Registered Nurse - Rice Memorial Hospital

Description

Rice Memorial Hospital is located in the lakes region two hours west of the Twin Cities, Rice is the state’s largest municipal hospital, with net revenues of over $100 million. It provides services to the residents of west central Minnesota including inpatient and outpatient surgery, high tech diagnostics, rehabilitation, long-term care, DME, mental health, dialysis, a comprehensive cancer center, and hospice. 
Part-time .8 or Part-time .9 Registered Nurse positions with Rotating shifts now available at Rice Memorial Hospital.  We offer an updated salary scale and a generous benefit package.! 
To apply please visit our website at www.ricehospital.com 

1. JOB SUMMARY: The R.N. II is the basic level of professional nursing practice. She/he identifies and implements nursing interventions that have less predictable outcomes, and evaluates the results of these interventions for a given patient population. A nurse at this level may be required to assume leadership responsibility.

1. JOB RELATIONSHIPS:

1. REPORTS TO: Director, Assistant Director, Program Coordinator, or designee.

1. SUPERVISES: LPN's, LPNA’s, Nursing Assistants, Patient Care Associates, and other ancillary staff

1. INTERRELATIONSHIPS WITH: All nursing staff, all ancillary and clerical departments' staff, physicians, patients and families.

1. HOURS OF WORK: Variable - rotating 8/10 and/or 12 hour shifts.

 
VII.        DRESS CODE: Per unit dress code. 
VIII.       ESSENTIAL REQUIREMENTS OF WORK (Minimum qualifications necessary to function at full productivity). 

1. EDUCATION AND TRAINING: Graduate of an accredited school of nursing. Current licensure in the State of Minnesota.

1. EXPERIENCE: Maintains RN I criteria and meets RN II criteria.

1. JOB KNOWLEDGE (Specific): Working knowledge of professional nursing theory and practice. Ability to communicate effectively orally and in writing. Ability to establish and maintain effective working relationships with patients, employees, public, and other providers.

 
A knowledge of growth and development; specifically an understanding of the cognitive, physical, emotional and chronological maturation process. An understanding of the range of treatment needed by patients of all ages in relation to the growth and development processes to include neonate, child, adolescent, adult and geriatric patients. 

1. BUDGET: N/A

1. CLIENTELE DIRECTLY AFFECTED BY JOB: Patients/families, physicians, multidisciplinary treatment team.

1. PHYSICAL DEMANDS OF THE JOB: Sustained physical effort, seldom seated, continuous activity, lifting/pushing/pulling.

 
XII.        PHYSICAL ENVIRONMENT OF THE JOB: Fair working conditions with frequent exposure to disagreeable elements and danger. 
XIII.       EQUIPMENT OR MACHINES USED ON THE JOB: Variety of medical pumps/exercisers/suctions/respiratory/heating and cooling/vital sign measurement equipment, computer, bar code scanners, copy machine, medication dispensing machines, beds, carts, lifting devices, wheelchairs, telecommunication devices. 
XIV.      MENTAL DEMANDS OF THE JOB: 

1. JUDGEMENT AND INITIATIVE: Requires continuous mental effort for decision making and problem solving in a variety of patient care situations, many of which are complex and/or stressful in nature.

1. INDEPENDENT ACTION: Needs to perform at independent level with minimal direction.

1. EFFECT OF ERROR: High liability for nurse and hospital for patient care errors - error unacceptable.

1. CONTACT WITH OTHERS: Frequent multiple contact with other care providers and ancillary support staff, patients/families.

1. PRINCIPAL JOB RESPONSIBILITIES, TASKS, AND AUTHORITIES:

1. RESPONSIBILITY: Responsible for all RN II criteria and accountable to Director, Assistant Director, Program Coordinator, or designee.

 
TASKS: 
AUTHORITIES: 

1. RESPONSIBILITY: Nursing Practice and Patient Care Responsibilities

 
TASKS: 

1. Assessment/Diagnosis

 
A,   Establishes relationship with patient and family and introduces self and explains role. 

