18484 jobs found

Signature HealthCARE of Buckhead is a newly renovated, 179 bed, 4 story high rise located in the heart of beautiful Buckhead in Atlanta, Georgia, within walking distance of upscale restaurants and only blocks away from some of the finest hotels in the Atlanta area. Attractions such as the Lenox Mall, the Atlanta Aquarium, Turner Field, Underground Atlanta and the Coca Cola factory are nearby, and downtown Atlanta is 3 miles away: close enough to enjoy but far enough from Atlanta's traffic congestion! Job Summary: Are you looking for a little more creativity, challenge, and growth opportunity in your workday? Didn’t think it was possible? Might be time to reconsider. At Signature HealthCARE, our team members are permitted – no, encouraged – to employ their talents and abilities to solve problems. Our culture is built on three distinct pillars: Learning, Spirituality and Intra-preneurship. But this isn’t just hollow corporate sloganeering. Each pillar has its own staff and initiatives, ensuring that our unique culture permeates the entire organization. Oh, by the way, we’re an elder care company. Our mission? To radically change the landscape of long-term care forever. Essential Duties and Responsibilities: * Meet physical and sensory requirements stated below, and be able to work in the described environment. * Identify and participate in process improvement initiatives that improve the customer experience, enhance work flow, and/or improve the work environment. * Complete assessments of residents at admission and discharge. * Supervise nursing staff assigned. Job Requirements: * Registered Nurse or Licensed Practical/Vocational Nurse with current state license. * One (1) to three (3) years related experience; supervisory experience preferred. * Must have a current/active CPR certification. * Excellent technical, assessment and documentation skills. * Effective verbal and written English communication skills. Signature HealthCARE is an Equal Opportunity-Affirmative Action Employer – Minority / Female / Disability / Veteran and other protected categories.

"Located near I-40 and Sycamore, Tennessee, on Dovecrest Road, Signature HealthCARE of Memphis is a 140-bed skilled nursing facility. The center is approximately three miles from Baptist East Memorial Hospital in a lovely part of East Shelby County. This facility has a warm family-like atmosphere where patients and staff interact on positive and friendly levels. The in-house therapy team offers speech, occupational, and physical therapy services, and ongoing restorative therapy helps maintain the patients highest level of mobility and independence. The day-to-day programs and leisure activities are well designed for each patients enjoyment while healthy meals are prepared by a certified chef. The facility chaplain is an important part of the team and provides counseling and spiritual guidance for patients, their families, and staff, regardless of religious affiliation." Hours/Position Needed: 7a-7p: 1 RN Supervisor (every other Weekend): Signature HealthCARE has a vision to radically change the landscape of healthcare forever. It’s more than a corporation… it’s a Revolution. We are currently seeking an innovative and progressive leader to join the mission as our Weekend Supervisor RN. Signature HealthCARE is an industry leader in post-acute, long term care and rehabilitation services. We operate more than 115 locations across 10 states employing over 17,000 Stakeholders (our thoughtful and loving employees). A growing number of Signature centers are earning Five-Star ratings from the Centers for Medicare and Medicaid Services. We were also named one of Modern Healthcare’s “Best Places to Work” three times! Signature’s culture is unparalleled and founded on three pillars: Learning, Spirituality, and Innovation. Come see what the Revolution is all about! We’re currently hiring for the position Weekend Supervisor RN to join our team. Essential Duties and Responsibilities: * Provide direct nursing care to the residents and supervise the day-to-day nursing activities performed by nursing assistants. * Such supervision must be in accordance with current Federal, State, and Local standards, guidelines, and regulations that govern our facility, and as may also be required by the Director of Nursing to maintain the highest degree of quality care at all times. * Confirm that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. * Meet with your assigned nursing staff, as well as support personnel, in planning the shift’s services, programs and activities. Job Requirements: * Registered Nurse with required current state licensure. * Minimum of one (1) year related nursing experience. * Must have a current/active CPR certification. * Highest level of professionalism with the ability to maintain confidentiality. Signature HealthCARE is an Equal Opportunity-Affirmative Action Employer – Minority / Female / Disability / Veteran and other protected categories.

"Located near I-40 and Sycamore, Tennessee, on Dovecrest Road, Signature HealthCARE of Memphis is a 140-bed skilled nursing facility. The center is approximately three miles from Baptist East Memorial Hospital in a lovely part of East Shelby County. This facility has a warm family-like atmosphere where patients and staff interact on positive and friendly levels. The in-house therapy team offers speech, occupational, and physical therapy services, and ongoing restorative therapy helps maintain the patients highest level of mobility and independence. The day-to-day programs and leisure activities are well designed for each patients enjoyment while healthy meals are prepared by a certified chef. The facility chaplain is an important part of the team and provides counseling and spiritual guidance for patients, their families, and staff, regardless of religious affiliation." Hours: 8:00 AM - 4:30 PM: Signature HealthCARE has a vision to radically change the landscape of healthcare forever. It’s more than a corporation… it’s a Revolution. We are currently seeking an innovative and progressive leader to join the mission as our Wound Care-Treatment Nurse (RN or LPN). Signature HealthCARE is an industry leader in post-acute, long term care and rehabilitation services. We operate more than 115 locations across 10 states employing over 17,000 Stakeholders (our thoughtful and loving employees). A growing number of Signature centers are earning Five-Star ratings from the Centers for Medicare and Medicaid Services. We were also named one of Modern Healthcare’s Best Places to Work three times! Signature’s culture is unparalleled and founded on three pillars: Learning, Spirituality, and Innovation. Come see what the Revolution is all about! We’re currently hiring for the position Wound Care-Treatment Nurse (RN or LPN) to join our team. Essential Duties and Responsibilities: * Provide nursing care to residents as prescribed by the physician and in accordance with standards of nursing practice and regulations and as directed by the Director of Nursing. * Perform all preventive skin care, dressing changes and wound care. * Monitor the treatment of decubitus ulcers with appropriate documentation and communication to physician and family. * Make rounds with physician, as needed, to discuss the care of residents who are currently receiving decubitus or catheter care. * Assess weekly nutrition/hydration of residents with State I to Stage IV decubitus ulcers and evaluate and initiate additional nutritional intake, as required. * Assist in resident care planning when resident is currently being monitored by Treatment Nurse. * Notify physician of new skin problems, changes of condition and when skin conditions heal. Job Requirements: * Registered Nurse or Licensed Practical Nurse with required current state licensure. * Minimum of one (1) to three (3) years related nursing experience. * Wound Care certification (WCC) preferred * Must have a current/active CPR certification. * Highest level of professionalism with the ability to maintain confidentiality Signature HealthCARE is an Equal Opportunity-Affirmative Action Employer – Minority / Female / Disability / Veteran and other protected categories.

"Located near I-40 and Sycamore, Tennessee, on Dovecrest Road, Signature HealthCARE of Memphis is a 140-bed skilled nursing facility. The center is approximately three miles from Baptist East Memorial Hospital in a lovely part of East Shelby County. This facility has a warm family-like atmosphere where patients and staff interact on positive and friendly levels. The in-house therapy team offers speech, occupational, and physical therapy services, and ongoing restorative therapy helps maintain the patients highest level of mobility and independence. The day-to-day programs and leisure activities are well designed for each patients enjoyment while healthy meals are prepared by a certified chef. The facility chaplain is an important part of the team and provides counseling and spiritual guidance for patients, their families, and staff, regardless of religious affiliation." Hours/Position Needed: 3p-11p: 1 RN Supervisor (Mon-Fri): Signature HealthCARE has a vision to radically change the landscape of healthcare forever. It’s more than a corporation… it’s a Revolution. We are currently seeking an innovative and progressive leader to join the mission as our Nurse Supervisor RN. Signature HealthCARE is an industry leader in post-acute, long term care and rehabilitation services. We operate more than 115 locations across 10 states employing over 17,000 Stakeholders (our thoughtful and loving employees). A growing number of Signature centers are earning Five-Star ratings from the Centers for Medicare and Medicaid Services. We were also named one of Modern Healthcare’s “Best Places to Work” three times! Signature’s culture is unparalleled and founded on three pillars: Learning, Spirituality, and Innovation. Come see what the Revolution is all about! We’re currently hiring for the position Nurse Supervisor RN to join our team. Essential Duties and Responsibilities: * Provide direct nursing care to the residents and supervise the day-to-day nursing activities performed by nursing assistants. * Such supervision must be in accordance with current Federal, State, and Local standards, guidelines, and regulations that govern our facility, and as may also be required by the Director of Nursing to maintain the highest degree of quality care at all times. * Confirm that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. * Meet with your assigned nursing staff, as well as support personnel, in planning the shift’s services, programs and activities. Job Requirements: * Registered Nurse with required current state licensure. * Minimum of one (1) year related nursing experience. * Must have a current/active CPR certification. * Highest level of professionalism with the ability to maintain confidentiality. Signature HealthCARE is an Equal Opportunity-Affirmative Action Employer – Minority / Female / Disability / Veteran and other protected categories.

