RN- BSN- Neonatal Intensive Care Unit- FT Nights - Macon - Atrium Health

Description

 NAVICENT HEALTH

JOB DESCRIPTION/ PERFORMANCE REVIEW TOOL

Job Title:   Clinical Nurse Job Grade:  N Job Code:  JA10, JA11, JA12, JW10, JW11, JW FLSA:  Non-Exempt

Department Name: Various Company Number: Department Number:  Various   

Reports To (Title): Director

Job Summary: Provides professional nursing care for assigned patient(s) in one or more patient care departments according to State Board of Nursing Practice Act, American Nursing Association Code of Ethics and standards of practice and professional performance.  Responsible for assessment, diagnosis, outcomes identification, planning, implementation and evaluation for patients served. As an active participant in decisions related to patient care and nursing practice, serves as instructor, colleague, researcher, advocate and leader. Must demonstrate competency in assuring quality care, Process Improvement, patient and employee safety, collaboration, consultation and professional development. Assumes responsibility for planning, organizing, delegating and evaluating patient care rendered by LPNs, technicians, medical receptionists and other staff.

Cultural Behaviors
Measurement

Problem Solving and Decision-Making: Approaches problems using a methodical approach and analyzes information to make well thought-out decisions.
Anchors

Environment of Care Consciousness: Demonstrates awareness of best practices and promotes patient safety. Is compliant with Fire Safety, General Safety, Hazardous Materials and Wastes, Emergency Management, Medical Equipment, and Security and Utility Systems policies, procedures, and guidelines. 
Anchors

Operation Excellence/Diversity: Embrace, practice and promote the principles of Operation Excellence by offering assistance and meeting the needs of patients, visitors, physicians, and co-workers with a sense of urgency and in alignment with organizational metrics for Experience.   Creates an inclusive welcoming environment and recognizes the importance of individual, religious and cultural diversity in developing effective teams/ workgroups. 
Anchors

Personal Accountability:  Takes responsibility and demonstrates reliability and dependability by taking initiative, following through on commitments, and assuming ownership for successfully completing job responsibilities.
Anchors

Performance/Quality Improvement/Contribution to Achieving Goals:   Contributes to positive outcomes for the department, strives for excellence and helps to achieve departmental goals.  Practices and contributes to the organization's vision, mission and values by identifying opportunities for improving services, processes, or outcomes and participating in defining and implementing solutions. Continually develops personally and professionally.
Anchors

Corporate/ Regulatory Compliance/Ethics: Demonstrates understanding and assures compliance with federal and state regulations and accrediting agency standards. Is familiar with and complies with departmental and organizational policies and procedures. 
Anchors

Patient Satisfaction/Employee Satisfaction:   Identifies and communicates direct relationship between employee satisfaction and patient satisfaction. Strive for high employee and patient satisfaction at all times.
Anchors

Job Criteria  - Major Job Functions
Measurement 

Assessment: Involves the patient, family, other healthcare providers in collecting and prioritizing patient health information (PHI).  Uses appropriate evidence - based assessment techniques and tools.   Documents relevant data in the appropriate format.  Performs initial and ongoing assessments. Notifies physician of significant changes in patient status, including critical results. Interprets and documents PHI for determining plan of care.  Identifies and documents patient/family learning and discharge needs.  Incorporates information from other resources in assessment and planning care of the patient.  Assesses discharge barriers on admission and when appropriate.
Observation, documentation, feedback, 

Nursing diagnosis:   Identifies and documents the diagnoses, problem list or issues based on assessment.  Validates the diagnoses, problem list or issues with the patient, family, and others when appropriate.
Observation, documentation, feedback, 

Outcomes Identification:  Involves the patient, family, and other healthcare providers in identifying and documenting expected outcomes & timelines.  Defines expected outcomes in terms of the patient, patient values, ethical and cultural considerations, environment, situation and continuity of care.
Observation, documentation, feedback, 

Planning:  Involves the patient, family and other healthcare providers in developing and documenting a plan of care that is culturally sensitive, to include discharge and learning needs.  Updates the care plan to address each of the identified diagnoses, problems or issues and assures plans are achievable and patient-centered. Utilizes the plan to assure continuity of care.  Integrates evidence based practice and research affecting care in the planning process.
Observation, documentation, feedback, 

