Assesses, plans, implements, documents, organizes, prioritizes, delegates, supervises and coordinates the care of adolescent, adult, geriatric patients as prescribed within the parameters of the NC Nurse Practice Act and hospital complex.
MAJOR WORK ACTIVITIES:
Provides nursing care via the nursing process and data analysis for the development, implementation and evaluation of nursing care. Interviews patient to obtain pertinent medical and surgical history, current medications, treatment plan and preparation for examination. Performs age specific assessments to collect pertinent data. Identifies needs based on knowledge of growth and development of adolescents, adults and geriatric patients, records initial database and ongoing assessment pre-, intra-, and post-procedure. Consistently recognizes and acts upon subtle changes in patient status, anticipating their needs while collaborating with the health care team. Develops and documents plan of care from assessment data including discharge planning in collaboration with the patient, significant others, and health care providers. Implements interventions in a manner to maintain patient dignity, privacy, confidentiality and safety. Defines measurable outcomes based on database and ongoing evaluations of patient response to interventions. Identifies variances to expected outcomes and intervenes to optimize outcomes. Involves patient, significant others, and health care providers in the evaluation process. (i.e. Patient satisfaction surveys, follow-up calls and CQI). Assists the patient and significant others in identifying and securing appropriate services and educational opportunities available to address health-related needs while providing emotional and psychological support to patients and family. ( i.e.: Referrals, Consults, Lab and Radiology Services, Support Groups and teaching materials). Demonstrates advanced competencies and critical thinking skills in day to day practice. Educates staff regarding the nursing process, and the use of clinical pathways as a collaborative practice and interdisciplinary care tool. (30%)
Establishes a caring and therapeutic nurse/healthcare team/patient/significant other relationships. Recognizes communication barriers, identifies resources and establishes plans to resolve barriers to communication. Demonstrates respect for diversity and cultural differences in patient/significant others related to age, ethnicity, gender, religion, socioeconomics, education, personality, or other unique variable.Formulate individualized plans to address individual needs related to diversity, cultural difference or other unique variables.Advocates for the patient/significant other. Demonstrates skillful responses to customer needs based on particular context of the situation. Provides education to staff related to the patient/nurse relationship. (25%)
Supports an environment of evidence based practice/research/quality improvement. Demonstrates knowledge of Shared Governance accountabilities and principles, supports DSGC directly as a council member or indirectly by keeping informed of council activities/supporting council decisions, brings forth issues to council. Demonstrates knowledge of how to access reference documents containing policies,procedures, standards, and additional resources. Participates in QI/Research activities based on role and major work activities as outlined in the research point system guidelines. Demonstrates knowledge of department QI plan. Demonstrates understanding of resource management and implements opportunities. Collects QI data and participates in analysis and action plan development, incorporates changes into practice. Facilitates ongoing activities to meet and adhere to regulatory standards (HIPAA, TJC, DFS, OSHA). Analyzes QI data and suggests action plans, incorporates changes into practice and coaches and mentors others to do so. Recognizes opportunities for QI processes, participates in design and implementation of QI processes. (20%)
Supervises other members of the team. Contributes to a supportive and healthy work environment. Holds self and others accountable for complying with policies, procedures and standards including dress code and attendance. Provides input into and supports the precepting and mentoring process. Delegates appropriate tasks to support staff, ensures completion of delegated tasks and provides feedback as needed. Demonstrates team spirit and collegiality. Supervises select personnel in performance/patient care. Participates in preceptor development courses. Collaborates with other RN3s and RN4s to identify, initiate, and evaluate teambuilding strategies. Recognized as a resource/facilitator for precepting, mentoring, delegating, team building. Independently performs charge duties. (15%)
Demonstrates personal accountability and effective conflict resolution/negotiation skills. Demonstrates appropriate use of universal precautions and use of personal protective equipment. Maintains safe environment and responds appropriately to emergencies and safety hazards. Promotes positive, supportive, and professional work environment free of disruptive behavior. Practices, in all professional relationships, with compassion and respect for the inherent dignity, worth and uniqueness of every individual. Follows Chain of Command for assistance with issues related to unresolved/problem-solving and/or conflict resolution. Provides, seeks and receives constructive feedback. Provides peer to peer feedback and seeks mediation as necessary. Facilitates building and preserving collaborative and respectful relationships. Adheres to maintenance requirements for the professional nurse advancement program. (10%)
Graduate of a School of Nursing. BSN required or with approval of the VP of Nursing, experienced RN's with an AD or Diploma with an active plan to obtain their BSN within four years from date of hire may be considered.
RN - Registered Nurse licensed in North Carolina or a Compact state.
BLS (CPR) - AHA Health Care Provider BLS
Advanced Cardiovascular Life Support
Pediatric Advanced Life Support
KNOWLEDGE, SKILLS, AND ABILITIES:
Personal Safety - Responds appropriately to emergency situations (Cone Health Codes) and demonstrates knowledge of how to respond. Always uses appropriate safety devices and techniques (examples: using safe lift equipment and needle safe devices; pushing carts; correctly lifting copy paper).