"Located near I-40 and Sycamore, Tennessee, on Dovecrest Road, Signature HealthCARE of Memphis is a 140-bed skilled nursing facility. The center is approximately three miles from Baptist East Memorial Hospital in a lovely part of East Shelby County. This facility has a warm family-like atmosphere where patients and staff interact on positive and friendly levels. The in-house therapy team offers speech, occupational, and physical therapy services, and ongoing restorative therapy helps maintain the patients highest level of mobility and independence. The day-to-day programs and leisure activities are well designed for each patients enjoyment while healthy meals are prepared by a certified chef. The facility chaplain is an important part of the team and provides counseling and spiritual guidance for patients, their families, and staff, regardless of religious affiliation." Job Summary: Are you looking for a little more creativity, challenge, and growth opportunity in your workday? Didn’t think it was possible? Might be time to reconsider. At Signature HealthCARE, our team members are permitted – no, encouraged – to employ their talents and abilities to solve problems. Our culture is built on three distinct pillars: Learning, Spirituality and Intra-preneurship. But this isn’t just hollow corporate sloganeering. Each pillar has its own staff and initiatives, ensuring that our unique culture permeates the entire organization. Oh, by the way, we’re an elder care company. Our mission? To radically change the landscape of long-term care forever. We’re currently hiring for the position of Assistant Director of Nursing (ADON). Essential Duties Responsibilities: * Assist the DON in planning, developing, organizing, implementing, evaluating and directing the day-to-day functions of the nursing department in accordance with current rules, regulations, and guidelines. * Assist DON to monitor day-to-day operation of the nursing department and establish priorities and manage records, budgets, or supplies. * Participate in the development, maintenance, and implementation of the facility’s quality assurance program for the nursing service department * Participate in facility surveys (inspections) made by authorized government agencies as requested by the Administrator or Director of Nursing. * Make daily rounds of the nursing department to verify that all nursing personnel are performing their work assignments in accordance with acceptable nursing standards and report findings to the DON. Job Requirements: * Registered Nurse in good standing with required current state license. * Minimum of three (3) years nursing experience. * One (1) to two (2) years management/supervisory experience preferred. * Must have a current/active CPR certification. Signature HealthCARE is an Equal Opportunity-Affirmative Action Employer – Minority / Female / Disability / Veteran and other protected categories.

Willow Springs is an Established Dementia care facility where we pride ourselves in our philosophy of Care. Our interaction with our residents are specifically created to promote dignity and respect. We strive to incorporate a familiarity and balance into each resident’s experience, ensuring a deserved contentment and cherished sense of belonging. Minimum Eligibility Requirements: * Registered Nurse preferred, Licensed Practical Nurse with strong background in long-term care will be considered. * State license current and in good standing * Previous supervisory and/or management experience in a related healthcare setting * Ability to establish effective relationships with residents, family members and staff * Strong documentation skills * Ability to develop systems for monitoring resident health conditions and for ensuring efficient and safe delivery of resident care * Strong organizational skills and ability to re-prioritize daily tasks, in order to accommodate fluctuating needs of the residents and the facility * Ability to represent the facility in a positive and professional manner * Experience in training and staff development Essential Functions: * In conjunction with Administrator, is responsible for hiring, supervising, evaluating, and providing progressive discipline for all care staff * Develops and monitors work schedules for all Caregivers and Nursing staff to ensure adequate staffing for quality resident care * Serves as member of facility management team and may act as Administrator in Administrator’s absence * Assists Administrator with other management duties as needed * Operates department within established budgetary guidelines * Assists with marketing responsibilities and networks with referral sources within the healthcare community * Provides training to all staff members on health related topics, and assists in maintaining staff training records * Acts as role model to other staff members in terms of professional appearance, communication and conduct * Is responsible for oversight of the resident assessment process * Coordinates with team members to ensure that resident service plans accurately address resident needs and are updated as resident needs change * Participates in resident and family care conferences * Serves as liaison between resident, family and physician regarding resident health care issues * Ensures that changes in resident condition are evaluated, monitored, documented and effective interventions are implemented * Performs skilled nursing tasks as defined by JEA policy and procedure, and as allowed by state law * Provides oversight of medication management systems, and ensures that medications are dispensed in a safe and effective manner, that MARS are accurate and complete, and that medication cart is orderly, with all medications appropriately packaged and stored * Ensures that systems are in place to effectively monitor resident health concerns such as weight and nutrition, skin integrity, mobility, fall management, and challenging behaviors * Maintains an adequate inventory of healthcare supplies and equipment, and follows appropriate facility protocol for purchasing * Monitors Alert Charting system on a daily basis * Reviews Resident Health Record on a routine basis and ensures that documentation meets facility standards and adequately addresses the residents’ healthcare issues, including identified concerns, interventions and outcomes * Serves as a role model to other staff in demonstration of courtesy, gentleness, effective approach and conversational techniques with residents * Ensures that all resident care is provided in a safe and effective manner, while consistently maintaining resident dignity, choice, and respect * Maintains knowledge of current OSHA and state regulations, and routinely monitors facility compliance with the regulations related to resident care and nursing functions

POSITION SUMMARY: Oversee the wound care program throughout the center to ensure excellence in quality patient care through hands-on patient care and employee education. QUALIFICATIONS: Education and Training: * Graduate from a nursing program accredited by the State. * Maintains a current unencumbered licensed to practice in the state where employed * Seeks opportunities for personal and professional growth. Attends continuing education offerings and through teaching and mentoring, contributes to the ongoing education of partners under his/her supervision * Wound care certification is a plus Job Knowledge and Capabilities: * Is responsible for maintaining clinical competency as evidenced by application of integrated nursing knowledge and skills, leadership and communication skills. * Utilizes the nursing process in assessment, planning and implementing care. * Exhibits organizational ability related to work flow, prioritizing to meet the patient care needs * Integrates current standards of practice as well as local, state, and federal regulations related to nursing services in the care of patients. * Practices continuous quality improvement thinking and problem-solving skills. PERFORMANCE REQUIREMENTS: Physical Demands: * Able to be on feet standing or walking 8-12 hours per day * Able to lift 60-70 lbs. on occasional basis * Able to bend, stoop, squat and twist numerous times a day * Able to see and hear adequately in order to respond to auditory and visual requests * Able to speak in clear, concise voice in order to communicate with patients who may be hearing impaired * Able to carry out fine motor skills and manual dexterity Specific Duties and Responsibilities Required: * Working with the interdisciplinary care team, to assure accurate patient assessment and development/revisions of individualized plans of care. * Maintain up-to-date and accurate wound care reports. * Participate in weekly case management meetings to discuss all patients with skin breakdown. * Create, maintain and present Quality Assurance reports for our QA/UR committee meetings. * Attend meetings as assigned. * Maintains open and ongoing communication with patients and families, providing opportunity and encouragement to participate in decision making. * Assure that nursing partners have been assigned duties * Make rounds, with specific attention to high acuity patients with skin integrity problems. * Monitor unit/units to ensure that appropriate nursing care (according to established policies and procedures) is being provided and that doctors and families are being notified of changes in patients’ condition * Assume responsibility for assisting with meds and treatments as needed. * Assures the personal dignity and physical safety of each patient. * Assist patients to attain the highest level of self-care possible. * Perform weekly skin assessments audits * Participate in ON-CALL Program * Attend in-service education programs and participates in Relias Training, as assigned, to learn new procedures, develop skills, etc. * Leads by example and performs hands on care, answers call lights and assist C.N.A.’s in their duties when needed. * Perform other duties as assigned Other Demands: * Willingness to work with the realization that errors may have serious consequences for patients. * Patience and tact in dealing with patients. * Review and practice the promises of NHC’s Better Way expectations. * Willingness to perform a variety of simple repetitive tasks. * Subject to night, weekend and holiday duty. * Able to establish and maintain relationships with patients, family members, and other center personnel, while assuring confidentiality of patient information. Keywords: registered nurse, RN, would care, supervisor

: Weekend Supervisor for Saturday Sunday weekend double: FT: Saturday Sunday: 6:45am-11:15pm: The Registered Nurse (RN) provides routine nursing care in a manner conducive in the comfort and safety of clients as detailed in Christian Care Centers, Inc., Nursing home established policies and procedures, and is delegated the responsibility for carrying out the assigned duties by the Director of Nursing or Administrator to assure that the highest degree of quality client care can be maintained at all times. The RN will have received a degree from an accredited nursing program, college or university, will have taken courses in nursing management or supervision and in rehabilitative and restorative nursing, and will have at least a year of experience working in a hospital, long term care facility, or other health care institution, with training or experience implementing total patient care and care planning, and in making sound nursing judgments.

