Registered Nurse Part-time Nights Hospital Based SNF

Job DescriptionJob Description

Registered Nurse

MAIN FUNCTION:

Provides nursing care to patients in an efficient, professional, compassionate and caring manner. Directs the activities of paraprofessional as they provide care. Responsible for assuring effective communication with patients, support persons and members of the healthcare team. Responsible for implementing nursing care of assigned patients via the Nursing Process including assessment, diagnosis, planning, implementation and evaluation. Acts in compliance with hospital, Nursing Department policies/procedures and the Nurse Practice Act of the State of Ohio. Follows WCH Nursing Philosophy and practice model which are derived from the Synergy model and appropriate Service Standards as outlined in Employee Handbook.

RESPONSIBLE TO: Department Director, Charge Nurse

MUST HAVE REQUIREMENTS:

• Active license in the State of Ohio
• Maintain a current AHA (American Heart Association) Healthcare Provider BLS card while in this position.

PREFERRED ATTRIBUTES:

• BSN
• Clinical Certification

OTHER REQUIREMENTS:

Employees in this position may be:

1. Exposed to blood, body fluids and/or airborne pathogens and are required to wear personal protective equipment
2. Employees in this position must be able to push, pull, lift, carry, turn, crouch, and bend as necessary to complete nursing care tasks
3. Required to take "on call" status
4. Reassigned to another nursing unit to provide nursing care within current job description
5. Subject to STHR (short term hour reduction) according to policy

POSITION EXPECTATIONS: All expectations detailed below are considered ADA (American Disabilities Act) Essential.

Leadership

1. Demonstrate ability to lead/direct a team of caregivers in providing care for a group of patients
2. Facilitates teamwork by adhering to Nursing Practice Model

1. Accepts and responds to change productively, while maintaining a positive attitude
2. Role models professional nursing practice and behavior
3. Demonstrates conflict resolution skills

1. Effectively implements the nursing process for assigned group of patients including appropriate delegation
2. When/if assigned as Relief Charge Nurse, functions in a professional and thoughtful manner, demonstrating:
   • Decision-making and priority setting skills
   • Time management and effective use of resources
   • Appropriate delegation skills
   • Conflict resolution skills
   • Adherence to Relief Charge RN unit responsibility list
   • Professional communication that fosters a calm and orderly environment

Communication

1. Maintains awareness of verbal / non verbal communication in interactions with staff, other departments, physicians, patients and families
2. Maintains patient confidentiality in all communication interactions: written, verbal, electronic, and digital

1. Collaborates and communicates effectively with all members of the health care team
2. Reports critical information to physician and others as indicated
3. Properly utilizes chain of command to handle issues
4. Facilitates communication between staff members, i.e. conducts shift huddles
5. Demonstrates basic ability to initiate and manage crucial conversations

1. Utilizes strategies to foster positive communication

1. Interacts with clinical students in positive, productive manner
2. Communicates all pertinent information regarding patient and their care needs to nursing and other departmental staff as reasonable and necessary (ex. handoff communication, hall pass, report)

Operations

1. Maintains appropriate clinical skills:
   • Administers care according to WCH/unit policy/procedure, current standards of care and Ohio Nurse Practice Act
   • Performs assessments/reassessments and documentation relevant to patient's condition, needs and age, per nursing documentation guidelines. Communicates changes in patient condition to physician in timely manner and suggests possible interventions and course of care as appropriate in a collaborative manner.
   • Initiates, evaluates and reviews plan of care

• Provides age appropriate health teaching related to diagnosis, identified patient/family needs and medication, using available teaching resources and assuring patient family understanding by teach back

1. Administers medication safely:
   • Correctly demonstrates use of CPOE(Computer Physician Order Entry)
   • Demonstrates knowledge of drug purpose and effectiveness as related to diagnosis
   • Follows 6 rights of medication administration
   • Demonstrates appropriate/safe medication handling/administration
   • Reassesses and documents effectiveness of medication
2. Assures team members huddle and round on patients to :
   • Evaluate the environment to assure safety & infection control standards are met
   • Evaluate the care provided to assure it is based on practice standards and evidence based practice
   • Evaluate the educational plan and its implementation; assessing for and addressing gaps in care
   • Evaluate for any additional /alternative care needs, and patient/family satisfaction
   • Evaluate adherence to nursing practice standards of care and documentation of care by the nurse and team members

1. Coordinate work to achieve maximum productivity. Able to multitask and prioritize workload. Work habits are consistently adjusted to accommodate multiple responsibilities and are prioritized and completed in a timely manner.

1. Demonstrate reasonable and rational judgment in decision making
2. Other duties as assigned by management team

Customer Service

1. Displays positive attitude. Treats others with honesty and respect. Speaks positively in all customer interactions internal and external.

