- Purpose of Job
- Accountable for the coordination and delivery of quality care to patients and families according to the individualized needs of the patient.
- Job Requirements
- Bachelors of Science in Nursing (BSN) from an accredited school of nursing required.
- Successful completion of annual mandatory education requirements.
- Graduate of an accredited school of nursing required.
- Nurse Examiner Sexual Assault Nurse Examiner (SANE) training required.
- Minimum of 1 to 2 years of experience on assigned unit required
- 3-5 years nursing experience preferred
- Current valid Nebraska RN License, valid compact multistate license to work in Nebraska, or a temporary permit while awaiting licensure required.
- Current American Heart Association Basic Life Support (BLS) Certification required.
- Certification(s) in area of specialty preferred.
- From National Certification Corporation (NCC) within 1 year of eligibility.
- For all units assigned to Code Blue Code Team duty, must maintain American Heart Association Advanced Cardiac Life Support (ACLS) certification.
- Current Pediatric Advanced Life Support (PALS) required.
- Current Certified in Emergency Nursing (CEN) preferred.
- Trauma Nursing Core Course (TNCC) completion required within two years.
- Knowledge of databases preferred.
- Strong interpersonal skills necessary to effectively communicate and interact with patients, family members, hospital personnel, and co-workers.
- Ability to multi-task and prioritize work assignments.
- Computer knowledge with abilities in word processing required.
- Ability to learn, retain, and utilize computer skills that are required for department and hospital information system.
- Physical Requirements
- Weight Demands
- Medium Work - Exerting up to 50 pounds of force.
- Occasionally Performed (1%-33%):
- Frequently Performed (34%-66%):
- Distinguish colors
- Repetitive Motions
- Constantly Performed (67%-100%):
- Not Related:
- Electrical Shock/Static
- Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
- Rare (1-33%):
- Radiation Alpha, Beta and Gamma (particles such as X-Ray, Cat Scan, Gamma Knife, etc)
- Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) - NICU only
- Occasionally (34%-66%):
- Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
- Explosives (pressurized gas)
- Hazardous Drugs (exposure risks, personal protective equipment required)
- Frequent (67%-100%):
- Chemical agents (Toxic, Corrosive, Flammable, Latex)
- Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) Blood or Body Fluid (BBF)
- Mechanical moving parts/vibrations
- Essential Job Functions
- Essential Functions I
Provides appropriate care specific to the age of the customer/patient, to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria.
- Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
Assures patient care assignments are made according to established criteria, policy and procedure.
- Assures assignments are made according to personnel level of experience, patient status and skill needs, patient safety needs, skill mix, and degree of supervision required.
- Assigns new personnel and float staff to a practice partner for use as a resource. Modifies assignments as necessary based on flow of patients.
- Reports issues/trends to Service Leader.
Coordinates unit patient flow of admissions and discharges to assure beds are available to match the demand. Leads development and implementation of unit plan when expected demand exceeds expected capacity.
- Uses critical thinking to compare known and predicted admissions against the number of available beds and known and expected discharges to determine if a demand/capacity mismatch is likely to occur.
- Develops/coordinates a daily plan for admission/transfer/and discharges to ensure that patient flow is facilitated and beds are available.
- Assigns beds within 20 minutes of a bed request, or communicates with bed coordinator when time frame cannot be met.
- Presents unit demand/capacity status and unit plan if needed at bed huddle.
Assures all activities are completed by assigned staff by coaching, mentoring and role modeling regarding patient care issues. (Consultation and Resources, Nurses as Teacher)
- Supervises/evaluates care provided during assigned shift.
- Redirects hospital staff to demonstrate core values to promote a positive work environment.
- Gives input and assists with completion of staff performance developmental plans.
- Serves as a resource person to assigned care providers as needed.
- Reports issues/trends to Service Leader and/or follows-up with appropriate staff.
Assures positive customer relations are maintained with hospital personnel, patients, visitors and physicians. (Interdisciplinary Relationships, Image of Nursing)
- Assures shift report, rounds, and Situation Background Assessment Recommendation (SBAR) are complete, pertinent and communicated to appropriate persons to maintain continuity of care.
- Collaborates/coordinates with Care Manager, Service Secretaries, Support Staff, other departments/units, and/or other agencies to facilitate patient care.
- Assists co-workers in dealing with customer concerns as needed.