Registered in Illinois and current Home Health experience required

Specialty: Cardiology Location:  Valparaiso, IN & Portage, IN Education/Experience Requirements: ·          Graduate of an accredited Nursing program ·          Masters of Nursing degree required ·          Minimum of 3 years nursing experience required; 5 years preferred ·          Licensed Registered Nurse in the State of Indiana ·          Prescriptive authority privileges in State of Indiana required ·          CPR certification required ·          Conveys positive attitude and image internally throughout Community Healthcare System and externally within the community ·          Excellent patient assessment and critical thinking skills; ability to analyze and creatively solve patient care issues in a proactive and positive manner; ability to apply and modify principles, methods, and techniques to provide ongoing patient care ·          Requires self-direction, leadership, delegation, organization, and teaching ability ·          Communicates tactfully and effectively with physicians, patients, families, nursing staff, other hospital/clinic departments, and the public ·          Demonstrates a professional, positive, flexible and open minded manner with a willingness and desire to go the extra mile.  Knowledge of professional nursing theory, practice and medical care to give and evaluate patient care. Knowledge of medical equipment and instruments to administer patient care.   Knowledge of medications and their effects on patients. Knowledge of patient education principles to develop a self-care program. Skills in anticipating and reacting calmly to emergency work situations

SUMMARY The Registered Nurse, as a professional practitioner of nursing, implements the Nursing Process, demonstrates advanced skills and techniques, demonstrates leadership skills in unit management, and assumes responsibility and accountability for professional behavior and practice.  Collaborates with other health care members in providing care.   QUALIFICATIONS       Graduate of an accredited School of Nursing.       Current RN licensure in Massachusetts.       Documentation of ongoing continuing education and presence at mandatory programs.       BLS Certification Required from the American Heart Association (AHA)       ACLS  Certification Preferred       Chemo Therapy Experience Preferred       Chemo Therapy Certification Required       BSN Preferred    ACCOUNTABILITY Nursing Director/Nurse Manager PERFORMANCE CRITERIA 1.     TEAM WORK A.    Involves other departments in project planning and implementation. B.    Is supportive of others and provides help and assistance when possible. C.    Regularly attends and participates in team and/or department meetings and work activities. D.    Keeps others informed. E.     Regularly offers and requests constructive feedback and coaching. F.     Establishes and maintains effective working relations. 2.     SERVICE EXCELLENCE (both internal and external) A.    Welcomes patients and customers in a warm, friendly manner. B.    Actively listens and constructively responds to questions and concerns in a timely manner. C.    Ensures the dignity of patient/customer is maintained at all times. D.    Abides by and upholds the Hospital Service Excellence Standards. E.     Respects the diversity of the patient/customer population (i.e. ages and culture). RESPONSIBILITIES 1. USE OF NURSING PROCESS IN PATIENT CARE A.    Assessment 1)    Interviews and identifies obvious and potential patient problems.  Formulates nursing diagnoses and verifies Advanced Directive. 2)    Initiates and completes age appropriate systems review and initial assessment within 24 hours, as appropriate to area. 3)    Initiates, as appropriate, additional specific assessment forms, e.g. skin integrity form, patient at risk for falls. 4)    Initiates and documents, at time of admission, proposed discharge needs. 5)    Identifies goals and expected outcomes in patient care collaborating with patient and/or patient representative. 6)    Maintains continual reassessment and documents in nursing progress notes, utilizing the nursing process. 7)    Acts as a resource to other staff and assistive personnel. B.    Planning 1)    Initiates a nursing plan of care within 24 hours, as appropriate to area, based on assessment data and guidelines of practice. 2)    Collaborates with the patient, family, and other health care professionals in developing plan of care and identifying mutually accepted goals. 3)    Revises nursing diagnoses and goals of nursing care to meet the changes in the patient's status and perception of outcome goals. 4)    Initiates a multidisciplinary approach to discharge planning. 5)    Designs a teaching plan with specific components that fulfill the teaching/learning needs of the patient/family representative. 6)    Assists other health professionals in planning care. C.    Implementation 1)    Assumes accountability for providing safe care to patients and demonstrates efficiency in prioritizing patient care within established policies and guidelines of nursing practice. 2)    Prepares patients physically and psychologically for treatments, surgical procedures, and diagnostic studies. 3)    Demonstrates safe and effective use of equipment. 4)    Participates and assists other in the planning, implementation and coordination of health teaching and counseling of the patient, family, or patient representative. 5)    Coordinates and assists others in initiating appropriate referrals for discharge and follow-up care and documents this in the record. 6)    Utilizes appropriate measures to prevent transmission of infectious disease. Washes hands appropriately, uses barrier protection as warranted, utilizes sterile technique and isolation protocols/universal precautions. 7)    Ensures safe care through positive patient identification prior to all procedures (e.g. blood transfusion). 8)    Demonstrates knowledge of restraint protocol and safe management of the patient in restraints (protective, mechanical, and chemical). 9)    Demonstrates knowledge, skill and adherence to policies for the following nursing interventions: ·          medication administration ·          blood administration ·          IV therapy ·          point of care testing ·          restraints 10)  Demonstrates competence in applying nursing skills in stressful, acute and complex situations. D.    Evaluation of Patient Care 1)    Reviews patient status with physicians and other health care professionals and revises nursing care plans to reflect changes. 2)    Measures the effectiveness of care, based on nursing process and identified patient outcomes. 3)    Evaluates and revises the teaching and discharge plans in collaboration with patient/family representative and other health care professionals. 4)    Identifies and actively participates in quality assurance and improvement activities.  Serves as a resource. 2.     DOCUMENTATION AND COMMUNICATION A.    Documents patient response to and level of understanding of treatments, procedures, medication and teaching at designated intervals on appropriate records. B.    Summarizes and documents patient status on transfer/discharge, including needs and goals. C.    Communicates clearly, concisely and accurately in shift-to-shift report. D.    Records and reports information through appropriate channels. E.     Demonstrates competency in basic computer skills and seeks help from resources as needed. 3.     MANAGEMENT AND LEADERSHIP SKILLS A.    Demonstrates leadership skills in charge responsibilities.  Provides appropriate guidance to other staff nurses. B.    Establishes priorities in the management of patient care.  Demonstrates ability to adapt to new or unexpected situations. C.    Demonstrates ability to utilize identified patient acuity as a basis for determining appropriate staff assignments. D.    Recognizes own limitations and seeks help from appropriate resources in making clinical decisions (i.e., resource nurses, clinical nurse specialists, other disciplines). E.     Demonstrates knowledge of and compliance with nursing policies and procedures, and practice standards (e.g. JCAHO, DMH, DPH). F.     Demonstrates knowledge of and compliance with pertinent health care laws, (e.g. abuse, consent, guardianship). G.    Acts as a mentor/role model for staff and students.  Assumes preceptor role. H.    Demonstrates strong interpersonal skills in professional relationships including conflict management. 4.     PROFESSIONAL RESPONSIBILITIES A.    Demonstrates support for evidence based practice and nursing research as evidenced by consistently questioning rationale and plans for patient care and delivery methods. B.    Participates in performance improvement activities using evidenced based practice. C.    Makes recommendations for changes in practice based on integration of evidence nursing and research findings; and evaluates effectiveness of practice changes. D.    Maintains confidentiality of patient information. E.     Demonstrates knowledge of and advocacy for patient rights. F.     Demonstrates courtesy, tact, and professional behavior in relationships with patients, families, visitors, peers, and others. G.    Complies with personnel policies/guidelines, including mandatory education requirements. H.    Participates in activities related to the development of professional skills through meetings, conferences and other planned activities. I.     Demonstrates flexibility in response to reassignments. J.     Responds appropriately during unexpected events. K.    Provides guidance to other staff and assistive personnel. 5.     SELF-DEVELOPMENT A.    Identifies advanced nursing skills and implements a plan for skill acquisition to improve nursing practice. B.    Identifies and evaluates professional goals yearly. C.    Fulfills goals within established time frame. D.    Displays ability to accept and respond appropriately to recommendations for change. E.     Seeks additional education opportunities in relevant clinical areas. F.     Participates on committees and/or unit based projects on unit needs.  