Implementation:   Provides/ documents age appropriate care into a culturally sensitive manner.  Provides nursing care based on patient-focused outcomes and are evidence based standards of care. Safely administers patient care, medications and treatments in accordance with standards of practice.  Recognizes and responds appropriately to emergency situations. Utilizes community and other resources and systems to implement the plan, facilitating referrals when appropriate.
Observation, documentation, feedback, 

Coordination of Care and Professional Models of Care:  Coordinates all facets of care. Coordinates implementation of the plan, documenting in a timely and appropriate manner.  Demonstrates familiarity and awareness of regulatory agency impact on various aspects of care. Demonstrates how the patient/family centered care model addresses patient's needs and patient satisfaction.  Assists the patient and family in identifying and securing appropriate and available services and resources to address health-related needs. Assists the patient and family in becoming informed consumers about the options and benefits of treatment and care. Demonstrates application of Benner's novice to expert model in patient education and staff competency.  Demonstrates understanding of shared governance participation providing input, feedback and varying degrees of involvement and participation to assure involvement in budget and resource development and accountable care.
Observation, documentation, feedback, 

Evaluation:  Evaluates and documents the effectiveness of the plan. Uses ongoing assessment data to revise the nursing diagnoses, outcomes, plan and the implementation as needed.
Observation, documentation, feedback, 

Quality:  Uses the results of quality improvement activities, creativity and innovation to improve patient care.  Incorporates new knowledge to initiate changes in nursing practice.  Verbalizes/participates in, unit-specific nurse-sensitive/ National Patient Safety Goals/ core measures/ throughput indicators being monitored, results and actions taken to improve coordination and delivery of care.  Maintains awareness of current professional trends and procedure/policy changes, which affect the delivery of patient care and unit activities.  Ensure documents are legible using concise terms, correct terminology and approved abbreviations. Assures timely throughput patient processes via demonstration of "pull" behavior, effective/ proactive discharge planning, utilization of visual and RFID technology to enable communication and flow, monitoring and intervening to assure appropriate turnaround times.
Participation/ observation, documentation, meeting rosters, reports.

Education/Teaching/Community Involvement:  Participates in at least 4 hours of education beyond the mandatories.

Maintains professional records that provide evidence of competency and acquired knowledge, skills and certification appropriate to the practice setting.  Participates in at least one community activity, which does not have to be nursing or hospital-related.  Teaches others to succeed by mentoring, in-servicing, role modeling, precepting, orienting, and facilitating new graduate transition.

Participation/ observation, documentation, CE transcripts, meeting rosters

Professional Development:  Engages in self-evaluation to include peer feedback on a regular basis, identifying areas of strength and opportunity.  Participates in at least one peer review activity, which may include chart review, interviews, feedback, and audits, among others.  Develops and implements plans to achieve identified personal/ professional goals.  Participates in at least 50% of unit meetings, reading and initialing minutes of all meetings not attended.  Utilizes effective interpersonal skills to facilitate optimal patient care and unit activities.  Recognizes peer accomplishments and accepts and gives constructive feedback appropriately.  Demonstrates "Commitment to Co-workers" in daily practice. 
Participation/ observation, feedback, documentation, meeting rosters

Collegiality:   Shares knowledge and skills with peers and colleagues via conferences, presentations, discussions, and serving as a resource in areas of expertise. Verbalizes/ demonstrates how to manage interdisciplinary conflict. Demonstrates effective interdisciplinary collaboration.  Contributes to a supportive and healthy work environment to help recruit/retain the best co-workers.
Participation/ observation, feedback

Collaboration, Consultation, Resources and Autonomy:  Demonstrates effective utilization of available nursing resources, including policies- procedures and literature in providing patient care.  Demonstrates ability to exercise independent judgment in resolving patient care issues.

Participation/observation, 

feedback

Ethics:  Uses the ANA Code of Ethics for Nurses to resolve ethical issues.  Delivers care in a manner that preserves and protects patient autonomy, dignity, rights, confidentiality, privacy and security.  Serves as a patient advocate.  Maintains a therapeutic and professional patient-nurse relationship with appropriate professional role boundaries.  Demonstrates a commitment to practicing self-care.  Verbalizes avenues for confidential and anonymous reporting of unsafe practices/ environment.

