Job Description

Under the general supervision of the Director of Acute Care Services, the Resource RN is responsible for coordinating shift operations with the goal of safe, effective and quality patient and family centered care in the Acute Care setting

Clinical Competency

•Plans, evaluates, directs and renders care and re-evaluate clinical outcomes according to established standards of care

•Incorporates evidence based best practice into every day clinical activities

•Performs medication reconciliation and administers medications safely and appropriately using the 5 rights of medication administration Leverages technological resources for safe medication administration such as bar code scanning and tele-pharmacist service

•Recognizes and performs nursing interventions to maintain the body's homeostasis; acid-base balance, fluids and electrolyte balance, wound and tissue perfusion)

•In accordance withstanding medical protocols and standing orders; enters orders, interprets and evaluates diagnostic tests to identify and assess patient's condition, communicates same to the treating provider

•Modify patient's treatment plans as indicated by patient's condition

•Maintains accurate, detailed clinical nursing documentation, reports and records

•Within the scope of nursing practice, delegates and provides oversight ofnursing care activities of ancillary nursinghealthcare team members such as LNAs

•Promotes a safe patient care environment safe from hazards

•Consistently utilizes clear, concise, professional communication in all interactions (SBAR).This will include interactions with patients and their families, between disciplines, inter-departmentally and with outside agencies

•Promotes a safe patient care and work environment free of potential safety hazards

•Ensures safe transportation of patients within the facility utilizing safe lifting and transport adjunct equipment and good body mechanics to protect patient, self, co-workers

•Demonstrates safe, competent use of patient care equipment, beds, stretchers, lifts, safety and alarm devices, walkers, monitors, wound vacs, drains, oxygen therapy and other equipment approved for patient care

•Demonstrates flexibility in practice and collaborates to cross train in other departments to additional duties as needed to promote flexibility, sustainability and teamwork within the Critical Access Hospital setting

•Provides clinical consultation to nurses, providers and other disciplines regarding patient's care, system processes, technology and equipment

•Serves as a mentor, role model, preceptor, and resource for peers, interdisciplinary colleagues and students

Clinical Leadership:

•Demonstrate ability to lead within a dynamic team environment

•Team builder with ability to rapidly problem solve and lead clinical staff in the delivery of safe and effective nursing care in a calm and efficient manner in high stress situations

•Assists with shift assignments, provides direction and oversight to staff on shift with special attention to the coordination of care with Physicians, ancillary departments, and outside agencies (VNA, rehab and LTC facilities)

•Facilitates patient flow and communication throughout the continuum of care and, at times of high volume or critical need, provides direct nursing care to patients

•Maintains current knowledge of technology by reading, attending seminars and utilizing relevant hardware and software applications

•Assists with bed management throughout the facility

•Acts a liason between disciplines and departments when on duty

•Advocates for staff and patients’ needs

•Assists clinical lead and director with facilitating educational opportunities

•Provides nursing supervisor coverage when applicable

Patient Advocacy

•Develops andor implements an individualized plan of care, including developmental and cultural needs

•Utilizes appropriate resources for non-English speaking patients, healthcare illiterate patients, hearing and sight impaired patients and caregivers

•Clear communication of patient plan of care and education at a level the patient, family, and caregiver can comprehend

•Takes proactive steps to recognize and report suspected abuseneglect, including, child abuse, elder abuse, sexual abuse, and spousal abuse Reporting identified cases to supervisor and appropriate authorities

•Utilizes appropriate resources for non-English speaking patients, healthcare illiterate patients, hearing and sight impaired patients and caregivers

•Takes proactive steps to recognize and report suspected abuseneglect, including, child abuse, elder abuse, sexual abuse, and spousal abuse

•Champion of customer service and service excellence within the department. Leads shift to resolve customer concerns and works with team to enhance the experience of care in the acute care setting

•Demonstrates effectiveness in negotiation and compromise to effect positive patient and team outcomes

Quality & Professionalism:

•Ensures quality of care by adhering to therapeutic standards, measuring health outcomes against patient care goals and standards Making recommendations for adjustments inpatient care as necessary

•Adheres to Infection Prevention standards, consistent in hand hygiene practice before and after each patient interactionAdheres to infection prevention precautions Holds team members to IP and hand hygiene standards and roompatient IP precaution measures to prevent infection or the spread of infection

•Participates in quality review, performance improvement, survey readiness and patient satisfaction initiatives within the department

•Demonstrates ability to work independently and lead a team environment

•Adheres to standards and applicable codes of conduct that govern behavior among peer and colleagues to create and environment promoting cooperation, respect and trust.

•Adheres to the standards of profession as outlined by the American Nurses Association

•Maintains professionalism by conforming to the Huggins Hospital dress code

•Continues professional growth by maintaining education hours for l icense renewals and participating in hospital committees, clinical council, and professional organizations

Organizational Expectations

• Attendance: Attendance is an essential job function; employee comes to work daily, on time, and completes scheduled shift HIPAA facilitates to maintain patient confidentiality communication, active listening, and respect

• Interpersonal relationships: maintains appropriate interpersonal relationships with staff, patients, and visitors at all times.

• Works as a team member with other departments.

• Safety: Practices workplace safety daily

Employee Engagement:

• Actively participates in all hospital Service Excellence initiatives and trainings

• Attends and participates in a minimum of 50% department staff meetings and signs off on review of 100% department staff meeting minutes

• Completes all required annual education on or before the due date

Knowledge Skills and Abilities: Individuals must possess these knowledge, skills, and abilities or be able to explain and demonstrate that they can perform the primary functions of the job, with or without a reasonable accommodation, using some combination of skills and abilities and possess the necessary physical requirements, with or without a reasonable accommodation, to safely perform the essential functions of the job.

• Minimal physical effort required with occasional light lifting to a maximum of 25 pounds; stooping; and pick, pinch, type, or otherwise work primarily with fingers

• Ability to effectively manage considerable mental stress

• Ability to express or exchange ideas by means of the spoken word

• Ability to receive detailed information through oral communication

• Ability to communicate effectively with co-workers and convey information in a clear, concise and accurate manner

• Familiarity with computer and other business machines

Qualifications:

• One (1) year of Medical Surgical nursing is preferred
• Proficient with electronic medical records, computer literate
• Current NH RN license required
• BLS Certification required
• ACLS certification required
• Certification in Med-surg nursing preferred