1. Assess customer satisfaction when rounding on patients and use appropriate chain of command for unresolved issues or problems.
2. 
   
   • Optimize the patient’s experience by reducing the patient and family’s anxiety and increasing the patient’s compliance
   • Develop positive relationships with other departments to foster patient satisfaction

1. Use face to face resolutions (crucial conversations) to intervene with patients or staff in situations where customer needs have not been met to determine a positive, mutually agreeable resolution

Staff Development / Personal Growth

In conjunction with the Department Director, Clinical Specialist and / or Educator:

1. Function as a preceptor, seeking learning opportunities for orientee/student. Interact with department manager, clinical educator/instructor, to evaluate orientee/student progress toward goals, identifying additional needs.

1. Demonstrates initiative and responsibility to develop personal, leadership and professional goals
2. Demonstrate professional development by attending conferences, participating in committees/unit projects and ongoing educational activities

1. Demonstrate professional growth by maintaining awareness of changes in nursing practice/evidenced based nursing care

1. Accept feedback as opportunity for growth
2. Demonstrates knowledge and understanding of new policies and procedures, practices, changes in practice, and initiatives. Obtains this knowledge via staff meeting attendance, reading of communication, required hospital education, discussion with departmental leadership and peers.

Performance Improvement

1. Identify processes to be improved and communicate to management team. Assists in data collection as directed

1. Participates on at least one team, project and/or committee: unit, departmental or hospital based

1. Develop and maintain awareness of DNV, CMS (Centers for Medicare Services) and other required quality and safety measures
2. Develop and maintain ongoing understanding of Nursing best practices for the types of patients for whom care is provided

AGE SPECIFIC COMPETENCY

Dependent upon department and the population served:

Geriatrics (65 years and older)

1. Identifies physical/social/emotional barriers and physical limitations at discharge
2. Teaches patient about one item at a time
3. Repeats instructions several times
4. Speaks slowly and distinctly when talking to the patient

Unit Specific Requirements:

Transitional Care RN

MAIN FUNCTION:

Assesses, plans, implements, evaluates and documents care of the skilled nursing resident and rehab with nursing. Use assessment skills to develop rehab goals.

OTHER POSITION EXPECTATIONS:

• Maintain competency in documenting MDS and addressing rehab needs, plans and evaluation of such

Previous long term care experience preferred

Dialysis RN

MAIN FUNCTION:

The Dialysis RN is responsible for conducting inpatient hemodialysis treatments in coordination with the Dialysis Program Coordinator and nephrology. In this role, the individual will utilize policies and procedures to ensure safe and effective hemodialysis treatment as prescribed by the nephrologist. The Dialysis RN will communicate and report patient concerns, and changes with the clinical team, to include physicians and the Dialysis Program Coordinator, in a timely manner. The Dialysis RN is responsible for collaboration with the Staff RN through pre and post reporting to ensure safe and effective care. In addition, the Dialysis RN will provide appropriate patient education, care, and support for renal failure patients.

RESPONSIBLE TO: Director of Critical Care, Dialysis Coordinator

MUST HAVE REQUIREMENTS:

• Current Ohio RN licensure

• 1 year Acute or 2 years Chronic dialysis RN experience

• American Heart Association BLS

PREFERRED ATTRIBUTES:

• BSN

• Familiarity with NxStage System One

• Clinical expertise in vascular access

• American Heart Association ACLS within 6 months of hire

Dialysis RN Operations

In conjunction with Dialysis Program Coordinator

a. Perform safe and effective hemodialysis treatments within the facility.

b. Notify the Dialysis Coordinator of any additional supply needs, shortages, or concerns.

c. Participates in ongoing educational and professional growth opportunities within the

department.

d. Annual and ongoing competency validation to assure proficiency in performing

assigned tasks.

e. Accepts feedback as an opportunity for growth and development.

f. Demonstrates knowledge and understanding of new policies and procedures,

practices, changes in practice, and initiatives. Obtains this knowledge via staff meeting

attendance, reading of communication, required hospital education, and discussion with

departmental leadership and peers.

g. Demonstrates initiative and responsibility to develop personal, leadership and

professional goals/objectives and determines methods to meet these goals and objectives.

h. Timely documentation and notification of all critical events.

COMMUNICATION:

In conjunction with the Dialysis Coordinator:

a. Demonstrates ability to have and manage a crucial conversation.

b. Demonstrates conflict resolution skills.

c. Actively participates in staff meeting/communication sessions

d. Maintains patient confidentiality in all communication interactions written, verbal,

electronic, and digital.

e. Maintains awareness of verbal/nonverbal communication in interactions with other

departments, customers, physicians, patients, and families.

f. Facilitates collaboration and communication with physicians and all members of the

healthcare team.

7p-7a
24 hours/week

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