Wooster Community Hospital
From Wooster Community Hospital's careers page
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WOOSTER COMMUNITY HOSPITAL JOB DESCRIPTION
Registered Nurse
Provides nursing care to patients in an efficient, professional, compassionate and caring manner. Directs the activities of paraprofessional as they provide care. Responsible for assuring effective communication with patients, support persons and members of the healthcare team. Responsible for implementing nursing care of assigned patients via the Nursing Process including assessment, diagnosis, planning, implementation and evaluation. Acts in compliance with hospital, Nursing Department policies/procedures and the Nurse Practice Act of the State of Ohio. Follows WCH Nursing Philosophy and practice model which are derived from the Synergy model and appropriate Service Standards as outlined in Employee Handbook.
RESPONSIBLE TO: Department Director, Clinical Manager, Charge Nurses
Active license in the State of Ohio
Maintain a current AHA (American Heart Association) Healthcare Provider BLS card while in this position.
BSN
Clinical Certification
Exposed to blood, body fluids and/or airborne pathogens and are required to wear personal protective equipment
Employees in this position must be able to push, pull, lift, carry, turn, crouch, and bend as necessary to complete nursing care tasks
Required to take "on call" status
Reassigned to another nursing unit to provide nursing care within current job description
Subject to STHR (short term hour reduction) according to policy
POSITION EXPECTATIONS: All expectations detailed below are considered ADA (American Disabilities Act) Essential.
Leadership
Demonstrate ability to lead/direct a team of caregivers in providing care for a group of patients
Facilitates teamwork by adhering to Nursing Practice Model
Accepts and responds to change productively, while maintaining a positive attitude
Role models professional nursing practice and behavior
Demonstrates conflict resolution skills
Effectively implements the nursing process for assigned group of patients including appropriate delegation
When/if assigned as Relief Charge Nurse, functions in a professional and thoughtful manner, demonstrating:
Decision-making and priority setting skills
Time management and effective use of resources
Appropriate delegation skills
Conflict resolution skills
Adherence to Relief Charge RN unit responsibility list
Professional communication that fosters a calm and orderly environment
Communication
Maintains awareness of verbal / non verbal communication in interactions with staff, other departments, physicians, patients and families
Maintains patient confidentiality in all communication interactions: written, verbal, electronic, and digital
Collaborates and communicates effectively with all members of the health care team
Reports critical information to physician and others as indicated
Properly utilizes chain of command to handle issues
Facilitates communication between staff members, i.e. conducts shift huddles
Demonstrates basic ability to initiate and manage crucial conversations
Utilizes AIDET (Acknowledge, Introduce, Duration, Expectations, Thank You) strategies to foster positive communication
Interacts with clinical students in positive, productive manner
Communicates all pertinent information regarding patient and their care needs to nursing and other departmental staff as reasonable and necessary (ex. handoff communication, hall pass, report)
Operations
Administers care according to WCH/unit policy/procedure, current standards of care and Ohio Nurse Practice Act
Performs assessments/reassessments and documentation relevant to patient's condition, needs and age, per nursing documentation guidelines. Communicates changes in patient condition to physician in timely manner and suggests possible interventions and course of care as appropriate in a collaborative manner.
Initiates, evaluates and reviews plan of care
Provides age appropriate health teaching related to diagnosis, identified patient/family needs and medication, using available teaching resources and assuring patient family understanding by teach back
Correctly demonstrates use of CPOE(Computer Physician Order Entry)
Demonstrates knowledge of drug purpose and effectiveness as related to diagnosis
Follows 6 rights of medication administration
Demonstrates appropriate/safe medication handling/administration
Reassesses and documents effectiveness of medication
Evaluate the environment to assure safety & infection control standards are met
Evaluate the care provided to assure it is based on practice standards and evidence based practice
Evaluate the educational plan and its implementation; assessing for and addressing gaps in care
Evaluate for any additional /alternative care needs, and patient/family satisfaction
Evaluate adherence to nursing practice standards of care and documentation of care by the nurse and team members
Coordinate work to achieve maximum productivity. Able to multitask and prioritize workload. Work habits are consistently adjusted to accommodate multiple responsibilities and are prioritized and completed in a timely manner.
