Position Accountabilities
1. Determines staffing requirements to assure safe and competent patient care. Considers patient acuity, age specific needs of patients, staff skill mix, and individual patient’s plan of care when making assignments. Demonstrates flexibility in response to unexpected changes in volume, emergencies, staffing, or schedule changes. Ensures breaks and meals for all staff.
2. Assists the Nurse Director with employee evaluations and performance management. Utilizes observation techniques, chart review, and patient interviews to evaluate staff nurse performance and quality of patient care delivered. Completes applicable documents as required. Schedules evaluation review with staff. Assists employees to improve/maintain performance by establishing goals with measurable performance outcomes, action plans, and time frames.
3. Assists the Nurse Director in developing unit goals and plans for evaluating and achieving those initiatives.
4. Assists Director with schedules, time and attendance, reports, documents, and files.
5. Demonstrates basic understanding of budget requirements. Maintains supplies and productivity within guidelines. Develops strategies to effectively utilize “down time” on designated shift. Ensures medication carts are re-stocked and cleaned before next shift. Ensures unit is neat and clean, hallways are free of clutter, and stock delivery is put away on a daily basis.
6. Seeks and accepts responsibility for committee participation, special projects, and teaching presentations.
7. Initiates a multidisciplinary, goal oriented care plan for each patient in collaboration with members of the health care team and provides care based on that plan.
8. Ensures patient safety by assessing and proactively implementing safety measures with specific consideration of patient’s functional and developmental age.
9. Provides appropriate nursing interventions. Competent in all routine nursing skills and identified unit-specific skills.
10. Demonstrates the ability to provide appropriate interventions in patient care emergencies and follows established emergency procedures. Takes appropriate action in emergency situations and develops others’ ability to do so. Assists staff in prioritizing, as needed.
11. Delegates patient care tasks to ancillary personnel based on individual competency and scope of practice. Evaluates effectiveness of care performed.
12. On a daily basis maintains Pharmacy refrigerator logs, crash cart logs, staffing logs and restraint logs.
13. Demonstrates the knowledge and skills to safely and appropriately fulfill job specific responsibilities related to safety, security, emergency preparedness, control of hazardous materials/waste, life safety, medical equipment and utility systems as outlined in the hospital’s environment of care plan.
14. Demonstrates a proactive approach and commitment to change. Seeks opportunities to improve quality and promote the positive acceptance of change.
15. Resolves all Pharmacy discrepancies before leaving at the end of shift. Ensures narcotics counts and SureMed verifications are done per hospital policy at the beginning and end of each shift. Does not leave shift until all counts are resolved.
16. Maintains updated PCSS information on a shift by shift basis. Ensures shift notes, daily assignments, adverse events and acuity levels are completed by PCSS guidelines by 0400 and 1600 hours. Ensures shift turnover is completed by 1845 and 1915 and 0645 and 0715 hours.
17. Demonstrates the ability to organize workload, set priorities, and use time efficiently to complete work on time and in an organized manner.
18. Demonstrates responsibility and accountability for departmental process improvement initiatives by utilizing appropriate communication channels (i.e. through director and/or committee representatives) and implementing committee-approved changes. Provides constructive recommendations for process improvement.
19. Maintains appropriate, confidential inter-facility and interagency communications when applicable.
20. Performs physical and psychosocial assessment of all age groups of patients that demonstrates knowledge and consideration of age specific and cultural differences. Modifies nursing care to meet the age specific requirements of the adult (18 to 70 years) and geriatric (71+ years) patients including, but not limited to: growth and development, medications, and special physical and psychosocial needs.
21. Additional responsibilities are outlined on the Clinical Ladder and are to be documented on the Annual Evaluation Checklist.
22. Responds to life threatening dysrhythmias on telemetry and takes appropriate action.
23. Observes patients’ receiving complex pharmaco-therapeutics and reports abnormal findings to the physician.
24. Monitors laboratory values and observes patients response to abnormal values and reports findings to the physician. Ensures daily laboratory reports and graphics sheets are filed on charts by 0800 hour.
25. Demonstrates, through practice, understanding of job description and functions only within scope of practice. Limits verbal orders to emergency situations and assures inclusion of all verbal orders on the final medical record. Ensures verbal order read-back is completed by staff taking verbal orders.
26. Ensures off-going and oncoming nurses perform “walking rounds” with their patients at the 0700 shift change, and “24 hour chart check” at the 1900 shift change.
27. Performs “leader rounding” on unit patients to elicit feedback about caregivers, the hospital stay and overall patient satisfaction. Acts to rectify problems and performs service recovery. Provides staff with feedback about the perceptions of the care they provide.
28. Has written a minimum of 4 positive notes to employees and mailed them to the employee’s home address.
29. Demonstrates responsible role in noise reduction efforts and traffic control in the department.
30. All other duties as assigned.

Position Qualifications

• BSN preferred
• California RN license
• BLS certification
• ACLS certification
• PALS certification
• Three to five years acute care experience or equivalent, RN skills as described for designated unit, Managerial Communication preferred

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