Responsibilities:

• Provides direct patient care based upon nursing assessment to patients who have a variety of medical and/or surgical conditions, following established standards, department guidelines and hospital policies and procedures.
• Involves patient/family in the development of care plan. Updates care plan daily.
• Collaborates with members of multidisciplinary team regarding each patient's care.
• Prioritizes and performs direct care to patients according to policy.
• Explains and documents procedures and interventions.
• Identifies and performs appropriately in emergent situations.
• Assists multidisciplinary team with all processes related to patient care.
• Delegates responsibilities to staff based on patient needs and staff competencies.
• Utilizes and documents patient safety restraints per hospital policy.
• Demonstrates the ability to insert and manage the care for all IV's, both peripheral and central access, per hospital policy.
• Documents medications on medication administration record (MAR).
• Monitors patient's response to medications; documents and reports appropriately.
• Reports medication errors and adverse reactions per hospital policy.
• Demonstrates knowledge concerning medications, including side effects; educates patients on their medications and their side effects.
• Safely administers blood and blood products per hospital policy.
• Verifies patient ID per hospital policy.
• Performs all pyxis monitoring and counts per hospital policy.
• Ensures medications are wasted and documented as appropriate.
• Assesses patient/family educational readiness and barriers. Develops plan based on educational assessment.
• Documents educational assessment, plan, intervention and outcome.
• Utilizes critical thinking based on data; rounds on patients with physician and other members of the healthcare team as appropriate when making decision.
• Collaborates in the assignment of patients to staff based on acuity and competency of staff.
• Functions as charge nurse on unit.
• Participates in coordination/delivery of approved Facility events.
• Collaborates with others to seek solutions to complex issues; is sensitive to the operations and feelings of others.
• Focuses on the potential positive outcomes when exploring the issues. Remains objective to the view and conflicts of others.
• Focuses on the issues/concerns and not the person.
• Builds common ground for points of agreement/disagreement.
• Engages in mutual problem solving by brainstorming alternative positions, solutions and approaches.
• Utilizes integrity and honesty.
• Keeps commitments and is consistent.
• Discloses own position and thoughts and rationales in order to achieve understanding.
• Remains open to ideas and listens to others and objectively considers other's ideas and opinions.
• Support others; treats people with dignity, respect and fairness; displays sensitivity to patients and their need for privacy.
• Develops direction.
• Ensures that the purpose and importance of the team are clarified; clarifies roles and responsibilities.
• Facilitates goal accomplishment; makes procedural or process suggestions; provides necessary resources and removes obstacles.
• Sets performance goals; collaboratively works with direct reports to set meaningful objectives; implements system to track performance against goals; holds regular formal discussions to discuss progress toward goals and review performance.
• Clarifies current situation; carries expected behaviors and level of proficiency; provides feedback and reinforcement; gives timely, appropriate feedback on performance; reinforces efforts and progress.
• Explains and models: provides instruction, positive models and opportunities to develop skills and understanding.
• Assists in collection of meaningful data to capture the processes.
• Analyzes data for root cause analysis utilizing standard PI tools.
• Assists with the implementation of new performance plans.
• Collects and reviews data to determine progress. Complies with safety standards and reports safety issues as appropriate.
• Completes Annual Specific Specialty Competencies. Adheres to all Customer Service Standards of Excellence as identified in the statement.
• Plans and implements service level initiatives specific to PSMS scores.
• Utilizes the nursing process: patient advocacy, maintenance of aseptic technique, medication administration, documentation of treatments and care, management of equipment, patient safety and monitoring of vital signs.

Education:

• Graduate of an accredited school of nursing.

Certifications:

• Current state licensure as Registered Nurse (RN).
• Proof of Basic Life Support (BLS) through American Heart Association (AHA) certification must be presented upon hire.
• If in a Critical Care area an Advanced Cardiac Life Support (ACLS) through American Heart Association (AHA) must be presented upon hire.
• (ONS) Chemo/Bio course complete within 2 years of employment if employed on units inpatient and/or outpatient where chemo is administered.
• If in an Adult/Combined EDs, Advanced Cardiac Life Support (ACLS) through American Heart Association (AHA) upon hire.
• If in an ED, Pediatric Advanced Life Support (PALS) through American Heart Association (AHA) upon hire.

