rn - icn - Doylestown, PA, United States - Doylestown Hospital

Description

Job Description:

• PURPOSE OF JOB :

To provide professional nursing care in accordance with the Nurse Practice Act, to collaborate with the physician's medical plan, and to execute the objectives and the policies of the hospital. To provide standard of care services to sick and high risk neonates.

• ESSENTIAL FUNCTIONS :
• Assesses, plans, implements, documents, coordinates, and manages patient care according to department and hospital standards and considering age-specific accommodations.
• Communicates and collaborates with patient's caregiver, physicians, family members and other health care disciplines in order to achieve excellence in patient care during hospitalization.
• Promotes patient safety through adherence to protocols, policies, procedures, evidence-based guidelines and Joint Commission National Patient Safety Goals.
• Actively participates in and supports departmental and organizational quality initiatives and goals.
• Maintains clinical competency according to unit-specific standards.
• JOB CRITERIA AND PERFORMANCE STANDARDS:
• Assesses, plans, implements, documents, coordinates, and manages patient care according to department and hospital standards and considering age-specific accommodations.
• Utilizes the nursing process for all patients assigned to his/her care:
• Completes admission assessment according to unit standards
• Performs and documents ongoing assessment of patients according to department standards
• Continually reassesses patients for changes in their condition that may signal the onset of change in status and level of care
• Maintains a computerized, evolving plan of care based on nursing assessment, the medical plan of care and patient need.The plan is initiated according to department standards.
• Provides patient care, which demonstrates a comprehensive knowledge of normal physiology and disease pathophysiology of both the normal and sick neonate. Appropriate nursing and medical interventions and knowledge of the principles of growth and development over the lifespan.
• Implements patient plan of care based on evidence based practice.
• Documents patient response to treatment and effectiveness of care.
• Provides teaching to neonates' caregiver and discharge planning based on assessment of care knowledge/ability on an ongoing basis.
• Insures appropriate completion of chart and other documentation including transcription of physician orders and computer entry.
• Insures that unapproved abbreviations are not used when documenting on patient's medical record.
• Demonstrates appropriate skill in utilization of the computer for automated order entry, data retrieval, and medication administration, nursing care planning and intervention and interdepartmental communication as determined by defined access levels.
• Implements nursing/physician orders that result in achievement of patient, nursing, and physician goals.Evaluates, revises, and improves patient care using creative strategies, current research findings, and consideration of age-specific accommodations.
• Appropriately assigns all Associates under his/her supervision according to their skill level.
• Demonstrates initiative and self-direction in completion of assigned responsibilities in accordance with department needs.
• All nurses will be crossed trained to both the ICN and the Newborn Admission Nurse (NAN)
• Performs selected therapeutic interventions and diagnostic procedures according to department standards as ordered to include but not limited to:
• Medication administration
• Point of care testing (Accu-check)
• Initiation and maintenance of oxygen therapy
• Knowledge of mechanical ventilation
• Specimen collection utilizing mobile lab when appropriate
• Phlebotomy (venipuncture, capillary and arterial)
• Peripheral IV insertion and therapy
• Therapeutic positioning
• Completes admission assessment and orders for all newborns
• Helps to provide Skin to Skin for the mother and newborn
• Assist with all newborn testing and procedures
• Demonstrates ability to perform with clinical proficiency in crises and medical emergencies.
• Communicates and collaborates with patient's caregiver, physicians, family members, and other health care disciplines in order to achieve excellence in patient care during hospitalization.
• Utilizes effective interpersonal skills including interaction with staff through understanding, talking, and hearing, seeing and listening.
• Involves patient/significant other in all aspects of the plan of care, serving as advocate when necessary.
• Consistently and continuously communicates, consults and shares pertinent information regarding changes in patient status and patient care.
• Uses interpersonal communication techniques that show a willingness to accept and give constructive feedback for promoting professional excellence.
• Effectively communicates pertinent patient/significant other information during shift-to-shift report according to department standards.
• Demonstrates leadership skills in team building and interpersonal relationships to create a cohesive and productive environment.
• Follows staffing guidelines.In the interest of patient care, responds to changes or needs by cooperating with staff rotation, reassignments and weekend/holiday scheduling.
• Promotes patient safety through adherence to protocols, policies, procedures, evidence-based guidelines and Joint Commission National Patient Safety Goals.
• Maintains safety precautions while providing patient care including infection control isolation, patient/bed positioning, side rails, restraint utilization, skin care, patient/specimen transport, physical environment, fall prevention, seizure precautions, and work injury prevention.
• Analyzes data and responds to unusual/undesirable clinical status by consulting appropriate healthcare team members, including Rapid Response Team, and taking appropriate action in a timely manner.
• Maintains equipment in good working order, reports equipment failure, and initiates corrective action.Where appropriate, adheres to defined computer generated quality monitorings or procedures for validation of equipment functionality.
• Safely administers medications and treatments as ordered according to hospital policy and formulary using the appropriate principles of safe medication administration, 2 patient identifiers.
• Completes medication reconciliation on admission, transfer, and discharge as defined by hospital policy.
• Safely handles various types of drugs and body fluids using knowledge of appropriate standard precautions.
• Actively participates in and supports departmental and organizational quality initiatives and goals.
• Identifies professional goals, which reflect own strengths and weaknesses and seeks assistance for improvement of performance.

Attends and participates in meetings according to department standards.

Supports and participates in department, hospital, and evidence based care quality initiatives, including core measures.

Participates as a team member or in workgroups on department, hospital and/or ISLT evidence based care quality initiatives.

Maintains clinical competency according to unit-specific standards.

• Demonstrates competency in maintaining specific technological skills required by job category and/or specialty area. See individual department competencies for unit specific requirements. Demonstrates recognition of equipment or technological adaptations dependent on age-specific patient needs (See Scope of Practice as delineated in departmental standards and/or related Policy and Procedure in the Policy and Procedure Manual).
• Completion of annual mandatory requirements:
• B.L.S. certification
• RAHE
• Fit testing N95 mask
• Unit Skillathon
• Attendance at 6 intershifts
• NRP (after 1 year)

Point of Care testing

• Maintains technological competence through practice and ongoing participation in inservices and formalized professional conferences.
• Recognizes legal responsibilities and functions within limitations as specified by the Pennsylvania Nurse Practice Act.

Job Qualifications:

• :

Education:

• Graduate of an accredited School of Nursing.
• Current licensure in Commonwealth of Pennsylvania, Department of State Bureau of Occupational and Professional Affairs and successful completion of appropriate continuing education specific to job requirements
• BSN strongly preferred
• Experience: Experience in a Level II NICU preferred
• Other Skills:
• Certified in B.L.S. for Healthcare Provider
• NRP (after 1 year)
• Excellent interpersonal and team building skills
• RNC strongly encouraged