RN - Med Surg 4
Location: Omaha Nebraska
Description: Children's Hospital & Medical Center is at present looking to employ RN - Med Surg 4 right now, this position will be placed in Nebraska. For detail informations about this position opportunity please give attention to these descriptions. Coordinates professional nursing and individualized, family centered care to pediatric patients/families through the use of the nursing process and clinical skills in ac! cordance with standards and hospital policies and procedures. Varied schedules to include weekend and holiday patterns, 7am-7pm or 7pm-7am.
Essential Functions/Competencies
% of Time
23%
Conducts individualized age-specific patient/family assessments according to defined unit scope and nursing practice standards, appropriate collaborative problems (CPG's)/nursing diagnoses(ND's), or protocols. (Individualized refers to the patient’s developmental, cognitive, cultural, psychosocial, spiritual, and educational/family influences and physical/medical care needs.)
Admission Assessment
:
Collects and documents data related to patient’s individualized care.
Demonstrates age-specific competency in assessment of patients by the ability to obtain and interpret information in terms of the patient needs, knowledge of growth and development, and understanding of the range of treatment needed by these patients.
Assesses patient/family need for education and uses an! individualized approach in delivery style.
Assesses family expectations for, and involvement in the assessment and continuous care or treatment of the patient.
Identifies nursing diagnoses, collaborative problems, and/or protocols for each patient, based on assessment, at the time of admission.
Shift Assessment/Reassessment
:
Performs reassessment based on unit standards, CPG's/ND's, protocols and changes in patient condition. Communicates changes to appropriate persons (MD, CNC, family) as indicated
24%
Develops individualized patient/family plan of care using CPG/ND’s, and practice guidelines/protocols to meet identified needs. (Plan of Care includes current and anticipated actions focused on care, education, discharge needs.)
Utilizes assessment data from the healthcare team to individualize appropriate goals and actions for the patient, including collaboration with the family and the healthcare t! eam.
Utilizes individualized assessment data to develop the patient/family’s plan of care.
Formulates goals and outcomes based on assessment data.
Revises plan of care based on patient’s condition, interdisciplinary input, and family needs.
Demonstrates ability to prioritize patient interventions based on assessments/reassessments. Uses available child care partners to support patient care needs as appropriate.
24%
Implements and evaluates nursing actions in accordance with the individualized patient/family plan of care and patient condition/needs.
Oversees that the nursing and interdisciplinary plan of care/goals are coordinated, implemented, evaluated, and revised as needed. Identifies the need for interdisciplinary involvement/outside resources and follows through. Uses appropriate resources (CNC, CNS/Educator, PCM, MD, etc) to ensure that clinical outcomes are achieved.
Incorporates critical thi! nking into the delivery of clinical skills and in analyzing patient res! ponse to orders, tests, labs, medications, and treatments.
Demonstrates clinical competence in administering interventions according to identified standards and age specific needs.
Provides and/or coordinates with other disciplines patient/family education according to identified care needs, considering assessment of patient/family’s readiness to learn
24%
Documentation reflects accurate assessment/evaluation, modification, and patient’s response to therapy, changes in condition, and therapeutic interventions/procedures.
Entries in the medical record follow hospital policy (i.e., date, time, use of appropriate abbreviations, and legibility).
Documentation is completed within established timeframes including, but not limited to: Admission Assessment form, daily Patient Flowsheet, Peripheral IV Flowsheet, Family Education Record, and Interdisciplinary Goals.
Reviews and updates computerized careplan to accurat! ely reflect the plan of care.
Completes computerized documentation within established timeframes, including, but not limited to: Medication Administration Record, Allergies, Patient Information, etc.
Completes and verifies accurate order entry in the computerized careplan.
Ensures that discharge instructions clearly state patient care needs after discharge.
Regular attendance at work is an essential function of the job.
Perform physical requirements as described in the Physical Requirements section
SECONDARY FUNCTIONS/COMPETENCIES
5%
Performs other duties assigned.
