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Charlotte, NC, United States
Job ID: 103520
Job Family: Nursing
Status: Full Time
Detailed Shift and Schedule: 4-10's (1100-2100 or 1200-2200)
Job Type: Regular
Department Name: 11051016630174-Nursing - Post Anesthesia Care
OverviewJob Profile Summary Job Details Job Title: Clinical Nurse I Effective Date: 01/08/2017 Job Code: 20004 Clinical (Yes/No): Yes FLSA Status: Non-Exempt Supervisory Role: No Job Summary Coordinates the assessment, planning, implementation and evaluation of nursing care to provide optimal, quality patient care consistent with High Point Regional Health's mission, philosophy, goals, standards, and bylaws and in collaboration with other clinical disciplines. Prescribes, delegates, and coordinates nursing care based on nursing diagnoses consistent with the patient?s age, health/illness status, and physiological/psychosocial needs. Age of Patient Population Served (Select All that Apply) Neonate (birth - 28 days) X Infant (29 days ? less than 1 year) X Pediatric (1 - 12 yrs) X Adolescent (13 ? 17 yrs) X Adult (18 ? 64 yrs) X Geriatric (65 yrs & older) X Non-age Specific Task (N/A) Education Degree/Diploma Obtained Program of Study Required/Preferred Associates Nursing Required Bachelors Nursing Preferred Certifications, Licensures and Registrations: Registered Nurse licensure from the State of North Carolina Basic Cardiac Life Support (BCLS) required Advanced Cardiac Life Support (ACLS) required within 1 year of hire for Adult Critical Care, Adult ED Pediatric Advanced Life Support (PALS) required within 1 year of hire for Network ED, Peds ED, PICU and NICU, and other areas per unit guidelines Experience # of Years Type of Experience Required/Preferred 0 Nursing Required Additional Knowledge, Skills, and Abilities - Successful completion of General Hospital Orientation and General Nurse Orientation provided by TCU. - Successful completion of orientation under the direction of the Unit Coordinator/Charge Nurse, RN/RN Preceptor. - Basic computer skills. Job Specific Duties Patient Care Gathers and assesses data on the patient. Identifies/communicates physical needs/problems of the patient on admission/throughout hospitalization. Identifies/communicates psychosocial needs/problems of the patient on admission/throughout hospitalization. Plans/individualizes age-appropriate plan of care in collaboration with the patient/family/health care team. Sets priorities in planning/organizing patient care based on nursing assessments. Implements nursing care interventions based on the patient/family needs and situational/procedural complexities. Directs and implements teaching of the patient/family. Evaluates the patient's response to nursing interventions. Patient Discharge & Referrals Participates in multidisciplinary discharge planning referrals to hospital and community resources as needed. Documentation Documents pertinent patient data (assessment, interventions, evaluation) per policy. Updates patient care profile/multidisciplinary plan/medical page to provide accurate patient information and documentation. Safety & Emergency Response Practices safety. Identifies barriers to safety and plans and implements changes to resolve safety barriers. Recognizes Code 4 emergencies and implements Code 4 procedure. Communication Communicates in a clear, concise and accurate manner pertinent patient data to all members of the health care team. Keeps Charge Nurse, Unit Coordinator, Supervisor, Manager and/or Director informed of pertinent patient care/nursing personnel/nursing unit problems and needs and submits written documentation. Collaborates effectively with healthcare team. Identifies communication barriers and implements/facilitates plans to resolve barrier to communication. Teamwork Serves as a resource for nursing staff/nursing instructors/ students in planning care assignments/educational experiences. Guides/supervises other nursing personnel in implementing nursing care based on patient needs, staff competencies/ licensure, and situational/procedural complexities. Seeks assistance of Charge Nurse, Unit Coordinator, Manager, and/or Supervisor when needed in assessing complex patient situations, interpreting physician orders, and consulting physicians. Charge Nurse Functions as Charge Nurse. Preceptor Serves as a preceptor. Process/Performance Improvement Demonstrates operational knowledge of current procedures, performance improvement, and treatment modalities. Participates in unit performance improvement monitoring when selected or requested. Policy, Procedures & Standards Identifies locations of policies, procedures and standards and knows resources. Holds other accountable for complying with policies, procedures and standards. Serves as a resource for peers for questions regarding policies, procedures and standards. Contributes towards making revisions to policies, procedures and standards. Professional Development & Growth Completes mandatory educational requirements and CBLs without prompting. Attends a minimum of 12 hours of continuing education programs. Identifies needs for self improvement and growth. Meetings & Committees Attends/participates in a minimum of 75% of unit staff meetings. Attends and participates in a minimum of 75% in nursing department committees when selected or requested. Professionalism Upholds a professional working relationship at all times and adheres to department rules. Practices teamwork and adheres to Standards of Behavior. Other Duties Performs other duties as assigned by management. UNC Health Care Employee Standards Communication: Uses appropriate methods to clearly convey information to others in an engaging way, which helps others understand and retain the message. Collaboration: Works with others respectfully and openly; provides help to achieve shared goals. Service: Uses appropriate methods to clearly convey information to others in an engaging way, which helps others understand and retain the message. Safety: Meets or exceeds patient and employee safety requirements while promoting and achieving quality outcomes. Accountability: Takes ownership for goals