Registered Nurse Tier 1

Registered Nurse

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities • Completes patient assessments, formulates plans of care, oversees implementation of plans of care, and evaluates and adjusts plans of care utilizing critical thinking skills. • Performs nursing acts authorized or limited by the Board and consistent with the American Nurses Association Standards of Practice or Standards of Practice established by nationally accepted organizations of registered nurses. • Provides care, counseling, health teaching, and health promotion utilizing Teach Back methodology as affirmation of comprehension. • Administers medications, intravenous therapy, and treatments as prescribed by a Licensed Independent Practitioner (LIP). • Supervises, delegates, and follows through with other personnel in the performance of activities relating to nursing care. • Mentors and precepts students and orients new staff as assigned. • Reports pertinent information through the chain of command to the Clinical Nurse Manager, Nurse Manager, or House Nurse Coordinator. • Participates on various teams, committees, and performance improvement initiatives. • Ensures a safe and secure environment for patients, coworkers, and self. • Participates in Discharge Planning and Transition of Care activities and is able to define patient needs. • Serves as a patient advocate and escalates patient-related concerns in a timely manner. • Documents pertinent findings in the medical record in a timely manner. • Assists patients in performing activities of daily living and functions as an active team member. • Assumes responsibility for personal professional development. • Utilizes effective communication skills and active listening and exhibits a compassionate and empathetic attitude. • Practices Hands Off communication utilizing SBAR and performs Bedside Shift Reporting utilizing SBAR unless contraindicated. • Functions as a positive influence and role model and adheres to the professional code of conduct. • Respects the dignity and confidentiality of all matters relating to patients. • Refers to Special Addendum and Staff Nurse Position Description. • Performs other job duties as assigned. Labor & Delivery Training Requirements • Admission of labor patients. • Care of labor patients. • Delivery of labor patients. • Recognition and nursing care of abnormal conditions. • Fetal monitoring and nursing interventions. • Appropriate nursing interventions. • Management of obstetrical emergencies. • The nurse shall be adequately oriented to unit policies, procedures, and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement activities. Qualifications Education • Associate's Degree in Nursing required. • Bachelor's Degree in Nursing preferred. Experience • One (1) to three (3) years of experience preferred. Required Skills, Knowledge & Abilities • Performs initial assessment to include physical examination of OB patients, recognizes abnormal signs and symptoms, and takes action as indicated. • Performs special OB procedures as required. • Sets up, operates, and cleans OB equipment. • Provides routine post-partum care including ongoing assessment. Licenses & Certifications • Registered Nurse required. • BLS certification required. • Completion of Intermediate Fetal Monitoring Course (AWHONN) within six (6) months of hire required. • Neonatal Resuscitation Program (NRP) certification required. • De-Escalation Training required within six (6) months of hire.

Home Health

Registered Nurse

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Education • Associate's Degree required. • Bachelor's Degree preferred. Licenses & Certifications • Registered Nurse required. • BLS certification required upon hire. • De-Escalation Training required within six (6) months of hire. • Driver's License required. Required Skills, Knowledge & Abilities • Responsible for preparation of and interpretation of client plans of care and systematic assessments/reassessments. • Responsible for performing nursing treatments, procedures, and total client care in accordance with established agency and nursing care standards. • Responsible for communicating pertinent client assessment and reassessment findings to physicians. • Responsible for initiating referrals to other healthcare organizations and community services based on identified client needs and physician orders. • Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations. • Strong clinical assessment, care planning, and critical thinking skills. • Ability to work independently in a home health environment while collaborating with interdisciplinary team members. • Effective verbal and written communication skills. • Ability to prioritize patient care needs and manage multiple responsibilities. • Ability to maintain accurate and timely clinical documentation. • Ability to establish effective working relationships with patients, families, physicians, and community resources.

Home Health

Registered Nurse

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities Completes patient assessments, formulates plan of care, oversees implementation of plan of care, evaluate and adjust plan of care utilizing critical thinking skills The performance of other nursing acts which are authorized or limited by the board, and which are consistent either with American Nursing’s Association Standards of Practice or with Standards of Practice established by nationally accepted organizations of registered nurses. Care, counsel health teaching and promotion, utilizes Teach Back methodology as affirmation of comprehension The administration of medication, intravenous therapy and treatment as prescribed by a LIP Supervision, delegation and follow-through to other personnel in the performance of activities relating to nursing care. Mentors and precepts students and orient new staff as assigned Reports up chain of command Clinical Nurse Manager/Nurse Manager/House Nurse Coordinator pertinent information Participates on various teams, committees or performance improvement initiatives Ensures a safe and secure environment for patients, coworkers and self Participates in Discharge Planning and Transition of Care (able to define pt needs) Serves as a patient advocate and escalates patient related concerns timely Timely documents pertinent findings in medical record Assist patients in performing activities of daily living and functions as an active team member Assumes responsibility for personnel professional development Utilizes effective communication skills and active listening, exhibits compassionate and empathetic attitude Practices Hands Off communication utilizing SBAR; Performs Bedside Shift reporting utilizing SBAR (unless contradicted) Functions as a positive influence, role model and adheres to professional code of conduct Respects dignity and confidentiality of all matters relating to patients Refer to Special Addendum and Staff Nurse Position Description Performs other job duties as assigned. Qualifications Education • Associate's Degree required. • Bachelor's Degree preferred. Licenses & Certifications • Registered Nurse required. • BLS certification required upon hire. • De-Escalation Training required within six (6) months of hire. • Driver's License required. Required Skills, Knowledge & Abilities • Responsible for preparation of and interpretation of client plans of care and systematic assessments/reassessments. • Responsible for performing nursing treatments, procedures, and total client care in accordance with established agency and nursing care standards. • Responsible for communicating pertinent client assessment and reassessment findings to physicians. • Responsible for initiating referrals to other healthcare organizations and community services based on identified client needs and physician orders. • Able to travel to client residences in inclement weather and provide nursing care in varying environmental situations. • Strong clinical assessment, care planning, and critical thinking skills. • Ability to work independently in a home health environment while collaborating with interdisciplinary team members. • Effective verbal and written communication skills. • Ability to prioritize patient care needs and manage multiple responsibilities. • Ability to maintain accurate and timely clinical documentation. • Ability to establish effective working relationships with patients, families, physicians, and community resources.

