Registered Nurse Stepdown 7P-7A

Responsible for the delivery of patient care through the nursing process of assessing, diagnosing, planning, implementing and evaluating. Responsible for the directing and coordinating all nursing care for medical/surgical patients based on established nursing practice standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Supports the organizational vision and mission. Utilizes knowledge of patient’s age and cultural diversity into the provision of patient care.

Minimum Work Experience

Ability to utilize the nursing process in the provision of nursing care including but not limited to administering medications and treatments, interpreting diagnostic tests, formulating a plan of care, collaborating with other health care providers, and providing education to patients and/or significant others.

OSHA Category

High Potential for Direct Body Fluid Exposure

Visual and Hearing Requirements

Must be able to see with corrective eye wear.

Color vision ability required.

Must be able to hear clearly with assistance.

Other Physical/Environmental Demands

Lifting - 0-50lbs, 50lbs or more with assistance

Carrying - 0-50lbs, 50lbs or more with assistance

Pulling - up to 200lbs

Pushing - up to 200lbs

ESSENTIAL FUNCTIONS

Essential Functions - Assessment

Performs complete & holistic health assessments on admission using a systematic, ongoing approach to collecting data about patients & documents findings.
Assessment data includes physiological, psychological, sociocultural, spiritual, economic, and life-style factors.
Performs focus assessments as needed, based on a specific problem identified during a previous assessment or reported by another staff or family member.
Performs daily assessments comparing current status to baseline. Detection of changes in functioning, mental status, wound healing, or other health concerns are reported to the appropriate person and documented accurately.
Demonstrates good communication and observation skills in completing assessments.
Demonstrates good physical examination skills in completing patient assessments.

Essential Functions - Diagnosis

Analyzes assessment data using sound clinical judgment about the patient's response to actual or potential health conditions or needs in determining patient problems and needs.
Appropriately prioritizes patient needs based on assessment data.
Formulates and documents measurable, realistic, patient focused short and long range goals based on analysis of data.

Essential Functions - Implementation

Communicates and collaborates with other healthcare providers as needed to ensure continuity of care.
Assigns tasks or delegates care based on the needs of the patient, taking into consideration the knowledge and skill of the patient care provider.
Serves as a team leader for a group of nursing personnel.
Operates and/or supervises the safe operation of patient care equipment.
Documentation is detailed, clearly stated, objective, and accurate.
Documentation is free of unapproved abbreviations and uses proper spelling and grammar.
Written and verbal orders are transcribed accurately and promptly.
Demonstrates understanding of confidentiality of patient information by using complete discretion when discussing information.
Provides clear concise and accurate information when giving report to other healthcare workers or facilities.
Documents interventions completely, appropriately, and in a timely manner.
Implements and documents patient and family teaching as part of the plan of care.
Documents complete skin assessments and prevention interventions as required by policy.
Patient pain is assessed at intervals described in policy with interventions implemented promptly if needed.
Assists with direct hands on patient care as needed.

Essential Functions - Evaluation

Makes rounds on patients to determine if plan of care is appropriate or if it needs to be altered.
Alters plan of care to meet individual needs of patient.
Counsels and initiates corrective action for nursing employees as necessary and promptly informs the appropriate supervisor.
Contributes to the professional development of peers, colleagues, and other healthcare providers by sharing knowledge and skills, and by providing constructive feedback regarding practice issues.

Essential Functions - Age Specific

Demonstrates knowledge of patient population served including development norms and addresses
abnormal findings.
Demonstrates knowledge of appropriate assessments and planning of care for patient population served.
Demonstrates competency and knowledge of appropriate equipment of patient population served.
Demonstrates appropriate airway management and suctioning technique for patient population served.
Demonstrates appropriate awareness for suspected abuse/neglect for patient population served and takes measures to report them according to protocol.
Identifies and plans for appropriate safety precautions to be taken to prevent injury in the patient population served.
Demonstrates competency and knowledge in the proper technique for the administration of medication for the patient population served.
Demonstrates knowledge of appropriate technique to obtain vital signs and is able to interpret norms for the patient population served.
Demonstrated knowledge of location and use of emergency equipment and drugs for the patient population served.
Provides education to patient/family based on identified learning needs of the patient population served.

NONESSENTIAL FUNCTIONS

Floats to other areas as assigned, responds to floating requests with a positive attitude.
Participates in 75% of staff meetings as evidenced by attendance records.
Completes competency assignments as evidenced by in-service record.
Maintains current status in CPR.
Annual Employee health requirements are kept up to date.
Performs other duties as assigned with a positive attitude.

LEADERSHIP CAPABILITIES

Supports the hospital Mission, Service and Values.

ORGANIZATIONAL EXPECTATIONS

T.J. Pledge

I Will Show Compassion

-see all patients, family members, coworkers, physicians, and anyone else at T.J. as my customer.

-recognize that each and every interaction I have at T.J. Regional Health matters

-show kindness and compassion towards my customers at all times

-be sensitive to the personal and private needs of every customer

I Will Cooperate With Others

-maintain zero tolerance for abusive behavior

-listen and be willing to accept fault when I make a mistake

-never underestimate the power of an apology

-refrain from blame and judgment

-bring a sense of calm to stressful situations

I Will Collaborate With Others

-value myself and every coworker as an equal part of one GREAT team working together

-treat others in a way that I would like to be treated

-participate only in conversations that are courteous, respectful, and reflect positively on my teammates and T.J. Regional Health

-foster a calm and pleasant atmosphere, and refrain from gossip, rumors, and insults

-speak honestly, seek truth, and act with integrity towards my teammates

-value the uniqueness and expertise that each team member contributes to the whole

-meet the need of the moment, regardless of whether or not it is considered part of my job

I Will Communicate

-smile at everyone

-always introduce myself, my role, and my purpose use body language, eye contact, and tone of voice that shows respect in every interaction

-follow the 10/5 rule: always acknowledging people at 10 feet away with a smile and always greeting people at 5 feet away

-escort any customer in need (visitors, patients) to their destination

I Will Adapt To Change

-be a part of the solution when I am presented with a challenge

-embrace change and set the example for those around me

-accept openly when there are changes that T.J. Regional and/or I have no control over

-manage the expectations of others by explaining duration and next steps as often as needed

I Will Be A Champion

-serve with passion

-view myself as an owner of T.J. Regional Health and act accordingly

-take responsibility for the physical appearance of T.J. Regional Health, including my work area

-go out of my way to daily thank and compliment my customers and coworkers

-dare to make a difference and be exceptional

-constantly try to improve myself and T.J. Regional Health

-speak positively about T.J. Regional, while at work and in public places outside of work

#TJRegionalHealth10

Education
Required
Associates or better in Nursing
Preferred
Bachelors or better in Nursing
Masters or better in Nursing
Licenses & Certifications
Required
Registered Nurse

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