RN PCU (Nights)

Provides high quality, age and population specific, direct clinical care according to the Scope of Service for the Medical/Surgical unit and within Wyoming Nursing license. Demonstrates knowledgeable nursing skills to implement ideal, evidence based, best practice, patient care through on-going updates and education. Maintains safe and knowledgeable practice with use of equipment and technology. Acts as a resource on the unit and throughout the organization and assists other departments as requested. Utilizes resource to minimize risks and promote safety. Adheres to and practices the St John's Health Corporate Compliance Program and participates in Performance Improvement activities. Essential Functions 1. Safety Obtains and reviews all patient data using observational, interviewing, interpretation and critical thinking skills for all patients to develop an individualized, safe plan of care. Identifies risk factors and provides interventions for safe patient care and environment. Implements measures to prevent injury from environmental hazards. Ensures equipment is functioning properly before use and reports malfunctioning equipment according to unit procedures. Follows hospital policies and established safe practices such as National Patient Safety Goals, CDC guidelines, fall risk assessments, proper techniques for nursing interventions, and nurse hand off protocols. Initiates and completed Event Reports for unexpected outcomes and near misses. 2. Care Planning Exercises critical thinking and best practices and professional nursing standards within the context of a multidisciplinary approach to development of patient care planning. Addresses patient and family's spiritual/emotional/physical needs utilizing a holistic approach. Develops a plan of care that is unique to each patient's needs, reflecting measurable goals that are mutually set with the patient and family. Identifies continuity of care needs for discharge and follow up using appropriate resources. Evaluates patient's understanding and response to the plan of care and evaluates the effectiveness of interventions towards established goals and outcome expectations. Completes SBAR report with charge nurse focusing on patient goals and plan of care for a safe discharge home. 3. Direct Patient Care Incorporates teaching/education into all aspects of patient care and nursing practice. Assesses age and population specific and developmentally appropriate patient and family education needs. Assesses readiness to learn based on patient perception, education level and expectation of care. Initiates and incorporates patient and family education onto the plan of care. Provides clear information to assist the patient to make informed decisions. Encourages patients' active involvement in their care. Communicates status report to patient's family as appropriate. 4. Teamwork Assists and completes daily routines (i.e. crash cart checks, narcotic counts, glucometer controls). Keeps department clean, orderly and stocks daily. May function in the charge nurse role and accepts increased supervisory responsibilities as requested. Uses supplies and equipment within safe parameters, Acts as a resource to others. Delegates responsibly. Floats to other departments as needed. Keeps competencies current. Job Requirements Minimum Education Required: ASN Preferred: BSN and ACLS preferred Minimum Work Experience Required: NA Preferred: NA Required Licenses: Current RN License with the authority to practice in the State of Wyoming and BLS required at time of hire. CPI certification required within 6 months of hire. Functional Demands Working Conditions: Hospital medical/surgical unit. May float to other nursing units. Frequent stressful situations. Must be on-site at the St. John's Health campus or other facilities to fulfill the responsibilities of this role. Physical Requirements: 75% of time standing and walking. Irregular work hours, meals and breaks. Must possess sight/hearing senses to meet job requirements. Intermittent sitting and computer use. Must possess the ability to lift, push, pull and move patients, equipment and supplies. Must be able to lift up to 50 pounds. Direct Reports: CNAs, LPNs, GNs Reports to: Clinical Manager RN PCU Internal and External Contacts: All hospital departments, patients, physicians, families and/or friends of patients, community agencies, transferring medial facilities. Leadership Capabilities 1. Patient Focus Is dedicated to meeting the expectations and requirements of patients Gets firsthand patient feedback and uses it for improvements Establishes and maintains effective relationships with patients and gains their trust and respect 2. Attention to Detail Completes tasks in a way that ensures there are not errors Methodically and patiently reviews work to identify any mistakes or discrepancies Creates and stores documentation in a way that is thorough and easy to access 3. Quality Decision Making Considers many factors and sources when making decisions Is correct and accurate with most of his/her solutions and suggestions when judged over time Is sought out by others for advice and solutions Spends his/her time and the time of others on what's important Quickly zeros in on the critical and few and puts the trivial many aside Handles risks and uncertainty with composure 4. Interpersonal Skills (Nursing) Steps up to conflicts, seeing them as opportunities Builds appropriate rapport Finds common ground and gains cooperation Taking responsibility for the consequences of one's own actions and decisions