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, extubation, 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 inquires, 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.
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.
JOB SUMMARY Provides direct and indirect patient care under the guidance and direction of the registered nurse. Responsible for implementing components of the plan of care through the initiation/completion of procedures relating to basic human, mental health and social needs; comfort and safety measures; activities of daily living; personal care needs; nutrition and fluid need; and elimination needs. Job Requirements JOB REQUIREMENTS Minimum Education GED or High School Diploma required or current high school student in pursuit of GED to be obtained within one calendar year Certification indicating successful completion of a Nurse's Aide/Technician training and competency course preferred. BLS required Minimum Work Experience Knowledge of principles of patient hygiene, comfort, and safety measures. Previous experience as a patient care provider helpful. FUNCTIONAL DEMANDS Physical Requirements Sitting - 1-15% Walking - = Greater than 32% Standing - = Greater than32% Bending/Squatting - 16-31% Climbing/Kneeling - 1-15% Twisting - 16-31% Visual and Hearing Requirements Must be able to see with corrective eyewear if needed. Color Vision ability required. Must be able to hear clearly with assistance if needed. Physical/Environmental requirements 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 OSHA Direct exposure to body fluids. LEADERSHIP CAPABILITIES Supports the hospital Mission, Service, and Values ESSENTIAL FUNCTIONS Age Specific - Pediatrics Demonstrates knowledge of pediatric growth and development norms and appropriately addresses abnormal findings. Demonstrates competency and knowledge of age appropriate equipment. Demonstrates appropriate suction technique using bulb syringe in the infant and toddler patient. Demonstrates appropriate awareness of suspected abuse/neglect to pediatric 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 patient. Takes vital signs at appropriate sites. Is familiar with location and use of pediatric emergency equipment. Age Specific - Adolescent Demonstrates knowledge of adolescent growth and development norms and appropriately addresses abnormal growth. Identifies and plans for appropriate safety precautions to be taken to prevent injury to the adolescent patient. Age Specific - Adults Demonstrates knowledge of adult growth and development norms and appropriately addresses abnormal findings. Identifies and plans for appropriate safety precautions to be taken to prevent injury to the adult patient. Age Specifics - Geriatrics Demonstrates knowledge of the normal aging process. Demonstrates competency and knowledge in the identification of sensorium changes. Essential Functions Assists patients with activities of daily living. Assists with admission, transfer, and discharge of patients. Performs treatment procedures under the direction of the registered nurse, such as application of the therapeutic heat/ice. Measures temperature, blood pressure, pulse, respiration, height/weight, and intake and output and reports abnormal values to assigned nurse. Collects specimens of stool, urine, and sputum and transports to lab in a timely manner. Ability to perform bedside blood glucose monitoring with the Accu-Chek Inform II Assists with care such as position, lifting, and transferring patients with proper body mechanisms and ambulating patients as directed by the assigned nurse. Transports patients as needed, such as to radiology, surgery, or another nursing unit. Assists in maintaining a clean and safe environment by leaving patient rooms in order, by reporting equipment that is out of order, and by cleaning equipment as needed. Answers telephone, call system, and greets visitors professionally, and routes information received to the appropriate personnel. Contributes it the development of peers, colleague, and others by sharing knowledge and skills, and by providing constructive feedback regarding their practice. Promotes confidentiality and uses complete discretion when discussing information. Floats to other areas assigned, responds to floating requests with a positive attitude. NONESSENTIAL FUNCTIONS Other duties/Non-Essentials Performs additional task as assigned. Attends and satisfactorily completes annual competency. Completes annual HealthStream assignments as assigned. Attends in services on new equipment. Participates in 75% of staff meetings as evidence by attendance records. Floats to other areas as assigned with a positive attitude.
JOB SUMMARY Provides direct and indirect patient care under the guidance and direction of the registered nurse. Responsible for implementing components of the plan of care through the initiation/completion of procedures relating to basic human, mental health and social needs; comfort and safety measures; activities of daily living; personal care needs; nutrition and fluid need; and elimination needs. Job Requirements JOB REQUIREMENTS Minimum Education GED or High School Diploma required or current high school student in pursuit of GED to be obtained within one calendar year Certification indicating successful completion of a Nurse's Aide/Technician training and competency course preferred. BLS required Minimum Work Experience Knowledge of principles of patient hygiene, comfort, and safety measures. Previous experience as a patient care provider helpful. FUNCTIONAL DEMANDS Physical Requirements Sitting - 1-15% Walking - = Greater than 32% Standing - = Greater than32% Bending/Squatting - 16-31% Climbing/Kneeling - 1-15% Twisting - 16-31% Visual and Hearing Requirements Must be able to see with corrective eyewear if needed. Color Vision ability required. Must be able to hear clearly with assistance if needed. Physical/Environmental requirements 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 OSHA Direct exposure to body fluids. LEADERSHIP CAPABILITIES Supports the hospital Mission, Service, and Values ESSENTIAL FUNCTIONS Age Specific - Pediatrics Demonstrates knowledge of pediatric growth and development norms and appropriately addresses abnormal findings. Demonstrates competency and knowledge of age-appropriate equipment. Demonstrates appropriate suction technique using bulb syringe in the infant and toddler patient. Demonstrates appropriate awareness of suspected abuse/neglect to pediatric 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 patient. Takes vital signs at appropriate sites. Is familiar with location and use of pediatric emergency equipment. Age Specific - Adolescent Demonstrates knowledge of adolescent growth and development norms and appropriately