Registered Nurse - Supplemental Tier C

Under general supervision, provides direct patient care to assigned patients.

Associate Degree from an accredited School of Nursing required.

Two year Registered Nurse experience required in the specific specialty area or LPN experience at GBMC with director approval.

• Current registration with the Maryland State Board of Examiners of Nurses as a Registered Nurse.
• Current Healthcare Provider BLS certification from an affiliated American Heart Association training site
• Additional Certifications (i.e. ALS, PALS, NRP) are required upon hire for specialty areas

• Proficiency in developing nursing plan of care, implementing effective nursing care, and evaluating outcome of nursing intervention.
• Excellent communication and interpersonal skills.
• Effective planning and organizational skills in order to effectively manage multiple priorities simultaneously
• Strong analytical skills
• Effective skills in use of computer programs
• Demonstrates skill in patient experience and service recovery

Utilization of Nursing Process

• A. Assessment.
• Compiles database and formulates nursing diagnosis.
• Utilizes physical assessment and interviewing techniques.
• Anticipates need for intervention by other disciplines.
• Determines priorities for patient care needs or problems.
• Reassesses the patient as indicated by changes in condition and/ or response to treatment(s)
• B. Planning.
• Initiates and updates a written nursing plan of care for patients by incorporating scientific and psychosocial principles that support the nursing diagnosis.
• Incorporates information obtained from nursing care planning conferences into written nursing plan of care.
• Coordinates patient, family, significant other, and health team members in the planning of hospital and post-discharge care.
• C. Implementation.
• Performs clinical nursing skills independently.
• Administers medications, IV therapy and treatments appropriately and accurately.
• Initiates appropriate emergency procedures as necessary.
• Appropriately delegates and coordinates the duties of ancillary personnel.
• Communicates the patient's status and plan of care through written documentation in the patient's medical record.
• Verbally communicates the patient's status to physicians, nurses and other health care professionals.
• Communicates in a therapeutic manner with the patient, family and visitors.
• Applies teaching/learning principles in education of patient and family.
• D. Patient Care Coordination
• Manages daily patient assignment by appropriately setting priorities.
• Delegates responsibility appropriately and monitors the nursing care delivered to patients by ancillary personnel.
• Coordinates patient activities with other disciplines.
• E. Teaching and Quality Improvement
• Develops, documents and implements Patient Teaching and Discharge Planning Record.
• Participates in established patient, family, staff and/or student education program.
• Participates in clinical monitoring at the unit level.
  
  Identifies unit, staff and patient care problems.
• Takes action or refers problems to appropriate resources when indicated.
• F. Professional Excellence Model
• May participate in activities of the RN 3 with the exception of serving as a facilitator for the Nurse Residency Program
• If competent, serve as a charge RN and monitor productivity/patient flow
• If competent, precept new staff

• Ability to stand and walk almost constantly up to 90% of work time and lifting and positioning patients up to 50% of work time.
• Ability to concentrate and pay close attention to detail and often in stressful situations.

• Normal patient care environment with possible exposure to excessive noise, dust, temperature.
• Exposed to adverse working conditions due…