TITLE: Registered Nurse
ROLE: See job description for Clinical Partner for generic job duties.
AREA OF ASSIGNMENT: Any patient care area.
HOURS OF WORK: Assigned tour of duty hours.
RESPONSIBLE TO: Manager/Supervisor
Current licensure to practice as a registered nurse in the state of Washington.
Successful completion of a graduate nurse residency program orientation or six months experience as a registered nurse.
AHA BLS for healthcare providers required.
Successful completion of the pre-hire WorkSteps evaluation for RNs.
Preferred for advancement to charge nurse role:
Experience—Two years practice in clinical nursing/leadership in area of responsibility
Unit specific prerequisites—see addendum.
Demonstrates leadership skills with ability to lead and manage a team, utilize clinical judgment, clinical inquiry, innovation and systems thinking.
Able to communicate effectively in oral and written form in the English language.
Adheres to the dress code.
Demonstrates effective interpersonal skills that are community-centered, compassionate, and meets the needs of diverse and vulnerable populations.
Ability to communicate and work effectively with the physical and emotional development of all age groups.
Practices in a caring environment with excellent customer service skills.
Functions within ANA Standards and Nurse Practice Act.
Ability to access information and communicate in an electronic environment including but not limited to the use of order entry, e-mail, and computer documentation skills.
Self-directed in advancing professional practice through continuing education and research.
UNIQUE PHYSICAL/MENTAL DEMANDS, ENVIRONMENT AND WORKING CONDITIONS:
Must be able to provide safe patient handling as defined in VMC’s Safe Patient Handling guidelines and policies to safely and appropriately transfer or move patients (or objects) of varying abilities, weights, and amounts of staff assistance. Must be able to lift from the floor to overhead levels and carry items at waist level weight up to 40 pounds. Requires ability to participate in team lifting. Must be able to operate patient lifting equipment and patient handling devices accurately and safely. Requires the ability to stoop, bend, reach, crouch, and squat. Requires standing and walking for extensive periods of time as required for patient care, moving patients or supplies to other units, hourly rounding, bedside shift report and other nursing duties. Requires full body range of motion including ability to reach from floor to overhead levels, manual and finger dexterity and eye-hand coordination. Requires corrected vision, hearing to normal range, and ability to distinguish colors.
A. GENERIC FUNCTIONS:
See generic job description for clinical partner.
B. UNIQUE JOB FUNCTIONS CHARGE NURSE:
Assesses, guides, directs, and facilitates workflow on the unit. Recognizes when it is necessary for the charge nurse to assume a patient assignment and assumes that role.
Make staff assignments that reflect patient acuity, continuity of patient care, staff competency and the necessity of admit, transfer and discharge activity inherent on all clinical units.
Mentors staff, float, and agency personnel regarding unit/department/hospital policies, procedures/standards and annual goals and objectives.
Integrates new staff and agency staff into the culture of the unit.
Functions as a leader and role model for clinical staff.
Acts as clinical resource to unit staff. Demonstrates safe use of patient care equipment and is able to teach others to use equipment safely.
Identifies resource RN for LPN, PCA, and MST as necessary.
Monitors and evaluates nursing care given to each patient, by direct observation, consultation, and patient rounds.
Assesses unit/environmental safety during patient rounds and reports/corrects deficiencies.
Maintains awareness of Joint Commission standards, state codes, and practice acts. Routinely monitors documentation, compliance with standards, and facilitates rapid turn-around cycles.
Demonstrates excellent customer service skills.
Responds to patient and family concerns/complaints.
Reports significant events (patient/staff/physician/visitor) to administrative supervisors/manager and activates the chain of command per policy.
Provides input into performance appraisal of clinical staff on assigned shift by documenting feedback and/or communicating concerns to manager/supervisor.
Evaluates and provides adequate coverage for breaks.
Maintains fiscal responsibility by monitoring and adjusting staffing during shift and determines staffing needs for the following shift by utilizing sound clinical judgment.
Accepts personal responsibility to maintain competencies for direct patient care and team leadership.
Communicates and collaborates with bed placement and the clinical resource to ensure clinical placement is expedited.
PARTMENT OF PATIENT CARE SERVICES
CLINICAL PARTNER-REGISTERED NURSE
Revised 6/01/01; 11/11/03; 3/3/04; 6/29/04, 10/29/04, 12/20/04, 1/07/05, 12/5/2007, 2/2009, 7/2009, 12/2009, 1/2010, 9/2010, 11/2012, 4/2013, 10/2015
Emergency Department RN
ACLS within the first 90 days of hire
PALS within 6 months from the date of hire
TNCC one year from the date of hire
One year experience in Emergency nursing preferred or successful completion of ED residency
Emergency Department Resident
Chest Pain Evaluation Unit
ACLS within 3 months of hire
Once year experience in medical-surgical; telemetry experience preferred
Post Anesthesia Recovery
ACLS, PALS within 3 months of hire
Current PACU or ICU experience
Six months previous experience in endoscopy
ACLS and PALS within 3 months of hire.
Six months previous experience in area.
Surgical Admissions and Discharge
ACLS and PALS within 3 months of hire.
One year experience as registered nurse or previous experience in a surgery admissions and discharge area
Main OR Perioperative
Successful completion of OR nurse residency or 1 year minimum previous OR experience.
Main OR resident – Licensed RN
Critical Care/PCU Med-Surg RN
ACLS Within 3 months of hire
Minimum of one year experience in Emergency/Critical Care nursing required.
Critical Care/PCU Med-Surg Resident
ACLS within 6 months of hire
Licensed registered nurse
NRP within 3 months of hire.
Six months labor and delivery experience as a registered nurse or successful completion of residency.
NRP within 6 months of hire.
Licensed registered nurse.
3 months RN experience or successful completion of a residency program
Medical Surgical Float Pool
ECG within 3 months of hire
Medical-Surgical or Oncology Resident
Licensed RN with less than 3 months experience in acute care
Minimum of one year medical-surgical experience preferred
Orthopedic certification within 3 years
Successful completion of The Oncology Nursing Society (ONS) Oncology Fundamentals Course.
Successful completion of The ONS Chemotherapy Biotherapy Course and VMC clinical chemotherapy competencies.
Oncology Certification (OCN) for all RNs who administer chemotherapy within two years of hire.
Neonatal Intensive Care RN
Six months Level III NICU experience or successful completion of a NICU residency program
Neonatal Intensive Care Unit RN Resident
Licensed RN with less than 6 months Level III NICU experience
PALS within 3 months
Six months experience in Pediatric nursing
PALS within 6 months of hire
Licensed RN with less than 6 months Pediatric nursing experience
One year experience in Emergency, Critical Care or Radiology
Clinical Administrative Resource (CAR)
Minimum of one, but prefer two years of experience in Critical Care, PACU, or Emergency Services
Maternal Child Float Pool
NRP, PALS within 3 months of hire
Minimum 1 year experience in mother baby, level 2 NICU including CPAP, or pediatric nursing care.
Must be competent to perform patient assignments in mother baby care, pediatrics, and level 2 NICU including CPAP within 6 months of hire.