Participation/observation,

feedback

Research:  Utilizes the best available evidence and research findings to guide practice decisions.  Participates in research activities which may include: identifying clinical problems; participating in data collection, serving on task forces; sharing research findings and activities; conducting research; analyzing and interpreting research and incorporating research as a basis for learning. 

Participation/observation,

documentation,

meeting

rosters

Leadership:  Verbalizes organizational pillars/ goals and nursing/ departmental goals and role in achieving.  Exhibits creativity, flexibility and high personal standards for quality work. Willingly accepts mistakes by self and others, thereby creating a non-punitive culture.  Inspires loyalty through valuing of people.  Effectively utilizes scheduling and staffing processes, supplies, equipment and other resources.  Assigns or delegates tasks based on patient acuity, task complexity, staff competency, skill mix, and Practice Acts.  Demonstrates and assures utilization of proper body mechanics and lift devices, techniques and resources.  Participates in the evaluation, competency assessment and orientation of other employees.  Complies with unit-specific articulated job expectations.
Participation/ observation, feedback, documentation, CE transcripts, meeting rosters, reports

Demonstrates competency in Charge Nurse role including, but not limited to, the following where appropriate to the unit: Assure Quality Control activities completed including narcotics count/ reconciliation, crash cart/ suction checks, refrigerator temperature checks, point of care testing, defibrillator, among others.  Assure equipment in appropriate working order to meet patient needs.  Collaborate with management to assure adequate staff available for current and on-coming shift, utilizing appropriate resources, acuity/ classification systems and staffing budget and following communication pathway for involving Coordinator/ Nursing Administration.  Appropriately documents patient throughput and staffing decisions.  Makes appropriate patient room assignments based on patient need, infection risk, fall risk, restraints and other safety factors.  Makes assignments based on skill level, competency, anticipated discharges and admissions.  Maintains frequent communication with staff regarding patient status, workload and assignments. Makes patient/ family rounds to assist with prioritization and assuring needs met, quality care provided and concerns addressed.  Assures patient log kept current.  Notifies management/ Coordinator of any patient injuries, unresolved complaints, employee injuries or unexpected/ unusual situations, documenting on appropriate forms.  Assures timely, concise, pertinent hand off communication from nurse to nurse and CN to CN, assuring continuity of care during change of shifts. 
Observation/ documentation, chart reviews, feedback, continuing education rosters.

Assists in achieving unit quality scores which meet or exceed hospital/ national average for nurse-sensitive quality indicators such as skin breakdown, falls, and others as appropriate for the unit.
Reports, observation, 

Specifications:

1. Education:  Graduate of an accredited school of nursing 
2. Experience: None 
3. Certification/License/Registration: Current RN or eNLC license with the Georgia Board of Nursing. Current BLS required within 30 days of hire.
4. Position Titles and Number Supervised:  LPN's, novice RN's, Unit Secretaries, Clinical Technicians, students and other licensed and unlicensed staff. 
5. Special Training/Skills:  Must have excellent organizational, communication and interpersonal skills. Must be able to think analytically and work independently and as part of a team.
6. Physical Demands:      Must be able to use visual near and distance acuity. Must have verbal ability to communicate in person and over the phone or radio.  Must be able to assist co-workers in transfers and transport supplies, patients/residents, or equipment using good body mechanics.  Must have functional range of motion of the cervical, thoracic and lumbar spines, upper and lower extremities with a grip strength of 60-80 pounds, specific to the job class evaluation.  Must be able to forward reach, overhead reach, bend, squat, kneel and change from one position to the other rapidly. Must be able to lift 25-60 lbs. and carry 25-50 pounds specific to job class evaluation.  Must be able to tolerate high noise, busy atmospheres and noxious odors. Must be able to work in noisy environments and be self directed to complete jobs as ordered. Must be able to remain calm under stressful situations. Must be able to assess and respond to multiple situations simultaneously. Must be able to assist co-workers in multiple overlapping tasks simultaneously.  Must be able to prioritize job tasks and organize work space to be efficient and conducive to completing work tasks as assigned in a timely manner.  If job class is identified as falling under POPE C, the individual must pass the cardiac recovery test.
7. Mandatory Training Required:  Must attend hospital mandatory training annually.  Must maintain and successfully complete all competencies including age specific and other department specific training on an annual basis.   Training Requirements- internally developed and national/ professional organization courses- to be completed in unit-specified time period – see attached.
8. Patient Population Age Groups (Check all that apply)

