Job Title: Registered Nurse
Reports to: Nurse Manager
Job Code: 3610, 3611, 3612Approved by: Vice President Patient Care Services
Department: Inpatient Nursing
Approval Date: September 2020; Update September 2022
MINIMUM QUALIFICATIONS:
Education:
3610 Completion of an associate degree program in nursing
Internal new graduates may have a minimum of an associate degree program in nursing.
3611 Completion of a baccalaureate program in nursing
External new graduates must have a minimum of a baccalaureate degree in nursing.
3612 Master’s degree in nursing
Experience:
External applicants with associate degree in nursing must have 1 year (2080 hours) experience as a registered nurse.
For RNs working in a per diem/casual on-call status: Must have at least 1 year (2080 hours) of experience in an acute care setting OR internal RNs must successfully complete their probationary period AND must have at least 1 year (2080 hours) of experience in an acute care setting.
See addendum for department specific requirements
Licensure/ Registration/ Certification:
Licensed as a registered nurse by the State of Minnesota.
Demonstrates at the time of employment and every two years thereafter, competency Basic Life Support for Health Care Providers.
Registered nurses re-entering the nursing field, who have not completed 520 hours of nursing practice in the past four (4) years must successfully complete a recognized refresher course in order to qualify for employment. Written information of certification validating successful completion of a refresher course must be provided before employment.
See addendum for additional department specific requirements.
Knowledge, Skills and Abilities:
Ability to communicate clearly, both orally and in writing.
Ability to effectively participate on an interdisciplinary treatment team.
Ability to collaborate, develop and maintain effective working relationships with patients, family members, and co-workers.
Knowledge of basic computer skills, or the ability to achieve computer competency within 3 months.
Knowledge of current nursing practices and techniques.
Knowledge of chemistry, math, pharmacology, disease processes, anatomy, and all body systems.
Knowledge of emergency procedures and medical intervention techniques.
Knowledge of infection control practices and their relation to patient care outcomes.
Ability to recognize changes in patient’s condition or body systems.
Ability to critically think clinical situations and intervene appropriately.
Skilled in using basic patient care related equipment and supplies.
Ability to set priorities and manage time effectively.
Ability to provide individualized care and respond to a variety of patient/family preferences
Ability to provide an exceptional patient experience utilizing strong customer service skills
PREFERRED QUALIFICATIONS:
Education:
BSN or MSN prepared is preferred.
ADN enrolled in BSN program is preferred.
Experience:
See addendum for department specific preferences
Licensure/ Registration/ Certification:
Specialty Certification in the RN’s area of expertise (e.g. CCRN, Med- Surg, TNCC)
Knowledge, Skills and Abilities:
POSITION SUMMARY STATEMENT:
To assess, plan, perform, document, and evaluate professional independent nursing practice at Regions Hospital; to provide work direction for and oversight of the nursing care provided by unlicensed personnel; to perform and document functions such as carrying out the provider’s medical orders; to assist providers with diagnostic and treatment procedures; to provide a safe and therapeutic environment; to coordinate, communicate, interpret, and explain patient care services to the patient, his/her family, health professionals and important others; to perform related duties as assigned.
MAJOR JOB DUTIES AND TASKS:
Percentage
Of Time:
1.
Performs patient centered, safe, effective, equitable, timely and efficient patient care based on the specific needs of the patient populations served.
40%
Works within the scope of a registered nurse.
Assesses, plans, implements and evaluates care of the patients served on the assigned unit.
Creates and implements care plans that respect that diverse and unique needs of patients served (based on factors such as age, cultural preferences, religious practice, etc.). Re-evaluates and adjusts plan of care as needed.
Evaluates effectiveness of care by comparing patient outcomes with those indicated in the plan of care including patient teaching and discharge planning.
Revises and updates plan of care based on assessment, evaluation and evidence based practices.
Identifies patient safety concerns and actively implements responses to address concerns.
Exceptional performance is exemplified by:
Consistently accepts or volunteers to manage and coordinate the care for difficult and challenging patient assignments.
Consistently demonstrates ability to prioritize workloads, takes accountability and actions to ensure that work flow is maintained.
Is a role model by actively addressing, resolving or appropriately referring unit/interpersonal conflict.
2.
Communicates effectively with patients and families.
15%
Demonstrates professional, respectful and courteous individualized attention to patients and family. Consistently uses AIDET.
Conducts Intentional Hourly Rounding and partnered bedside rounding
Provides population specific education to patient and family regarding disease process, plan of care and health promotion.
Actively involves patient and family in plan of care.
Listens effectively, provides population support and feedback to patients and families based on individualized preferences.
Is a patient advocate.
Consistently makes provisions for patient dignity and privacy.