SUMMARY The Registered Nurse, as a professional practitioner of nursing, implements the Nursing Process, demonstrates advanced skills and techniques, demonstrates leadership skills in unit management, and assumes responsibility and accountability for professional behavior and practice.  Collaborates with other health care members in providing care.   QUALIFICATIONS       Graduate of an accredited School of Nursing.       Current RN licensure in Massachusetts.       Documentation of ongoing continuing education and presence at mandatory programs.       BLS Certification Required from the American Heart Association (AHA)       ACLS  Certification Preferred       Chemo Therapy Experience Preferred       Chemo Therapy Certification Required       BSN Preferred    ACCOUNTABILITY Nursing Director/Nurse Manager PERFORMANCE CRITERIA 1.     TEAM WORK A.    Involves other departments in project planning and implementation. B.    Is supportive of others and provides help and assistance when possible. C.    Regularly attends and participates in team and/or department meetings and work activities. D.    Keeps others informed. E.     Regularly offers and requests constructive feedback and coaching. F.     Establishes and maintains effective working relations. 2.     SERVICE EXCELLENCE (both internal and external) A.    Welcomes patients and customers in a warm, friendly manner. B.    Actively listens and constructively responds to questions and concerns in a timely manner. C.    Ensures the dignity of patient/customer is maintained at all times. D.    Abides by and upholds the Hospital Service Excellence Standards. E.     Respects the diversity of the patient/customer population (i.e. ages and culture). RESPONSIBILITIES 1. USE OF NURSING PROCESS IN PATIENT CARE A.    Assessment 1)    Interviews and identifies obvious and potential patient problems.  Formulates nursing diagnoses and verifies Advanced Directive. 2)    Initiates and completes age appropriate systems review and initial assessment within 24 hours, as appropriate to area. 3)    Initiates, as appropriate, additional specific assessment forms, e.g. skin integrity form, patient at risk for falls. 4)    Initiates and documents, at time of admission, proposed discharge needs. 5)    Identifies goals and expected outcomes in patient care collaborating with patient and/or patient representative. 6)    Maintains continual reassessment and documents in nursing progress notes, utilizing the nursing process. 7)    Acts as a resource to other staff and assistive personnel. B.    Planning 1)    Initiates a nursing plan of care within 24 hours, as appropriate to area, based on assessment data and guidelines of practice. 2)    Collaborates with the patient, family, and other health care professionals in developing plan of care and identifying mutually accepted goals. 3)    Revises nursing diagnoses and goals of nursing care to meet the changes in the patient's status and perception of outcome goals. 4)    Initiates a multidisciplinary approach to discharge planning. 5)    Designs a teaching plan with specific components that fulfill the teaching/learning needs of the patient/family representative. 6)    Assists other health professionals in planning care. C.    Implementation 1)    Assumes accountability for providing safe care to patients and demonstrates efficiency in prioritizing patient care within established policies and guidelines of nursing practice. 2)    Prepares patients physically and psychologically for treatments, surgical procedures, and diagnostic studies. 3)    Demonstrates safe and effective use of equipment. 4)    Participates and assists other in the planning, implementation and coordination of health teaching and counseling of the patient, family, or patient representative. 5)    Coordinates and assists others in initiating appropriate referrals for discharge and follow-up care and documents this in the record. 6)    Utilizes appropriate measures to prevent transmission of infectious disease. Washes hands appropriately, uses barrier protection as warranted, utilizes sterile technique and isolation protocols/universal precautions. 7)    Ensures safe care through positive patient identification prior to all procedures (e.g. blood transfusion). 8)    Demonstrates knowledge of restraint protocol and safe management of the patient in restraints (protective, mechanical, and chemical). 9)    Demonstrates knowledge, skill and adherence to policies for the following nursing interventions: ·          medication administration ·          blood administration ·          IV therapy ·          point of care testing ·          restraints 10)  Demonstrates competence in applying nursing skills in stressful, acute and complex situations. D.    Evaluation of Patient Care 1)    Reviews patient status with physicians and other health care professionals and revises nursing care plans to reflect changes. 2)    Measures the effectiveness of care, based on nursing process and identified patient outcomes. 3)    Evaluates and revises the teaching and discharge plans in collaboration with patient/family representative and other health care professionals. 4)    Identifies and actively participates in quality assurance and improvement activities.  Serves as a resource. 2.     DOCUMENTATION AND COMMUNICATION A.    Documents patient response to and level of understanding of treatments, procedures, medication and teaching at designated intervals on appropriate records. B.    Summarizes and documents patient status on transfer/discharge, including needs and goals. C.    Communicates clearly, concisely and accurately in shift-to-shift report. D.    Records and reports information through appropriate channels. E.     Demonstrates competency in basic computer skills and seeks help from resources as needed. 3.     MANAGEMENT AND LEADERSHIP SKILLS A.    Demonstrates leadership skills in charge responsibilities.  Provides appropriate guidance to other staff nurses. B.    Establishes priorities in the management of patient care.  Demonstrates ability to adapt to new or unexpected situations. C.    Demonstrates ability to utilize identified patient acuity as a basis for determining appropriate staff assignments. D.    Recognizes own limitations and seeks help from appropriate resources in making clinical decisions (i.e., resource nurses, clinical nurse specialists, other disciplines). E.     Demonstrates knowledge of and compliance with nursing policies and procedures, and practice standards (e.g. JCAHO, DMH, DPH). F.     Demonstrates knowledge of and compliance with pertinent health care laws, (e.g. abuse, consent, guardianship). G.    Acts as a mentor/role model for staff and students.  Assumes preceptor role. H.    Demonstrates strong interpersonal skills in professional relationships including conflict management. 4.     PROFESSIONAL RESPONSIBILITIES A.    Demonstrates support for evidence based practice and nursing research as evidenced by consistently questioning rationale and plans for patient care and delivery methods. B.    Participates in performance improvement activities using evidenced based practice. C.    Makes recommendations for changes in practice based on integration of evidence nursing and research findings; and evaluates effectiveness of practice changes. D.    Maintains confidentiality of patient information. E.     Demonstrates knowledge of and advocacy for patient rights. F.     Demonstrates courtesy, tact, and professional behavior in relationships with patients, families, visitors, peers, and others. G.    Complies with personnel policies/guidelines, including mandatory education requirements. H.    Participates in activities related to the development of professional skills through meetings, conferences and other planned activities. I.     Demonstrates flexibility in response to reassignments. J.     Responds appropriately during unexpected events. K.    Provides guidance to other staff and assistive personnel. 5.     SELF-DEVELOPMENT A.    Identifies advanced nursing skills and implements a plan for skill acquisition to improve nursing practice. B.    Identifies and evaluates professional goals yearly. C.    Fulfills goals within established time frame. D.    Displays ability to accept and respond appropriately to recommendations for change. E.     Seeks additional education opportunities in relevant clinical areas. F.     Participates on committees and/or unit based projects on unit needs.  

POSITION SUMMARY: The Registered Nurse, as a professional practitioner of nursing, implements the Nursing Process, demonstrates advanced skills and techniques, demonstrates leadership skills in unit management, and assumes responsibility and accountability for professional behavior and practice.  Collaborates with other health care members in providing care. QUALIFICATIONS: • Graduate of an accredited School of Nursing. • Current RN licensure in Massachusetts. • Documentation of ongoing continuing education and presence at mandatory programs. • BLS Certification from the American Heart Association (AHA) Required • ACLS Certification Preferred • OR Experience Required • BSN Preferred • On Call Required ACCOUNTABILITY: Nursing Director/Nurse Manager PERFORMANCE CRITERIA: TEAM WORK • Involves other departments in project planning and implementation. • Is supportive of others and provides help and assistance when possible. • Regularly attends and participates in team and/or department meetings and work activities. • Keeps others informed. • Regularly offers and requests constructive feedback and coaching. • Establishes and maintains effective working relations. SERVICE EXCELLENCE (both internal and external) • Welcomes patients and customers in a warm, friendly manner. • Actively listens and constructively responds to questions and concerns in a timely manner. • Ensures the dignity of patient/customer is maintained at all times. • Abides by and upholds the Hospital Service Excellence Standards. • Respects the diversity of the patient/customer population (i.e. ages and culture). RESPONSIBILITIES: USE OF NURSING PROCESS IN PATIENT CARE Assessment • Interviews and identifies obvious and potential patient problems.  Formulates nursing diagnoses and verifies Advanced Directive. • Initiates and completes age appropriate systems review and initial assessment within 24 hours, as appropriate to area. • Initiates, as appropriate, additional specific assessment forms, e.g. skin integrity form, patient at risk for falls. • Initiates and documents, at time of admission, proposed discharge needs. • Identifies goals and expected outcomes in patient care collaborating with patient and/or patient representative. • Maintains continual reassessment and documents in nursing progress notes, utilizing the nursing process. Planning • Initiates a nursing plan of care within 24 hours, as appropriate to area, based on assessment data and guidelines of practice. • Collaborates with the patient, family, and other health care professionals in developing plan of care and identifying mutually accepted goals. • Revises nursing diagnoses and goals of nursing care to meet the changes in the patient's status and perception of outcome goals. • Initiates a multidisciplinary approach to discharge planning. • Designs a teaching plan with specific components that fulfill the teaching/learning needs of the patient/family representative. • Assists other health professionals in planning care. Implementation • Assumes accountability for providing safe care to patients and demonstrates efficiency in prioritizing patient care within established policies and guidelines of nursing practice. • Prepares patients physically and psychologically for treatments, surgical procedures, and diagnostic studies. • Demonstrates safe and effective use of equipment. • Participates and assists other in the planning, implementation and coordination of health teaching and counseling of the patient, family, or patient representative. • Coordinates and assists others in initiating appropriate referrals for discharge and follow-up care and documents this in the record. • Utilizes appropriate measures to prevent transmission of infectious disease. Washes hands appropriately, uses barrier protection as warranted, utilizes sterile technique and isolation protocols/universal precautions. • Ensures safe care through positive patient identification prior to all procedures (e.g. blood transfusion). • Demonstrates knowledge of restraint protocol and safe management of the patient in restraints (protective, mechanical, and chemical). • Demonstrates knowledge, skill and adherence to policies for the following nursing interventions:      • medication administration      • blood administration      • IV therapy      • point of care testing      • restraints • Demonstrates competence in applying nursing skills in stressful, acute and complex situations. Evaluation of Patient Care • Reviews patient status with physicians and other health care professionals and revises nursing care plans to reflect changes. • Measures the effectiveness of care, based on nursing process and identified patient outcomes. • Evaluates and revises the teaching and discharge plans in collaboration with patient/family representative and other health care professionals. • Identifies and actively participates in quality assurance and improvement activities.  Serves as a resource. DOCUMENTATION AND COMMUNICATION • Documents patient response to and level of understanding of treatments, procedures, medication and teaching at designated intervals on appropriate records. • Summarizes and documents patient status on transfer/discharge, including needs and goals. • Communicates clearly, concisely and accurately in shift-to-shift report. • Records and reports information through appropriate channels. • Demonstrates competency in basic computer skills and seeks help from resources as needed. MANAGEMENT AND LEADERSHIP SKILLS • Demonstrates leadership skills in charge responsibilities.  Provides appropriate guidance to other staff nurses. • Establishes priorities in the management of patient care.  Demonstrates ability to adapt to new or unexpected situations. • Demonstrates ability to utilize identified patient acuity as a basis for determining appropriate staff assignments. • Recognizes own limitations and seeks help from appropriate resources in making clinical decisions (i.e., resource nurses, clinical nurse specialists, other disciplines). • Demonstrates knowledge of and compliance with nursing policies and procedures, and practice standards (e.g. JCAHO, DMH, DPH). • Demonstrates knowledge of and compliance with pertinent health care laws, (e.g. abuse, consent, guardianship). • Acts as a mentor/role model for staff and students.  Assumes preceptor role. • Demonstrates strong interpersonal skills in professional relationships including conflict management. PROFESSIONAL RESPONSIBILITIES • Demonstrates support for evidence based practice and nursing research as evidenced by consistently questioning rationale and plans for patient care and delivery methods. • Participates in performance improvement activities using evidenced based practice. • Makes recommendations for changes in practice based on integration of evidence nursing and research findings; and evaluates effectiveness of practice changes. • Maintains confidentiality of patient information. • Demonstrates knowledge of and advocacy for patient rights. • Demonstrates courtesy, tact, and professional behavior in relationships with patients, families, visitors, peers, and others. • Complies with personnel policies/guidelines, including mandatory education requirements. • Participates in activities related to the development of professional skills through meetings, conferences and other planned activities. • Demonstrates flexibility in response to reassignments. • Responds appropriately during unexpected events. • Provides guidance to other staff and assistive personnel. SELF-DEVELOPMENT • Identifies advanced nursing skills and implements a plan for skill acquisition to improve nursing practice. • Identifies and evaluates professional goals yearly. • Fulfills goals within established time frame. • Displays ability to accept and respond appropriately to recommendations for change. • Seeks additional education opportunities in relevant clinical areas. • Participates on committees and/or unit based projects on unit needs.    

