T.J. Regional Health

Registered Nurse STEPDOWN 7P-7A

JOB SUMMARY Responsible for the delivery of patient care through the nursing process of assessing, diagnosing, planning, implementing and evaluating. Responsible for the directing and coordinating all nursing care for medical/surgical patients based on established nursing practice standards. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes. Supports the organizational vision and mission. Utilizes knowledge of patient’s age and cultural diversity into the provision of patient care. JOB REQUIREMENTS Minimum Education Holds an active Registered Nurse license, and is eligible to practice in the state of Kentucky. Current BLS certification. Minimum Work Experience Ability to utilize the nursing process in the provision of nursing care including but not limited to administering medications and treatments, interpreting diagnostic tests, formulating a plan of care, collaborating with other health care providers, and providing education to patients and/or significant others. FUNCTIONAL DEMANDS Physical Requirements Sitting - 1-15% Walking - Greater than 32% Standing - Greater than 32% Bending/Squatting - 16-31% Climbing/Kneeling - 1-15% Twisting - 1-15% OSHA Category High Potential for Direct Body Fluid Exposure Visual and Hearing Requirements Must be able to see with corrective eye wear. Color vision ability required. Must be able to hear clearly with assistance. Other Physical/Environmental Demands Lifting - 0-50lbs, 50lbs or more with assistance Carrying - 0-50lbs, 50lbs or more with assistance Pulling - up to 200lbs Pushing - up to 200lbs LEADERSHIP CAPABILITIES Supports the hospital Mission, Service and Values. ESSENTIAL FUNCTIONS Essential Functions - Assessment • Performs complete & holistic health assessments on admission using a systematic, ongoing approach to collecting data about patients & documents findings. • Assessment data includes physiological, psychological, sociocultural, spiritual, economic, and life-style factors. • Performs focus assessments as needed, based on a specific problem identified during a previous assessment or reported by another staff or family member. • Performs daily assessments comparing current status to baseline. Detection of changes in functioning, mental status, wound healing, or other health concerns are reported to the appropriate person and documented accurately. • Demonstrates good communication and observation skills in completing assessments. • Demonstrates good physical examination skills in completing patient assessments. Essential Functions - Diagnosis • Analyzes assessment data using sound clinical judgment about the patient's response to actual or potential health conditions or needs in determining patient problems and needs. • Appropriately prioritizes patient needs based on assessment data. • Formulates and documents measurable, realistic, patient focused short and long range goals based on analysis of data. Essential Functions - Implementation • Communicates and collaborates with other healthcare providers as needed to ensure continuity of care. • Assigns tasks or delegates care based on the needs of the patient, taking into consideration the knowledge and skill of the patient care provider. • Serves as a team leader for a group of nursing personnel. • Operates and/or supervises the safe operation of patient care equipment. • Documentation is detailed, clearly stated, objective, and accurate. • Documentation is free of unapproved abbreviations and uses proper spelling and grammar. • Written and verbal orders are transcribed accurately and promptly. • Demonstrates understanding of confidentiality of patient information by using complete discretion when discussing information. • Provides clear concise and accurate information when giving report to other healthcare workers or facilities. • Documents interventions completely, appropriately, and in a timely manner. • Implements and documents patient and family teaching as part of the plan of care. • Documents complete skin assessments and prevention interventions as required by policy. • Patient pain is assessed at intervals described in policy with interventions implemented promptly if needed. • Assists with direct hands on patient care as needed. Essential Functions - Evaluation • Makes rounds on patients to determine if plan of care is appropriate or if it needs to be altered. • Alters plan of care to meet individual needs of patient. • Counsels and initiates corrective action for nursing employees as necessary and promptly informs the appropriate supervisor. • Contributes to the professional development of peers, colleagues, and other healthcare providers by sharing knowledge and skills, and by providing constructive feedback regarding practice issues. Essential Functions - Age Specific • Demonstrates knowledge of patient population served including development norms and addresses • abnormal findings. • Demonstrates knowledge of appropriate assessments and planning of care for patient population served. • Demonstrates competency and knowledge of appropriate equipment of patient population served. • Demonstrates appropriate airway management and suctioning technique for patient population served. • Demonstrates appropriate awareness for suspected abuse/neglect for patient population served and takes measures to report them according to protocol. • Identifies and plans for appropriate safety precautions to be taken to prevent injury in the patient population served. • Demonstrates competency and knowledge in the proper technique for the administration of medication for the patient population served. • Demonstrates knowledge of appropriate technique to obtain vital signs and is able to interpret norms for the patient population served. • Demonstrated knowledge of location and use of emergency equipment and drugs for the patient population served. • Provides education to patient/family based on identified learning needs of the patient population served. NONESSENTIAL FUNCTIONS • Floats to other areas as assigned, responds to floating requests with a positive attitude. • Participates in 75% of staff meetings as evidenced by attendance records. • Completes competency assignments as evidenced by in-service record. • Maintains current status in CPR. • Annual Employee health requirements are kept up to date. • Performs other duties as assigned with a positive attitude.
