Registered Nurse, Ambulatory Clinic

HealthPartners is hiring for a RN to work in the Neurology department at the Neuroscience Center in St. Paul.

POSITION SUMMARY STATEMENT:

Utilizes a systematic approach to nursing practice incorporating assessment, planning, nursing diagnosis, implementation, and evaluation in accordance with the Nurse Practice Act, scope of practice, along with recognized professional standards and Health Partner and employer specific protocols and policy.

Supports multiple areas within a clinic setting with strong interpersonal skill and flexibility while maintaining patient confidentiality and protecting patient rights. Resolves concerns or complaints regarding patient care or service.

MINIMUM QUALIFICATIONS:

• Education, Experience or Equivalent Combination:

• Graduated from an accredited school of nursing

• Associate degree or diploma required

• Licensure/ Registration/ Certification:

• Maintain a current Minnesota registered nurse's licensure.

• Submission of application to the WI Board of Nursing for a WI registered nurse's licensure required upon hire and licensure maintained

• Current BLS provider status in accordance with American Heart Association (AHA) guidelines. On-line only BLS certification is not accepted.

• Knowledge, Skills, and Abilities:

• Demonstrates knowledge of age-related growth and development necessary to provide appropriate care to the patient population served and ensure safety of patients.

• Possesses the qualities of strong critical thinking skills and ability to multi-task

• Ability to communicate effectively both orally and in writing, and maintain standards of clinical skills and professional ethics as established by the Nurse Practice Act

• Critical thinking, Excellent Interpersonal Skills, Fluent in EMR (EPIC) use

• Understanding of Nursing Practice Act and Scope of Practice for various roles

PREFERRED QUALIFICATIONS:

• Education, Experience or Equivalent Combination:

• Bachelor's Degree in Nursing

• Ambulatory Nursing Experience

• 1 year of prior experience in nursing preferred

ESSENTIAL DUTIES:

• (20-50%) - Assessment/Nursing Diagnosis
• Effectively assesses care needs of patients and care givers, prioritizes patient needs utilizing the nursing process; determines nursing diagnosis focused on care and identifies patient outcomes; develops patient care plan; implements and continuously evaluates the care plan; ensures patients are discharged with resolved educational needs
• Collects and prioritizes data in a systematic and ongoing process that involves the patient, care giver, other health care providers and environment as appropriate
• Uses appropriate evidence-based assessment techniques and instruments in data collection
• Analyzes and interprets assessment data to determine nursing diagnoses
• Formulates and revises nursing diagnoses that reflect the current patient status and communicates this with the patient, care giver and other colleagues within the health care team
• (20-50%) - Planning of Nursing Process
• Develops plan of care using an outcomes-based approach ensuring quality care and age-related growth and development principles
• Establishes a plan that provides for continuity of care
• Develops an individualized education plan for patients and care givers based on identified learning needs
• Uses evidence-based research data blended with caring and compassion, to develop the plan of care and interventions
• (20-50%) - Implementation/Evaluation of Nursing Practice
• Coordinates, delivers, and delegates nursing care that is safe, ethical, and culturally competent based on patient assessment/standards of care in a timely manner
• Utilizes systematic and ongoing assessment data to revise diagnoses, outcomes and the plan of care
• Involves the patient, caregiver, and health care team members in the evaluation process when appropriate
• Utilizes evidence-based interventions and treatments specific to the diagnoses as appropriate
• Initiates and implements plan of care using an outcomes-based approach ensuring quality care and age-related growth and development principles
• Provides comprehensive, individualized healthcare teaching, using the teach back method, to patients and caregivers
• Actively participates in creating and implementing improvements at the point of care to achieve clinical quality, patient experience, nursing engagement, efficiency, and effective outcomes
• Evaluates the patient's progress towards attainment of the outcomes and collaborates with members of the care team when outcomes are not as expected
• Evaluates and documents the patient's/care givers' understanding of and response to the plan of care
• (20-50%) - Documentation
• Documents patient care and education accurately, timely, and completely in the EHR (electronic health record)
• Reassesses, revises, and documents the plan of care based on the patient's response to treatment and nursing interventions on an ongoing basis
• (20-50%) - Collaboration
• Coordinates and communicates effectively with patient/care giver, clinicians, and the interdisciplinary team in a timely fashion
• Delegates tasks consistent with the state nurse practice act based on the knowledge, skills and abilities of the designated caregiver
• Directs, supervises, and evaluates the work of unlicensed assistive personnel in providing delegated nursing services
• Collaborates/coordinates with other healthcare team members, patient and care givers to determine necessary resources (i.e. social services, home care, type of equipment, information) to support continuity of care
• (50-100%) - Professional Practice/Education
• Practices within the scope of the Minnesota Nurse Practice Act, scope of practice, Health Partners and employer specific policy
• Attains and applies competency (knowledge, skills, behaviors, and judgement) that reflects current nursing practice
• Participates in educational and professional development activities and maintains required competencies
• Provides tele health management to patients with health concerns or questions. Utilizes the nursing process and approved decision-making tools to assess health care needs based on patient symptoms and history.
• Demonstrates professional and personal development related to empathy, accountability, autonomy, creativity, critical thinking, joy and pride, service and caring, learning, and stewardship
• Engages in self-evaluation of practice on a regular basis, identifying strengths and goals for professional development
• Participates and obtains formal and informal feedback regarding one's own practice from patients, peers, professional colleagues, and leaders
• Provides timely, ongoing positive and constructive feedback to fellow nursing staff to support clinical excellence, teamwork, and continuous professional growth
• Contributes to a supportive and healthy work environment
• Actively participates in team meetings, trainings, practice development, organizational and unit-based communication
• Utilizes quality improvement data, evidence-based practice and research to guide decisions and to improve nursing practice and patient outcomes
• (50-100%) - Ethics
• Adheres to the American Nurses Association Code of Ethics for Nurses
• Understands and follows principles and standards as outlined in HealthPartners Corporate Code of Conduct
• Maintains a therapeutic and professional patient-nurse relationship with appropriate professional role boundaries
• Recognizes and complies with legal, regulatory, accrediting and procedural requirements related to area of responsibility
• Protects patient and colleague privacy and only accesses patient and/or colleague related information as needed to perform job duties
• Reports violations or areas of concern to supervisor or Corporate Compliance Officer via established methods of communication
• (10-25%) - Assist with growing new colleagues and students (if trained and working in this role)
• Demonstrates ability to identify the orientee''s learning needs and plans appropriate learning experiences
• Demonstrates ability to implement an individualized orientation plan for the orientee
• Demonstrates ability to validate clinical competence of orientee
• Facilitates development of organizational and prioritization skills of orientee
• Serves as a professional role model
• Provide feedback and educational opportunities in partnership with leader and/or educator
• (5-20%) - Perform other tasks as required or assigned
• Job description rankings/percentages are intended to reflect normal averages over an extended period of time, and are subject to daily variances. Quality and efficiency standards should at no time be compromised to meet the average expectations expressed above. Job descriptions are subject to change to accommodate organization or department needs.