and outcomes; effectively and efficiently uses available resources to successfully complete tasks. Improvement: Identifies opportunities and takes action to continuously improve processes. Maintains effectiveness and flexibility during change. Workplace Requirements Employee Health: Complies with all required employee health programs including annual tuberculin testing and other applicable screening, testing and vaccinations. Credentials: Maintains current licensures, certifications and/or registrations (if applicable for the position). Job Competency: Complies with requirements for job specific competency testing and demonstrates and communicates proficiency in skills required (if applicable to position). Corporate Compliance: Adheres to and understands the Health System's Corporate Compliance Plan as evidenced by timely participation in required training (including annual testing) and 100% compliance with the Corporate Compliance Code of Conduct. Safety: Adheres to and understands the Health System's Environment of Care Plan as evidenced by timely participation in required training (including annual safety testing). HIPAA: Adheres to and understands the Health System's HIPAA Compliance Plan as evidenced by timely participation in required training (including annual HIPAA testing). Education: Attends all required educational programs (including General Orientation, and departmental or job specific required programs). Physical and Behavioral Requirements This position requires the successful completion of a preemployment physical demands test. Physical requirements include: - Lifting 40 pounds from floor to waist - Holding 12 pounds and lifting 6 pounds from waist to crown - Lifting or carrying 55 pounds horizontally for 2 feet - Pushing 80 pounds - Pulling 100 pounds - Front carrying 25 pounds a distance of 150 feet - Dynamic push of 40 pounds minimum force over a distance of 160 feet - Low work positioning at an occasional frequency - Gripping 50 pounds with each hand - Forward bending in standing for 5 minutes - Rotation in standing - Repetitive squatting - Standing for 5 minutes - Walking frequently - Visual acuity required for accurately reading and documenting patient charts and observing patients - Sense of smell required for safety issues - Sense of touch is required to evaluate patient?s vital signs - Ability to speak and hear is required to effectively communicate with patients, family members, physicians, and staff - Manual finger dexterity for writing, equipment operation (maneuvering wheelchairs/beds), and positioning and moving patients - Ability to effectively manage a high stress environment resulting from patient volume Occupational Exposure to Bloodborne Pathogens Yes or No: Yes National Patient Safety Goals Improve the accuracy of patient identification Improve the effectiveness of communication among caregivers Improve the safety of using medications Reduce the risk of health care-associated infections Consistently demonstrate appropriate hand hygiene techniques Accurately and completely reconcile medications across the continuum of care Reduce the risk of patient harm resulting from falls Encourage patients? active involvement in their own care as a patient safety strategy Identify safety risks inherent in its patient population Improve recognition and response to changes in a patient?s condition Practice `Universal Protocol? when appropriate (conduct pre-procedure verification process, mark procedure site, perform a time-out) Core Values Teamwork - Is an effective team player who adds complementary skills and contributes valuable ideas, opinions and feedback. Communicates in an open and candid manner and can be counted upon to fulfill any commitments made to others on the team. Compassion - Is sensitive to the feelings of others and is consistently kind and considerate. Genuinely cares about people and is available and ready to help. Shows sincere concern, empathy, sees the best in people, accepts differences and appreciates virtues. Integrity - Views himself or herself as a reflection of the organization by following through on commitments and accepting ownership of any mistakes he or she might make. Acts in ways that demonstrate personal honesty and serves as a positive example of why others should trust the motives of the organization. Standards of Behavior Respect: Maintain Patients' Privacy Professionalism: Take Ownership Safe and Healing Environment: Keep Noise Levels Down Customer Focus: Use the 10/5 Rule; Escort to Destination; Use Elevator Etiquette Communication: Use AIDET (Acknowledge, Introduce, Duration, Explain, Thank) Employee Statement of Understanding I have read and understand the job description for my position. I also understand that I am responsible for meeting the standards of performance outlined in this job description as well as conducting myself in a manner supportive of the mission, vision, core values and Standards of Behavior of High Point Regional Health. I certify that I possess the physical and mental abilities to regularly attend work and fulfill the essential functions of this position with or without reasonable accommodation. If I require accommodation in order to fulfill any or all of these essential functions, I will notify my manager immediately (or in the case of new employees, prior to employment). I understand that receipt of this job description does not imply nor create a promise of employment, nor does it create an employment contract of any kind. I furthermore understand that if hired, my employment relationship with High Point Regional Health is at will and may be terminated by myself or employer at any time with or without cause. The requirements listed above are representative of the knowledge, skills, education, certifications, licensure, experience, and/or ability required to perform the job. While this job description is intended to be an accurate reflection of the current job, management reserves the right to revise the job, work schedule, and/or require that different tasks be performed when circumstances change in order to best suit the needs of the department and/or organization.