T.J. Regional Health

Registered Nurse - Special Care Units, ICU & CCU 7P-7A

JOB SUMMARY The Registered Nurse is responsible for planning, implementing and evaluating the delivery of care for patients in the Special Care Units; correlating the nursing process with the medical plan of care and hospital policies. The Special Care Unit RN is responsible for coordinating unit function, assuring supply and equipment availability. JOB REQUIREMENTS Minimum Education Holds an active Registered Nurse license and is eligible to practice in the state of Kentucky. Current BLS certification. ACLS Certification to be completed by end of orientation period. Minimum Work Experience Previous ICU/CTU/ER experience desirable. Required Skills Must be able to follow directions and to perform work according to department standards when no directions are given. Must be emotionally mature and able to function effectively under stress. FUNCTIONAL DEMANDS Physical Requirements Sitting - 1-15% Walking - greater than 32% Standing - greater than 32% Bending/Squatting - 16-31% Climbing/Kneeling - 1-15% Twisting - 1-15% OSHA Category High Potential for Direct Body Fluid Exposure Visual and Hearing Requirements Must be able to see with corrective eyewear. Color vision ability required. Must be able to hear clearly with assistance. Other Physical/Environmental Demands Lifting - 0-50lbs, 50lbs or more with assistance Carrying - 0-50lbs, 50lbs or more with assistance Pulling - up to 200lbs Pushing - up to 200lbs LEADERSHIP CAPABILITIES Mission, Service, and Values Supports the hospital Mission, Service and Values. ESSENTIAL FUNCTIONS Demonstrates knowledge, competency, and awareness of patient population served pediatric/adolescent/adult/ geriatrics. Provides direct patient care and is proficient in the utilization of ventilators, intubation, extubating, infusion devices, code management, and emergency drugs. Administer medication, IV therapy and blood products accurately. Admits and discharges patients, establishes a base line for plan of care in the hospital and on discharge with appropriate teaching to patient/family. Uses and interprets monitors in a specialized area. Functions as a member of the Code Blue team as assigned. Records are carries out physician orders to maximize patient's care. Interacts with all hospital departments to coordinate patient care. Controls and accurately records the use of narcotics assigned to the department. Demonstrates proficiency in the management of patients with altered cardiopulmonary, neurological, endocrine, renal, hematological, gastrointestinal, circulatory or surgical compromise. Assist in planning, supervising, and instructing less experienced registered nurses, licensed practical nurses, nursing assistants, and or students. Responds immediately and appropriately to inquiries, request and patient call lights. Coordinates the schedule of diagnostic tests and procedures eliminating the need for rescheduling and unnecessary delays. Collects and appropriately interprets subjective and/or objective data (i.e., routine VS, hemodynamic monitoring, EKG monitoring 12 lead EKG interpretation. Ensues availability of equipment (BG machines, defibrillator) and supplies to deliver care. When Staff Nurse Functions as Charge Nurse Assesses staffing environment and assigns personnel based on their qualifications and patient acuity levels. Makes mealtime assignments and other scheduling assignments based on assuring adequate coverage for continuing of patient care. Assigns duties, i.e. restocking crash carts, narcotic counts and assesses duties are completed by end of shift. Makes rounds on every patient at least once during each 12-hour shift and unstable patients more often. Observes and supervises the care of all patients. Assesses all emergency situations that may occur during the shift. Counsels and initiates corrective action for nursing employees as necessary and promptly informs the ICU/CCU Director. Monitors staff transferring from other units and/or staff who are not ACLS certified in order to provide necessary guidance. Conducts frequent nursing observation (Q1h or more frequent) of assigned patients. Assist co-workers with patient care and participates in observation of all patients in CCU. Knowledgeable in special test and procedures to assist physician and provides monitoring of patients before and after emergency defibrillation, cardioversion, insertion of pacemakers, insertion of swan ganz catheter, and insertion of chest tubes. Accurately interprets arrhythmia strips and request EKGs to clarify alterations in rhythm obtains on EKG in emergency situation. Demonstrates an ability to draw arterial blood gases from arterial lines, as requested. Communicates changes in patient's condition to family as needed and acts as a liaison between physician and family. Completes admission assessment (within 4 hours). Includes in assessment psychosocial, environmental, and physiological, environmental and physiological factors. assesses and documents need for patient/family education. Documents patient/family teaching of (ex. anticoagulation therapy, cardiac rehab-steps, TCDB) int eh nurses notes. Initiates a care plan individualized to the needs of each within 8 hours after admission implements same. Develops measurable goals that are mutually set with patient/family. Modifies nursing care plan as required by changing patient needs as determined by evaluation of care administered as established standards of care. Develops and documents discharge plan with physician, patient/family and other available resources. Accountable for carrying out nursing functions according to standards to nursing care, state and federal regulation and JC standards are outlined in current policies and procedures. Assess patients for skin integrity on admission and continuously throughout the patient's hospitalization. Implement pressure ulcer prevention measures and treatments per skin and wound assessment protocol. NONESSENTIAL FUNCTIONS Non-Essential Functions Floats to other areas as assigned, responds to floating requests with a positive attitude. Participates in 75% of staff meetings as evidenced by attendance records. Satisfactorily completes competency and HealthStream assignments. Performs other duties as assigned with a positive attitude.