___ Infant (0 – 12 months ___ Toddler years ___   Preschooler (3 – 6 years)   

___ School age (6 – 12 years ___ Adolescent (12 – 16 years ___ Adult (17 – 65 years) 

___ Geriatric (65 + years ___Appropriate for unit population ___N/A - Does not provide direct patient care. 

1. Working Conditions:      Works in hospital and clinical environments. May work in extreme heat with hot materials.  Must be able to utilize appropriate universal and specific precautions for protection from potential exposure to infectious or communicable diseases.

1. Other (Operation Excellence):  Employee must be aware of and fully support the system's policy in Operation Excellence as well as his/her department's commitment to Operation Excellence. 
2. OSHA Classification System for Evaluation Potential Exposure to Blood Borne Pathogens:      

A.    (X) This position will involve performing procedures or other job‑related tasks that has an inherent potential of contact with blood, body fluids, or other infectious materials as defined by OSHA to an individual's skin or mucous membranes will occur. The procedures or tasks could also result in spills or splashing on an individual's skin or mucous membranes. I understand that I must have a clear understanding of the proper use of protective attire and where this attire is maintained for use before performing any duties. I will discuss this with my supervisor and review a detailed list of these tasks found in my department's Policy and Procedure Manual. 

B This position may involve performing procedures listed in #1 and proper training is the same. 

C This position will involve NO exposure to blood, body fluids, or infectious materials.

I have read this job description and fully understand the requirements set forth therein. I hereby accept the position and agree to perform the identified essential functions in a safe manner and in accordance with the organization's established Procedural Guidelines.  I understand that my job duties may be changed and amended from time to time as is needed to ensure quality care is administered, or to meet business needs of the organization.  The organization reserves the right to amend this job description at any time. 

I understand that my employment is at-will.  This means that an associate has the right to terminate employment at any time, with or without cause, and the organization has a similar right. This document does not create any implied or expressed contractual obligation on the part of the organization. I further understand that I may also be exposed to the Hepatitis B Virus and that the organization makes available to me, free of charge, the Hepatitis B Vaccination.

_______________ _____________________________________

Date Signature

_______________ _____________________________________

Date Witness

Department
Required Certifications/Course
Time Frame

M9 11800
ONS Chemotherapy and Biotherapy Course
Within 1 year of hire and every 2 years after

M8 - Ortho/Telemetry
BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion
Within 6 months of hire

M7 - Center for Joint Care

H7 Medical Cardiology
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion
Within 6 months of hire

M6 - Academic Medical/Surgical

E6 - Psychiatric Services

H6 - Cardiac Short Stay/COU
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion
Within 6 months of hire

E5  - GNC Neuro/Tele
BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion
Within 6 months of hire

National Institute of Health Stroke Course - successful completion
Within 6 months of hire

H5 - IP Cardiac Procedural Telemetry
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion
Within 6 months of hire

M5 - Admission Unit

E4 - GNC Neuro
National Institute of Health Stroke Course - successful completion
Within 6 months of hire

W3E - Renal Services

NNIC Intensive Care Nursery/ L2N - Newborn Level II Nursery
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

Family Birth Center - Mother/Baby
NRP - Neonatal Resuscitation Program - Provider or Instructor
Within 6 months of hire

Labor & Delivery/OB Assessment/Perinatal Unit
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

Basic Fetal Monitoring Course - successful completion
Within 6 months of hire

Intermediate Fetal Monitoring Course - successful completion
Within 6 months of hire

NRP - Neonatal Resuscitation Program - Provider or Instructor
Within 6 months of hire

