ENTRY REQUIREMENTS Currently licensed as a Registered Nurse in the State of Michigan. For those hired into an RN position prior to January 1, 2009, it is encouraged to obtain a BSN. Certification in the specialty area of practice is also encouraged. For those hired into an RN position after January 1, 2009, it is required to obtain a BSN within ten years of their start date as an RN. Certification in the specialty area of practice is strongly encouraged. Is a self-directed professional with the ability to make independent judgments directing patient care. Demonstrates ability in using the computer with Windows format preferred. GENERAL NURSING POSITIONS: (Acute Care, Venous Access Specialty, Recovery Room, Respiratory Therapy) Two to 3 years RN experience in an Acute Medical/Surgical setting is required. Experience in Intravenous Therapy is desirable. Current BLS certification required. ACLS certification required or obtained within 90 days of employment. EMERGENCY DEPARTMENT/HOUSE SUPERVISOR POSITIONS: Three to 5 years RN experience in an Acute Medical Surgical setting is required. Previous experience in a charge nurse/supervisory role is strongly preferred. Current BLS, ACLS and PALS certifications required. ORGANIZATION Accountable to the Director of Clinical Services or designee of the assigned patient care unit; ultimately accountable for the practice of nursing to the Chief Nursing Officer. Provides direction to and supervision of LPNs, Techs, Clerks, CENAs, and/or other categories as needed. Works collaboratively and effectively with all members of the Patient Care Team and other Clinical and Ancillary Services Departments. AGE OF PATIENTS SERVED Cares for patients in the age category(s) checked below: Neonatal (birth-1 mo) Young adult (18 yr-25 yrs) Infant (1 mo-1 yr) Adult (26 yrs-54 yrs) Early childhood (1 yr-5 yrs) Sr. Adult (55 yrs-64 yrs) Late childhood (6 yrs-12 yrs) Geriatric (65 yrs & above) Adolescence (13 yrs-17 yrs) X All ages (birth & above) No direct clinical contact with patients Age of Patients Served is dependent on the specific populations cared for on the Unit. SPECIFIC DUTIES 1. Supports the Mission, Vision and Values of Munson Healthcare. 2. Embraces and supports the Performance Improvement philosophy of Munson Healthcare. 3. Promotes personal and patient safety. 4. Uses effective customer service/interpersonal skills at all times. 5. Follows Scope and Standards of Practice from American Nurses Association as listed below. 6. Performs other duties and responsibilities as assigned. In partnership with Munson Healthcare (MHC), Paul Oliver Memorial Hospital (POMH) and POIMH Nursing work together to provide superior quality and promote community health. STANDARDS OF PRACTICE Assessment · Collects health data in a systematic and ongoing manner involving the patient, family, and other health care providers as appropriate · Determines the priority of data collection based on the patient's immediate condition or needs · Documents relevant data in a retrievable form Diagnosis · Derives diagnoses from the assessment data. Validates with the patient, family, and/or other healthcare providers and documents Identification of Outcomes · Involves the patient, family, and other healthcare providers in formulating outcomes from the diagnosis that are individualized and includes a time estimate for attainment · Determines outcomes that are culturally appropriate, realistic, attainable and measurable · Documents expected outcomes as measurable goals Planning · Individualizes a plan of care with the patient, family, and other health care providers that prescribe interventions to attain expected outcomes · Develops a plan of care that establishes priorities, provides for continuity, and is documented Implementation · Implements the plan of care in a safe, timely, and appropriate manner and documents interventions · Coordinates and collaborates in care delivery · Employs health teaching and health promotion strategies Evaluation · Evaluates the patient's progress toward attainment of outcomes and includes the patient, family, and other health care providers as appropriate · Documents the patient's responses to the interventions PROFESSIONAL PERFORMANCE STANDARDS Quality of Care · Systematically evaluates the quality and effectiveness of nursing practice · Embraces and supports the Performance Improvement philosophy of Paul Oliver Memorial Hospital. Participates in quality improvement activities · Acknowledges that safety is a self-responsibility. Knows the physical requirements of the job and works within those guidelines. Performs job duties safely at all times, utilizing body mechanics and transferring/lifting techniques · Plans actions to promote safety. Reports any unsafe situation/equipment according to Hospital procedure · Participates in quality of care activities at the unit level · Utilizes the results of quality of care activities to initiate changes in nursing practice Practice Evaluation · Evaluates own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations · Engages in performance appraisal on a regular basis, identifying areas of strength as well as areas for professional development. Takes action to achieve identified goals · Acquires and maintains current knowledge and competency in nursing practice Education · Participates in ongoing educational activities related to clinical knowledge and professional issues · Complies with mandatory continuing education requirements to maintain licensure and meet job requirements · Complies with annual mandatory competency activities including Healthstream modules · Seeks experiences that reflect current clinical practice in order to maintain current clinical skills and competence Collegiality · Interacts with, and contributes to the professional development of peers and other health care providers as colleagues · Contributes to an environment that is conducive to the clinical education of nursing students, other health care students, and other employees as appropriate · Contributes to a supportive and healthy work environment Ethics · Utilizes the American Nurses Association's Code of Ethics for Nurses and the hospital ethics committee to guide practice · Maintains patient confidentiality within legal and regulatory parameters · Acts as a patient advocate and assists patients in developing skills so they can advocate for themselves · Delivers care in a manner that is culturally sensitive and preserves patient autonomy, dignity, and rights · Maintains a therapeutic and professional patient-nurse relationship with appropriate professional role boundaries · Reports illegal, incompetent, or impaired practices Collaboration · Collaborates with the patient, family, and other healthcare providers for provision of seamless delivery of services · Consults with other health care providers for patient care as needed · Participates, as appropriate, in the organization's structures and processes Resource Utilization · Considers factors related to safety, effectiveness, and cost in planning and delivering patient care · Assigns or delegates tasks consistent with organizational policies, procedures, legal, and regulatory requirements, according to the knowledge and skills of the designated caregiver Leadership · Provides leadership in the profession and the professional practice setting · Supervises LPNs, techs, clerks, CENAS and/or other appropriate categories for the care assigned to the patients for whom the RN is accountable · Promotes advancement of the profession through involvement with professional organizations Resource: Nursing: Scope and Standards of Practice; American Nurses Association, 2003. Code of Ethics for Nurses with Interpretive Statements; American Nurses Association, 2001.