T.J. Regional Health

Registered Nurse - Emergency Services Weekend Program 7A-7P

JOB SUMMARY The Registered Nurse utilizes the nursing process to assess the patient needs, plan and implement patient care activities, direct, and evaluate the delivery of nursing care through other members of the nursing team. The ER nurse is accountable for delivery of patient care the ER during the shift. She/He is responsible for meeting the established standards of nursing care, managing assigned personnel and promoting collaboration among the disciplines and demonstrates a loyalty to the philosophy, policies, and practices of the institution. JOB REQUIREMENTS Minimum Education § Holds an active Registered Nurse license and is eligible to practice in the state of Kentucky. § Current BLS certification § ACLS and PALS to be completed by the end of the orientation period. § TNCC required within 6-12 months of hire date into the department and CEN certification recommended. Required Skills § Must be able to follow directions and to perform work according to department standards when no directions are given. § Must be emotionally mature, able to prioritize tasks and able to function effectively under stress. FUNCTIONAL DEMANDS Physical Requirements Sitting - 1-15% Walking - Greater than 32% Standing - Greater than 32% Bending/Squatting - 16-31% Climbing/Kneeling - 1-15% Twisting - 1-15% OSHA Category High Potential for Direct Body Fluid Exposure Visual and Hearing Requirements Must be able to see with corrective eyewear. Color vision ability required. Must be able to hear clearly with assistance. Other Physical/Environmental Demands Lifting - 0-50lbs, 50lbs or more with assistance Carrying - 0-50lbs, 50lbs or more with assistance Pulling - up to 200lbs Pushing - up to 200lbs LEADERSHIP CAPABILITIES Supports the hospital Mission, Service and Values. ESSENTIAL FUNCTIONS Essential Functions - Staff RN § Collects pertinent health data, including psychological, environmental and physiological factors, using appropriate assessment techniques. § Ensures that the data collection process is systemic and ongoing. § Analyze the assessment data in determining patient problems. § Documents assessment data in a manner that facilitates the determination of expected outcomes and the plan of care. § Develops a plan of care with the patient/significant other that is individual to the patient’s needs. § Routinely evaluates the plan of care and revises as needed based on patient assessment. § Communicates and collaborates with other health care providers as needed, ensuring continuity of care. § Implements interventions in a safe, appropriate, and timely manner to aid in the attainment of patient goals. § Documents interventions in an appropriate and timely manner. § Implements and documents patient and family teaching as part of the plan of care. § Serves as a team leader for a group of personnel providing nursing care to a number of patients. § Assigns tasks or delegates care based on the needs of the patient and the knowledge and skill of the provider selected. § Operates or supervises safe operation of patient care equipment. § Accounts for and ensures the security of narcotics during the assigned shift. § Contributes to the professional development of peers, colleagues, and others by sharing knowledge and skills, and by providing constructive feedback regarding their practice. § Attentive to detail, record keeping and transcription of orders. § Promotes confidentiality and uses complete discretion when discussing information. § Floats to other areas as assigned, responds to floating requests with a positive attitude. § Answers telephone, call system, and greets visitors professionally, and routes information received to the appropriate personnel. § Performs other duties as assigned. § Participates in 75% of staff meetings as evidenced by attendance records. § Completes competency assignments as evidenced by in-service attendance records. Essential Functions - ER Specific § Operates or supervises safe operation of specialized patient care equipment including but not limited to the defibrillator, suctioning equipment, pleur-evac, ventilator, central monitoring system, and cautery. § Assessment: Performs initial triage assessment to include rapid, systemic collection of data related to the patient’s chief complaint. § Initiates accurate and on-going assessment of problems of patients within the emergency care system. § Analysis/Plan: Initiates triage assessment to analyze and determine acuity, patient care area, and appropriate interventions. § Nurses assigned triage are to have a minimum of one year of emergency department experience, completed § triage training requirements initially and annually and demonstrate the ability to: § Use a valid and reliable triage system to assign triage acuity and implement appropriate interventions according to organizational policy. § Document relevant data and triage acuity and communicate significant findings to appropriate team members. § Assesses the skin integrity on trauma, nursing home residents, and incapacitated patients that are admitted to the Emergency