Women's and Outpatient Surgical Center PACU Registered Nurse 4

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

Education:
Associate Degree from an accredited School of Nursing required; BSN preferred. Bachelor’s degree required within 3 years of start date.
Licensures/Certifications:
Current registration with the Maryland State Board of Examiners of Nurses as a Registered Nurse.

Healthcare Provider CPR biennial

Additional certifications (i.e. ACLS, PALS, NRP) for specialty care areas are required upon hire

Certification required within 12 months of meeting certification eligibility requirements

Experience:
Three years clinical experience in a relevant area preferred
Skills:
• 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
• Advanced skill in managing operational flow and unit activities for the overall benefit and smooth operation of the unit
• Demonstrates skill in patient experience and service recovery
• Skill in allocating nursing and support resources to provide smooth and efficient, high quality care to patients assigned to unit
• Able to delegate assignments and provide direction to nursing personnel
• Demonstrated ability to coach, mentor, develop, and issue corrective action to staff as appropriate with guidance from a Clinical Nurse Manager
• Ability to complete performance management process

Working Conditions

• Normal patient care environment with possible exposure to excessive noise, dust, temperature.
• Exposed to adverse working conditions due to performance of patient care activities and exposure to communicable diseases.

Conditions of Employment

• Maintain current licensure and CPR

Principal Duties and Responsibilities:
Utilization of Nursing Process
A. Assessment.
1. Compiles database and formulates nursing diagnosis.
2. Utilizes physical assessment and interviewing techniques.
3. Anticipates need for intervention by other disciplines.
4. Determines priorities for patient care needs or problems.
5. Reassesses the patient as indicated by changes in condition and/ or response to treatment(s)

B. Planning.
1. Initiates and updates a written nursing plan of care for patients by incorporating scientific and psychosocial principles that support the nursing diagnosis.
2. Incorporates information obtained from nursing care planning conferences into written nursing plan of care.
3. Coordinates patient, family, significant other, and health team members in the planning of hospital and post-discharge care.

C. Implementation.
1. Performs clinical nursing skills independently.
2. Administers medications, IV therapy and treatments appropriately and accurately.
3. Initiates appropriate emergency procedures as necessary.
4. Appropriately delegates and coordinates the duties of ancillary personnel.
5. Communicates the patient's status and plan of care through written documentation in the patient's medical record.
6. Verbally communicates the patient's status to physicians, nurses and other health care professionals.
7. Communicates in a therapeutic manner with the patient, family and visitors.
8. Applies teaching/learning principles in education of patient and family.

D. Patient Care Coordination
1. Manages daily patient assignment by appropriately setting priorities.
2. Delegates responsibility appropriately and monitors the nursing care delivered to patients by ancillary personnel.
3. Coordinates patient activities with other disciplines.

E. Teaching and Quality Improvement
1. Develops, documents and implements Patient Teaching and Discharge Planning Record.
2. Participates in established patient, family, staff and/or student education program.
3. Participates in clinical monitoring at the unit level.
4. Identifies unit, staff and patient care problems. Takes action or refers problems to appropriate resources when indicated.

F. Professional Excellence Model
RN 4’s will participate in Leadership and Professional development as well as lead unit based Shared Governance.

Other leadership opportunities include:

Administrative Responsibilities
• Payroll, Time and Attendance
• Scheduling
• Corrective Actions
• Budgeting
• Charge RN
• Productivity/Patient flow
• Complete and administer performance evaluations
• Tracking of employee position requirements and ensures that employee file is complete
• Interview Process/Share time/Evaluation of candidate

Education and Practice Responsibilities
• Oversee orientations, competency management and inservices
• Precept, coach and mentor staff
• Facilitator for the new grad residency
• Competency Validator
• Oversee inservice, education and new equipment implementation
• AHA instructor, ACLS, PALS, NRP
• Policy development and education
• Lead EBP processes on the unit

Quality and Safety Responsibilities
• Quantros
• ACA/RCA
• Equipment and supply recalls
• Employee incident analysis
• PI/LEAN
• LMS
• Audits
• HCAHPS and Patient Experience
• Mock Tracers and Joint Commission Readiness

All roles must demonstrate GBMC Values:

Respect

I will treat everyone with courtesy. I will foster a healing environment.

• Treats others with fairness, kindness, and respect for personal dignity and privacy

• Listens and responds appropriately to others’ needs, feelings, and capabilities

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

• Meets and/or exceeds customer expectations
• Actively pursues learning and self-development
• Pays attention to detail; follows through

Accountability

I will be professional in the way I act, look and speak. I will take ownership to solve problems.

• Sets a positive, professional example for others
• Takes ownership of problems and does what is needed to solve them
• Appropriately plans and utilizes required resources for various job duties
• Reports to work regularly and on time

Teamwork

I will be engaged and collaborative. I will keep people informed.

• Works cooperatively and collaboratively with others for the success of the team
• Addresses and resolves conflict in a positive way
• Seeks out the ideas of others to reach the best solutions
• Acknowledges and celebrates the contribution of others

Ethical Behavior

I will always act with honesty and integrity. I will protect the patient.

• Demonstrates honesty, integrity and good judgment
• Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers

Results

I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.

• Embraces change and improvement in the work environment
• Continuously seeks to improve the quality of products/services
• Displays flexibility in dealing with new situations or obstacles
• Achieves results on time by focusing on priorities and manages time efficiently

Pay Range

$35.32 - $60.60

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.