Complexity of Work:

• All employees are expected to meet the standards of performance outlined in the Organizational-Wide Competencies listed below as applied to the position:
• Age Specific: is cognizant and demonstrates ability to alter communication patterns related to patient's age and developmental level.
• World Class Service Orientation: Demonstrates courteous, polite, friendly and cooperative behaviors toward others.
• Supports and participates in activities that promote customer satisfaction.
• Utilizes approved hospital scripts.
• Courteously answers the telephone utilizing approved script (department, name and "How can I help you").
• Assists in answering call lights when on the nursing units (includes ancillary and non-patient care personnel).
• Answers call lights within 4 rings.
• Acknowledges patients/guests/others immediately upon entering the department/work area.
• Communicates and follows the organizational chain of command for notification of patient care/service issues, when appropriate. (Calls are answered within 4 rings.)
• Attitude: Chooses to have a positive attitude every day.
• Customer waiting: Updates waiting patient/family per protocol. (Scheduled visit every 10 minutes, unscheduled every 30 minutes.
• Adaptability: Exhibits good communication and listening skills. Speaks clearly, actively listens.
• Able to work with diverse populations (patient, staff, physicians) under difficult and stressful situations.
• Supports the team approach.
• Committed to Customer Service standards. Encourages patients and family members to ask questions.
• Avoids jargon.
• Teamwork: Understands and supports the needs of individuals in other departments, works as a team to achieve mutual goals.
• Offers assistance and promptly responds to requests (patient, physician, manager and others).
• Performs any other duties or responsibilities that may be assigned.
• Carries Spectralink phone at all times.
• Updates patient boards with numbers. (Appropriate personnel) Attends 90% of all staff meetings.
• Participates in coordination/delivery of approved Facility events.
• Efficiency and Effectiveness: Offers suggestions for departmental and/or hospital-wide performance/process improvement.
• Intervenes to correct problems (patient and system) as they occur.
• Notifies manager/director of actions and outcome. Participates in the performance/process improvement process.
• Completes required logs and quality controls as per hospital/department requirements (crash cart, 24 hour chart check, narcotic count, point of care testing, etc.).
• Work Habits: Readily accepts work assignments in a positive manner.
• Performs work that is accurate, neat and consistent.
• Documentation is legible.
• Safety: Keeps work area neat and maintains equipment in accordance with health and safety codes.
• Uses Standard precautions in all patient contacts.
• Provides a safe environment for patients/family and visitors, and reports safety issues and equipment failures appropriately.
• Confidentiality: Sensitive information including, but not limited to, patient records, charts, hospital documents and employee information is kept confidential without exception, according to HIPAA guidelines.
• Ensures that the rights of all patients are respected and maintained by allowing for privacy, cultural diversity and dignity in the provision of care.
• Demonstrates organizational skills in the form of prioritization and time management.
• Essential Job Requirements: Policies/Procedures: Is aware of and follows all hospital, corporate, regional, and departmental policies and procedures.
• Appearance: Projects a professional image, follows the hospital dress code policy and/or department requirements.
• Wears hospital ID badge at all times on duty.
• Attendance: Employee reports to work each regularly scheduled work day.
• Does not take advantage of sick time. (To score a 3, employee must have no absences for the year).
• Punctuality: Clocks in by the scheduled start time of the shift and is ready for work.
• Continues working until scheduled departure time.
• Leaves as scheduled unless overtime is approved by supervisor.
• Managerial Responsibilities: Makes suggestions to reduce waste.
• Ensures that personnel and supplies of the organization are used in a cost effective manner.
• Identifies cost saving strategies for department/hospital.
• Submits accurate and timely hospital charges for department/hospital.
• Offers opinions and information that reflect positively on Cleveland Clinic Hospital.
• Will take the time to speak with an employee (privately) if they observe or overhear that an employee is not being an ambassador of the hospital.
• Understands how individual job performance affects department and hospital growth.
• Identifies and communicates opportunities to improve service or care.
• Participates in hospital/departmental committees to improve service and streamline organizational processes.
• Note: The above stated duties are intended to outline those functions typically performed by individuals assigned to this classification.
• This description of duties is not intended to be all-inclusive or to limit the discretionary authority of supervisors to assign other tasks of similar nature or level of responsibility.

Work Experience:

• Minimum one year current acute care RN experience in a hospital setting required for acute care settings.
• Minimum one year current acute care RN experience and/or skilled nursing facility (SNF) experience required for SNF care settings.
• Minimum one year current acute care RN experience and/or rehab experience required for rehab care settings.
• Minimum one year current acute care RN experience and/or Emergency Department (ED) experience required for ED settings.

Physical Requirements:

• Requires frequent walking from department to department; requires sitting at a workstation or desk; requires standing; work may include occasional pushing and/or pulling, lifting, and carrying objects weighing up to 50 lbs., such as files, documents and computer printouts.
• Work requires finger dexterity and eye/hand coordination to operate a computer keyboard at a moderate skill level.
• Mental Demands: Ability to work at a fast pace and prioritize multiple assignments/projects and respond to numerous requests; ability to resolve conflicts among staff and to work collaboratively with department directors, physicians and other members of the healthcare team; ability to ensure operational efficiency; ability to problem-solve and make decisions; ability to exercise self-control and tolerate stress when dealing with multiple requests and/or conflicting demands from multiple customers.

Personal protective equipment:

• Follows Standard Precautions using personal protective equipment as required for procedures.