Registered Nurse III

JOB RESPONSIBILITIES

• Clinical judgment when performing caring practices
  - Synthesizes and interprets multiple sources of data; uses past experiences to anticipate problems; seeks interprofessional collaboration; recognizes and responds to complex situations. Leads efforts to improve documentation of the plan of care, care delivered, and outcomes of care. Has innate awareness of the patient and family's current and future needs, and fully engages them in the plan of care. Collaborates with family, other health care providers and community resources to develop comprehensive plans of care.
  
  Caring practices follow the patient s and family s lead; orchestrates processes to ensure patient/family s comfort and concerns are addressed. Promotes a healing environment for all health outcomes, including death. Expertly integrates age specific concepts into patient care, considers both the patient s chronological age and developmental level. Using self-management strategies, develops care goals and actions in partnerships with patients and families.
  
  Creatively modifies or develops patient and family education programs. Integrates patient/family education throughout delivery of care; evaluates effectiveness using teach back methods and by observing behavioral changes related to learning. Integrates strategies in the plan of care that support the patient s and family s transition to home.
• Uses systems thinking
  - Knows when and how to negotiate and navigate through the system on behalf of patients and families through care coordination. Intervenes and leads others to change systems and processes as appropriate to support optimal patient outcomes. Sustains an extensive understanding of regulatory requirements and accreditation standards. Works with managers to lead efforts to meet and sustain the regulatory compliance efforts of the department and hospital.
  
  Monitors and assists others to comply with safety and departmental policies and procedures. Ensures individual certifications and Safety College requirements are fulfilled in a timely basis. Is well-informed of CCHMCs processes and compliance with CMS standards and assertively communicates safety and compliance concerns to leadership team members. Effectively coordinates team care delivery while in the role of charge nurse; anticipating planning for and mitigating unexpected circumstances.
• Interprofessional Practice
  - Demonstrates consistent integration of the Interprofessional Practice Model (IPM) in all aspects of practice.
• Compliance
  - Patient Services Staff
  - Sustain a working understanding of regulatory requirements and accreditation standards. Support leadership in Compliance efforts to meet and sustain the regulatory compliance efforts of the department and hospital. Be mindful and judicious in monitoring safety and departmental policies and procedures. Ensure all individual certifications and Safety College requirements are fulfilled in a timely basis. Work with department managers, nurse council and magnet representatives to identify and share safety best practices.
  
  Be mindful of CCHMCs processes and compliance with CMS standards and freely communicate safety and compliance concerns to leadership team members.
• Exhibits advocacy, moral agency and response to inclusion
  - Works on behalf of patient, family, and community; advocates from patient/family perspective, whether similar to or different from personal values; suspends rules - patient and family drive moral decision-making; empowers the patient and family to speak for/represent themselves; achieves mutuality within patient/professional relationships. Uses inclusive resources available both internally and in the community to enhance the experience of care for the various patient populations.
  
  Appreciates and incorporates differences, including alternative therapies into care; tailors care to the extent possible. Demonstrates efforts to grow self and others in cultural competence.
• Collaborates with team using shared decision making
  - Invites inclusive resources when appropriate to optimize patient outcomes. Interacts confidently by promoting and expecting collaborative behavior in others. Mentors others to respect the contribution of the entire team. Is able to lead others to work collaboratively valuing the contributions of the various disciplines in patient/practice issues. Demonstrates leadership in the shared governance structure at the cluster or divisional level councils, committees, task forces or projects.
  
  Serves as chair for councils, committees, task forces or project work.
• Clinical inquiry & performance review to improve practice
  - Improves, deviates from, or individualizes standards and guidelines for particular patient situations or populations; questions and/or evaluates current practice based on patients  responses, review of