ORGANIZATIONAL EXPECTATIONS:

Values

All colleagues are expected to live our values:

Excellence: We strive for the best results and always look for ways to improve.

Compassion: We care and show empathy and respect for each person.

Partnership: We are strongest when we work together and with those we serve.

Integrity: We are open and honest, and we keep our commitments.

Additional Expectations:

• Complies with safety instructions, observe safe work practices, provides input on safety issues, and promotes a safe work environment.

• Maintains regular and timely attendance.

• Protects confidentiality.

• Demonstrates participation in and support of the organization''s Corporate Integrity Program by participating in compliance-related education and training and complying with the organization''s policies and procedures.

• Timely completion of all mandatory education and organizational requirements (i.e., licensure/certification, Employee Health and Wellness requirements, annual training, etc.)

POPULATION SPECIFIC COMPETENCIES:

Yes

No

Does this employee have direct patient contact?

X

Departments will need to determine the appropriate competencies in their areas for their specific patient populations documented in the essential duties section.

Examples of items that can be included are:

• Identifies expected outcomes for a plan individualized to the patient or situation specific to the needs of the population served.

• Communicates effectively with patients, families, and team members.

• Integrates practices that supports patient safety, acknowledges variations in populations served.

• Anticipates the needs of the population served as well as the unique characteristics of the communities served.

• Anticipates the needs of the population in providing culturally responsive care and develops an individualized plan for patients and families.

LEADERSHIP RESPONSIBILITY:

Please describe the degree to which the position directs the work of others or coordinates workflow of a clinic, department, or functional area. If applicable, indicate the number of people and the titles for which this position directly and/or indirectly directs the work of others or coordinates workflow.

Critical Job Demands

Section 1: Place an "X' next to ONE of the terms that best describes the frequency for each of the Critical Demands.

Critical Demands

N/A

0%

Rare

1-5% (Up to a 1/2 hour)

Occa

6-33% (1/2 hour to 3 hours)

Freq

34-66% (3 to 5½ hours)

Cont

67-100% (5½ to 8 hours)

Standing - Remaining on one''s feet in an upright position at a work station without moving about.