center. § Demonstrates knowledge of cardiac monitoring, identifies cardiac dysrhythmias and begins initial treatment appropriately. § Demonstrates knowledge of emergency procedures including, but not limited to chest tube insertion, central line placement, Ewald tube placements, suturing and the ability to assist physicians in the emergency center. § Assists the Emergency Department Director in the development, implementation, and evaluation of performance improvement indicators to improve patient outcomes and the work environment. § Responds to Code Blue events in other areas of the facility. § Patient Population Served- Pediatric/Adolescent/Adult/Geriatric § Demonstrates knowledge of patient population served development norms and addresses abnormal findings. § Demonstrates knowledge of appropriate assessments and planning of care for patient population served. § Demonstrates competency and knowledge of appropriate equipment for patient population served. § Demonstrates appropriate airway management and suctioning technique for patient population served. § Demonstrates appropriate awareness for suspected abuse/neglect for patient population served and takes measures to report them according to protocol. § Identifies and plans for appropriate safety precautions to be taken to prevent injury in the patient population served. § Demonstrates competency and knowledge in the proper technique for the administration of medication for the patient population served. § Demonstrates knowledge of appropriate technique to obtain vital signs and is able to interpret norms for the patient population served. § Demonstrates knowledge of location and use of emergency equipment and drugs for the patient population served. § Provides education to patient/family based on identified learning needs of the patient population served.
T.J. Regional Health

Registered Nurse - Endoscopy 6a-2:30

JOB SUMMARY Utilizing the nursing process, the Endoscopy nurse is accountable for delivery of patient care in the Endoscopy area during the shift. She/he is responsible for: meeting the established Standards of Nursing Care, managing assigned personnel, and promoting collaboration among the disciplines, and demonstrates a loyalty to the philosophy, policies, and practices of the institution. JOB REQUIREMENTS Minimum Education Holds an active Registered Nurse license and is eligible to practice in the state of Kentucky. Current BLS certification FUNCTIONAL DEMANDS Physical Requirements Sitting - 1-15% Walking - = or greater than 32% Standing - = or greater than 32% Bending/Squatting - 16-31% Climbing/Kneeling - 16-31% Twisting - 16-31% Visual and Hearing Requirements Must be able to see with corrective eyewear if needed. Must be able to hear clearly with assistance if needed. Color vision ability required. Physical/Environmental requirements Lifting - 0 -50 lbs, 50 or more with assistance Carrying - 0- 50 lbs, 50 or more with assistance Pulling - Up to 100 lbs Pushing - Up to 100 lbs OSHA High Potential for Direct Body Fluid Exposures LEADERSHIP CAPABILITIES Mission, Service and Values Supports the hospital Mission, Service, and Values ESSENTIAL FUNCTIONS Explains appropriate paperwork for treatment of pediatric, adolescent, adult, and geriatric patients. Follows policies regarding consent for treatment and release of medical information regarding a minor or a person who is unable to make medical decisions for themselves. Demonstrates appropriate awareness for suspected abuse/neglect to pediatric, adolescent, adult, and geriatric patients and takes measures to report them according to protocol. Identifies and plans for appropriate safety precautions to be taken to prevent injury to the pediatric, adolescent, adult, and geriatric patients. Provides education to patient/family based on assessment of identified need. Communicates effectively with all applicable age groups. Organizes and achieves quality performance. Attends and contributes to department staff meetings. Currently certified in CPR. Attends a sufficient number of in-services, according to required policies. Attends a CE or Inservice program on emergency cardiac care at least once every 3 years. Demonstrates flexibility as patient care needs change. Establishes priorities in delivery of patient care. Collaborates with other health team members to coordinate Endoscopy and Nursing management of patient care. Works on cooperation with co-workers and supervisory staff. Established effective interpersonal relationships with patients/families and co-workers. Confers with and directs ancillary personnel to provide responsible patient care. Assist in orientation of RNs and other personnel. Manages time effectively for proper balance between patient care assignments, in-services, unit meetings, and professional conferences. Counsels and initiates corrective action for nursing employees as necessary and promptly informs the appropriate supervisor or per established chain of command. Assesses all emergency situations that may occur during the shift. Completes assigned shift duties. Accurately administers medications and performs treatments in