Accepts assignments to float to other units utilizing clinical skill sets and appropriate resources, delegating when appropriate. Professionally supports the assigned unit, as seen through interactions with patients, families, area staff, colleagues and others.
Accepts assignment to mentor student nurse observation experienc! e in unit.
Accepts assignments to share/teach knowledge and pr! ovide clinical support as a relief preceptor for new staff.
Professionally seeks opportunities to help teammates during shift as needed.
Accepts and completes other assigned tasks in a professional manner.
Accepts responsibilities as relief CNC, as designated.
100%
JOB STANDARDS
Achieves department/organization Outcomes
All
Patient/Customer Satisfaction
Interacts with patients/families/customers and utilizes feedback to improve and reinforce satisfaction
Meets department/organization satisfaction goals
Financial
Identifies and implements systems and processes to improve efficiency and reduce expenses that do not compromise quality of services/mission.
Meets department/organization financial goals
Quality
Utilizes performance measurement to improve patient/customer outcomes
Meets department/organization quality goals
Dept.
Specific
Patient/Customer Satisfaction
Smile and greet everyone throughout the shift.
Call lights will be answered within three minutes.
Encourage parents to call RN and CCP phones for requests at each shift when introducing self and discussing plan of care.
Ask co-worker once per shift if I can help you.
Financial
Follows department process for capturing patient charges.
Participates in unit specific cost saving activities.
Quality
Participates in regular unit specific chart audits to validate practice.
Provides input into opportunities for system improvements.
Describe active unit specific performance improvement projects
Takes personal responsibility to adhere to department/organization policies and procedures, compliance and regulatory agency requirements
All
Understands and performs role in emergency situations (i.e. disruptive ! individuals, internal/ external disaster, CPR, Code Adam)
Unde! rstands and practices regulatory agency standards and department/organization policies/procedures including: Joint Commission, OSHA, HIPAA, Infection Control, Environment of Care, National Patient Safety Goals
Addresses non-compliance with department/organization standards
Meets mandatory department/organization job requirements within established time frames (i.e. physicals, annual mandatory reviews, participates and physically attends 75% of required staff meetings, licensure/certification, CPR for direct care providers)
Dept.
Specific
Operationalizes the fundamental values of nursing as defined in the nine ANA Code of Ethics into daily practice and teaching activities at Children’s including:
1-3: Establishing professional relationships with compassion and respect for human dignity, worth, and the uniqueness of individuals, while demonstrating a privacy commitment to the patient in advocating for patient priv! acy, health, safety, and rights.
4-6: Identifying the boundaries of the profession by accepting responsibility and accountability for own action, delegating tasks appropriately to optimize patient care, Maintenance of competence with continued pursuit of activities for personal/professional growth. Influencing the patient care/work environment with the values of nursing to promote respectful interactions, the promotion of safe practices, and creating a care setting that expects high quality, compassionate nursing care.
7-9: Collaborates with all disciplines/ the community in promoting nursing excellence in meeting health care. Seeks opportunities beyond patient care to advance profession by involvement in developing, maintaining, implementing professional standards through practice/education i.e. involvement with internship/preceptor programs, committees, awareness of broader healthcare issues such as Joint Commission National Patient Safety ! Goals, integrating nursing values into daily practice (articulates and ! practices).
Supports a work environment that focuses on staff, customer, patient/families through safe practices and effective communication.
All
Demonstrates and supports staff/visitor/patient/vendor identification policy
Utilizes variance reporting system to enhance safety and identify changes for best practice
Protects Patient Privacy
Incorporates department/organization communication into work practices
Dept.
Specific
Demonstrates personal ownership of the unit scheduling process, individual contribution, and staffing needs.
Communicates plan of care to the patient/family.
Communicates comprehensive picture of patient health concerns when reporting issues to physician/nurse practitioner.
Promptly initiates the chain of command appropriately as a patient advocate for patient care and system issues.
Facilitates written medical orders vs verbal orders when a! ppropriate.