POSITION SUMMARY: Under the direct supervision of a Registered Nurse, assists with the nursing care of selected patients whose needs do not require complex nursing skills.  The Mental Health Associate is also responsible for performing duties necessary to maintain a safe and therapeutic milieu. ACCOUNTABILITY: Reports to the Nurse Manager or Senior Administrative Manager QUALIFICATIONS: • BS required.  Minimum 1 year Experience may be considered in lieu of degree. • BLS Certification from American Heart Association required • Previous experience with psychiatric patients preferred. • Minimum of High School diploma or equivalent.   PERFORMANCE CRITERIA: TEAM WORK • Involves other departments in project planning and implementation. • Supports others in the department and provides help and assistance when possible. • Regularly attends and participates in team and/or departmental meetings and activities. • Keeps other in the department informed of relevant information. • Regularly offers and requests constructive feedback and coaching. • Establishes and maintains effective working relations. SERVICE EXCELLENCE (both internal and external) • Welcomes patients/customers/employees in a warm, friendly manner. • Actively listens and constructively responds to questions and concerns in a timely manner. • Ensures that the dignity of the patient/customer/employee is maintained at all times. • Abides by and upholds the hospital's service excellence standards. • Respects the diversity of the patient/customer/employee population. • Demonstrates safe and effective use of equipment, when appropriate. (Meditech,, fax, copier, software programs) RESPONSIBILITIES • Demonstrates compliance with policy/procedure/practice standards. • Advocates for patient rights. • Participates in activities related to professional development. • Completes appropriate competencies for hospital and department. • Participates in quality improvement/quality control activities as assigned. • Provides for basic hygiene care for observed patients who do not require complex nursing care. • Takes TPR and BP and accurately record and reports changes to Nurse. • Demonstrates knowledge of fire safety, smoking and visitor policies. • Participates in Code Yellow. • Demonstrates efficiency in prioritizing patient assignments. • Responds promptly and appropriately to crisis or emergency situations.  Defuses situations and summons assistance, as necessary. • Engages patients in leisure or recreational activities, as appropriate. • Assumes responsibility for conducting milieu groups, as appropriate. • Maintains confidentiality of patient information. • Recognizes own limitations and seeks help from appropriate resources, as needed. • Reviews patient status with Registered Nurses and other disciplines when appropriate. • Communicates clearly any changes in patient status promptly to Registered Nurse. • Follows policy regarding proper search. • Maintains checks, as assigned. • Follows sharps policy. • Provides appropriate documentation as needed.  When on an assigned 1:1, records observation on sheet and gives verbal report to the oncoming staff. • Assist patients to recognize and develop positive coping skills to help them manage physical and emotional stress. • Performs other related duties as assigned or requested.    

POSITION SUMMARY: The Registered Nurse, as a professional practitioner of nursing, implements the Nursing Process, demonstrates advanced skills and techniques, demonstrates leadership skills in unit management, and assumes responsibility and accountability for professional behavior and practice.  Collaborates with other health care members in providing care. QUALIFICATIONS: • Graduate of an accredited School of Nursing. • Current RN licensure in Massachusetts. • Documentation of ongoing continuing education and presence at mandatory programs. • BLS Certification from the American Heart Association (AHA) Required • ACLS Certification Required • PALS Certification Required or ENPC Required • ED Experience Preferred • Cardiac Tele Experience Required • 1 Year of Med Surg Experience Required • Critical Care Experience Preferred • CPI required within one year of employment • BSN Preferred ACCOUNTABILITY: Nursing Director/Nurse Manager PERFORMANCE CRITERIA: TEAM WORK • Involves other departments in project planning and implementation. • Is supportive of others and provides help and assistance when possible. • Regularly attends and participates in team and/or department meetings and work activities. • Keeps others informed. • Regularly offers and requests constructive feedback and coaching. • Establishes and maintains effective working relations. SERVICE EXCELLENCE (both internal and external) • Welcomes patients and customers in a warm, friendly manner. • Actively listens and constructively responds to questions and concerns in a timely manner. • Ensures the dignity of patient/customer is maintained at all times. • Abides by and upholds the Hospital Service Excellence Standards. • Respects the diversity of the patient/customer population (i.e. ages and culture). RESPONSIBILITIES: USE OF NURSING PROCESS IN PATIENT CARE Assessment • Interviews and identifies obvious and potential patient problems.  Formulates nursing diagnoses and verifies Advanced Directive. • Initiates and completes age appropriate systems review and initial assessment within 24 hours, as appropriate to area. • Initiates, as appropriate, additional specific assessment forms, e.g. skin integrity form, patient at risk for falls. • Initiates and documents, at time of admission, proposed discharge needs. • Identifies goals and expected outcomes in patient care collaborating with patient and/or patient representative. • Maintains continual reassessment and documents in nursing progress notes, utilizing the nursing process. Planning • Initiates a nursing plan of care within 24 hours, as appropriate to area, based on assessment data and guidelines of practice. • Collaborates with the patient, family, and other health care professionals in developing plan of care and identifying mutually accepted goals. • Revises nursing diagnoses and goals of nursing care to meet the changes in the patient's status and perception of outcome goals. • Initiates a multidisciplinary approach to discharge planning. • Designs a teaching plan with specific components that fulfill the teaching/learning needs of the patient/family representative. • Assists other health professionals in planning care. Implementation • Assumes accountability for providing safe care to patients and demonstrates efficiency in prioritizing patient care within established policies and guidelines of nursing practice. • Prepares patients physically and psychologically for treatments, surgical procedures, and diagnostic studies. • Demonstrates safe and effective use of equipment. • Participates and assists other in the planning, implementation and coordination of health teaching and counseling of the patient, family, or patient representative. • Coordinates and assists others in initiating appropriate referrals for discharge and follow-up care and documents this in the record. • Utilizes appropriate measures to prevent transmission of infectious disease. Washes hands appropriately, uses barrier protection as warranted, utilizes sterile technique and isolation protocols/universal precautions. • Ensures safe care through positive patient identification prior to all procedures (e.g. blood transfusion). • Demonstrates knowledge of restraint protocol and safe management of the patient in restraints (protective, mechanical, and chemical). • Demonstrates knowledge, skill and adherence to policies for the following nursing interventions:      • medication administration      • blood administration      • IV therapy      • point of care testing      • restraints • Demonstrates competence in applying nursing skills in stressful, acute and complex situations. Evaluation of Patient Care • Reviews patient status with physicians and other health care professionals and revises nursing care plans to reflect changes. • Measures the effectiveness of care, based on nursing process and identified patient outcomes. • Evaluates and revises the teaching and discharge plans in collaboration with patient/family representative and other health care professionals. • Identifies and actively participates in quality assurance and improvement activities.  Serves as a resource. DOCUMENTATION AND COMMUNICATION • Documents patient response to and level of understanding of treatments, procedures, medication and teaching at designated intervals on appropriate records. • Summarizes and documents patient status on transfer/discharge, including needs and goals. • Communicates clearly, concisely and accurately in shift-to-shift report. • Records and reports information through appropriate channels. • Demonstrates competency in basic computer skills and seeks help from resources as needed. MANAGEMENT AND LEADERSHIP SKILLS • Demonstrates leadership skills in charge responsibilities.  Provides appropriate guidance to other staff nurses. • Establishes priorities in the management of patient care.  Demonstrates ability to adapt to new or unexpected situations. • Demonstrates ability to utilize identified patient acuity as a basis for determining appropriate staff assignments. • Recognizes own limitations and seeks help from appropriate resources in making clinical decisions (i.e., resource nurses, clinical nurse specialists, other disciplines). • Demonstrates knowledge of and compliance with nursing policies and procedures, and practice standards (e.g. JCAHO, DMH, DPH). • Demonstrates knowledge of and compliance with pertinent health care laws, (e.g. abuse, consent, guardianship). • Acts as a mentor/role model for staff and students.  Assumes preceptor role. • Demonstrates strong interpersonal skills in professional relationships including conflict management. PROFESSIONAL RESPONSIBILITIES • Demonstrates support for evidence based practice and nursing research as evidenced by consistently questioning rationale and plans for patient care and delivery methods. • Participates in performance improvement activities using evidenced based practice. • Makes recommendations for changes in practice based on integration of evidence nursing and research findings; and evaluates effectiveness of practice changes. • Maintains confidentiality of patient information. • Demonstrates knowledge of and advocacy for patient rights. • Demonstrates courtesy, tact, and professional behavior in relationships with patients, families, visitors, peers, and others. • Complies with personnel policies/guidelines, including mandatory education requirements. • Participates in activities related to the development of professional skills through meetings, conferences and other planned activities. • Demonstrates flexibility in response to reassignments. • Responds appropriately during unexpected events. • Provides guidance to other staff and assistive personnel. SELF-DEVELOPMENT • Identifies advanced nursing skills and implements a plan for skill acquisition to improve nursing practice. • Identifies and evaluates professional goals yearly. • Fulfills goals within established time frame. • Displays ability to accept and respond appropriately to recommendations for change. • Seeks additional education opportunities in relevant clinical areas. • Participates on committees and/or unit based projects on unit needs.    