addresses abnormal growth. Identifies and plans for appropriate safety precautions to be taken to prevent injury to the adolescent patient. Age Specific - Adults Demonstrates knowledge of adult growth and development norms and appropriately addresses abnormal findings. Identifies and plans for appropriate safety precautions to be taken to prevent injury to the adult patient. Age Specifics - Geriatrics Demonstrates knowledge of the normal aging process. Demonstrates competency and knowledge in the identification of sensorium changes. Essential Functions Assists patients with activities of daily living. Assists with admission, transfer, and discharge of patients. Performs treatment procedures under the direction of the registered nurse, such as application of the therapeutic heat/ice. Measures temperature, blood pressure, pulse, respiration, height/weight, and intake and output and reports abnormal values to assigned nurse. Collects specimens of stool, urine, and sputum and transports to lab in a timely manner. Ability to perform bedside blood glucose monitoring with the Accu-Chek Inform II Assists with care such as position, lifting, and transferring patients with proper body mechanisms and ambulating patients as directed by the assigned nurse. Transports patients as needed, such as to radiology, surgery, or another nursing unit. Assists in maintaining a clean and safe environment by leaving patient rooms in order, by reporting equipment that is out of order, and by cleaning equipment as needed. Answers telephone, call system, and greets visitors professionally, and routes information received to the appropriate personnel. Contributes it the development of peers, colleague, and others by sharing knowledge and skills, and by providing constructive feedback regarding their practice. Promotes confidentiality and uses complete discretion when discussing information. Floats to other areas assigned, responds to floating requests with a positive attitude. NONESSENTIAL FUNCTIONS Other duties/Non-Essentials Performs additional task as assigned. Attends and satisfactorily completes annual competency. Completes annual HealthStream assignments as assigned. Attends in services on new equipment. Participates in 75% of staff meetings as evidence by attendance records. Floats to other areas as assigned with a positive attitude.
JOB SUMMARY Provides direct and indirect patient care under the guidance and direction of the registered nurse. Responsible for implementing components of the plan of care through the initiation/completion of procedures relating to basic human, mental health and social needs; comfort and safety measures; activities of daily living; personal care needs; nutrition and fluid need; and elimination needs. Job Requirements JOB REQUIREMENTS Minimum Education GED or High School Diploma required or current high school student in pursuit of GED to be obtained within one calendar year Certification indicating successful completion of a Nurse's Aide/Technician training and competency course preferred. BLS required Minimum Work Experience Knowledge of principles of patient hygiene, comfort, and safety measures. Previous experience as a patient care provider helpful. FUNCTIONAL DEMANDS Physical Requirements Sitting - 1-15% Walking - = Greater than 32% Standing - = Greater than32% Bending/Squatting - 16-31% Climbing/Kneeling - 1-15% Twisting - 16-31% Visual and Hearing Requirements Must be able to see with corrective eyewear if needed. Color Vision ability required. Must be able to hear clearly with assistance if needed. Physical/Environmental requirements 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 OSHA Direct exposure to body fluids. LEADERSHIP CAPABILITIES Supports the hospital Mission, Service, and Values ESSENTIAL FUNCTIONS Age Specific - Pediatrics Demonstrates knowledge of pediatric growth and development norms and appropriately addresses abnormal findings. Demonstrates competency and knowledge of age-appropriate equipment. Demonstrates appropriate suction technique using bulb syringe in the infant and toddler patient. Demonstrates appropriate awareness of suspected abuse/neglect to pediatric 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 patient. Takes vital signs at appropriate sites. Is familiar with location and use of pediatric emergency equipment. Age Specific - Adolescent Demonstrates knowledge of adolescent growth and development norms and appropriately addresses abnormal growth. Identifies and plans for appropriate safety precautions to be taken to prevent injury to the adolescent patient. Age Specific - Adults Demonstrates knowledge of adult growth and development norms and appropriately addresses abnormal findings. Identifies and plans for appropriate safety precautions to be taken to prevent injury to the adult patient. Age Specifics - Geriatrics Demonstrates knowledge of the normal aging process. Demonstrates competency and knowledge in the identification of sensorium changes. Essential Functions Assists patients with activities of daily living. Assists with admission, transfer, and discharge of patients. Performs treatment procedures under the direction of the registered nurse, such as application of the therapeutic heat/ice. Measures temperature, blood pressure, pulse, respiration, height/weight, and intake and output and reports abnormal values to assigned nurse. Collects specimens of stool, urine, and sputum and transports to lab in a timely manner. Ability to perform bedside blood glucose monitoring with the Accu-Chek Inform II Assists with care such as position, lifting, and transferring patients with proper body mechanisms and ambulating patients as directed by the assigned nurse. Transports patients as needed, such as to radiology, surgery, or another nursing unit. Assists in maintaining a clean and safe environment by leaving patient rooms in order, by reporting equipment that is out of order, and by cleaning equipment as needed. Answers telephone, call system, and greets visitors professionally, and routes information received to the appropriate personnel. Contributes it the development of peers, colleague, and others by sharing knowledge and skills, and by providing constructive feedback regarding their practice. Promotes confidentiality and uses complete discretion when discussing information. Floats to other areas assigned, responds to floating requests with a positive attitude. NONESSENTIAL FUNCTIONS Other duties/Non-Essentials Performs additional task as assigned. Attends and satisfactorily completes annual competency. Completes annual HealthStream assignments as assigned. Attends in services on new equipment. Participates in 75% of staff meetings as evidence by attendance records. Floats to other areas as assigned with a positive attitude.
