol. Utilizes independent learning methods to become knowledgeable about new protocols and protocol changes. Attends and participates in regularly scheduled Phase 1 Clinical Research meetings.

Nursing Process 70%

Assessment

Performs assessments and reassessments focusing on the physical and psychosocial health status of the patient in an ongoing timely and systematic manner. Obtains baseline information utilized for the development of individualized patient plan of care. Provides direct and indirect patient and family care to assess needs. Facilitates/patient/family education with interdisciplinary team involvement. Monitors patient’s progress against plan of care until discharge from designated patient care area. Collaborates with interdisciplinary team members to identify potential barriers and variances to the plan of care

Planning

Coordinates the plan of care with patients, family and interdisciplinary team. Ensures the plan of care is accessible to the patient and family to assist them in understanding goals of care and movement toward these goals. Plans discharge and teaching needs as applicable. Promotes development of clinical practice based on research and evidence. Assists leadership team with maintenance of initial and ongoing unit-based clinical competencies

Implementation

Acts as a liaison between patients, caregivers and community resources. Educates interdisciplinary team, patient/family on plan of care. Serves as a direct care provider, as appropriate, to ensure outcome obtainment. Documents concise, accurate and legible according to nursing policies and procedures and nursing standards. Provides patient/family teaching using available resources and tools. Acts as consultant to clinical staff in assisting with unfamiliar procedures/treatments. Utilizes process of performance improvement. Promotes patient safety. Communicates changes in plan of care to the patient/family and the health care team members in a timely manner. Demonstrates creativity and innovation in approach to complex problem solving. Leads crisis management. Delegates’ aspects of care to qualified personnel. Assists in procedures Administers and/or monitors blood and blood products following hospital policy and procedures Demonstrates the skills and judgment necessary to implement medical plan of care, nursing intervention and procedures as necessary for the care of the patient Demonstrates knowledge of commonly used meds: action, dose, and side effects. Observes five Rights for administering meds: right patient, right drug, right dose, right method, and right time Medication Administration as per hospital policy and procedure

Evaluation

Evaluates patient for improvement after implementation of plan of care to assess for the attainment of goals. Readjusts plan of care based on evaluation of the patients’/families’ needs. Monitors outcomes of patients undergoing new procedures or interventions. Evaluates staff competencies and reports to leadership team. Participates in staff evaluations

Professional Accountability

Consistently maintain complete confidentiality of all medical, financial, employee, computer and other sensitive materials, which may violate HIPAA regulations and/or jeopardize the privacy of others. Attends meetings as needed. Acts as role model and maintain professional demeanor at all times. Develops and maintains clinical competency. Demonstrates professional independence in the practice of nursing. Consults internal experts when appropriate. Maintains documentation of the continuing education requirements. Maintains certification.

Credentialed to administer all forms of anti-cancer therapy including but not limited to anti-neoplastic and biological (e.g. gene) therapies.

Maintains CITI certificate.

Attends all mandatory in-services as directed Participates in professional organization. Actively supports and participates in performance improvement activities.  Seeks/accepts training to learn new skills and maintain current competencies. Maintains and completes Personnel Development Record as per policy. Maintains professional certifications/licensure in active status. Practices within the guidelines as set forth by the Florida Board of Nursing. Displays courtesy toward customers by introducing self and addressing customer by name.  Meets customers’ expectation by listening to them, demonstrating sensitivity and awareness of others.  Follows through to ensure that established expectations are satisfied; keep customers informed of progress. Works effectively and cooperatively in groups/teams to ensure quality patient care.  Communicates effective with manager and other members of the interdisciplinary team. Attempts to resolves patient/physicians and visitors complaints and refers unresolved issues to managers. Demonstrate dependability/reliability by promptly reporting to work when scheduled. Cross-trains to other nursing units and floats as necessary. Serves as mentor and role model Compliance with UM, Hospital and department policies and procedures Other duties as assigned.

Performs charge nurse role as appropriate

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Supervision Received:

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

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