Demonstrate reasonable and rational judgment in decision making
Other duties as assigned by management team
Customer Service
Displays positive attitude. Treats others with honesty and respect. Speaks positively in all customer interactions internal and external.
Assess customer satisfaction when rounding on patients and use appropriate chain of command for unresolved issues or problems.
Use AIDET (Acknowledge, Introduce, Duration, Explanation, Thank you) to:
Optimize the patient’s experience by reducing the patient and family’s anxiety and increasing the patient’s compliance
Develop positive relationships with other departments to foster patient satisfaction
Use face to face resolutions (crucial conversations) to intervene with patients or staff in situations where customer needs have not been met to determine a positive, mutually agreeable resolution
Staff Development / Personal Growth
In conjunction with the Department Director Clinical Manager, Clinical Specialist and / or Educator:
Function as a preceptor, seeking learning opportunities for orientee/student. Interact with department manager, clinical educator/instructor, to evaluate orientee/student progress toward goals, identifying additional needs.
Demonstrates initiative and responsibility to develop personal, leadership and professional goals
Demonstrate professional development by attending conferences, participating in committees/unit projects and ongoing educational activities
Demonstrate professional growth by maintaining awareness of changes in nursing practice/evidenced based nursing care
Accept feedback as opportunity for growth
Demonstrates knowledge and understanding of new policies and procedures, practices, changes in practice, and initiatives. Obtains this knowledge via staff meeting attendance, reading of communication, required hospital education, discussion with departmental leadership and peers.
Performance Improvement
Identify processes to be improved and communicate to management team. Assists in data collection as directed
Participates on at least one team, project and/or committee: unit, departmental or hospital based
Develop and maintain awareness of DNV, CMS (Centers for Medicare Services) and other required quality and safety measures
Develop and maintain ongoing understanding of Nursing best practices for the types of patients for whom care is provided
AGE SPECIFIC COMPETENCY
Neonatal (Birth thru 28 days)
Handles infants in gentle manner
Speaks in soothing voice
Holds and cuddles infant when necessary
Facilitates parental interaction and care of infant
Infant (29 days thru 12 months)
Approaches infant in slow, non-threatening way
Speaks in soothing way
Holds and cuddles infant as much as possible
Encourages parental interaction with infant
Allows for familiar toys/blankets to be brought from home
Pediatrics (one year thru 11 years)
Allows choices when possible
Speaks directly using few, clear, simple terms and explanations
Limits number of strangers entering room
Provides consistent nursing assignments
Does not shame parents for lack of cooperation
Holds child for painful procedures
Adolescents (12 years thru 18 years)
Allows participation in care and choices as appropriate
Provides for patient's modesty
Tells patient exactly what will be expected
Allows patient control
Speaks directly to patient in simple medical terms
Geriatrics (65 years and older)
Identifies physical/social/emotional barriers and physical limitations at discharge
Teaches patient about one item at a time
Repeats instructions several times
Speaks slowly and distinctly when talking to the patient
Emergency Dept Staff RN
Assesses, plans, implements, evaluates and documents the care of emergently ill medical and surgical patients of all ages. Assists with special procedures. Prioritizes the care of critically ill and less acutely ill patients. Directs the care delivered by others in the ED.
CEN (Certified Emergency Nurse)
TNCC ( completion of Trauma Nurse Core Curriculum)
Current general nursing, emergency or critical care experience. Completion of emergency or critical care course.
