RN CN I, Elective Surgery

Job Description

The Clinical Nurse I (CN I -registered nurse) promotes and restores patients' health by completing the nursing process; collaborating with physicians and multidisciplinary team members; providing physical and psychological support to patients, friends, and families. The RN utilizes knowledge derived from the principles of biological, physical, behavioral, social, and nursing sciences to assess, plan, implement, and evaluate culturally based and age specific patient care.

? The RN incorporates the principles of the ANCC Synergy Model for patient care to drive nursing practice, resulting in optimum outcomes for the patient.

Responsibilities

PATIENT POPULATION - (CLINICAL ONLY) 5% Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious / cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect. � Clinical Judgment: - 25% Clinical reasoning coupled with nursing skills acquired through experiential knowledge and evidence-based guidelines. Collects basic level data Follows protocols with all populations and does not deviate from them Matches formal knowledge with clinical events to make decision � Advocacy (Moral Advocacy): - Works on another�s behalf and represents the concerns of the patient/family and nursing staff - 10% Serves as a moral agent in identifying and helping to resolve ethical and clinical concerns Works on the behalf of the patients Makes ethical/moral decisions based on rules Represents patient when patient cannot represent self Aware of patient�s rights Maintains patient confidentiality � Caring Practices: Nursing activities that create a compassionate, supportive, and therapeutic environment for patients and staff which includes vigilance, engagement, and responsiveness of caregivers - 20% Focus on the usual and customary needs of the patient at the present Base care on standards and protocols Promotes patient�s independence by establishing patient care goals, teaching the patient/ family to understand condition medications, and self-care skills and answering questions Maintain a safe physical environment Acknowledges death as an outcome � Collaboration: - 10% Works with others (e.g. patients, care providers) to encourage each person�s contribution toward achieving optimal patient goals Willing to be taught and mentored Participates in discussion regarding patient care and/or practice issues Maintains cooperative relationship with multidisciplinary care team ; remains open to team members� contributions � Systems Thinking: Body of knowledge that allows nurse to manage environmental and system resources that exist for the patient , family and staff within or across health care and non-health care systems - 5% Uses a basic array of strategies Limited outlook- sees the pieces of components Recognizes negotiation is a limited alternative Sees the patient/family within the isolated environment of the unit Sees self as a key resource � Response to Diversity: The sensitivity to recognize , appreciate and incorporate differences into provision of care - 5% Includes cultural differences, spiritual beliefs, gender, race , ethnicity, lifestyle socioeconomic status, age and values in provision of care Provides care based on own belief system Learns the culture of the health care environment � Facilitation of Learning - 10% Facilitates learning for patients/ families, nursing staff and community including formal and informal learning Follows planned educational programs Sees patient family education as a separate task from delivery of care Provides data to increase patient�s understanding Has basic knowledge of the totality of the education needs Focuses on a nurse�s perspective and sees the patient as a passive recipient � Clinical Inquiry (Innovator/ Evaluator): The ongoing process of questioning and evaluating practice and providing informed practice - 10% Create practice changes through research utilization and experiential learning Follow standards and guidelines Implements clinical changes and research-based practices developed by others Recognizes the need for further learning to improve patient care Recognizes obvious changing patient situations ( e.g. deterioration, crisis) Needs and seeks help to identify patient problem | Review the physical demands and assign an overall average percentage of time this position performs these activities. These physical demands will not be listed or rated on the annual performance appraisal. Climbing: Ascending or descending stairs, ladders, ramps, etc, using feet and legs and /or hands and arms - 30% Stooping: Bending body downward and forward by bending spine at the waist - 85% Kneeling: Bending legs at knees to come to a rest on knee or knees - 20% Reaching: Extending hand(s) and arm(s) in any direction - 80% Standing: Remaining upright on the feet, particularly for sustained periods of time - 90% Walking: Moving about on foot to accomplish tasks - 90% Pushing 0-10 lbs: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 85% Pushing 11-20 lbs: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 85% Pushing 21-50 lbs: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 85% Pushing 51 lbs or more: Use of upper extremities to press against something with steady force in order to move something forward, downward or outward - 85% Pulling: Use of upper extremities to exert force in order to drag, haul or tug objects in a sustained motion - 80% Lifting 0-10 lbs: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 80% Lifting 11-20 lbs: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 80% Lifting 21-50 lbs: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 80% Lifting 51 lbs or more: Raising objects from a lower to a higher position, or moving objects horizontally from position-to-position and requires the use of upper extremities and back muscles - 80% Carrying 0-10 lbs: Holding and moving/transporting an object about - 85% Carrying 11-20 lbs: Holding and moving/transporting an object about - 85% Carrying 21-50 lbs: Holding and moving/transporting an object about - 85% Carrying 51 lbs or more: Holding and moving/transporting an object about - 85% Fingering: Picking, pinching, typing or otherwise working primarily with fingers rather than with the whole hand or arm, as in handling - 100% Feeling: Perceiving attributes of objects such as size, shape, temperature or texture by touching with skin, particularly that of (using) fingertips - 100% Talking: Expressing or exchanging ideas by means of the spoken word - must convey detailed or spoken instructions to others accurately, loudly or quickly - 100% Hearing: Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication - 100% Seeing: The process of perceiving objects by use of the eyes to perform an activity - visual acuity requirements include ability to discern position of object(s), shape of object(s), color, depth perception or visual inspection - 100%