accordance with Endoscopy policy and procedure. Knowledgeable in special tests and procedures to assist physician in caring for patients before, during and after tests/procedures. Demonstrates ability to start IV’s and blood products and monitor fluids for correct rate. Demonstrates an ability to assess reports and communicate findings to physician. Knowledge in the care and maintenance of all endoscopies and endoscopy accessories. Communicates pertinent information regarding patients to other care givers. Keeps supervisor and physicians informed regarding patient care issues or significant changes in patient condition. Completes records and requisitions with complete information in appropriate time frame. Uses established channels of communication to resolve work related problems. Maintains confidentiality regarding patient and hospital information. Accounts for narcotics, ensuring the security of narcotics at all times. Operates or supervises safe operative of specialized patient care equipment, according to company recommendations and hospital policy and procedure. Maintains infection control measures and universal precautions in Endoscopy. Cleans and disinfects Endoscopy equipment according to hospital policy and procedure. Completes initial assessment. Completes ongoing assessment of the patient and appropriate interventions in collaboration with the physician in order to meet the specific needs. Completes patient/family education before the procedure and at discharge The applicable assessment and planning processes for an infant, child, adolescent or adult is individualized based on age-specific needs identified.
T.J. Regional Health

Registered Nurse - Special Care Units, ICU & CCU - 7P-7A

JOB SUMMARY The Registered Nurse is responsible for planning, implementing and evaluating the delivery of care for patients in the Special Care Units; correlating the nursing process with the medical plan of care and hospital policies. The Special Care Unit RN is responsible for coordinating unit function, assuring supply and equipment availability. JOB REQUIREMENTS Minimum Education Holds an active Registered Nurse license and is eligible to practice in the state of Kentucky. Current BLS certification. ACLS Certification to be completed by end of orientation period. Minimum Work Experience Previous ICU/CTU/ER experience desirable. Required Skills Must be able to follow directions and to perform work according to department standards when no directions are given. Must be emotionally mature and able to function effectively under stress. FUNCTIONAL DEMANDS Physical Requirements Sitting - 1-15% Walking - greater than 32% Standing - greater than 32% Bending/Squatting - 16-31% Climbing/Kneeling - 1-15% Twisting - 1-15% OSHA Category High Potential for Direct Body Fluid Exposure Visual and Hearing Requirements Must be able to see with corrective eyewear. Color vision ability required. Must be able to hear clearly with assistance. Other Physical/Environmental Demands Lifting - 0-50lbs, 50lbs or more with assistance Carrying - 0-50lbs, 50lbs or more with assistance Pulling - up to 200lbs Pushing - up to 200lbs LEADERSHIP CAPABILITIES Mission, Service, and Values Supports the hospital Mission, Service and Values. ESSENTIAL FUNCTIONS Demonstrates knowledge, competency, and awareness of patient population served pediatric/adolescent/adult/ geriatrics. Provides direct patient care and is proficient in the utilization of ventilators, intubation, extubating, infusion devices, code management, and emergency drugs. Administer medication, IV therapy and blood products accurately. Admits and discharges patients, establishes a base line for plan of care in the hospital and on discharge with appropriate teaching to patient/family. Uses and interprets monitors in a specialized area. Functions as a member of the Code Blue team as assigned. Records are carries out physician orders to maximize patient's care. Interacts with all hospital departments to coordinate patient care. Controls and accurately records the use of narcotics assigned to the department. Demonstrates proficiency in the management of patients with altered cardiopulmonary, neurological, endocrine, renal, hematological, gastrointestinal, circulatory or surgical compromise. Assist in planning, supervising, and instructing less experienced registered nurses, licensed practical nurses, nursing assistants, and or students. Responds immediately and appropriately to inquiries, request and patient call lights. Coordinates the schedule of diagnostic tests and procedures eliminating the need for rescheduling and unnecessary delays. Collects and appropriately interprets subjective and/or objective data (i.e., routine VS, hemodynamic monitoring, EKG monitoring 12 lead EKG interpretation. Ensues availability of equipment (BG machines, defibrillator) and supplies to deliver care. When Staff Nurse Functions as Charge Nurse Assesses staffing environment and assigns personnel based on their qualifications and patient acuity levels. Makes mealtime assignments and other scheduling assignments based on assuring adequate coverage for continuing of