Registered Nurse

Overview The Registered Nurse requires substantial specialized knowledge, judgement and nursing skills based upon the principles of psychological, biological, physical, and social sciences in the application of the nursing process in the respective departments in which assigned. The RN must collaborate with physicians and multidisciplinary team members; provide physical and psychological support to patients, friends, and families; supervising assigned team members and students. Responsibilities • Completes patient assessments, formulates plans of care, oversees implementation of plans of care, and evaluates and adjusts plans of care utilizing critical thinking skills. • Performs other nursing acts authorized or limited by the Board and consistent with American Nurses Association Standards of Practice or Standards of Practice established by nationally accepted organizations of registered nurses. • Provides care, counseling, health teaching, and health promotion utilizing Teach Back methodology as affirmation of comprehension. • Administers medications, intravenous therapy, and treatments as prescribed by a Licensed Independent Practitioner (LIP). • Supervises, delegates, and follows through with other personnel in the performance of activities relating to nursing care. • Mentors and precepts students and orients new staff as assigned. • Reports pertinent information through the chain of command to the Clinical Nurse Manager, Nurse Manager, or House Nurse Coordinator. • Participates on various teams, committees, and performance improvement initiatives. • Ensures a safe and secure environment for patients, coworkers, and self. • Participates in Discharge Planning and Transition of Care activities and is able to define patient needs. • Serves as a patient advocate and escalates patient-related concerns in a timely manner. • Documents pertinent findings in the medical record in a timely manner. • Assists patients in performing activities of daily living and functions as an active team member. • Assumes responsibility for personal professional development. • Utilizes effective communication skills and active listening and exhibits a compassionate and empathetic attitude. • Practices Hands Off communication utilizing SBAR and performs Bedside Shift Reporting utilizing SBAR unless contraindicated. • Functions as a positive influence and role model and adheres to the professional code of conduct. • Respects the dignity and confidentiality of all matters relating to patients. • Refers to Special Addendum and Staff Nurse Position Description. • Performs other job duties as assigned. Emergency Room Training Requirements • State and federal regulations related to emergency services. • Nursing management of trauma. • Nursing management of cardiac-related disorders. • Performance of EKG procedures, EKG interpretation, and appropriate nursing interventions. • Pharmacological intervention including IV therapy. • Patient assessment and triage. • Nursing management of pediatric emergencies. • Medicolegal aspects, particularly related to proper documentation. • Nursing management of obstetrical emergencies. • Patient and family emotional responses. • Cardiopulmonary resuscitation and airway management. Qualifications Education • Associate's Degree required. • Graduation from an accredited School of Nursing required. • Bachelor's Degree preferred. Experience • Up to one (1) year of experience preferred. • Minimum of one (1) year acute care nursing experience preferred. • One (1) year of experience should be relevant to the specific department in which the nurse will be working. • Refer to addendums for additional department-specific requirements. • Experience with Electronic Health Records (EHR) preferred. Required Skills, Knowledge & Abilities • Excellent interpersonal skills and ability to work with providers at all levels essential. • Able to communicate clearly in writing and verbally and effectively influence others to achieve necessary outcomes. • Demonstrated ability to follow direction and facilitate a working environment conducive to change, enabling positive outcomes in a highly complex system. • Exhibit Critical Thinking Skills. • Must possess basic computer skills. • Ability to pass Medication Exam. • Completion of hospital-approved training program and documented competence in emergency care procedures as determined by the Director of Nursing Services. • Moderate Sedation competency required. • Completion of Stroke Modules required. • Restraints competency required. • The nurse shall be adequately oriented to unit policies, procedures, and equipment. • Orientation shall include safety procedures, infection control practices, and performance improvement monitoring. Licenses & Certifications • Registered Nurse in State required. • BLS certification required. • De-Escalation Training required within six (6) months of hire. • ACLS certification required. • Trauma Nurse Core Curriculum (TNCC) Certification required. • Pediatric Advanced Life Support (PALS) Certification required. • NIH Stroke Certification required. • Advanced Dysrhythmia/EKG certification required. • Rural Trauma Team Development Course (RTTDC) preferred. • Emergency Nurse Pediatric Course (ENPC) preferred.

Registered Nurse