POSITION SUMMARY: The Registered Nurse, as a professional practitioner of nursing, implements the Nursing Process, demonstrates advanced skills and techniques, demonstrates leadership skills in unit management, and assumes responsibility and accountability for professional behavior and practice.  Collaborates with other health care members in providing care. QUALIFICATIONS: • Graduate of an accredited School of Nursing. • Current RN licensure in Massachusetts. • Documentation of ongoing continuing education and presence at mandatory programs. • BLS Certification from the American Heart Association (AHA) Required • ACLS Certification Preferred • Experience Preferred • BSN Preferred ACCOUNTABILITY: Nursing Director/Nurse Manager PERFORMANCE CRITERIA: TEAM WORK • Involves other departments in project planning and implementation. • Is supportive of others and provides help and assistance when possible. • Regularly attends and participates in team and/or department meetings and work activities. • Keeps others informed. • Regularly offers and requests constructive feedback and coaching. • Establishes and maintains effective working relations. SERVICE EXCELLENCE (both internal and external) • Welcomes patients and customers in a warm, friendly manner. • Actively listens and constructively responds to questions and concerns in a timely manner. • Ensures the dignity of patient/customer is maintained at all times. • Abides by and upholds the Hospital Service Excellence Standards. • Respects the diversity of the patient/customer population (i.e. ages and culture). RESPONSIBILITIES: USE OF NURSING PROCESS IN PATIENT CARE Assessment • Interviews and identifies obvious and potential patient problems.  Formulates nursing diagnoses and verifies Advanced Directive. • Initiates and completes age appropriate systems review and initial assessment within 24 hours, as appropriate to area. • Initiates, as appropriate, additional specific assessment forms, e.g. skin integrity form, patient at risk for falls. • Initiates and documents, at time of admission, proposed discharge needs. • Identifies goals and expected outcomes in patient care collaborating with patient and/or patient representative. • Maintains continual reassessment and documents in nursing progress notes, utilizing the nursing process. Planning • Initiates a nursing plan of care within 24 hours, as appropriate to area, based on assessment data and guidelines of practice. • Collaborates with the patient, family, and other health care professionals in developing plan of care and identifying mutually accepted goals. • Revises nursing diagnoses and goals of nursing care to meet the changes in the patient's status and perception of outcome goals. • Initiates a multidisciplinary approach to discharge planning. • Designs a teaching plan with specific components that fulfill the teaching/learning needs of the patient/family representative. • Assists other health professionals in planning care. Implementation • Assumes accountability for providing safe care to patients and demonstrates efficiency in prioritizing patient care within established policies and guidelines of nursing practice. • Prepares patients physically and psychologically for treatments, surgical procedures, and diagnostic studies. • Demonstrates safe and effective use of equipment. • Participates and assists other in the planning, implementation and coordination of health teaching and counseling of the patient, family, or patient representative. • Coordinates and assists others in initiating appropriate referrals for discharge and follow-up care and documents this in the record. • Utilizes appropriate measures to prevent transmission of infectious disease. Washes hands appropriately, uses barrier protection as warranted, utilizes sterile technique and isolation protocols/universal precautions. • Ensures safe care through positive patient identification prior to all procedures (e.g. blood transfusion). • Demonstrates knowledge of restraint protocol and safe management of the patient in restraints (protective, mechanical, and chemical). • Demonstrates knowledge, skill and adherence to policies for the following nursing interventions:      • medication administration      • blood administration      • IV therapy      • point of care testing      • restraints • Demonstrates competence in applying nursing skills in stressful, acute and complex situations. Evaluation of Patient Care • Reviews patient status with physicians and other health care professionals and revises nursing care plans to reflect changes. • Measures the effectiveness of care, based on nursing process and identified patient outcomes. • Evaluates and revises the teaching and discharge plans in collaboration with patient/family representative and other health care professionals. • Identifies and actively participates in quality assurance and improvement activities.  Serves as a resource. DOCUMENTATION AND COMMUNICATION • Documents patient response to and level of understanding of treatments, procedures, medication and teaching at designated intervals on appropriate records. • Summarizes and documents patient status on transfer/discharge, including needs and goals. • Communicates clearly, concisely and accurately in shift-to-shift report. • Records and reports information through appropriate channels. • Demonstrates competency in basic computer skills and seeks help from resources as needed. MANAGEMENT AND LEADERSHIP SKILLS • Demonstrates leadership skills in charge responsibilities.  Provides appropriate guidance to other staff nurses. • Establishes priorities in the management of patient care.  Demonstrates ability to adapt to new or unexpected situations. • Demonstrates ability to utilize identified patient acuity as a basis for determining appropriate staff assignments. • Recognizes own limitations and seeks help from appropriate resources in making clinical decisions (i.e., resource nurses, clinical nurse specialists, other disciplines). • Demonstrates knowledge of and compliance with nursing policies and procedures, and practice standards (e.g. JCAHO, DMH, DPH). • Demonstrates knowledge of and compliance with pertinent health care laws, (e.g. abuse, consent, guardianship). • Acts as a mentor/role model for staff and students.  Assumes preceptor role. • Demonstrates strong interpersonal skills in professional relationships including conflict management. PROFESSIONAL RESPONSIBILITIES • Demonstrates support for evidence based practice and nursing research as evidenced by consistently questioning rationale and plans for patient care and delivery methods. • Participates in performance improvement activities using evidenced based practice. • Makes recommendations for changes in practice based on integration of evidence nursing and research findings; and evaluates effectiveness of practice changes. • Maintains confidentiality of patient information. • Demonstrates knowledge of and advocacy for patient rights. • Demonstrates courtesy, tact, and professional behavior in relationships with patients, families, visitors, peers, and others. • Complies with personnel policies/guidelines, including mandatory education requirements. • Participates in activities related to the development of professional skills through meetings, conferences and other planned activities. • Demonstrates flexibility in response to reassignments. • Responds appropriately during unexpected events. • Provides guidance to other staff and assistive personnel. SELF-DEVELOPMENT • Identifies advanced nursing skills and implements a plan for skill acquisition to improve nursing practice. • Identifies and evaluates professional goals yearly. • Fulfills goals within established time frame. • Displays ability to accept and respond appropriately to recommendations for change. • Seeks additional education opportunities in relevant clinical areas. • Participates on committees and/or unit based projects on unit needs.  

