Specialty Unit Staff RN - Hospital ICU

The Registered Nurse demonstrates proficiency by exhibiting the following skills, competencies, and behaviors:

Leadership:

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• Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws.
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• Serves as a leader of the health care team; delegates tasks appropriately, and demonstrates appropriate accountability.
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• Understands own and team members scope of practice and escalates issues as appropriate.
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• Demonstrates professional, supportive behavior.
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• Champions new ideas.
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• Leads and directs others through the change process.
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• Utilizes communication strategies including chain of command and issue escalation, which result in intended outcomes.
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• Participates in problem identification and resolution.
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• Mentors, orients, and coaches others in unit specific operations and patient care activities
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• Shares responsibility and authority with subordinates and holds him/her accountable for performance.
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• Demonstrates ability to problem solve with other departments in order to assist member problem resolution.
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• Prioritizes, delegates, and supervises work assignments appropriately to ensure completion of patient care activities.
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• Complies with regulatory requirements, policies, procedures, and standards of practice.
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Nursing Process:

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• Develops and/or contributes to the individualized plan of care that reflects assessment, planning, implementing, and evaluating the outcomes of that plan.
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• Ensures plan shows multidisciplinary planning, consultation, and education.
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• Ensures plan is reflective of admission or outpatient database, on-going findings, age appropriate care, cultural specific needs, and appropriate acuity.
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• Ensures plan is discussed with patient, family/significant others, and completed in a timely manner.
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• Monitors the patients progress based on the plan.
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• Revises plan on ongoing basis based on patient condition and evaluation of progress.
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• Ensures care meets standards of practice.
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• Ensures effective development and completion of discharge plan including discharge barriers and patient/family education. Ensures that patient clearly understands discharge instructions. In outpatient, identify barriers and needs for patient/family education that will facilitate the outpatient medical management plan.
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• Ensures patient safety related but not limited to, medications and procedures utilizing the five rights; patient falls; decubitus prevention and prevention of nosocomial infections.
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• Ensures optimal pain control and patient comfort; identifies and discusses patient anxieties, fears or concerns regarding patient condition, treatment or discharge.
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• Ensures that patient understands medication purpose, side effects, and administration instructions in the hospital as well as at the time of discharge.
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Documentation:

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• Charting is accurate, legible, dated, and timed.
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• Documentation reflects nursing process and interventions and evaluations taken.
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• Utilizes computer systems effectively and efficiently for optimal patient care.
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Clinical Outcomes:

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• Discusses patient findings and progress toward outcomes with physicians and other members of the health care team.
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• Demonstrates competencies during the probationary period and ongoing completion by departmental competency validation.
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• Make comprehensive nursing decisions based on interpretation of data, assessments, and evaluations of patient outcomes.
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• Participates in departmental performance improvement activities, i.e., planning, measuring/monitoring, assessing, and improving.
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Workplace Safety:

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• Adherence to LMP Workplace Safety principles and practices.
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• Applies standard precautions; maintains a safe environment for self and others
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Patient Care Experience:

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• Practices customer service standards as defined by the Service Area, Medical Center, and specified department.
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• Promptly answers call lights, alarms, and patient requests.
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• Makes appropriate referrals and facilitates the customers ability to utilize resources.
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• Maintains and protects patient confidentiality
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• Ensures clean, orderly, and functional work environment.
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• Treats all families of patients with courtesy, respect, kindness and compassion.
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• Provides an optimal patient care experience by actively listening to the needs of patients and family members and taking responsibility for meeting those identified needs.
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• Gives patients information in a way they can understand and ensures comprehension.
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• Provides a patient care experience that exceeds members expectations.
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Team Commitment:

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• Viewed by others to be an effective team member who is flexible, cooperative, and willing to assist others.
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• Confronts difficult or conflict situations constructively and seeks appropriate assistance.
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• Takes accountability for own actions and accepts constructive criticism.
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• Acts as a resource, preceptor, and mentor to new employees, registry, students, and other team members.
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• Attends all mandatory meetings, in-services and staff meetings as required, actively participates in other departmental professional development. (Requirement may vary for per diem staff).
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• Participates with the assessment of current and future unit learning needs and development of an annual education plan.
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• Keeps self informed of activities on the unit and makes recommendations for change.
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• Adheres to Attendance Program. Reports to assigned area promptly, being present and available for report at beginning of assigned shift.
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• Supports a collaborative Labor-Management Partnership environment through unit based teams.
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Fiscal Responsibility

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• Organizes work to minimize the use of overtime.
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• Identifies and assists in systems improvement that needs simplification or correction.
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• Utilizes payroll and non-payroll resources to their maximum potential.
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