RN-ED Float

Clinical Excellence/Patient Care

• Assumes primary responsibility for the plan of care for a patient or group of patients, per unit standards and nursing care required for the specified patient population.

• Effectively delegates tasks and responsibilities to other health care team members and assumes responsibility for follow-up and collaboration.

• Performs admission assessment process per specific department standards to include patient history, physical, and psycho-social assessment. Utilizes physical assessment data, diagnostic data (lab, radiology, diagnostic testing), pharmacological information and patient/family perceptions in formulating nursing diagnosis related to focus problem areas and identifying goals of care.

• Assumes responsibility for developing a plan of care that is mutually established with the patient and family. Each patient is treated as an individual, with their identified goals and expectations reviewed each shift to verify priorities.

• Implements the plan of care according to current standards of nursing practice, evidence-based practice, and hospital protocol/procedures.

• Integrates multidisciplinary approach to maintain comfort, support human functions and responses, and maintain an environment conductive to safety and well-being. Implements measures to promote a safe environment.

• Partners with healthcare team to achieve the patient care outcomes and goals of care.

• Administers medications and nursing treatments within scope of practice.
Incorporates Professional Practice Model in their daily nursing care.

50%

Patient Education

• Assess and chooses teaching strategies appropriate to the patient’s and their families’ age specific needs, culture, gender, readiness to learn and level of comprehension.

• Consults appropriate resources within the hospital to provide specialized education.

• Demonstrates knowledge that patient and workplace safety is a priority by preventing errors, accidents and infections and reporting potential or actual concerns immediately.

• Integrates patient/family teaching throughout the hospitalization, including the plan and goals of care, pre- and post-operative procedures, diagnostic procedures, and discharge teaching.

• Integrates preventative health maintenance into the education plan.
  

20%

Leadership and Professional Development

• Assists in the orientation of new associates by acting as a resource and mentor to associates. Collaborates with unit leadership, as appropriate. Serves in preceptor role, as appropriate.

• Participates in the education experiences of students and/or RN interns.

• Continues professional development and involvement in professional activities that enhance nursing practice by sharing knowledge through networking and research.

• Utilizes evidenced based models of learning.

• Participates in department and hospital shared governance infrastructure and performance improvement activities.
  

20%

Basic UPH Performance Criteria

• Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.

• Demonstrates ability to meet business needs of department with regular, reliable attendance.

• Employee maintains current licenses and/or certifications required for the position.

• Practices and reflects knowledge of HIPAA, JCAHO, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.

• Completes all annual education and competency requirements within the calendar year.

• Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance.
  

10%

Disclaimer: This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.

Demonstration of UPH Values and Standards of Behaviors

Consistently demonstrates UnityPoint Health’s values in the performance of job duties and responsibilities

Foster Unity:

• Leverage the skills and abilities of each person to enable great teams.

• Collaborate across departments, facilities, business units and regions.

• Seek to understand and are open to diverse thoughts and perspectives.
  

Own The Moment:

• Connect with each person treating them with courtesy, compassion, empathy and respect.

• Enthusiastically engage in our work.

• Accountable for our individual actions and our team performance.

• Responsible for solving problems regardless of the origin.
  

Champion Excellence:

• Commit to the best outcomes and highest quality.

• Have a relentless focus on exceeding expectations.

• Believe in sharing our results, learning from our mistakes and celebrating our successes.
  

Seize Opportunities:

• Embrace and promote innovation and transformation.

• Create partnerships that improve care delivery in our communities.

• Have the courage to challenge the status quo.

Education:

• Graduate of accredited nursing program
  

• BSN degree
  

Experience:

• New graduate with prior hospital clinical experience
  

• Prefer one (1) year of hospital clinical experience or demonstrated clinical competency.
  