X

Walking - Moving about on foot.

X

Sitting - Remaining in a seated position.

X

Squatting - Assuming or maintaining a crouching position with the knees bent.

X

Reaching - Stretching out or extending to touch or grasp.

X

Lifting - Raising or lowering an object from one level to another (includes upward pulling).

X

Carrying - Transporting an object, usually holding it in the hands or arms, or on the shoulder.

X

Pushing/Pulling - Exerting force upon an object so that the object moves away/towards from the force.

X

Handling/Fingering - (includes typing, computer work, gripping, grasping, and pinching)

X

Section 2: Place an "X" next to ONE of the terms that best describes the Strength Rating for this job classification which is expressed by one of five terms: Sedentary, Light, Medium, Heavy, and Very Heavy.

Sedentary Work - Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects. Physical demand requirements are in excess of those for Sedentary Work. Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible. NOTE: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible. XMedium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Light Work. Heavy Work - Exerting 50 to 100 pounds of force occasionally, and/or 25 to 50 pounds of force frequently, and/or 10 to 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Medium Work. Very Heavy Work - Exerting in excess of 100 pounds of force occasionally, and/or in excess of 50 pounds of force frequently, and/or in excess of 20 pounds of force constantly to move objects. Physical Demand requirements are in excess of those for Heavy Work.

Note: During any patient handling task, if any caregiver is required to lift more than 35 lbs. of a patient's weight, assistive transfer devices should be used for the transfer.

HAZARD ASSESSMENT FOR PERSONAL PROTECTIVE EQUIPMENT (PPE) Please contact the employer Employee Health & Safety (EHS) with any questions or assistance related to the completion of the Hazard Assessment for Personal Protective Equipment (HAPPE) Form.RELATED TO: Hazardous Substances and Harmful Physical Agents

Yes

No

Task Description

Potential Hazard

Hazard control

PPE Required

X

Working with box cutters, knives or other sharp cutting devices.Penetration

• Cut away from body.
• Use proper tool for the job.

Safety knife or safety box cutter

Cut resistant gloves

Other ___

X

Working with liquid chemicals, acids, or caustics (Examples: reprocessing, cleaners, disinfectants, laboratory chemicals).

See MSDS online database for chemical list

Chemicals

Flammables

Toxic Gases

Corrosives

• Use only employer approved products.
• Use appropriate soaking containers with labels.
• Understand hazards of chemicals you use (read MSDS).

Goggles

Chemical face shield

Chemical resistant gloves

Chemical resistant aprons

Lab Coat

Closed toe shoes

Powered Air Purifying Respirator

Other ___

X

Exposed to extreme heat (Examples: Autoclaves, Blanket warmers, Ovens, Propane torches) or cold (Liquid Nitrogen, Winter temperatures).

Heat

Cold Stress, Burns, Frostbite

• Approach hot surfaces carefully.
• Use only approved liquid nitrogen dewars. Dispense only if trained.

Heat resistant gloves

Cryogenic (cold resistant) gloves

Goggles

Face shield

Other ___

X

Driving or riding in motorized vehicle equipment as part of the job.Vehicle crash, Impact

• Absolutely no text messaging while driving.
• Refrain from cell phone use while driving.

Seat belt

Other ___

X

Working in extremely wet or slippery conditions or working in 24/7 operations where floors are wet from mopping.Slip, Trip, or Fall

• For wet areas, mop excess water regularly.
• Place warning signs.
• Select footwear carefully

Slip resistant shoes

Rubber boots

Other ___

X

Preparing or handling hazardous drugs (Examples: cytotoxic drugs, chemotherapy agents).

Chemical

Genetic damage

Tumors

• Receive training
• PPE
• Use of biological cabinet
• Spill procedures
• Waste disposal SOP

Gloves appropriate for chemical

Disposable barrier gown

Goggles

N95/PAPR (spill cleanup)

Ventilation Hood

Other ___

X

Medical/surgical procedures involving heat generating tools or equipment (Examples: cautery/ lasers).Light radiation, burns to self or patient, smoke inhalation

• Receive laser training.
• Awareness and knowledge to minimize surgical or procedural fires.
• Code Red training
• PPE
• Restricted access

Specialized laser safety glasses

Other ___

X

Working with or near ionizing Radiation Hazards (Examples: Radioactive sources, X-Rays).Over exposure, Genetic damage

• Warning signage
• PPE
• Waste and spill procedures
• Personal monitoring
• Shielding, distance

Lead Aprons

Other ___

X

Working near MRI.Trauma resulting from missile effect

• Restrict access
• Screening
• Signage

X

Moving equipment/supplies.Strain, Sprain

• Proper body mechanics
• Get additional help
• Get Ergonomic help from EOHS.