patient care. Assigns duties, i.e. restocking crash carts, narcotic counts and assesses duties are completed by end of shift. Makes rounds on every patient at least once during each 12-hour shift and unstable patients more often. Observes and supervises the care of all patients. Assesses all emergency situations that may occur during the shift. Counsels and initiates corrective action for nursing employees as necessary and promptly informs the ICU/CCU Director. Monitors staff transferring from other units and/or staff who are not ACLS certified in order to provide necessary guidance. Conducts frequent nursing observation (Q1h or more frequent) of assigned patients. Assist co-workers with patient care and participates in observation of all patients in CCU. Knowledgeable in special test and procedures to assist physician and provides monitoring of patients before and after emergency defibrillation, cardioversion, insertion of pacemakers, insertion of swan ganz catheter, and insertion of chest tubes. Accurately interprets arrhythmia strips and request EKG's to clarify alterations in rhythm obtains on EKG in emergency situation. Demonstrates an ability to draw arterial blood gases from arterial lines, as requested. Communicates changes in patient's condition to family as needed and acts as a liaison between physician and family. Completes admission assessment (within 4 hours). Includes in assessment psychosocial, environmental, and physiological, environmental and physiological factors. assesses and documents need for patient/family education. Documents patient/family teaching of (ex. anticoagulation therapy, cardiac rehab-steps, TCDB) int eh nurses notes. Initiates a care plan individualized to the needs of each within 8 hours after admission implements same. Develops measurable goals that are mutually set with patient/family. Modifies nursing care plan as required by changing patient needs as determined by evaluation of care administered as established standards of care. Develops and documents discharge plan with physician, patient/family and other available resources. Accountable for carrying out nursing functions according to standards to nursing care, state and federal regulation and JC standards are outlined in current policies and procedures. Assess patients for skin integrity on admission and continuously throughout the patient's hospitalization. Implement pressure ulcer prevention measures and treatments per skin and wound assessment protocol. NONESSENTIAL FUNCTIONS Non-Essential Functions Floats to other areas as assigned, responds to floating requests with a positive attitude. Participates in 75% of staff meetings as evidenced by attendance records. Satisfactorily completes competency and HealthStream assignments. Performs other duties as assigned with a positive attitude.
T.J. Regional Health

Clinic LPN, Primary Care Clinic

JOB SUMMARY Serves as primary liaison between patients, staff, and physician. Measures and records pertinent medical information. Performs assigned nursing procedures for the comfort and will being of patients. Assists providers in examinations and minor office procedures. Utilizes knowledge of patient’s age and cultural diversity into the provision of patient care. Collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes JOB REQUIREMENTS Minimum Education Holds an active Licensed Practical Nurse license, and is eligible to practice in the state of Kentucky. Current CPR certification required Minimum Work Experience Able to provide nursing care including, but not limited to administering medications and treatments, interpreting diagnostic tests, collaborating with other health care providers, and providing education to patients and/or significant others. Experience with electronic medical records preferred. Required Skills Daily demonstrates excellent communication and observation skills Performs daily routine assessments of patients and prioritize needs Serves daily as a team member in a group of healthcare professionals Assists Physicians in patient procedures as needed Administers medications as required Maintains documentation that is detailed, clearly stated, objective and accurate Maintains patient confidentiality Demonstrates excellent customer service skills Maintains a good relation with all staff members Performs other job-related duties as assigned FUNCTIONAL DEMANDS Physical Requirements Sitting - 1-15% Walking - => 32% Standing => 32% Bending/Squatting - 1-15% Climbing/Kneeling - 1-15% Twisting - 16-31% OSHA High potential for Direct Exposure Visual and Hearing Requirements Must be able to see with corrective eyewear Color vision ability required Must be able to hear clearly with assistance Other Physical/Environmental Demands Lifting - 0-50- lbs, 50 or more with assistance Carrying - 0-50 lbs, 50 or more with assistance Pulling - Up to 200 lbs Pushing - Up to 200 lbs LEADERSHIP CAPABILITIES Mission, Service, and Values Supports the Mission, Service and Values of the organization. ESSENTIAL FUNCTIONS Essential Job Functions Gathers and records pertinent patient information such as medical history, medication