ENTRY REQUIREMENTS Currently licensed as a Registered Nurse in the State of Michigan. Baccalaureate degree in Nursing or another applicable baccalaureate degree if also coupled with a minimum of 5 years of clinical experience in the specialty area of practice where the job primarily occurs. Encouraged to obtain a MSN and certification in specialty area of practice. For those hired into roles after October 1st, 2013, MSN required or currently actively pursuing. Transition plan (for those currently in the role): § Begin MSN within two years of October, 1st 2011 § Complete MSN degree by October 1st, 2018 Experience in the clinical area in which application has been made is desirable. Is a self-directed professional who is able to function autonomously in a leadership role to assist and support staff nurses in decision-making and problem-solving clinical issues related to the delivery of nursing care. Assess the skill levels of new employees and determines the extent and duration of orientation and training required. Demonstrates ability in using the computer with Windows format preferred.
ORGANIZATION Accountable to the Unit Manager or designee of the assigned patient care unit. Provides direction to and supervision of RNs, LPNs, Techs, Clerks, Nursing Assistants, and/or other categories as needed. Works collaboratively and effectively with all members of the Patient Care Team
AGES OF PATIENTS SERVED: Age of Patients Served is dependent on the specific populations cared for on the Unit. Supports the mission statement of Munson Healthcare (MHC), Munson Medical Center (MMC) and Munson Nursing: Munson Healthcare and its partners work together to provide superior quality care and promote community health.
SPECIFIC DUTIES Supports the mission statement of Munson Healthcare and Munson Nursing: Munson Healthcare and its partners work together to provide superior quality care and promote community health.
STANDARDS OF PRACTICE
Collects health data in a systematic and ongoing manner involving the patient, family, and other health care providers as appropriate.
Determines the priority of data collection based on the patient's immediate condition or needs.
Documents relevant data in a retrievable form.
Derives diagnoses from the assessment data. Validates with the patient, family, and/or other healthcare providers and documents.
Assists staff in developing and maintaining competency in the diagnostic process
Identification of Outcomes
Involves the patient, family, and other healthcare providers in formulating outcomes from the diagnosis that are individualized and includes a time estimate for attainment.
Determines outcomes that are culturally appropriate, realistic, attainable and measurable.
Documents expected outcomes as measurable goals.
Supports the use of clinical guidelines and/or pathways linked to positive patient outcomes.
Individualizes a plan of care with the patient, family, and other health care providers that prescribe interventions to attain expected outcomes.
Develops a plan of care that establishes priorities, provides for continuity, and is documented.
Participates in the design and development of multidisciplinary and interdisciplinary processes to address the situation or issue.
Contributes to the development and continuous improvement of organizational systems that support the planning process.
Supports the integration of clinical, human, and financial resources to enhance and complete the decision-making processes.
Implements the plan of care in a safe, timely, and appropriate manner and documents interventions.
Coordinates and collaborates in care delivery
Employs health teaching and health promotion strategies
Implements the plan using principles and concepts of project or systems management.
Fosters organizational systems that support implementation of the plan.
Facilitates the effectiveness of a consultation by involving the stakeholders in the decision-making process.
Provides emotional support and facilitates the development of coping skills for families and patients; individually and in support groups
Evaluates the patient's progress toward attainment of outcomes and includes the patient, family, and other health care providers as appropriate.
Documents the patient's responses to the interventions.
Uses the results of the evaluation analyses to make or recommend process or structural changes, including policy, procedure or protocol documentation, as appropriate.
PROFESSIONAL Performance Standards
Quality of Practice
Systematically evaluates the quality and effectiveness of nursing practice.
Embraces and supports the Performance Improvement philosophy of MMC. Participates in quality improvement activities.
Acknowledges that safety is a self-responsibility. Knows the physical requirements of the job and works within those guidelines. Performs job duties safely at all times, utilizing body mechanics and transferring/lifting techniques.
Plans actions to promote safety. Reports any unsafe situation/equipment according to Hospital procedure.
Participates in quality of care activities at the unit level.
Supports and participates in shared governance activities.
