Clinical Nurse II, ED; Nights

General Summary:

This role is considered the minimum role for all nurses who have greater than 12 months experience. Provides and coordinates independent care to patients within a clinical specialty as a fully effective and participative member of the multidisciplinary patient care services team. Utilizes the institution’s care delivery and professional practice models as the frame of reference for practicing as a professional nurse.

Participates in activities to develop own practice, and to support group practice goals at the unit level. Is accountable to patient, family and team members for care provided and to the nurse manager for totality of work performance. Is accountable to hold to the Service Standards and to the Nursing Mission, Vision and Values.

Under limited supervision, the Registered Nurse is responsible for the assessment of patients including the development, evaluation and modification of the plan of care. The RN interprets and performs complex patient-care procedures specific to their area of expertise. RN’s are members of the Care Team and Support Team and have accountability to function as a team to accomplish patient outcomes identified in the pathway/plan of care.

Principal Responsibilities and Tasks:

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

• Participates as a member of the Patient Care Team by providing functional supervision and by delegating duties to other care team members as they provide appropriate direct patient care duties.
• Carries out performance standards for charge nurse; when assigned that duty, as delineated in the delivery of care methodology.
• Assigns nursing care responsibilities to staff.
• Participates as a member of the care team to provide direct care requiring the skills/qualifications of the RN.
• Performs assessment/data collection in an ongoing and systematic manner, focusing on physiologic, psychological and cognitive status.
• Formulates a goal-directed plan of care with patient/family which is prioritized and based on determined nursing diagnoses/patient care needs/problems and patient outcomes.
• Functions to establish priorities of patient care based on essential patient needs and available unit resources of time, personnel, equipment and supplies.
• Identifies patient/family learning needs and implements appropriate measures to meet these.
• Performs documentation duties on unit and in patient record which are timely, accurate, concise and legible.
• Demonstrates competency in selected psychomotor skills as outlined in generic and unit specific manuals and performance standards; assists physicians with procedures; implements care in a knowledgeable, skillful, consistent and continuous manner.
• Demonstrates appropriate delegation of tasks and duties in the direction and coordination of healthcare members, patient care and unit activities.
• Demonstrates awareness and sensitivity to patient/family rights, as identified with the institution.
• Demonstrates competence in patient/SO education, as validated by direct clinical observation.
• Identifies and responds to patients’ need for pain management from arrival to departure.
• Evaluates effectiveness of care given by all healthcare team members in progressing patient toward outcomes.
• Collaborates with Case Manager to evaluate outcomes and effectiveness of plan of care

Knowledge, Skills, and Abilities:

• Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served.
• Ability to demonstrate knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient’s requirements relative to his or her population-specific and age specific needs.
• Highly effective verbal and written communication skills are required to interact with patient families, departmental units, medical and nursing staff on all essential matters. Demonstrated/documented effective interpersonal skills.
• Maintains…