information, and essential diagnostic reports. Performs daily age appropriate routine assessments of patients and priortizes patient needs under the direct supervision of a licensed provider. Prepares patients for examinations or procedures including positioning, draping, shaving, and disinfecting treatment sites. Assists with examinations, invasive procedures, and minor medical procedures that are performed by a licensed provider. Demonstrates the ability to administer medications orally, subcutaneously, intramuscularly, intradermally, intranasally, or optically as ordered by a license provider. Identifies and reports critical results to licensed provider. Competent in performing point-of-care testing as ordered by a licensed provider while adhering to OSHA regulations with an emphasis on patient safety and quality control. Maintains infection control practices by cleaning patient care areas before, between, and after usage. Collaborates with other healthcare providers as needed to ensure continuity of care. Demonstrates the ability to provide clear patient instructions on specific treatment regimens as recommended by a licensed provider. Age Specific Job Functions Explains appropriate paperwork for treatment of pediatric, adolescent, adult and geriatric patients. Follows policies regarding consent for treatment and release of medical information regarding a minor or a person who is unable to make medical decisions for themselves. Demonstrates appropriate awareness for suspected abuse and/or neglect to report them according to protocol. Identifies and plans for appropriate safety precautions to be taken to prevent injury to the pediatric, adolescent, adult, amd geriatric patients. Provides education to patient/family based on assessment of identified need. Age Specifics (Pediatrics) Demonstrates knowledge of pediatric growth and development norms and appropriately address abnormal findings. Recognizes and assesses pediatric growth and development patterns and plans accordingly. Demonstrates competency and knowledge of age appropriate equipment. Demonstrates appropriate airway management and suction technique in the infant and toddler patient. Demonstrates appropriate awareness for suspected abuse/neglect to pediatric patients and takes measures to report them according to protocol. Identified and plans for appropriate safety precautions to be taken to prevent injury to the pediatric patient. Demonstrates competency and knowledge in the proper technique for the administration of medication of infants and toddlers. Takes vital signs at appropriate sites and is able to interpret per norms. Is familiar with location and use of pediatric emergency equipment and drugs. Provides education to patient/family based on assessment of identified learning needs. Age Specifics (Adolescents) Demonstrates knowledge of adolescent growth and development norms and appropriately addresses abnormal findings. Recognizes and assesses adolescent growth and development patterns and plans accordingly. Demonstrates appropriate awareness for suspected abuse/neglect to adolescent patients and takes measures to report them according to protocol. Identifies and plans for appropriate safety precautions to be taken to prevent injury to the adolescent patient. Demonstrates competency and knowledge in the proper technique for the administration of medication to adolescents. Modifies medication dosages as calculated by age and weight. Takes vital signs at appropriate sites and is able to interpret per norms. Is familiar with location and use of emergency equipment and drugs for the adolescent patient. Provides education patient/family based on assessment of identified learning needs. Age Specifics (Adults) Demonstrates knowledge of adult growth and development norms and appropriately addresses abnormal findings. Recognizes and assesses adult growth and development patterns and plans accordingly Demonstrates appropriate awareness for suspected abuse/neglect to adult patients and takes measures to report them according to protocol. Identifies and plans for appropriate safety precautions to be taken to prevent injury to the adult patient. Demonstrates competency and knowledge in the proper technique for the administration of medication to adults. Is familiar with location and use of emergency equipment and drugs for the adult patient. Provides education to patient/family based on assessment of identified learning needs. Age Specifics (Geriatrics) Evaluates for age appropriate behavior, motor skills and physiology norms. Demonstrates appropriate awareness for suspected abuse/neglect to geriatric patients and takes measures to report them according to protocol. Identifies and assesses need for additional safety measures. Demonstrates knowledge of the normal aging process. Demonstrates competency and knowledge of special needs and measures for medication administration and knowledge in the identification of sensorium changes. Is familiar with location and use of emergency equipment and drugs for the geriatric patient. Provides education to the patient/family based on assessment of identified learning needs.