- Encourages untilization of Situation Background Assessment Recommendation (SBAR) format to maintain continuity of care.
Manages environment and/or patient care situations to assure situations involving risks are addressed appropriately.
- Assures completion and follow-up on:
- Clinical Variance reports (on Intranet)
- Patient/Family concerns
- Staff concerns
- Narcotic discrepancies
- Monitors on an ongoing basis environmental safety issues and appropriate interventions taken; e.g., refrigerator check, and code blue cart check.
- Provides input into the development and revision of policy and procedures.
- Reports issues/trends to Leader.
- Meets quality standards and Joint Commission on Accreditation of Healthcare Organizations (JCAHO)/Centers for Medicare and Medicaid Services (CMS) guidelines (ready for survey at all times).
- Participates and coaches staff in identification, analysis, reduction, and evaluation of risk issues. (Risk Management Process)
Assures appropriate utilization of human resources, supplies/equipment, and budget.
- Adjusts staffing appropriate to census/guidelines and budget on a shift-by-shift basis.
- Facilitates staffing on assigned unit for on-coming shift based on identified patient needs and priorities.
- Monitors unit activities to ensure optimal patient care and appropriate use of end of shift overtime.
- Identifies supply and equipment utilization problems and ensures appropriate interventions.
- Reports issues/trends to Service Leader.
Performs Nursing Assessment Process to achieve optimal patient outcome. (Professional Model of Care, Quality of Care, Quality Improvement)
- Includes data from the patient/significant other(s) in the assessment as appropriate.
- Prioritizes data collection according to patient's immediate needs.
- Uses assessment findings in discharge planning.
- Collaboration with physicians and other clinical disciplines as appropriate.
- Provides teaching specific to the patient's health care problem.
- Care plan reflects continuing care needs and/or referrals for discharge/transfer.
- Is familiar with, and follows, nursing protocols and clinical practices and standards of care for their unit.
- Uses current knowledge in nursing practice based on standards and research literature.
- Documents care in a timely and efficient manner.
- Facilitates/participates in multidisciplinary patient rounds and clinical knowledge/status of all patients on unit (i.e., diagnosis, length of stay, discharge day).
- Monitors outcomes and documents patient response to interventions.
- Evaluates the patient's capabilities and/or limitations related to nursing and medical interventions.
- Continually monitors the patient and/or significant other(s) ability to manage care needs after dismissal.
- Gives a complete verbal or written change of shift report to the oncoming care provider. Includes current care requirements and is familiar with the overall plan of care.
- Recognizes and addresses patient and family capabilities and limitations (physical and mental).
Performs technical skills competently and independently to assure patient safety. (Professional Development, Autonomy)
- Able to competently perform technical skills independently.
- Is accountable to learn new skills and equipment within areas' specifications and time frames.
Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital employees (e.g., falls, needle sticks, patient concerns). (Quality of Care)
- Assures completion of appropriate report form for any risk (e.g., variance report, patient concern report, maintenance request.)
- Communicates to appropriate personnel regarding unresolved issues.
- Coach staff on the integration of patient safety into daily work (patient identification, writer down and read back of all phone/verbal orders, do not use abbreviation list, high alert medications, medication reconciliation , patient falls, time out).
- Contributes to the safety culture of the unit by coaching staff to report near misses before they cause error or harm (i.e., RRT).
- Support environment of patient confidentiality.
Reviews, delegates and evaluates plans for appropriate utilization of staff at all levels of practice in accordance with the provision of the state's Nurse Practice Act and the Professional Standards of Practice.
- Right task (within the scope of practice, according to the job description, based on the desired outcome, task routine, non-complex, low risk and predictable outcome).
- Right person (assess competency by: certification/licensure, job description, skills checklist, demonstrated skill).
- Right communication (clear, concise, correct, complete).
- Right feedback: the Reciprocal Process (asks teammates' input first, recognize effort, get teammates' solution to problem, check off points).
- Serves as unit champion for one nurse sensitive indicator:
- Provides mentoring to staff for unit specific PI measures:
- Failure to Rescue
- Heart Failure
- Works as clinical resource for nursing staff on unit.
Essential Functions II
Participates in mandatory in-services and/or CE programs as mandated by policies and procedures/external agencies and as directed by management.
Follows and understands the mission, vision, core values, Employee Standards of Behavior and company policies/procedures.
Other duties as assigned.
Methodist Health System