GENERAL SUMMARY: Under general supervision of the unit's nursing management, performs duties to ensure quality patient care on assigned shift throughout the healthcare continuum. Ensures quality and safe delivery of care to patients in the following age groups: All ages; Neonate; Infancy; Toddler; Preschool; School age; Adolescent; Adult; Geriatric.
PRINCIPAL DUTIES AND RESPONSIBILITIES: 1. CLINICAL PRACTICE Performs all aspects of clinical practice according to standards of care, including but not limited to, assessment, planning, implementing, evaluation, intervention, organization of work, priority setting, decision making, follow up, activities of daily living, IV Therapy, EKG's. Demonstrates clinical judgement in assigning duties to nursing staff consistent with documented level of competency. Participates in unit based quality control initiatives, identifies opportunities for performance improvement, and takes appropriate action. 2. LEADERSHIP Delegates tasks to subordinates to ensure efficient and effective work flow. Provides input into hiring and evaluations and may participate in the interviewing process. Resolves conflicts. Ensures proper staffing patterns according to established nurse-patient ratios. Assures current, quality nursing practice is maintained through participating in and keeping informed of unit / Hospital committees, staff meetings, and other related activities. Collaborates with members of interdisciplinary team to facilitate accomplishment of unit objectives in the provision of quality care and service to patients, families, physicians, and payors. Demonstrates initiative and good judgment in making decisions. Is accessible and responsive to staff and works positively to resolve conflicts. Utilizes staffing matrix and patient acuity levels to determine appropriate staff level for unit and takes appropriate action. Accepts responsibility for patient care assignment and independently identifies opportunities to offer additional support to staff. 3. DOCUMENTATION Maintains thorough and complete documentation according to established legal and hospital guidelines. Transcribes and inputs physician orders accurately and in a timely manner, using the nurse order entry system. 4. COMMUNICATION Communicates and collaborates with all health team members, patients, and families effectively. Ensures patient care needs are met in a timely manner and follow through is initiated and/or completed. May act as a patient advocate. Remains informed of discharge plans. Encourages open communication to foster a positive, professional environment. Utilizes systems to remain apprised of patient status/needs and of facilitating information to physicians and oncoming shifts. 5. EDUCATION Keeps current with nursing skills, equipment, and unit specific knowledge. Provides patient/family teaching, may act as a preceptor, assists with the professional development of the unit.
KNOWLEDGE , EXPERIENCE, AND OTHER JOB REQUIREMENTS: 1. Current licensure as a Registered Nurse in the Commonwealth of Massachusetts. 2. Minimum of six months to one year of experience in specialty areas preferred.
ESSENTIAL PHYSICAL JOB FUNCTIONS
1. Ability to communicate face to face with individuals; communicate via call system with individuals; communicate via telephone with individuals; read, write, speak and understand the English language
1. Ability to hear heart, lung and bowel sounds; blood pressure, and fetal heart sounds using stethoscope; respiratory sounds without stethoscope; patient verbalizations speech, crying, moans, etc; monitor alarms, fire alarms, positive pressure room alarms.
1. Requires (Near/Far/Depth/Color) vision for patient assessment, charting, computer use, lab tests, read monitors, injections, vitals, blood draw, measurements
1. Ability to vertically/horizontally transfer objects weighing up to 10 lbs from 69 inches to 26 inches, up to two times an hour for a distance of up to 150 feet without mechanical assistance. (example: Linens)
2. Ability to vertically/horizontally transfer objects weighting up to 10 lbs from 8 inches to 30 inches, up to five times an hour for a distance of up to 5 feet without mechanical assistance. (example: Charts)
3. Ability to vertically/horizontally transfer objects weighing up to 15 lbs from 17 inches to 28 inches, up to once an hour for a distance of up to 5 feet without mechanical assistance. (example: P&P Manual)
4. Ability to vertically/horizontally transfer objects weighing up to 20 lbs from 45 inches to 26 inches, up to once an hour for a distance of up to 200 feet without mechanical assistance. (example: Oxygen Tank)
5. Ability to vertically/horizontally transfer objects weighing up to 20 lbs from 33 inches to 26 inches, up to once an hour for a distance of up to 200 feet without mechanical assistance. (example: Monitors)
1. Ability to push/pull IV poles and Blood Pressure machine for patient care. Must be able to horizontally transfer IV poles and Blood Pressure machine requiring a force of up to 1 lb., up to ten times an hour for a distance up to 50 ft.
2. Ability to push/pull crash cart or wheelchair (with patient). Must be able to horizontally transfer wheelchair and crash cart requiring a force up to 10 lbs (total weight of 250 lbs), up to once an hour for a distance up to 200 ft.
3. Ability to push/pull gurney with patient. Must be able to horizontally transfer gurney requiring a force up to 35 lbs (total weight of 410 lbs), up to once an hour for a distance up to 200 ft.
4. Ability to push/pull patient bed (with patient). Must be able to horizontally transfer patient bed (2 man ) requiring a force up to 38 lbs (total weight of 713 lbs/2 =357 lbs.) five times an hour for a distance up to 50 ft.
5. Ability to push/ pull patient on bed sheet from gurney to bed, bed to gurney, and sit patient upright in bed. Requires upper body forces up to 45 lbs, up to five times an hour.
6. Ability to lift and transfer patient from bed to wheelchair, and wheelchair to bed. Requires upper body forces up to 50 lbs, up to six times a day.
7. Ability to turn patient side to side in bed and boost up in bed. Requires upper body forces up to 50 lbs, up to six times an hour (one time in ten minutes).
1. Ability to climb stairs up to 80 steps an hour in a twelve hour time period.
1. Ability to perform bilateral coupling forces up to 5 lbs, up to ten times an hour for paperwork and patient care.
1. Ability to perform repetitive assumption of posture to access a point 1 inch from floor up to ten times an hour. Must be able to access low areas for changing linens and straightening patient’s rooms.
1. Ability to tolerate a seated posture up to 15 minutes, continuously, for a total of up to 2 hours per 12 hour time period.
2. Ability to tolerate a standing posture up to 2 hours, continuously, for a total of up to 9 hours per 12 hour time period.
1. Assume a squat. Reaching from 1” height on floor, returning to upright position (10 times).
1. Ability to walk up to 3 miles in a 12 hour time period.
Ability to use and wear Personal Protective Equipment (PPE), gloves, mask, gown, goggles, face shield.