Collects and documents all data pertinent to each patient's actual and potential needs on admission or within twenty-four (24) hours of admission.
Documents and reports significant finding of ongoing patient assessment.
Formulates the patient plan of care based on age-specific needs and acceptable standards of practice.
Communicates the patient plan of care (written/verbal) through shift reports and other established procedures.
Formulates discharge plan (with guidance when needed) within twenty-four (24) hours of admission.
Implements and documents teaching plan in the patient record.
Organizes own patient care and demonstrates ability to set priorities, providing most acutely needed care first and implementing physician and nursing orders within appropriate timeframes.
Demonstrates proficiency in administering treatments, procedures, and equipment appropriate to the unit/department as demonstrated by the skills checklist.
Administers safely and documents medications according to established procedures with no more than three (3) documented errors per year.
Uses standard precautions as outlined in the Nursing Department Infection Control Manual.
Demonstrates ability to prioritize patient/unit needs.
Completes discharge screening tool upon admission, appropriate referrals to other care services, and implements individualized teaching plan based on actual discharge needs.
Evaluates nursing interventions to changing patient situations as demonstrated by patient outcome.
Prioritizes nursing interventions in complex and rapidly changing patient situations, as evidenced by the patient outcome and documentation in the record.
Demonstrates competency in the following areas by physical demonstration, verbal or written exam (medical equipment, age specific assessment and intervention, procedures such as IV therapy, medication administration, initiation of telemetry, etc.), as may be required in the performance of job duties and responsibilities.
Attends all mandatory Hospital/Nursing Department in-service training sessions and meetings.
Actively participates in 75% of unit staff meetings, patient care conferences, and/or one (1) project relevant to the unit per year.
Maintains an environment that is committed to high standards of patient care and supportive of Nursing Department staff providing that care.
Assumes responsibility and accountability for providing open communication, consensus decision-making, group goal setting and shared responsibility.
Assumes authority, responsibility and accountability for nursing practice.
Functions in a collaborative and collegial relationship with other health professionals and providers.
Demonstrates consideration toward patients, family members and other Hospital personnel by communicating in a professional manner, acknowledging and understanding their concerns and speaking to them in a manner which demonstrates concern, dignity and respect.
Adheres to Hospital/Nursing Department policy and dresses in a manner that represents the nursing profession as a professional; maintains personal cleanliness of dress and hygiene, wears identification badge at all times while working.
Participates in disciplinary performance improvement and other activities designed for professional growth
Reviews and signs all in-service updates.
Identifies own limitations in skills and knowledge as demonstrated by seeking guidance when needed from appropriate colleagues.
Identifies and meets individual annual goals.
Participates in decision-making processes of unit/Nursing Department.
Demonstrates leadership skills.
Recognizes acute problems that occur in the unit and intervenes in a safe manner, in accordance with Nursing Department and Hospital procedure.
Provides assistance to other staff members during orientation and as needed and requested.
Participates in the development and implementation of Nursing Department goals and objectives by providing constructive feedback.
When performing the role of Day Charge nurse, attends discharge planning meetings.
When performing in the role of shift supervisor, provides guidance to each nursing unit to coordinate, direct, and evaluate the activities of Nursing Department personnel.
Serves, when directed, as the onsite nursing administrative authority.
Maintains confidentiality of organizational and patient information in accordance with Hospital policy and applicable statutes
Ability to coordinate and supervise the assignment of staff, makes assignments and checks for completion of job duties and responsibilities.
Ability to tactfully communicate with both internal and external customers.
Ability to use a telephone, fax, copier, and all other equipment associated with nursing practice.
Ability to stand/walk 90% of the shift, frequent pushing, climbing, bending, reaching, stooping, squatting and helping lift objects and patients ranging from five (5) to three hundred (300) pounds.
Ability to use hands, fingers, arms and wrists, hearing, smell, and verbal skills are required in order to perform job duties.
Utilize face shields/mask, gloves, protective clothing, safety glasses, and other protection associated with the care of patients.