Responds to patient call lights and requests promptly.
Updates care board
Utilizes interpreter services resources as necessary
3.
Participates as an effective unit and nursing department member.
15%
Adheres to high ethical and professional standards, shows respect for others.
Maintains an orderly, clean unit and environment.
Attends and participates in unit and department meetings.
Accepts responsibility and accountability for his/her actions and decisions.
Demonstrates economical utilization of unit supplies.
Accepts responsibility for orienting new staff as assigned.
Complies with work rules, standards and policies
Utilizes appropriate lines of authority.
Manages time effectively including: on time arrival and limiting end of shift incremental overtime
Is actively involved in department and organizational improvement initiatives.
Stays current on unit communications including but not limited to: email, bathroom briefs, myLearning assignments, and huddles
Maintains accurate time card (e.g. corrects missed clockings, signs off on accurate time card minimally every pay period).
Commits to personal resiliency strategies and practices self-care.
Exceptional performance is exemplified by:
As a Designated Preceptor, completes Regions Preceptor Development Programs and effectively precepts new staff as needed.
Actively participates in a departmental committee (e.g. Nursing Practice, Unit Practice Council or Shared Governance Divisional Council or other hospital committees.)
Leads and actively involved in department or unit level PI initiatives, (e.g. conducts chart audits or practice audits, shares results, applies PDSA process).
Consistently acts as a resource/mentor for co-workers (acknowledged clinical expert on the unit).
Champions strategies to improve patient experience and safety (E.g. Bedside Shift Handoff, nursing out loud, Take 5, Technology upgrades).
4.
Establishes and maintains effective, collaborative working relationships with other health care team members and across the organization.
10%
Discusses, collaborates and consults with physicians and other health care team members regarding patient’s plan of care.
Delegates, supervises and partners with Unlicensed Assistive Personnel, Health Unit Coordinators, and students to implement the plan of care.
Addresses conflict in a timely and professional manner.
Works cooperatively with members of other departments (i.e. transport, laboratory, etc.) to provide optimal patient care.
Gives and receives shift handoff report on each patient.
Uses Vocera and other communication techniques and technology proficiently and appropriately.
Behaves in a way that welcomes, values and includes others. Leads with curiosity. Is intentional about personal and professional development within this context.
5.
Communicates information regarding patient care to the Care Team in a timely and effective manner.
15%
Documentation is complete, accurate, timely and in accordance with departmental policies.
Consistently participates in bedside shift handoff while involving patients and families.
Communication is consistently constructive, positive, pertinent, and patient focused.
Effectively and consistently uses the patient plan of care to communicate nursing interventions and resultant patient outcomes.
Uses SBAR method to communicate pertinent patient information.
6.
Maintains and updates clinical knowledge including certification(s) as appropriate.
5%
Remains up to date with new information, policies/procedures.
Completes annual required education by due date.
Knowledgeable of emergency procedures.
Maintains up-to-date clinical expertise in nursing specialty.
Exceptional performance is exemplified by:
Certification in specialty area.
Achievement of Level 3 or 4 in the Professional Recognition Program
Enrolled in and actively pursuing advance practice degree, (e.g. Masters Degree, CRNA, Nurse Practitioner).
Has disseminated information learned in a class or conference relevant to nursing practice with co-workers, for example, has created a storyboard, taught an in-service, designed a bulletin board or PowerPoint promoting Evidence Based Practice.
ORGANIZATIONAL EXPECTATIONS:
Values
All team members are expected to demonstrate our values:
Excellence: We strive for the best results and always look for ways to improve.
Compassion: We care and show empathy and respect for each person.
Partnership: We are strongest when we work together and with those we serve.
Integrity: We are open and honest, and we keep our commitments.
We are committed to living our values. That means our patients and families can expect certain things from each of us:
They can expect us to be their partner and treat them with dignity and respect. They can expect us to listen carefully and give good, timely information. They can expect us to do our best to provide affordable, coordinated, high quality care and services that are easy to find and simple to use. They can expect safe, clean spaces. And they can expect that we will do our very best to earn their trust by being open and honest, and keeping our word.
Additional Expectations:
Complies with safety instructions, observe safe work practices, provides input on safety issues and promotes a safe work environment.
Maintains regular and timely attendance
Protects confidentiality
Demonstrates participation in and support of the organization's Corporate Integrity Program by participating in compliance-related education and training and complying with the organization's policies and procedures.
Timely completion of all mandatory education and organizational requirements (i.e. licensure/certification, Employee Health and Wellness requirements, annual training, etc.)
POPULATION SPECIFIC COMPETENCIES:
X Yes
No
Does this employee have direct patient contact?
If “Yes,” departments will need to determine the appropriate competencies in their areas for their specific patient populations.