Utilizes the results of quality of care activities to initiate changes in nursing practice.
Designs quality improvement initiatives.
Evaluates the practice environment in relation to existing evidence, identifying opportunities for the generation and use of research.
Obtains and maintains professional certification if available in the area of expertise.
Participates in ongoing educational activities related to clinical knowledge and professional issues.
Assumes a lead role and collaborates with others in developing and presenting educational programs.
Complies with mandatory continuing education requirements to maintain licensure and meet job requirements.
Seeks experiences that reflect current clinical practice in order to maintain current clinical skills and competence.
Uses current research findings and other evidence to expand knowledge, enhance role performance, and increase knowledge or professional issues.
Professional Practice Evaluation
Evaluates own nursing practice in relation to professional practice standards and guidelines, relevant statutes, rules, and regulations.
Engages in performance appraisal on a regular basis, identifying areas of strength as well as areas for professional development. Takes action to achieve identified goals.
Acquires and maintains current knowledge and competency in nursing practice.
Assists in the development and implementation of unit goals and objectives through collaboration with nursing staff and unit manager.
Engages in processes, seeking feedback regarding one's own practice from individuals, professional colleagues, and others.
Interacts with, and contributes to the professional development of peers and other health care providers as colleagues.
Contributes to an environment that is conducive to the clinical education of nursing students, other health care students, and other employees, as appropriate.
Contributes to a supportive and healthy work environment.
Participates on multi-professional teams that contribute to role development and advance nursing practice and health services.
Mentors other registered nurses and colleagues as appropriate.
Collaborates with the patient, family, and other healthcare providers for provision of seamless delivery of services.
Consults with other health care providers of patient care as needed.
Participates, as appropriate, in the organization's structures and processes.
Partners with others to enhance health care and, ultimately patient care through interdisciplinary activities, such as education, consultation, management, technological development, or research opportunities.
Utilizes the American Nurses Association's Code of Ethics for Nurses with Interpretive Statements (ANA 20012) and the hospital ethics committee to guide practice.
Maintains patient confidentiality within legal and regulatory parameters.
Acts as a patient advocate and assists patients in developing skills so they can advocate for themselves.
Delivers care in a manner that is culturally sensitive and preserves patient autonomy, dignity, and rights.
Maintains a therapeutic and professional patient-nurse relationship with appropriate professional role boundaries.
Reports illegal, incompetent, or impaired practices.
Participates on multidisciplinary and interdisciplinary teams that address ethical risks, benefits, and outcomes.
Utilizes current research findings and current practice guidelines to strengthen patient care.
Participates in the identification and implementation of suitable research activities, which may include identification of a research question, participating in the conduct of research, and incorporating research as a basis for learning.
Uses research findings in the development of policies, procedures, and quality improvement efforts.
Contributes to nursing knowledge by conducting or synthesizing research that discovers, examines, and evaluates knowledge, theories, criteria, and creative approaches to improve health.
Formally disseminates research findings.
Considers factors related to safety, effectiveness, and cost in planning and delivering patient care.
Assigns or delegates tasks consistent with organizational policies, procedures, legal, and regulatory requirements, according to the knowledge and skills of the designated caregiver.
Develops innovative solutions and applies strategies to obtain appropriate resources for nursing activities.
Develops evaluation methods to measure safety and effectiveness for interventions and outcomes.
Promotes activities and assists others in becoming informed about costs, risks, and benefits of care, or of the plan and solution.
Provides leadership in the profession and the professional practice setting
Supervises RNs, LPNs, Techs, Clerks, Nursing Assistants, and/or other appropriate categories for the care assigned to the patients for whom the RN is accountable
Promotes advancement of the profession through involvement with professional organizations.
Works to influence decision-making bodies to improve patient care, health services, and policies.
Promotes communication of information and advancement of the profession through writing, publishing, and presentations for professional or lay audiences.
Designs innovations to effect change in practice and outcomes.
Resources: "Scope and Standards for Nurse Administrators:" American Nurses Association, 2002. "Code of Ethics for Nurses with Interpretive Statements;" American Nurses Association, 2001.