Clinical Registered Nurse II-LGH 3C-Cardiac Intermediate Unit-WEO B/7a-7p

• Conducts an individualized patient assessment, prioritizing the data collection based on the patient's immediate condition or needs within timeframe specified by policies, procedures or protocols.
• Conducts ongoing assessments as determined by patient's condition and/or the policies, procedures or protocols and reprioritizes care accordingly.
• Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes.

• Develops, modifies, and integrates an individualized care plan which incorporates the medical plan of care, key elements from the plans of other disciplines, and standards of care and practice.
• Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team.

• Performs appropriate treatments as ordered by provider in an accurate and timely manner.
• Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family.
• Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient.
• Initiates emergency resuscitative measures as appropriate.
• Assumes responsibility and accountability for effectively managing the care of a specialty patient population.
• Provides care in a non-judgmental, non-discriminatory manner that is culturally sensitive to the patient and family, preserving their autonomy, dignity and rights.
• Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate.

• Evaluates patient's responses to care based on effectiveness of nursing interventions/actions in relationship to established goals.
• Initiates changes in the interdisciplinary care plan based on this evaluation. Problem solves with the specialty team to improve patient outcomes.
• Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution.

• Identifies learning needs of patients/families and teaches by adapting standard information based on needs.
• Ensures that the patient/family demonstrates knowledge, within the abilities of the patient.
• Communicates with patients and family to identify their needs and include them in the plan of care.
• Acknowledges and supports determinations by the patient and/or family concerning treatment.

• Assumes responsibility for assessing and meeting own learning and professional development needs.
• Maintains current competency in nursing specialty and requirements for department; attends required educational programs and may attend additional educational workshops; reviews nursing professional publications; establishes personal networks; may participate in professional societies.
• Seeks additional educational opportunities for clinical development and is either ready to learn the charge nurse role or currently functioning in a charge nurse role.

• Makes sound judgments in the decisions involved in coordinating multiple, increasingly complex patient care demands.
• Supervises delegated care based on abilities of personnel and patient acuity.
• Reports changes in patient condition to appropriate personnel.

• Participates in service recovery and uses appropriate resources during complex situations.
• Handles conflict resolution in an appropriate, timely and consistent manner.

• Supports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census).
• Serves as a preceptor/mentor and works directly with employees to fulfill planned orientation to the department. Assists in the orientation, instruction, direction, and evaluation of students assigned to the unit.
• Able to be trained for a charge nurse role or is currently functioning in a charge nurse role.

• Participates in data collection for quality assurance activities if assigned by department leader.
• Identifies and communicates recurring practice concerns in specialty areas and their impact on care.
• Participates in initiatives resulting from nurse-sensitive, quality, and other specialty indicators and/or unit-based quality metrics.
• Demonstrates the utilization of Centra's safety behaviors (i.e. Speak Up for Safety).

• May participate in Research or Evidence Based Practice projects.
• Able to communicate research and quality improvement data/findings to peers.
• Able to interpret quality improvement data relevant to the clinical specialty and communicate this data to peers.
• Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies.

• Maintains confidentiality in matters as outlined in Centra policies.
• Delivers care in a manner that protects patient autonomy, dignity and rights.
• Serves as a patient advocate.
• Maintains patient-nurse relationships with professional role boundaries.

Centra Healthcare