Ability to present information to a group
Oral and Written Communication Skills - Ability to communicate effectively through both oral and written formats.
Ability to work independently
Accountability - Takes responsibility for own actions, including the impact of own decisions on patients and others. Also takes responsibility for actions of any direct reports, avoiding blame or excuses. Takes appropriate action when anyone in the organization violates standards or regulations, viewing it as unacceptable to "look the other way".
Adaptability - Effectively assesses and adjusts to changes in circumstances, resources, or environment, using the creativity and flexibility required to remain effective. Views change as a constant, accepting and adjusting to twists and turns. Adjusts to the especially unpredictable nature of a healthcare environment, shifting focus as necessary, and taking reasonable action, even when faced with various levels of uncertainty.
Communication - Accepts responsibility for effective two-way communication using clear and well-organized oral and written techniques. Demonstrates self awareness of non-verbal messages, keeping verbal and non-verbal messages consistent. Incorporates recognition of cultural impact on understanding and effectively uses interpreters and language translation devices.
Computer Literacy - Working knowledge of personal computer and communications technology.
Knowledge of Concepts, Procedures and Techniques - Possess knowledge of concepts, procedures and troubleshooting techniques.
Problem Solving - Identifies practices or procedures that are not working effectively and challenges underlying assumptions. Includes a representative number of persons when addressing issues (including patients and their families), resulting in the best resolution from various perspectives. Looks for the root cause of any problem, resulting in solutions that are enduring and sustainable.
Proficiency in Tools and Equipment - Ability to demonstrate proficiency in the application of tools, test equipment and meters to effectively diagnose equipment problems and/or failures consistently.
Responsiveness - Reacts promptly when requests are made or situations clearly call for it. Shifts priorities when a timely response is essential. Actions reflect sensitivity to patient/customer needs and sense of urgency. Balances speed of response with safety concerns.
Time Management - Establishes priorities during routine daily operations, addressing time-sensitive matters first, while also accomplishing day-to-day tasks and duties. Effectively triages tasks and events according to urgency level, impact on patients and outcomes desired under special conditions (e.g., during crises and emergencies). Makes choices that result in maximum completion of essential duties and minimum personal stress.
Ability to work in stressful situations - Ability to remain calm and composed in stressful situations (ie: fast paced environment, meeting deadlines/work quotas, etc.)
Integrity - Demonstrates an unwavering commitment to do what is ethically "right".
Consistently tells the truth unless doing so would violate confidentiality or compromise the safety or privacy rights of patients or others. Behaves in a manner fully consistent with stated intentions and commitments, even when there is no one to witness activities. Stands up for what is right even when there are personal risks or when there are clear rewards for doing otherwise.
Interpersonal skills - Demonstrates an ability to interact with others in a courteous and professional manner and establish good working relationships.
Ability to delegate
Ability to influence others not under direct control
CONDITIONS OF EMPLOYMENT
* Annual flu shot
* Annual TB test (if applicable to your job location)
* Annual HLCs (Healthstream, formerly CBL)-Safety at Work and Corporate Compliance
* Maintain licensure/certification/registry/listing (if applicable to your job)
The 4th floor Intermediate Care/Urology Nursing Department is a 45-bed department located on the East and West sides of the 4th floor. A cardiac monitoring system is located in each nursing station and is manned 24hours a day by the monitor tech at the Centralized Telemetry Department located at a remote location. The nursing stations are centrally located on the East and West sides of the 4th Floor with a conference room, clean storage rooms, nourishment/medication rooms, dirty storage, and clean supply rooms. The 4th Floor Nursing Department specializes in the care and treatment of adult to geriatric patients with heart and pulmonary disease, and urology and general surgery. Many of our patients are of higher acuity, which require frequent assessments, monitoring of vital signs, provision of medications, and treatments. Telemetry monitoring is available for all patients.
ABOUT CONE HEALTH:
Cone Health is a state of the art network of facilities providing patients access to the latest developments in medical care from their first moments of life through later years. Our network offers the most breakthrough treatments and technology available in healthcare today. As a teaching hospital, we offer employees the opportunity to become leaders in the industry and continued growth from their first day on. Extraordinary patient care is about being "high-touch" as well as "high-tech". Community service and superior patient care are the cornerstones of our organization, a philosophy that is demonstrated by each and every one of our valued team members. We are proud to be the largest private, not-for-profit employer of choice in the Piedmont, NC area community. Additionally, as one of the region's largest and most comprehensive health networks, Cone Health has more than 100 locations, including six hospitals, three ambulatory care centers, three outpatient surgery centers, four urgent care centers, a retirement community, and more than 100 physician practice sites. Our tagline - "The Network for Exceptional Care" - highlights our commitment to excellence, which is shared by our more than 11,000 employees, 1,300 physicians and 1,200 volunteers.
Cone Health is an equal opportunity employer. If you require assistance with our online job submission process, please contact our Talent Acquisition team at 866-266-3767 to request an accommodation.