Minimum of 1 year current experience in hospital or clinical setting as an RN
ACLS within 1 year of hire, and maintain while in position
PALS within 1 year of completion of orientation and maintain while in position
Complete NIH Stroke Certification with 6 months and maintain while in position
Demonstrates competence in patient triage using the established method, within 6 months
Demonstrates knowledge and use of Vasoactive medications
Ability to read and operate cardiac monitor , recognize normal/abnormal rhythms , and institute appropriate interventions
Quickly identifies signs and symptoms of Stroke and Acute Myocardial Infarction and follows appropriate protocols, policies and procedures to ensure goal times are met
Answers the EMS line, obtains squad report and appropriately communicates the report to the Charge RN and ED Physician
Demonstrates skills to assess and intervene in life-threatening situations
Attends in house codes, RRT and Stroke calls as required
Float Registered Nurse- Float A (Inpatient and Peds Unit), Float B (Inpatient, Peds, and ED Units), Float C (Inpatient, Peds, ED and ICU Units).
Float staff will be assigned to one unit director for performance evaluation, but will also be responsible to management team where they are assigned each shift. Float staff may be pulled to different units during any given shift, depending where the staffing needs must be met. Float staff may be assigned to any area when needed and will take assignments within the scope of their skills and experience. Float B and C nurses will be expected to take pediatric patients. In the ED, float nurses will be expected to provide care of patients from various types of illness or trauma requiring emergency attention and must be able to recognize and effectively treat life threatening conditions. In ICU, float nurses will be expected to manage critical care patients within the scope of the unit. Float staff will be expected to maintain competency in main assigned departments for their float group. Float staff will be expected to attend some of the assigned department staff meetings and/or read the meeting minutes.
ACLS within 1 year of hire, and maintain while in position
PALS within 1 year of hire, and maintain while in position (Float B and C only)
Complete NIH Stroke Certification with 6 months and maintain while in position
Ability to read and operate cardiac monitor, recognize normal/abnormal rhythms, and institute appropriate interventions
ED/Critical care experience/telemetry experience.
IV therapy/Phlebotomy experience
One year current hospital nursing as RN
Intensive Care Registered Nurse
Assesses, plans, implements, evaluates and documents the age appropriate and evidence-based care of acutely and critically ill medical, cardiac and surgical adolescent/adult patients. Provides acute stroke care per protocols of the WCH designated stroke unit. Assists with special and invasive bedside procedures. Directs the care delivered by others in the department. Collaborates with Physicians to evaluate patient readiness for transfer out of critical care environment. Accepts med surg and telemetry overflow patients as necessary. Communicates effectively with the intraprofessional team and families.
ACLS within 1 year of hire, and maintain while in position
1 year current hospital nursing; New graduates only with completion of critical care preceptorship or current Nurse tech position
Complete NIH Stroke Certification with 6 months and maintain while in position
Strong interpersonal skills and ability to work with a diverse community
Other Position Expectations
Ability to interpret and operate cardiac and other invasive and noninvasive monitors, recognize normal/abnormal rhythms /trends, and institute appropriate interventions.
Performs ECGs
Performs phlebotomy and collects blood for testing and blood culture analysis
Responds to in house codes, RRTs, STEMIs and Stroke alerts as required
Caring for patients with complex needs including hemodynamically compromised, acute stroke and mechanically ventilated patients
Initiating and maintain complex IV therapy , including thrombolytic administration, vasoactive medications, central IV catheters, dialysis catheters & arterial lines
Safe use of less invasive, life supporting modalities i.e BiPAP, ETCO2, core temperature monitors, IABP
Prevention and management of complications associated with critical illness, e.g. CAUTI, CLABSI, VAE, VAC
End of life care decisions, management and terminal extubation
Creating and maintaining a healing and humane environment for patients and families
Identifying and supporting CPI (continuous process improvement) activities in the ICU and hospital
Engagement with coworkers, unit leadership and key hospital leaders
Med Surg Registered Nurse
Assesses, plans, implements, evaluates and documents the care of medical/surgical, oncology and orthopedic adolescent/adult patients. Assists with special procedures. Directs the care delivered by others in the department.
Oncology/orthopedic experience
Ability to read and operate cardiac monitor, recognize normal/abnormal rhythms, and institute appropriate interventions
36 hrs per week/7a-7p
36 hrs per week/7a-7p
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