The Clinical Nurse demonstrates competency caring for complex patients and participates on the Care Team to improve the quality of care in the clinical area.
Delivers outstanding service to our internal and external customer by advocating for customers preferences; maximizing communication and partnering with peers and customers; acting to obtain feedback, problem solving and change; demonstrating zest through integrity, punctuality, appearance, and style.
1. Conducts systematic, continuous and comprehensive assessments of patient health status from admission or encounter to discharge across the care continuum to ensure patient safety, collaborating with the healthcare team, patient and family. Care addresses all aspects of the individual and family, including age, gender, spiritual, cultural, physical, psychosocial and patient preferences. Proactively uses safety surveillance to prevent adverse outcomes.
2. Independently administers medications per licensure authority, assesses and reassesses the effects of these medications, and documents administration in a timely manner per policies, procedures and regulatory requirements. Consistently adheres to patient safety guidelines regarding all aspects of medication administration.
3. In collaboration with patient and family, plans care using current scientific knowledge, theory, and care standards within the nursing interventions and outcomes framework and national patient safety goals. Constructs individualized, age specific plans for optimal patient and family outcomes, as appropriate to the practice setting. Incorporates data from the multi-disciplinary Care Team into the plan of care to assure continuity and appropriate patient teaching.
4. In collaboration with patient and family, identifies and prioritizes patient problems based on subjective and objective assessment data, patient safety considerations, patient and family goals and preferences, and nursing interventions and the medical plan of care.
5. Implements nursing care interventions to meet patient and family center health care needs. Demonstrates competent skills, appropriate clinical judgments and chain of command to promote patient safety and reach planned care goals and outcomes.
6. Competently and consistently assesses, conducts and evaluates the outcomes of patient and family teaching, from admission, or episode of care, to discharge. Teaching reflects sensitivity to age, learning needs and cultural background.
7. Evaluates care by performing regular and systematic reviews of patient /family responses to interventions; revises the multi-disciplinary plan of care in collaboration with other care Team members to promote desired outcomes. Recognizes care variances and takes steps to prevent or intervene with potential or real adverse events to promote safe care.
8. Serves as an advocate for the patient and family, demonstrates respect for their rights, responsibilities, and sensitivity to their preferences. Prepares the patient and family for discharge; obtains feedback to promote positive patient satisfaction outcomes.
1. Exercises informed judgment at the competent level of practice, assuming responsibility and accountability for patient care assignments, demonstrating appropriate priorities for care and commitment to patient, family, and the Care Team.
2. Works collaboratively, with appropriate monitoring and delegation, with unlicensed, assertive healthcare providers, per regulatory and legal requirements, to assure safe patient care delivery.
3. Actively participates as a collaborative member of the healthcare team by communicating constructively using core behavioral standards. Identifies clinical and interdepartmental problems, resolving conflicts appropriately on behalf of the care team and patients. Demonstrates ability to give and receive peer review and feedback, Incorporating this into his or her practice.
4. May act in the role of relief Charge Nurse when the unit need arises.
PROFESSIONAL PROFILE COMPETENCIES
1. Maintains professional competency through continuing education, licensure and professional activities; demonstrates valuing life-long learning.
2. Demonstrates professional conduct and appearance, and is accountable for actions and outcomes.
3. Orients new members of the healthcare team as well as supervises students in the performance of assigned duties.
1. Provides competent care based on knowledge of nursing research, evidence-based practice and performance improvement.
2. Participates in evidence-based practice activities, such as journal clubs. Discusses outcomes of care with colleagues, demonstrating knowledge of care indicators. Takes steps to improve care delivery by self and team. Competent with compliance, regulatory and accreditation standards.
3. Evaluates patient and family care in relation to scientific knowledge, identifying and participating in improvement using hospital quality control model.
OTHER POSITION ACCOUNTABILITIES
1. Fully competent in all computer applications as required by position.
2. Performs duties in a cost-effective manner, striving to avoid wasting hospital resources without jeopardizing quality of care and service.
3. Responsible for knowing and demonstrating National Patient Safety standards. Participates in department-based activities and initiatives to improve and ensure a safe environment.
4. This position requires the employee to be responsible for the assessment, treatment, and care of patients of certain age categories, as appropriate to assigned patient populations.
5. Participates in performance improvement activities; quality improvement and patient safety activities; assists in maintaining compliance with JCAHO accreditation and other internal and external regulatory standards including the code of conduct.
6. Participates in Magnet activities. Active participant in the Family Center Care model.
7. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills of personnel so classified.