1. Applies effective interviewing skills to elicit information from the patient and/or family/significant other that is necessary to plan, implement, and evaluate nursing care.

1. Performs the initial nursing and physical assessment.
2. Identifies relationships and implications of collected data for patient care through the nursing interview.

1. Identifies and interprets abnormal diagnostic data and incorporates it in the written

 
assessment. 

1. Identifies verbal and nonverbal communication problems of patient and/or family.

1. Integrates assessment data and identifies all appropriate priority nursing diagnoses.

1. Identifies implications of patient age in assessment of needs and identification of nursing

 
diagnoses. 

1. Assesses the needs of a specific patient population by:

 
1)         Establishing appropriate prioritization of their patient assignment. 
2)         Collaborating with physician, care managers, unit coordinator and other members of the health team as appropriate. 

2. Planning

1. Identifies expected outcomes for planned nursing interventions.

1. Interprets data obtained by self & others and incorporates this in the nursing care plan.

1. Participates in the organization and implementation of formal teaching plans.

1. Identifies nursing interventions appropriate to patients age.

1. Collaborates with patient/family, care manager, social worker, unit coordinator and others to coordinate/plan patient care, patient discharge and documentation of same.

1. Establishes priorities for patient care plan.

1. Establishes thorough patient care plan within 8 hours of admission.

1. Communicates and directs the Patient Care Plan to other members of the multi-disciplinary team.

3. Implementation

1. Establishes priorities and implements nursing actions on the patient care plan by either direct care or delegation of responsibility.

1. Communicates accurate information about the nursing care plan to the patient and/or family.

1. Documents patient care problems utilizing assessment data.

1. Demonstrates the ability to utilize the requisite technology relevant to the specific clinical area (see unit skills checklist).

1. Implements and/or assists others to implement the teaching plan.

1. Recognizes the need for post hospitalization care and follow-up.

1. Works with care manager, social worker and others, and makes recommendations for referrals, etc.

4. Evaluation

1. Interprets initial assessments and revises these assessments based on patient's response.

1. Utilizes data obtained from patient, family, and/or significant others to re-evaluate patient care.

1. Collaborates with nursing colleagues and multidisciplinary team members regarding effectiveness of the Patient Care Plan for each patient.

1. Evaluates and documents to what extent nursing goals have been met for a select group of patients.

 
AUTHORITIES: 

1. RESPONSIBILITY: Pain Management

 
TASKS: 

1. Provides appropriate and attentive pain management which includes:
   1. Accepts the patient’s report of pain
   2. Relieves the physical and psychosocial symptoms associated with pain while optimizing individual and family functioning.
   3. Promotes active participation by patients and their families in selecting pain management strategies and in communicating new or unrelieved pain.
   4. Provides consistent state of the art care through the multi disciplinary care team and universal guidelines for pain management.
   5. Educates patients, families and care givers about pain management and continually reinforces the development and application of knowledge.

1. RESPONSIBILITY: Professional Responsibilities

 
TASKS: 

1. Self-Development

1. Participates in a formal self-evaluation by identifying areas of strength and limitation.

1. Seeks supervision of own actions and sets goals for self-improvement.

1. Participates in educational programs and workshops to increase professional competence and meet personal needs and goals.

1. Understands the legal consequences of nursing actions.

1. Seeks consultation with nursing colleagues as appropriate.

1. Participates in the identified Patient Care Delivery System:

 
1)         Makes decisions regarding the patient=s nursing care. 
2)         Plans and provides care to assist the patient with achieving stated outcomes. 
3)         Utilizes verbal/written communication with all members of the health care team, patient and family, to meet patient needs. 

1. Initiates and conducts informal care conferences as needed.

1. Participates in multidisciplinary team meetings.

 
1)         Seeks and contributes to the multidisciplinary approach. 
2)         Makes decisions regarding the patient's nursing care. 
3)         Plans and provides care to assist the patient with achieving stated outcomes. 
4)         Utilizes verbal/written communication with all members of the health care team, patient and family to meet patient needs. 

