JOB SUMMARY
The Clinician 2 has authority, responsibility, and accountability as follows:
Plan of Care/Clinical Pathways: Develops an individualized plan of care for assigned patients. Coordinates care for individual patients on a day to day basis.
Education: Accountable for teaching patients new information. Accountable for maintaining professional competencies.
Communication: Is accountable for effective communication with patients/family, care team members and physicians regarding the patient's progress on the plan of care and response to treatment.
Staff Development: Participates in the orientation of new employees. Oversees care assigned to paraprofessionals on the patient care team. Works in partnership with members of the team. Gives input into peer evaluations.
Quality: Implements plan of care/Clinical Pathways assuring progression toward quality outcomes.
Safety: Provides and supports a safe patient care environment.
Collaboration: Consults with physician and team members regarding changes in patient's condition and revises the plan of care utilizing input of team members. Supports roles of all coworkers.
Practice: Operates within the scope of their practice as outlined by the Missouri State Board of Nursing.
JOB SPECIFIC RESPONSIBILITIES
Assessment
Assesses the patient's level of functioning on admission, transfer and discharge as indicated using a holistic approach. Differentiates findings from defined limits of normal.
Uses professional judgment in day to day problem solving and decision making. Seeks assistance from other clinicians and Nurse Manager as needed. Assists others.
Assesses patient's educational needs and develops a plan to meet these needs.
Assesses discharge needs and communicates to team members.
Planning
Formulates and initiates the plan of care/Clinical Pathways in collaboration with the patient care team.
Prioritizes care in consideration of length of stay and patient/family needs.
Formulates discharge plan with patient/family/physician and other team members.
Intervention
Utilizes evidence-based practice as appropriate in providing care.
Administers medications and treatments according to patient needs, physician orders and hospital policies.
Participates in patient/family conferences as a member of the patient care team.
Utilizes the patient teaching plan to provide new information to patient / family. Uses the patient teaching record according to policy.
Collaborates with Nurse Manager, physician, and other caregivers to provide effective patient care.
Makes rounds regularly on assigned patients.
Documents care on appropriate forms.
Assures patient and family are aware of team members roles and introduces care team on admission.
Delegates tasks appropriately to team members.
Evaluation
Evaluates patient's response to treatment utilizing knowledge of disease process and patient's story.
Evaluates patient's progress on plan of care and revises as indicated.
Evaluates patients continued learning needs and revises education plan as indicated.
Other
Handles narcotics according to policy.
Demonstrates flexibility in meeting staffing needs of department.
Verifies the accuracy of order transcription.
Participates in new employee orientation.
Gives input into peer evaluation.
Accepts patient admissions.
Performs charge nurse role as assigned by the Nurse Manager.
Maintains clinical competence in area of specialty.
Initiates Rapid Assessment Team as appropriate.
Participates in performance improvement activities.
Attends unit staff meetings and is accountable for unit information.
Performs other duties as assigned.
DEPARTMENT/UNIT SPECIFIC PRIMARY RESPONSIBILITIES (essential functions as defined in the Americans with Disabilities Act)
Demonstrates competence in progressive care assessment of identifying normal level of function versus alterations from normal parameters.
Utilizes AACN standards of progressive care nursing practice and the nursing process in daily practice.
Prioritizes within a progressive care environment involving high bed turnover.
Demonstrates knowledge in utilization of complex technical patient care equipment.
Interprets cardiac rhythms and 12 lead EKGs.
Administers and titrates unit-specific pharmacological agents.
Provides nursing care of the long-term ventilator patient.
Provides nursing care for patients with new tracheotomies.
Provides nursing care to stroke patients.
Performs NIH stroke scale assessments.
MINIMUM REQUIREMENTS
EDUCATION/TRAINING (or equivalent)
Associate Degree/Diploma in Nursing
Bachelor Degree in Nursing preferred
Other: 10 CEUs per year upon hire, with 8 of 10 CEUs specific to care of the stroke patient
EXPERIENCE AND SKILLS (with minimum requirements indicated as appropriate)
1 year as Clinician 1 or equivalent.
CERTIFICATES AND/OR LICENSES
Current licensure as R.N. in State of Missouri
Current BLS within 3 months of hire
Current ACLS within 1 year of hire