3E

Acute Dialysis Unit

Discharge Unit

Medical Observation Unit (MOU

Surgical Trauma Intensive Care Unit - STICU
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion
Within 6 months of hire

Neuro Intensive Care Unit - NICU
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion
Within 6 months of hire

Medical Intensive Care Unit (MICU
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion
Within 6 months of hire

Critical Care Unit (CCU
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion
Within 6 months of hire

Cardiovascula Intensive Care Unit (CVICU
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion
Within 90 days of hire

M4 - CVSDU/SV Surgical
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

Centralized Remote Telemetry
BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion
Within 90 days of hire

EKG (Cardiac Monitoring)
BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion
Within 90 days of hire

Flex Pool and Bionic Nurse
BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion
Within 90 days of hire

ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

PALS - Pediatric Advanced Life Support - Provider or Instructor
Within 6 months of hire

Central GA Breast Care Center

Infusion Center

Cancer Life Center

C3M General Pediatrics -10300
Association of Pediatric Hemotology Oncology Nurses (APHON) Chemotherapy Course - successful completion
Within 6 months of hire

PALS - Pediatric Advanced Life Support - Provider or Instructor
Within 6 months of hire

Children's Hospital OP Svcs (CHOPS
PALS - Pediatric Advanced Life Support - Provider or Instructor
Within 6 months of hire

Pediatric Intensive Care Unit (PICU
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

Association of Pediatric Hemotology Oncology Nurses (APHON) Chemotherapy Course - successful completion
Within 6 months of hire

PALS - Pediatric Advanced Life Support - Provider or Instructor
Within 6 months of hire

Pediatric Intensive Care Unit (PICU) Transport Team
ACLS - Advanced Cardiac Life Support - Provider or Instructor
On Hire

PALS - Pediatric Advanced Life Support - Provider or Instructor
On Hire

Emergency Nurse Pediatric Course (ENPC) - successful completion
Within 2 years of hire

Nursery Intensive Care Unit (NNICU
NRP - Neonatal Resuscitation Program - Provider or Instructor
Within 6 months of hire

Nursery Intensive Care Unit (NNICU) Transport Team
PALS - Pediatric Advanced Life Support - Provider or Instructor
Within 6 months of hire

Main OR
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

PALS - Pediatric Advanced Life Support - Provider or Instructor
Within 6 months of hire

Just for Today - OP Holding

PACU
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

PALS - Pediatric Advanced Life Support - Provider or Instructor
Within 6 months of hire

Guest Relations - Chart Room
 
Within 6 months of hire

Endoscopy/Cysto
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

ASC Pre-Op/Post Op
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

PALS - Pediatric Advanced Life Support - Provider or Instructor
Within 6 months of hire

ASC OR
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

PALS - Pediatric Advanced Life Support - Provider or Instructor
Within 6 months of hire

ASC PACU
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

PALS - Pediatric Advanced Life Support - Provider or Instructor
Within 6 months of hire

Heartburn Treatment Center

PICC Service

Vascular & Interventional Radiology
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

Interventional Radiology
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

Non Invasive Radiology
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

Advanced Heart Failure
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion
Within 90 days of hire

Arrhythmia Center
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

BRSIC (Basic Rhythm Strip Interpretation Course) - successful completion
Within 90 days of hire

Acute Recovery Unit
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

Central GA Wound-Hyperbaric Med
Hyperbaric Oxygen Course - successful completion
Within 1 year of hire

Emergency Center
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

Select ECCO modules online
Within 90 days of hire

PALS - Pediatric Advanced Life Support - Provider or Instructor
Within 6 months of hire

National Institute of Health Stroke Course - successful completion
Within 1 year of hire

Quick Meds - 
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

PALS - Pediatric Advanced Life Support - Provider or Instructor
Within 6 months of hire

Family Health Center
ACLS - Advanced Cardiac Life Support - Provider or Instructor
Within 6 months of hire

Children's Health Center

Children's Hema-Onc Center

Anderson Health Center

Central GA Urogynecology

GA Gastroenterology Center

Inpatient Hospice

Heartworks

GA Pediatric Surgical Assoc

Physicians - Surgical Oncology

NHPG - Hospitalist

Pediatric Gastroenterology