Overview

POSITION SUMMARYMust possess the skills and abilities to engage in the nursing process including but not limited to the assessment, nursing analysis, planning, nursing intervention and evaluation in the promotion and maintenance of the patient’s health across the continuum of life. Must have the skills needed to supervise and delegate appropriate functions to subordinate personnel. Must have the skills/abilities to evaluate and ensure that the medical plan of care is carried out. Must have the educational, physical and mental capabilities to perform procedures common to their nursing unit.LICENSURE and CERTIFICATIONRequired:Current Registered Nurse LicenseAmerican Heart Association (AHA) BLSESSENTIAL FUNCTIONSCollects Comprehensive data pertinent to the patient’s health or the situation (Assessment)Collects data in a systematic and ongoing process.Involves the patient, family and other healthcare providers in data collectionPrioritizes data collection activities based on the patient’s immediate condition, or anticipated needs of the patient or situationUses evidence-based assessment techniques in collecting pertinent dataUses problem solving thinkingSynthesizes available data, information and knowledge relevant to the situation to identify patterns and variancesAnalyzes the assessment data to determine diagnoses or issues (Diagnosis)Derives the patient nursing diagnoses or issues based on assessment dataValidates the nursing diagnoses or issues with the patient, family and other healthcare providers when possible and appropriateDocuments nursing diagnoses or issues in a manner that facilitates the determination of the expected Outcome or planIdentifies expected outcomes for a plan individualized to the patient or the situationInvolves the patient, family and other healthcare providers in formulating expected outcomesDevelops culturally appropriate expected outcomes for the diagnosesDevelops expected outcomes that provide direction for the continuity of careModifies expected outcomes based on changes in the status of the patient or evaluation of the situationDevelops a plan that prescribes strategies and alternatives to attain expected outcomes (Plan of Care)Develops an individualized plan of care considering patient characteristics or the situationDevelops the plan in conjunction with the patient, family and others as appropriateIncludes strategies within the plan that address each of the identified diagnoses or issuesProvides for continuity within the planEstablishes plan priorities with the patient, family and others as appropriateUtilizes the plan to provide direction to other members of the healthcare teamImplements the identified plan of careImplements the plan of care in a safe and timely mannerDocuments implementation and any modifications to the plan of careUtilizes evidence-based interventions and treatments specific to the diagnoses or problemCollaborates with nursing colleagues and others to implement the plan of careCoordinates the implementation of the plan of careDocuments the coordination of careEmploys strategies to promote health and a safe environmentProvides health teaching that addresses such topics as healthy lifestyles, risk-reducing behaviors, developmental needs, activities of daily living and preventative self-care.Seeks opportunities for feedback and evaluation of the effectiveness of health teaching strategies usedSystematically enhances the quality and effectiveness of nursing practiceDemonstrates quality by documenting the application of the nursing process in a responsible, accountable, ethical manner.Uses the results of quality improvement activities to initiate changes in nursing practiceUses creativity and innovation in nursing practice to improve care deliveryIncorporates new knowledge to initiate changes in nursing practiceParticipates in quality improvement activities, including but not limited to:Identifying aspects of practice important for quality monitoringUsing indicators developed to monitor quality and effectiveness of nursing practiceCollecting data to monitor quality and effectiveness of nursing practiceAnalyzing data to identify opportunities for improving nursing practiceFormulating recommendations to improve nursing practiceImplementing activities to enhance the quality of nursing practiceDeveloping, implementing and evaluating policies, procedures and/or guidelines to improve the quality of practiceParticipating on interdisciplinary teams to evaluate clinical careParticipating in efforts to minimize costs and unnecessary duplicationAttains knowledge and competency that reflects current nursing practiceParticipates in ongoing educational activities related to appropriate knowledge bases and professional issuesDemonstrates a commitment to lifelong learning through self-reflection and inquiry to identify leaning needsSeeks experiences that reflect current practice in order to maintain skills and competence in clinical practice or role performanceAcquires knowledge and skills appropriate to the specialty area, practice setting, role or situationMaintains professional records that provide evidence of competency and life long learningSeeks experiences and formal and independent learning activities to maintain and develop clinical and professional skills and knowledgeEvaluates one’s own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules and regulationsThe registered nurse’s practice reflects the application of knowledge or current practice standards, guidelines, statutes, rules and regulationsProvides age appropriate care in a culturally and ethnically sensitive mannerEngages in self- evaluation of practice on a regular basis, identifying areas of strength, as well as areas in which professional development would be beneficialObtains informal feedback regarding one’s own practice from patients, peers, professional colleagues and othersParticipates in systematic peer review as appropriateTakes action to achieve goals identified during the evaluation processProvides rationales for practice beliefs, decisions and actions as part of the informal and formal evaluation processesInteracts with and contributes to the professional development of peers and colleaguesShares knowledge and skills with peers and colleagues as evidenced by such activities as patient care conferences or presentations at formal or informal meetingsProvides peers with feedback regarding their practice and/or role performanceInteracts with peers and colleagues to enhances one’s own professional nursing practice and/or role performanceMaintains compassionate and caring relationships with peers and colleaguesContributes to an environment that is conducive to the education of healthcare professionalsContributes to a supportive and healthy work environmentCollaborates with patient, family and others in the conduct of nursing practiceCommunicates with patient, family and healthcare providers regarding patient care and the nurses role Position Urgency:Quick Start