Communicates a comprehensive picture of patient care and health issues at change of shift, change of assignment, or when leaving the unit. Report includes:
Individualized plan of care;
a review of specific patient lines, tubes, IVs, dressings, special needs, etc at the bedside;
a review of Interdisciplinary Goals and status of completion;
a review of FER and status of teaching needs/completion.
Ensures that emergency equipment is present and verified on admission and at the start of each shift, by completing unit specific safety checks.
Utilizes policies/procedures, resources, and nursing practice to ensure safe medication delivery including offering feedback regarding systems that could be strengthened to support safe medication administration.
Uses a systematic decision making process for delegation based upon nursing education, body of nursing knowledge, and nursing judgement to delegate ! in a manner that allows for safe, accountable, and responsible provisio! n for nursing care.
Incorporates Joint Commission National Patient Safety Goals into patient care practices.
Supports Shared Governance philosophy within and between units.
Gives suggestions to Area Action Council for unit improvement.
BEHAVIORS
Excellence in Service to Children, Families, Colleagues and Other Customers
Anticipates customer needs, understands their expectations and responds appropriately.
Respect for Human Dignity
Treats others with compassion, fairness, courtesy and respect while honoring their uniqueness.
Cooperative Work Relationships
Willingly works with others to identify and achieve common goals.
Positive Attitudes and Behaviors
Enthusiastically approaches their role and displays pride in the organization
Honesty and Integrity
Takes personal responsibility for doing the right thing.
Wise Use of Resources
Optim! izes the talents of self and others and the use of time, materials and equipment.
KNOWLEDGE, SKILLS AND ABILITIES:
Must be able to perform a variety of duties, often changing from one task to another of a different nature, without loss of efficiency or composure, and be able to perform under stressful conditions when confronted with multiple requests, demonstrating prioritizing skills.
EDUCATION AND EXPERIENCE:
Bachelor’s degree from an accredited school of nursing preferred
Experience with pediatric patients preferred.
Previous experience with EPIC preferred.
CERTIFICATIONS/LICENSURE REQUIREMENTS:
Current and valid Nebraska RN license/RN Compact license required.
Current and valid Basic Life Support (BLS) required
Current and valid Pediatric Advanced Life Support (PALS) preferred, within 6 months of hire.
Certified Pediatric Nurse certification preferred.
! SPECIAL REQUIREMENTS:
REQUIRED TRAINING & EMPLOYEE HEALTH REQUI! REMENTS
Annual Physical
Annual Mandatory Review
Hepatitis B
TB Mask Fit
PHYSICAL REQUIREMENTS/WORKING CONDITIONS:
Physical Requirements
N/A
Less than 10%
11% to 49%
Greater than 50%
Work Environment
N/A
Less than 10%
11% to 49%
Greater than 50%
Stand
X
Blood and body fluid exposure*
X
Walk
X
Sharps, needles, etc.
X
Sit
X
Wet, humid conditions (non-weather)
X
Talk or hear
X
Work near moving mechanical parts
X
Displays manual dexterity
X
Fumes or airborne particles
X
Climb or balance
X
Toxic or caustic chemicals
X
Stoop, kneel, crouch or crawl
X
Outdoor weather conditions
X
Reach with ! hands and arms
X
Extreme cold (non-weather)
X
Taste or smell
X
Extreme hot (non-weather)
X
Lifting/pulling/pushing
X
Risk of electrical shock
X
Visual: Looking at computer screen
X
Medical Equipment
X
Other:
Risk of radiation
X
Weight Demands:
Vibration
X
Up to 10 lbs.
X
Loud noise
X
Up to 20 lbs.
X
Quiet environment
X
Up to 40 lbs.
X
Environmental noise
X
Up to 100 lbs.
X
Other:
More than 100 pounds
X
- Refer to the Infection Control Manual for a listing of job classifications which may be at risk of occupational exposure.
- .
If you were eligible to this position, please email us you! r resume, with salary requirements and a resume to Children's Hospital ! & Medical Center.
If you interested on this position just click on the Apply button, you will be redirected to the official website
This position starts available on: Tue, 17 Sep 2013 22:59:48 GMT