POSITION SUMMARY: The Registered Nurse, as a professional practitioner of nursing, implements the Nursing Process, demonstrates advanced skills and techniques, demonstrates leadership skills in unit management, and assumes responsibility and accountability for professional behavior and practice.  Collaborates with other health care members in providing care. QUALIFICATIONS: • Graduate of an accredited School of Nursing. • Current RN licensure in Massachusetts. • Documentation of ongoing continuing education and presence at mandatory programs. • BLS Certification from the American Heart Association (AHA) Required • ACLS Certification Preferred • Experience Preferred • BSN Preferred ACCOUNTABILITY: Nursing Director/Nurse Manager PERFORMANCE CRITERIA: TEAM WORK • Involves other departments in project planning and implementation. • Is supportive of others and provides help and assistance when possible. • Regularly attends and participates in team and/or department meetings and work activities. • Keeps others informed. • Regularly offers and requests constructive feedback and coaching. • Establishes and maintains effective working relations. SERVICE EXCELLENCE (both internal and external) • Welcomes patients and customers in a warm, friendly manner. • Actively listens and constructively responds to questions and concerns in a timely manner. • Ensures the dignity of patient/customer is maintained at all times. • Abides by and upholds the Hospital Service Excellence Standards. • Respects the diversity of the patient/customer population (i.e. ages and culture). RESPONSIBILITIES: USE OF NURSING PROCESS IN PATIENT CARE Assessment • Interviews and identifies obvious and potential patient problems.  Formulates nursing diagnoses and verifies Advanced Directive. • Initiates and completes age appropriate systems review and initial assessment within 24 hours, as appropriate to area. • Initiates, as appropriate, additional specific assessment forms, e.g. skin integrity form, patient at risk for falls. • Initiates and documents, at time of admission, proposed discharge needs. • Identifies goals and expected outcomes in patient care collaborating with patient and/or patient representative. • Maintains continual reassessment and documents in nursing progress notes, utilizing the nursing process. Planning • Initiates a nursing plan of care within 24 hours, as appropriate to area, based on assessment data and guidelines of practice. • Collaborates with the patient, family, and other health care professionals in developing plan of care and identifying mutually accepted goals. • Revises nursing diagnoses and goals of nursing care to meet the changes in the patient's status and perception of outcome goals. • Initiates a multidisciplinary approach to discharge planning. • Designs a teaching plan with specific components that fulfill the teaching/learning needs of the patient/family representative. • Assists other health professionals in planning care. Implementation • Assumes accountability for providing safe care to patients and demonstrates efficiency in prioritizing patient care within established policies and guidelines of nursing practice. • Prepares patients physically and psychologically for treatments, surgical procedures, and diagnostic studies. • Demonstrates safe and effective use of equipment. • Participates and assists other in the planning, implementation and coordination of health teaching and counseling of the patient, family, or patient representative. • Coordinates and assists others in initiating appropriate referrals for discharge and follow-up care and documents this in the record. • Utilizes appropriate measures to prevent transmission of infectious disease. Washes hands appropriately, uses barrier protection as warranted, utilizes sterile technique and isolation protocols/universal precautions. • Ensures safe care through positive patient identification prior to all procedures (e.g. blood transfusion). • Demonstrates knowledge of restraint protocol and safe management of the patient in restraints (protective, mechanical, and chemical). • Demonstrates knowledge, skill and adherence to policies for the following nursing interventions:      • medication administration      • blood administration      • IV therapy      • point of care testing      • restraints • Demonstrates competence in applying nursing skills in stressful, acute and complex situations. Evaluation of Patient Care • Reviews patient status with physicians and other health care professionals and revises nursing care plans to reflect changes. • Measures the effectiveness of care, based on nursing process and identified patient outcomes. • Evaluates and revises the teaching and discharge plans in collaboration with patient/family representative and other health care professionals. • Identifies and actively participates in quality assurance and improvement activities.  Serves as a resource. DOCUMENTATION AND COMMUNICATION • Documents patient response to and level of understanding of treatments, procedures, medication and teaching at designated intervals on appropriate records. • Summarizes and documents patient status on transfer/discharge, including needs and goals. • Communicates clearly, concisely and accurately in shift-to-shift report. • Records and reports information through appropriate channels. • Demonstrates competency in basic computer skills and seeks help from resources as needed. MANAGEMENT AND LEADERSHIP SKILLS • Demonstrates leadership skills in charge responsibilities.  Provides appropriate guidance to other staff nurses. • Establishes priorities in the management of patient care.  Demonstrates ability to adapt to new or unexpected situations. • Demonstrates ability to utilize identified patient acuity as a basis for determining appropriate staff assignments. • Recognizes own limitations and seeks help from appropriate resources in making clinical decisions (i.e., resource nurses, clinical nurse specialists, other disciplines). • Demonstrates knowledge of and compliance with nursing policies and procedures, and practice standards (e.g. JCAHO, DMH, DPH). • Demonstrates knowledge of and compliance with pertinent health care laws, (e.g. abuse, consent, guardianship). • Acts as a mentor/role model for staff and students.  Assumes preceptor role. • Demonstrates strong interpersonal skills in professional relationships including conflict management. PROFESSIONAL RESPONSIBILITIES • Demonstrates support for evidence based practice and nursing research as evidenced by consistently questioning rationale and plans for patient care and delivery methods. • Participates in performance improvement activities using evidenced based practice. • Makes recommendations for changes in practice based on integration of evidence nursing and research findings; and evaluates effectiveness of practice changes. • Maintains confidentiality of patient information. • Demonstrates knowledge of and advocacy for patient rights. • Demonstrates courtesy, tact, and professional behavior in relationships with patients, families, visitors, peers, and others. • Complies with personnel policies/guidelines, including mandatory education requirements. • Participates in activities related to the development of professional skills through meetings, conferences and other planned activities. • Demonstrates flexibility in response to reassignments. • Responds appropriately during unexpected events. • Provides guidance to other staff and assistive personnel. SELF-DEVELOPMENT • Identifies advanced nursing skills and implements a plan for skill acquisition to improve nursing practice. • Identifies and evaluates professional goals yearly. • Fulfills goals within established time frame. • Displays ability to accept and respond appropriately to recommendations for change. • Seeks additional education opportunities in relevant clinical areas. • Participates on committees and/or unit based projects on unit needs.  

