RN - Clinician 2 - 4w Critical Stepdown

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Company:
 
Carondelet
Company Profile | Current Opportunities (10)
Job Location(s): Kansas City
Employment Term: Regular
Employment TypeFull Time
Start Date:N/A
Starting Salary Range:21.84 - 35.25
Required Education: Associate Degree
Required Experience: 1 to 20+ years
Related Categories:Healthcare - Nursing

Position Description


 


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



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