Population Specific Care
Principles of Sterile Technique
BLS/AED
Restraints
Pain Management
Sedation Management
Head to Toe Assessment-Body
Systems
Hazardous Pharmaceutical Waste Management
Urinary Catheter Insertion
Barcode Medication Administration
Specimen Collection
Insulin Administration
Suicide Screening
Bladder Scanner
Donning and doffing PPE
Unit Specific
Hand Hygiene
Controlled substance handling
Bedside Cardiac Monitor
PCA Pump
Principles of infection control
Safe Patient Handling
Central Line Dressing Change
IV Pump and Independent Co Check
Feeding tube management
Skin Assessment
Blood Administration
Unit Specific
LEADERSHIP RESPONSIBILITIES:
Please describe the degree to which the position directs the work of others or coordinates workflow of a clinic, department or functional area. If applicable, indicate the number of people and the titles for which this position directly and/or indirectly directs the work of others or coordinates workflow.
May supervise the work of a unit during a scheduled shift. This includes the provision of work assignments and information. The unit may include up to 25 employees. Provides work direction and supervises the delegated nursing care provided by unlicensed staff, HUCs, and students. May provide coaching and mentoring to staff being supervised.
PHYSICAL REQUIREMENTS:
Please list any physical requirements necessary to the performance of this job (e.g. lifting, carrying, stretching, sitting or standing for long periods of time). Please specify details such as number of pounds expected to lift, number of hours must be on feet, etc.
Stands and walks throughout the entire shift while performing job duties. Bends, reaches, twists and stoops frequently while performing job duties. Performs seated or standing work at a computer screen up to 50% of shift. Uses hands and fingers daily while using equipment and performing treatments. Pushing and/or pulling may be required when transporting patients and equipment, performing CPR, or when intervening with patients. Lifts up to 50 pounds on a daily basis. Lifts 100 pounds or more, with assistance, on a daily basis while transferring or positioning patients.
ENVIRONMENTAL CONDITIONS:
Please list unusual environmental conditions, if any (e.g. extremely cramped quarters, noise, fumes, gases, extreme heat/cold, etc.).
Provides patient care on a hospital unit. May be exposed to hazardous substances, harmful physical agents, and infectious agents that exist in the patient care area. Is exposed to disagreeable odors from patient discharges. Depressing situations include deaths, terminal illness and disability due to trauma.
EQUIPMENT:
Please list the equipment used in this position.
Stethoscope, Ipad, dual handset phones, barcode scanner, IV pump and pole, needles, syringes, suction machines, feeding pumps, catheters, temperature management devices, scales, carts, pagers, telephones, elevators, thermometers, clothes washer/dryer, restraints, computers, medication dispensing system, wheelchairs, commodes, beds, carts, shower chairs, ceiling lift, EZ stand, bladder scanner, Vitals machine, bedside cardiac monitor, various cleaning wipes, walker, oximeter, sliding board/mat, showers, Vocera, Hoyer lift, IV poles, call lights, hampers, pneumatic tube system, code cart, isolation cart, PPE equipment, printer, copier, telemetry equipment, glucometer, transfer belt, mechanical CPR device, manual and motorized chairs/recliners, call light.
POSITION DESCRIPTION ADDENDUM
Job title: ____________________________ Department: ________________________
Date Updated: _______________________
Department-specific qualifications:
Experience
For RNs working in ICU: Minimum 1 year (2080 hours) acute care RN experience is preferred.
For RNs working in Mental Health: Mental Health experience is preferred.
For RNs working in ED: 1 year (2080 hours) recent ED experience is preferred.
Licensure/Registration/Certification
For registered nurses working in areas where ACLS certification is required, certification must be obtained within six (6) months of employment.
For registered nurses working in the Birth Center, successful completion of a current Neonatal Resuscitation Program (NRP) is required prior to providing independent care to a neonatal patient.
For registered nurses working in the ED, see below for specific certifications required at time of hire.
Fast/Mid Track RN (1+ years of ED/ICU/Level I experience): ACLS, TNCC, PALS or ENPC certification, and NIHSS required at time of hire. (Tracked by department)
Fellowship RN: ACLS required at time of hire. TNCC, PALS or ENPC, and NIHSS must be obtained during orientation or at time of hire. (Tracked by department)
New Graduate Residency: ACLS, TNCC, PALS or ENPC, and NIHSS must be obtain during orientation or at time of hire. (Tracked by department)
Mental Health RN: BLS required at time of hire (Tracked by HR)
Split Flow RN: ACLS must be obtain during orientation or at time of hire. (Tracked by department)
Other as defined by department:
Physical Requirements:
Environmental Conditions:
Department-specific job duties:
8
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