X

Dealing with agitated persons or disturbances.Workplace violence, bodily injury, body fluid exposure

• Training in verbal de-escalation techniques.
• Code Green procedure

Gloves (Clean)

Barrier Gown or fluid resistant Lab Coat

HAZARD ASSESSMENT FOR PERSONAL PROTECTIVE EQUIPMENT (PPE)RELATED TO: Infectious Agents

Yes

No

Description

Potential Hazard

Hazard control

PPE Required

PERFORMING OR ASSISTING WITH THESE TASKS:

X

Potential for splash of blood/body fluid to face and clothing: examples but not all inclusive: suctioning, wound irrigation, eye & ear irrigation, close contact (within 3 ft.) of patient with frequent, productive cough, sigmoidoscopy, cystoscopy, colonoscopy.

Exposure to Infectious Agents

• Hand hygiene before and after task
• PPE

Facial protection (mask plus goggles OR face shield)

Gloves (Clean)

Barrier Gown if anticipate splash

X

Activity that requires touching patient's non-intact skin or mucous membranes.

Exposure to Infectious Agents

• Hand hygiene before and after task
• PPE

Gloves (Clean)

X

Activity that includes touching patient's blood/body fluid or contaminated items or environment, examples, but not all inclusive: disposal of urine, blood canisters.

Exposure to Infectious Agents

• Hand hygiene before and after task
• PPE
• Use of Spill kits (as needed)

Gloves (Clean)

Barrier Gown if anticipate splash

Facial protection (mask plus goggles OR face shield) if anticipate splash

X

Performing duties with sharp devices that could result in exposure to blood or body fluids.

Exposure to Infectious Agent/sharp injury

• Use of sharps safety devices
• Avoid re-capping needles
• Proper disposal of sharps at point of care
• For reusable sharp, use safe transporting practices
• Use neutral zone for passing sharps
• PPE

Gloves (Clean vs. Sterile depends on the procedure)

Facial protection (mask plus goggles OR face shield) if anticipate splash

X

Entering rooms where patients with airborne diseases are treated. Exposure to Infectious Agent/inhalation

• Mask patient
• Place patient in airborne infection isolation room if available
• Limit entry into room
• Keep door closed
• PPE

Follow Communicable Disease Guidelines and Tuberculosis Control Plan to determine if N95 respirator, PAPR, or surgical mask is needed

X

Work with specimens from patients with airborne diseases.

Exposure to Infectious Agent/inhalation

• PPE
• Biological Safety hoods/cabinet instrumentation with automated/closed sampling mechanisms

N95 respirator or PAPR

X

1. Procedures that enter deep tissue or body fluid, including but not limited to:

Central IV insertion, placing a catheter or injecting material into the spinal canal or subdural space (myelogram, lumbar puncture, spinal/epidural anesthesia), breast biopsy, temporal artery biopsy, bone marrow biopsy, OB vaginal delivery, incision & drainage.

Exposure to infectious agents

• Hand hygiene before and after procedures
• PPE

Gloves (Sterile)

Barrier Gown

Facial protection (mask plus eye protection or face shield plus mask required during these procedures)

X

2. a. Procedures that enter

subcutaneous tissue or are located

in the skin structure, including but

not limited to:

• Excision of mole, lump, or bump
• Excision of lipoma or sebaceous cyst, vasectomy

Exposure to infectious agents

• Hand hygiene before and after procedure
• PPE

Facial protection (mask and eye protection required during these procedures if anticipate splash)

Gloves (Sterile)

Barrier Gown if anticipate splash

X

2. b. Additional Procedures

• Shave biopsy, punch biopsy
• Joint injection, nerve injection, joint aspiration
• Peripheral IV insertion, ENT procedures
• Anal-rectal Biopsy

Exposure to infectious agents

• Hand hygiene before and after procedure
• PPE

Gloves (Clean)

Barrier Gown if anticipate splash

Facial protection (mask and eye protection required during these procedures if anticipate splash)

X

3. Handling Lab specimens in a laboratory

Exposure to infectious agents

• Hand hygiene after removing gloves
• PPE
• Biological Safety hoods/cabinet
• Splash guard
• Instrumentation with automated/closed sampling mechanisms

Lab Coat ( fluid resistant)

Gloves (Clean)

Facial protection (mask plus eye protection or face shield plus mask required during these procedures)

Other tasks with identified safety, health or infectious hazards requiring PPE?

Yes

No

Task Description

Hazard

Hazard control

List PPE required

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