T.J. Regional Health

Registered Nurse - Emergency Services 7P-7A

JOB SUMMARY Every Third Weekend The Registered Nurse utilizes the nursing process to assess the patient needs, plan and implement patient care activities, direct, and evaluate the delivery of nursing care through other members of the nursing team. The ER nurse is accountable for delivery of patient care the ER during the shift. She/He is responsible for meeting the established standards of nursing care, managing assigned personnel and promoting collaboration among the disciplines and demonstrates a loyalty to the philosophy, policies, and practices of the institution. JOB REQUIREMENTS Minimum Education § Holds an active Registered Nurse license and is eligible to practice in the state of Kentucky. § Current BLS certification § ACLS and PALS to be completed by the end of the orientation period. § TNCC required within 6-12 months of hire date into the department and CEN certification recommended. Required Skills § Must be able to follow directions and to perform work according to department standards when no directions are given. § Must be emotionally mature, able to prioritize tasks and able to function effectively under stress. FUNCTIONAL DEMANDS Physical Requirements Sitting - 1-15% Walking - Greater than 32% Standing - Greater than 32% Bending/Squatting - 16-31% Climbing/Kneeling - 1-15% Twisting - 1-15% OSHA Category High Potential for Direct Body Fluid Exposure Visual and Hearing Requirements Must be able to see with corrective eyewear. Color vision ability required. Must be able to hear clearly with assistance. Other Physical/Environmental Demands Lifting - 0-50lbs, 50lbs or more with assistance Carrying - 0-50lbs, 50lbs or more with assistance Pulling - up to 200lbs Pushing - up to 200lbs LEADERSHIP CAPABILITIES Supports the hospital Mission, Service and Values. ESSENTIAL FUNCTIONS Essential Functions - Staff RN § Collects pertinent health data, including psychological, environmental and physiological factors, using appropriate assessment techniques. § Ensures that the data collection process is systemic and ongoing. § Analyze the assessment data in determining patient problems. § Documents assessment data in a manner that facilitates the determination of expected outcomes and the plan of care. § Develops a plan of care with the patient/significant other that is individual to the patient’s needs. § Routinely evaluates the plan of care and revises as needed based on patient assessment. § Communicates and collaborates with other health care providers as needed, ensuring continuity of care. § Implements interventions in a safe, appropriate, and timely manner to aid in the attainment of patient goals. § Documents interventions in an appropriate and timely manner. § Implements and documents patient and family teaching as part of the plan of care. § Serves as a team leader for a group of personnel providing nursing care to a number of patients. § Assigns tasks or delegates care based on the needs of the patient and the knowledge and skill of the provider selected. § Operates or supervises safe operation of patient care equipment. § Accounts for and ensures the security of narcotics during the assigned shift. § Contributes to the professional development of peers, colleagues, and others by sharing knowledge and skills, and by providing constructive feedback regarding their practice. § Attentive to detail, record keeping and transcription of orders. § Promotes confidentiality and uses complete discretion when discussing information. § Floats to other areas as assigned, responds to floating requests with a positive attitude. § Answers telephone, call system, and greets visitors professionally, and routes information received to the appropriate personnel. § Performs other duties as assigned. § Participates in 75% of staff meetings as evidenced by attendance records. § Completes competency assignments as evidenced by in-service attendance records. Essential Functions - ER Specific § Operates or supervises safe operation of specialized patient care equipment including but not limited to the defibrillator, suctioning equipment, pleur-evac, ventilator, central monitoring system, and cautery. § Assessment: Performs initial triage assessment to include rapid, systemic collection of data related to the patient’s chief complaint. § Initiates accurate and on-going assessment of problems of patients within the emergency care system. § Analysis/Plan: Initiates triage assessment to analyze and determine acuity, patient care area, and appropriate interventions. § Nurses assigned triage are to have a minimum of one year of emergency department experience, completed § triage training requirements initially and annually and demonstrate the ability to: § Use a valid and reliable triage system to assign triage acuity and implement appropriate interventions according to organizational policy. § Document relevant data and triage acuity and communicate significant findings to appropriate team members. § Assesses the skin integrity on trauma, nursing home residents, and incapacitated patients that are admitted to the Emergency center. § Demonstrates knowledge of cardiac monitoring, identifies cardiac dysrhythmias and begins initial treatment appropriately. § Demonstrates knowledge of emergency procedures including , but not limited to chest tube insertion, central line placement, Ewald tube placements, suturing and the ability to assist physicians in the emergency center. § Assists the Emergency Department Director in the development, implementation, and evaluation of performance improvement indicators to improve patient outcomes and the work environment. § Responds to Code Blue events in other areas of the facility. § Patient Population Served- Pediatric/Adolescent/Adult/Geriatric § Demonstrates knowledge of patient population served development norms and addresses abnormal findings. § Demonstrates knowledge of appropriate assessments and planning of care for patient population served. § Demonstrates competency and knowledge of appropriate equipment for patient population served. § Demonstrates appropriate airway management and suctioning technique for patient population served. § Demonstrates appropriate awareness for suspected abuse/neglect for patient population served and takes measures to report them according to protocol. § Identifies and plans for appropriate safety precautions to be taken to prevent injury in the patient population served. § Demonstrates competency and knowledge in the proper technique for the administration of medication for the patient population served. § Demonstrates knowledge of appropriate technique to obtain vital signs and is able to interpret norms for the patient population served. § Demonstrates knowledge of location and use of emergency equipment and drugs for the patient population served. § Provides education to patient/family based on identified learning needs of the patient population served.