Position Summary and Purpose
The RNOR is a competent registered nurse that will deliver nursing care to patients of varying age groups by utilizing the nursing process and nursing practice standards. The Registered Nurse (Hospital-Based) uses:
Nursing Practice Competencies to intervene to achieve safe optimal patient and family centered care health outcomes;
Leadership Competencies to coordinate patient care and communicate with the care team;
Professional Profile Competencies to develop professionally as a life-long learner and
Practice Outcomes Competencies to evaluate care based on evidence the UofL Health quality model and patient safety goals.
The RNOR demonstrates competency caring for complex patients and participates on the care team to improve the quality of care in the clinical area.
Essential Functions:
Under the supervision of a clinical nurse manager this position will provide nursing care to patients and:
Conducts systematic continuous and comprehensive assessments of patient health status from admission or encounter to discharge across the care continuum to ensure patient safety collaborating with the healthcare team patient and family; care addresses all aspects of the individual and family including age gender spiritual cultural physical psychosocial and patient preferences and proactively uses safety surveillance to prevent adverse outcomes
Independently administers medications per licensure authority assesses and reassesses the effects of these medications and documents administration in a timely manner per policies procedures and regulatory requirements; consistently adheres to patient safety guidelines regarding all aspects of medication administration
In collaboration with patient and family plans care using current scientific knowledge theory and care standards within the nursing interventions and outcomes framework and national patient safety goals; constructs individualized age-specific plans for optimal patient and family outcomes as appropriate to the practice setting; incorporates data from the multi-disciplinary care team into the plan of care to assure continuity and appropriate patient teaching
In collaboration with patient and family identifies and prioritizes patient problems based on subjective and objective assessment data patient safety considerations patient and family goals and preferences and nursing interventions and the medical plan of care
Implements nursing care interventions to meet patient and family center health care needs. Demonstrates competent skills appropriate clinical judgments and chain of command to promote patient safety and reach planned care goals and outcomes
Competently and consistently assesses conducts and evaluates the outcomes of patient and family teaching from admission or episode of care to discharge teaching reflects sensitivity to age learning needs and cultural background
Evaluates care by performing regular and systematic reviews of patient /family responses to interventions; revises the multi-disciplinary plan of care in collaboration with other care Team members to promote desired outcomes; recognizes care variances and takes steps to prevent or intervene with potential or real adverse events to promote safe care
Serves as an advocate for the patient and family demonstrates respect for their rights responsibilities and sensitivity to their preferences; prepares the patient and family for discharge; obtains feedback to promote positive patient satisfaction outcomes
Works collaboratively with appropriate monitoring and delegation with unlicensed assistive healthcare providers per regulatory and legal requirements assuring safe patient care delivery
Other Functions:
Demonstrates professional conduct and appearance and is accountable for actions and outcomes
Orients new members of the healthcare team as well as supervises students in the performance of assigned duties
May act in the role of relief charge nurse when the unit need arises
Maintains professional competency through continuing education ongoing competency demonstration licensure and professional activities; demonstrates valuing life-long learning
Participates in evidence-based practice activities such as journal clubs and discusses outcomes of care with colleagues demonstrating knowledge of care indicators; takes steps to improve care delivery by self and team and remains up-to-date with compliance regulatory and accreditation standards
Actively participates as a collaborative member of the healthcare team by communicating constructively using core behavioral standards. Identifies clinical and interdepartmental problems resolving conflicts appropriately on behalf of the care team and patients; demonstrates ability to give and receive peer review and feedback incorporating this into his or her practice
Performs duties in a cost-effective manner striving to avoid wasting hospital resources without jeopardizing quality of care and service
Maintains compliance with all company policies procedures and standards of conduct
Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
Performs other duties as assigned
Job Requirements
(Education Experience Licensure and Certification)
Education:
Associates Degree in Nursing from an accredited nursing program is (required)
All new-hire Associate Degree Registered Nurses (new graduate and experienced) are required to start an approved BSN program within one (1) year of hire and complete an approved BSN program within three (3) years of hire (required)
Bachelors Degree in Nursing from an accredited nursing program (preferred)
Experience:
All new RN graduates will participate in the Nurse Residency program and must successfully complete all activities (required)
Two years of hospital patient care experience (preferred)
Licensure:
Current KY RN licensure or compact license with privileges to work in Kentucky (required)
Certification:
Basic Life Saving (BLS) accredited by the American Heart Association (AHA) (required)
Job Competency:
Knowledge Skills and Abilities critical to this role:
Strong organizational skills to coordinate care of multiple patients at once
Provides competent care based on knowledge of nursing research evidence-based practice and performance improvement
Evaluates patient and family care in relation to scientific knowledge identifying and participating in improvement using hospital quality control model
Exercises informed judgment at the competent level of practice assuming responsibility and accountability for patient care assignments demonstrating appropriate priorities for care and commitment to patient family and the care team
Knowledge in all aspects of designated service line
Proactive - anticipates and plans for problems before they arise
Service Excellence responsive informs constituents of process pleasant to work with educates and provides timely accurate information
Organized manages time effectively keeps tasks appropriately prioritized
Flexible ability to change directions as needed for the good of the department or organization
Critical Thinking ability to think through issues and identify appropriate options
Work Ethics motivated diligent industrious and persistent in the workplace stays on tasks to completion works at a fast pace to ensure optimal efficiency
Interpersonal can build effective strong working relationships with employees colleagues management and vendors through trust communication and credibility
Team ability to work with others serve others help others lead others mentor others take directions from others in the interest of moving process and programs forward to the desired outcome
Emotional Intelligence ability to not take issues personal see the big picture in emotionally charged situations and respond in a mature professional composed manner
Self-Awareness ability to reflect understand limitations and seek appropriate assistance and guidance
Judgment exercises discretion and due diligence when making decisions and recommendations
Language Ability:
Must be able to communicate effectively in both verbal and written formats
Adequate conversational English is required in order that the individual be able to take direction from management understand how to complete job tasks communicate adequately with patients and co-workers as necessary understand and follow safety guidelines and organizational policies
Reasoning Ability:
Able to critically think through complex patient situations process improvements evidence-based practice to solve problems
Able to assist others in developing clinical reasoning skills
Computer Skills:
Competent in all computer applications as required by position
Must have the capacity to learn other relevant systems and databases as needed
Additional Responsibilities:
Demonstrates a commitment to service organization values and professionalism through appropriate conduct and demeanor at all times
Maintains confidentiality and protects sensitive data at all times
Adheres to organizational and department specific safety standards and guidelines.
Works collaboratively and supports efforts of team members
Demonstrates exceptional customer service and interacts effectively with physicians patients residents visitors staff and the broader health care community
UofL Health Core Expectation:
At UofL Health we expect all our employees to live the values of honesty integrity and compassion and demonstrate these values in their interactions with others and as they deliver excellent patient care by:
Honoring and caring for the dignity of all persons in mind body and spirit
Ensuring the highest quality of care for those we serve
Working together as a team to achieve our goals
Improving continuously by listening and asking for and responding to feedback
Seeking new and better ways to meet the needs of those we serve
Using our resources wisely
Understanding how each of our roles contributes to the success of UofL Health
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