Registered Nurse - Open Heart Surgery - PRN

PRN

Open Heart Surgery Experience Required

Job Description:

Under the general supervision of the Nurse Manager, provides professional nursing care at an advanced practitioner level in accordance with the principles of patient and family-centered care based on the nursing process and according to the clinical standards of the hospital. Coordinates care planning with other disciplines. Coaches and mentors the Clinical Nurse I and II and demonstrates leadership at the point of care. Safely and independently administer prescribed treatments, medications, and nursing interventions for more complex groups of patients based on assessment and plan of care. May require specialized skills depending on unit assignment.

Duties and Responsibilities

Essential Accountabilities:

1. Meets all expectations of CNI and CNII.
2. Independently completes assessment and collects data on assigned patients according to policy; takes initiative to supplement assessment as more complex issues arise. Develops innovative approaches to solve complex patient care issues. Focuses on important parameters and emerging problems to predict and manage an evolving clinical picture. Establishes contingency plans in anticipation of unexpected events and coordinates emergency action in response to acute risk situations. Demonstrates leadership at the point of care by actively performing caring behaviors with every patient interaction.
3. Demonstrates advanced knowledge and skills to safely and independently administer prescribed treatments, medications, and nursing interventions for more complex groups of patients based on assessment and plan of care. Provides supervision and acts as a resource person for all expected unit skills and equipment. Independently organizes and prioritizes time based on higher acuity patient assignments and increased workload.
4. Independently evaluates and monitors the effectiveness of interventions and progress toward outcomes for more complex groups of patients; analyzes data to make recommendations for changes in the plan of care. Initiates and coordinates interdisciplinary collaboration in evaluation of patient progress. Anticipates and coordinates individualized patient needs for transfer/ discharge and includes patient/family in decisions.
5. Acts as a resource person for other staff with proper documentation.
6. Independently reads current literature. Demonstrates inquiry to improve patient outcomes. Participates with a team to evaluate evidence and determine clinical relevance. Coaching and mentoring the use of EBP and Peer Nurse Review at the unit level using current professional literature and research to improve care at the bedside.
7. Seeks learning opportunities and resources beyond own work environment and incorporates into practice the new knowledge and skills acquired. Required education and competencies completed, including 40 CEU’s. Shares pertinent information and job knowledge, related to readings, educational programs and participation in professional organization activities.
8. Collaboratively works with management to monitor the level of professional practice on the unit; assists with the initiation of actions or programs to ensure teamwork and professional practice. Serves as a problem solver to improve unit and hospital outcomes.
9. Mentors/coaches others to improve decision-making and accountability. Serves as a resource to nurses developing supervising and delegating skills.
10. Promotes cooperation and communication among all team members. Anticipates the potential for conflict and works to quickly defuse any situations involving conflict with patient/families and/or co-workers to promote a healthy work environment. Recognizes multiple factors underlying the conflict situation and chooses and initiates actions that result in the most effective long term solution. In collaboration with management, implements changes to enhance team communication. Coaches team members in developing insights into their own communication patterns.
11. Acts as coach to CNI and CNII staff for clinical issues and potential advancement opportunities.

NonEssential Accountabilities:

1. Attends meetings as required, and participates on committees as requested.
2. Performs other related duties as identified.

Common Expectations:

1. Demonstrates knowledge of the principles of growth and development over the life span of the assigned patient population. Assesses and interprets patient age specific data and provides appropriate, age specific treatment. Provides direct patient care to assigned patient age group(s).
2. Demonstrates a commitment to patient, visitor and staff by: complying with all applicable safety regulations; learning the impact of medical errors and methodology that will lead to reduction of errors; reporting actual and potential errors, as well as hazardous conditions; identifying opportunities to standardize processes and "error proof" systems that will lead to increased safety; and participating in safety education programs and root cause analyses as required.
3. Maintains Adheres to established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards.
4. Enhances professional growth and development through advanced/continuing education to maintain up-to-date knowledge, skills, and competencies.
5. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Qualifications

• Notes:
  • Graduate of an accredited nursing program.
• Minimum Experience:
  • 3 years
• Minimum Education:
  • Diploma or Associate's Degree
• Preferred Education:
  • Bachelors of Science, Nursing (BSN)
• Required Certification:
  • Registration and current RN license in PA; Certification in area of nursing specialty; Basic Life Support (BLS) certification required
• Physical Demands:
  • Minimum Lifting Weight 50 pounds
  • Prolonged, extensive, or considerable standing/walking
  • Lifts, positions, pushes and/or transfers patients
  • Considerable reaching, stooping, bending, kneeling, crouching