2. Staff Development

1. Demonstrates the use of strong interpersonal communication skills with staff and other members of the health care team.

1. Communicates concisely, assertively, and responsively with peers.

1. Works with new employees to see that designed orientation plan is carried out.

1. Presents patient/family needs at multidisciplinary team meeting as needed.

1. Participates in the staff evaluation process as requested.

3. Unit Development

1. Participates consistently in appropriate staff assignments and their revision.

1. Participates effectively in evaluation of environmental safety and assumes responsibility for interventions.

1. In collaboration with group members, assigns aspects of care to selected members of the nursing staff.

1. Guides care given by selected members of the nursing staff.

1. Participates actively in informal care conference.

1. Supports care management activities.
2. Participates in staff meetings.

4. Student Development

1. Participates in unit orientation of faculty and/or students.

1. Participates in assigning students to individual patients.

1. Evaluates specific unit-level learning experiences and informs the students and/or faculty of opportunities.

1. Contributes to the evaluation of student clinical experience.
2. Actively participates in guiding/mentoring of students-nursing & others.

1. RESPONSIBILITY: Research

 
TASKS: 

1. Assists in data collection and identification of problem.

2. Applies research findings to nursing practice.
3. RESPONSIBILITY: Continuous Quality Improvement

 
Tasks: 

1. Demonstrates understanding of the CQI philosophy.
2. Participates in CQI training activities or CQI teams if appropriate.
3. Demonstrates sensitivity to customers and their needs.
4. Interacts appropriately with internal customers, i.e. coworkers within department, staff across departments.

 
5          Interacts appropriately with external customers, i.e. patients, families, medical staff, vendors. 

6. Role models positive behaviors.

1. RESPONSIBILITY: Service Excellence

 
Tasks: 
Demonstrates an ongoing commitment to the Service Excellence philosophy by adhering to behaviors outlined in Rice=s AStandards of Excellence.@ 

1. RESPONSIBILITY: Safety - Maintain and promote a safe environment for all patients, visitors and staff.

 
TASKS: 

1. Consistently follow all policies, practices and work rules.
2. Do not use shortcuts or “work-arounds” that may reduce safety or increase risk.
3. Stay alert, act responsibly and use common sense to reduce risks.
4. Report “actual events” and “good catches” as soon as possible.
5. Create a safe environment by eliminating hazards and identifying and reporting unsafe systems.
6. Complete all mandatory safety education, attend safety sessions, review and understand the Safety Program (available on RiceNet). Seek answers to questions you have about the Safety Program.

 
5/96, 4/97, 12/98, 6/99, 4/00, 01/01, 5/10, 8/14 
SPECIFIC DEMANDS OF THE JOB  

	Never	Rarely (1-5%) up to 1 hr.	Occasionally (6-33%) up to 21/2   hrs	Frequently (34-66%) 2 2 - 5 2 hrs.	Continuously (67 -100%) over 5 2 hrs
Climbing Stairs		X
Sitting			X
Standing
Stationary		X
Moving					X
Kneeling Bending Stooping				X
Squatting				X
Crawling- Crouching		X
Twisting/ Push/Pull			X
Head/Neck
Static			X
Moving					X
Carries: 0 - 10#					X
11#   - 24#				X
25#   - 34#			X
35#   - 50#			X
51# - 74#		X
Over 75#		X
Lifting:   0 - 10 #					X
11#   - 24#				X
25# - 34#			X
35#   - 50#			X
51# - 74#		X
Over 75#		X
Lifts to:
Floor to Waist				X
Waist to Shoulders			X
Above shoulders		X
Lifting -Carrying
To waist				X
Waist to shoulders			X
Above   Shoulders		X
Grasp
Simple				X
Firm			X

SPECIFIC JOB DEMANDS:

• Sitting for report, documentation and at times when working with patient.

• Repeat use of hands for cares- i.e. vital signs, medication administration- either oral or IV – suctioning, patient’s education.

• Moving around the floor and specifically between assigned patients and specifically to follow through with patient care.

&nbs

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