License(s)/Certification(s):

• Possess current RN licensure in the State of Iowa or compact state

• Valid driver’s license when driving any vehicle for work-related reasons

• Must possess and maintain current certifications;

• Basic Life Support (BLS)

• Management of Aggressive Behavior (MOAB)

• National Institutes of Health Stroke Scale (NIHSS)

• Mandatory Reporter

The following should be obtained within 6 months of hire:

• Advanced Cardiac Life Support (ACLS)

• Pediatric Advanced Life Support (PALS)

• Sugar and safe care, Temperature, Airway, Blood pressure, Lab work Emotional support (STABLE)

• Neonatal Resuscitation Program (NRP)

The following is required within 1 year of hire:

• Trauma Nursing Core Course (TNCC)

• Emergency Nursing Pediatric Course (ENPC)

• HazMat

• Disaster/Emergency Preparedness
  

• Specialty certification

• Sexual Assault Nurse Examiner (SANE)
  

Knowledge/Skills/Abilities:

• Writes, reads, comprehends and speaks fluent English

• Multicultural sensitivity

• Demonstrates proficiency in the manual skills and techniques required to perform basic/advanced nursing procedures in the administration of medication therapy and the operation of specialized equipment

• Ability to complete a basic computer course on the Electronic Medical Record (EMR) through in-hospital training

• Additional respiratory care skills are required at the Marion Emergency Department
  

• Microsoft Office – basic computer skills
  

Other:

• Use of usual and customary equipment used to perform essential functions of the position.
  

Direct

Indirect

Total

Exempt

Non-Exempt

Total

Budget Control (Complete if position has budget responsibilities)

Annual Operating Budget (including payroll)

Annual Revenue/Sales

Other Scope Measurements

Pertinent to the position, such as number of beds, number of units/departments, number of employees leading, cases per month, etc.

Item

Number

Mental/Cognitive Demands:

(List any special mental and cognitive abilities required by the position in your specific environment)

• Must be able to communicate effectively with people of diverse professional, educational, and lifestyle backgrounds

• The environment may cause high stress levels due to constant interruptions, high volume urgency of issues, and interactions with a wide variety of professionals and personalities.

• Must be understanding and patient.

• Ability to work under time constraints.

• Must be able to work independently and assume responsibility for timely completing of assigned functions.

• Ability to understand and deal effectively with problems and opportunities.

• Exercises sound judgment, seeking advice when appropriate.

• Directs concerns regarding patient care and/or hospital policies to the Manager or appropriate designee.

Physical Requirements

(Check all that apply if essential to perform job)

? Talk/Hear (communicate, detect, converse with, discern, convey, express oneself, exchange information)

? See (defect, determine, perceive, identify, recognize, judge, observe, inspect, estimate, assess)

? Stand or Sit (stationary position)

? Walk (move, traverse)

? Use hands/fingers to handle or feel (operate, activate, use, prepare, inspect, place, detect, position)

? Climb (stairs/ladders) or Balance (ascent/descent, work stop, traverse)

? Bend/Stoop/Kneel

? Squat/Crouch/Crawl

? Reaching/Twisting

? Taste/Smell (detect, distinguish, determine)

? Pushing/Pulling

Lifting Requirements

(Check appropriate category to perform job)

? Level 1; Sedentary Work: Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.

? Level 2; Light Work: Exerting up to 20 pounds of force occasionally or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Requires walking or standing to a significant degree, pushing or pulling arm or leg controls or maintaining a production rate pace. Light work requires physical exertion of forces greater than that of sedentary work.

? Level 3; Medium Work: Exerting up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.

? Level 4; Heavy Work: Exerting up to 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects.

? Level 5: Very Heavy Work: Exerting in excel of 100 pounds of forces occasionally, and/or in excess of 50 pounds of force constantly to move objects.

Hazards and Atmospheric Conditions

(check all that apply)

? Normal Office Surroundings

? Vibration

? Exposure to Fumes

? Mechanical Hazards

? Exposure to Dust

? Chemical Hazards

? Exposure to Extreme Temperatures

? Electrical Hazards

? Wet and/or Humid

? Radiant Energy Hazards

? Noise

? Explosives Hazards

? Mists or Gases

? Burn Hazards

Other/Comments:

Precautions must be followed when working in any health care environment. May be exposed to violent or potentially violent patients.

OSHA Categories

(Complete this OSHA section for clinical/patient related jobs)

? Category I: Duties performed routinely require exposure to blood, body fluid and tissue.

? Category II: Normal routine involves no exposure to blood, body fluid or tissue, but exposure or potential for exposure may occur.

? Category III: Normal routine involves no exposure to blood, body fluid, or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.