POSITION SUMMARY: The Registered Nurse, as a professional practitioner of nursing, implements the Nursing Process, demonstrates advanced skills and techniques, demonstrates leadership skills in unit management, and assumes responsibility and accountability for professional behavior and practice.  Collaborates with other health care members in providing care. QUALIFICATIONS: • Graduate of an accredited School of Nursing. • Current RN licensure in Massachusetts. • Documentation of ongoing continuing education and presence at mandatory programs. • BLS Certification from the American Heart Association (AHA) Required • ACLS Certification Preferred • Experience Preferred • BSN Preferred ACCOUNTABILITY: Nursing Director/Nurse Manager PERFORMANCE CRITERIA: TEAM WORK • Involves other departments in project planning and implementation. • Is supportive of others and provides help and assistance when possible. • Regularly attends and participates in team and/or department meetings and work activities. • Keeps others informed. • Regularly offers and requests constructive feedback and coaching. • Establishes and maintains effective working relations. SERVICE EXCELLENCE (both internal and external) • Welcomes patients and customers in a warm, friendly manner. • Actively listens and constructively responds to questions and concerns in a timely manner. • Ensures the dignity of patient/customer is maintained at all times. • Abides by and upholds the Hospital Service Excellence Standards. • Respects the diversity of the patient/customer population (i.e. ages and culture). RESPONSIBILITIES: USE OF NURSING PROCESS IN PATIENT CARE Assessment • Interviews and identifies obvious and potential patient problems.  Formulates nursing diagnoses and verifies Advanced Directive. • Initiates and completes age appropriate systems review and initial assessment within 24 hours, as appropriate to area. • Initiates, as appropriate, additional specific assessment forms, e.g. skin integrity form, patient at risk for falls. • Initiates and documents, at time of admission, proposed discharge needs. • Identifies goals and expected outcomes in patient care collaborating with patient and/or patient representative. • Maintains continual reassessment and documents in nursing progress notes, utilizing the nursing process. Planning • Initiates a nursing plan of care within 24 hours, as appropriate to area, based on assessment data and guidelines of practice. • Collaborates with the patient, family, and other health care professionals in developing plan of care and identifying mutually accepted goals. • Revises nursing diagnoses and goals of nursing care to meet the changes in the patient's status and perception of outcome goals. • Initiates a multidisciplinary approach to discharge planning. • Designs a teaching plan with specific components that fulfill the teaching/learning needs of the patient/family representative. • Assists other health professionals in planning care. Implementation • Assumes accountability for providing safe care to patients and demonstrates efficiency in prioritizing patient care within established policies and guidelines of nursing practice. • Prepares patients physically and psychologically for treatments, surgical procedures, and diagnostic studies. • Demonstrates safe and effective use of equipment. • Participates and assists other in the planning, implementation and coordination of health teaching and counseling of the patient, family, or patient representative. • Coordinates and assists others in initiating appropriate referrals for discharge and follow-up care and documents this in the record. • Utilizes appropriate measures to prevent transmission of infectious disease. Washes hands appropriately, uses barrier protection as warranted, utilizes sterile technique and isolation protocols/universal precautions. • Ensures safe care through positive patient identification prior to all procedures (e.g. blood transfusion). • Demonstrates knowledge of restraint protocol and safe management of the patient in restraints (protective, mechanical, and chemical). • Demonstrates knowledge, skill and adherence to policies for the following nursing interventions:      • medication administration      • blood administration      • IV therapy      • point of care testing      • restraints • Demonstrates competence in applying nursing skills in stressful, acute and complex situations. Evaluation of Patient Care • Reviews patient status with physicians and other health care professionals and revises nursing care plans to reflect changes. • Measures the effectiveness of care, based on nursing process and identified patient outcomes. • Evaluates and revises the teaching and discharge plans in collaboration with patient/family representative and other health care professionals. • Identifies and actively participates in quality assurance and improvement activities.  Serves as a resource. DOCUMENTATION AND COMMUNICATION • Documents patient response to and level of understanding of treatments, procedures, medication and teaching at designated intervals on appropriate records. • Summarizes and documents patient status on transfer/discharge, including needs and goals. • Communicates clearly, concisely and accurately in shift-to-shift report. • Records and reports information through appropriate channels. • Demonstrates competency in basic computer skills and seeks help from resources as needed. MANAGEMENT AND LEADERSHIP SKILLS • Demonstrates leadership skills in charge responsibilities.  Provides appropriate guidance to other staff nurses. • Establishes priorities in the management of patient care.  Demonstrates ability to adapt to new or unexpected situations. • Demonstrates ability to utilize identified patient acuity as a basis for determining appropriate staff assignments. • Recognizes own limitations and seeks help from appropriate resources in making clinical decisions (i.e., resource nurses, clinical nurse specialists, other disciplines). • Demonstrates knowledge of and compliance with nursing policies and procedures, and practice standards (e.g. JCAHO, DMH, DPH). • Demonstrates knowledge of and compliance with pertinent health care laws, (e.g. abuse, consent, guardianship). • Acts as a mentor/role model for staff and students.  Assumes preceptor role. • Demonstrates strong interpersonal skills in professional relationships including conflict management. PROFESSIONAL RESPONSIBILITIES • Demonstrates support for evidence based practice and nursing research as evidenced by consistently questioning rationale and plans for patient care and delivery methods. • Participates in performance improvement activities using evidenced based practice. • Makes recommendations for changes in practice based on integration of evidence nursing and research findings; and evaluates effectiveness of practice changes. • Maintains confidentiality of patient information. • Demonstrates knowledge of and advocacy for patient rights. • Demonstrates courtesy, tact, and professional behavior in relationships with patients, families, visitors, peers, and others. • Complies with personnel policies/guidelines, including mandatory education requirements. • Participates in activities related to the development of professional skills through meetings, conferences and other planned activities. • Demonstrates flexibility in response to reassignments. • Responds appropriately during unexpected events. • Provides guidance to other staff and assistive personnel. SELF-DEVELOPMENT • Identifies advanced nursing skills and implements a plan for skill acquisition to improve nursing practice. • Identifies and evaluates professional goals yearly. • Fulfills goals within established time frame. • Displays ability to accept and respond appropriately to recommendations for change. • Seeks additional education opportunities in relevant clinical areas. • Participates on committees and/or unit based projects on unit needs.  

POSITION SUMMARY A Nursing Assistant, under the direct supervision and guidance of an assigned Registered Nurse, will assist with the routine nursing care of selected patients utilizing the advanced skills acquired to reach this level of expertise.  The emphasis of the Nursing Assistant will be on patient care.  The Nursing Assistant may not be assigned or assume full responsibility for the complete care of any patient. QUALIFICATIONS • 18 Years of Age • High school graduate or equivalent • Fluency in the English language, including ability to read and write in English • Certification as a Nursing Assistant Required or nursing students having completed Fundamentals Of Nursing with lab and one clinical medical-surgical rotation encouraged to apply. • Experience in an inpatient acute care setting preferred • BLS Certification from the American Heart Association (AHA) required. ACCOUNTABILITY| The Nursing Assistant is directly accountable to the Registered Nurse with whom he/she is working and the Nurse Manager/designee of the assigned unit. PERFORMANCE CRITERIA TEAM WORK • Involves other departments in project planning and implementation. • Is supportive of others and provides help and assistance when possible. • Regularly attends and participates in team and/or department meetings and work activities. • Keeps others informed. • Regularly offers and requests constructive feedback and coaching. • Establishes and maintains effective working relations. SERVICE EXCELLENCE (both internal and external) • Welcomes patients and customers in a warm, friendly manner. • Actively listens and constructively responds to questions and concerns in a timely manner. • Ensures the dignity of patient/customer is maintained at all times. • Abides by and upholds the Hospital Service Excellence Standards. • Respects the diversity of the patient/customer population (i.e. ages and culture). RESPONSIBILITIES Clinical Knowledge and Technical Skills • Provides basic hygienic skin care for selected patients who do not require complex nursing care. • Demonstrates the ability to provide appropriate care of incontinent/immobile patients. • Assist with nutritional support for patients, e.g. feeding, setting up trays, supplemental feeding. • Effectively mobilizes patients as delegated by R.N. • Demonstrates awareness of necessary safety requirements when mobilizing patients. • Uses appropriate patient assistive equipment. • Answers call lights promptly and reports patient's needs accurately. • Reports changes in patient's condition to the Registered Nurse. • Responds to a code according to Nurse Assistant protocol. • Takes T.P.R. and B.P.  Accurately records and reports changes to Charge Nurse. • Demonstrates knowledge of fire safety, infection control, smoking and visitors policies. • Participates in Quality Improvement activities as assigned. • Participates in oxygen equipment maintenance and charging system. • Follows procedure for handling of valuables • Accurately performs technical skills as identified by CBO. Environmental and Safety Needs of the Patient. • Makes occupied beds correctly. • Keeps bedside area neat and clean and handles patient's belongings/valuables according to policy. • Demonstrates safe and effective use of appropriate equipment and reports defects in equipment. • Keeps signal light attached to beds and within easy reach of patient. • Applies soft restraints with a nurse initially as ordered and reapplies following procedure for release and reapplication. • Keeps patient's bed in proper position. • Assist with maintaining general neatness of unit including storage, utility, laundry bag, kitchen, etc. • Transports patients safely by wheelchair or stretcher. Body Mechanics • Uses proper body mechanics during patient care, transport and cleaning activities. • Ambulates and supports patients using proper body mechanics. Work Behaviors • Demonstrates flexibility in patient assignment, shift assignment and work schedule. • Complies with assignment to other patient areas according to staffing requirements. • Reports to and begins work promptly. • Gives adequate notice of absenteeism or tardiness. • Asks appropriate questions if an unfamiliar circumstance arises. • Appearance is professional in accordance with dress code. • Performs other duties as assigned. • Able to organize and prioritize work efficiently. • Demonstrates the ability and motivation to work with an R.N. as a partner. Interpersonal Relationships • Relates to all patients in the same manner, i.e., does not discriminate on the basis of medical diagnosis, sex, age, race, ethnic, religious, or educational background, or economic status. • Demonstrates awareness of patient's rights. • Respects the patient's privacy and confidentiality.  • Communicates in a supportive and effective manner with staff, patients and families. • Communicates appropriate information in a clear, concise manner by reporting objectively to covering RN, Charge Nurse or Nurse Manager. • Maintains effective interpersonal relationships. • Demonstrates cooperation by offering assistance to others. • Utilizes appropriate channels of communication within health care systems. Documentation • Documents patient care in an accurate and appropriate manner, e.g.:      • Vital signs, weight      • Intake and output      • Basic nursing care      • Calorie count      • Variance report      • Restraint Flow Sheet  

The Registered Nurse, as a professional practitioner of nursing, implements the Nursing Process, demonstrates advanced skills and techniques, demonstrates leadership skills in unit management, and assumes responsibility and accountability for professional behavior and practice.  Collaborates with other health care members in providing care.   QUALIFICATIONS:   • Graduate of an accredited School of Nursing. • Current RN licensure in Massachusetts. • Documentation of ongoing continuing education and presence at mandatory programs. • BLS Certification from the American Heart Association (AHA) Required • ACLS Certification Preferred • Experience Preferred • BSN Preferred • Orientation to pediatrics required within 6 months of hire.   ACCOUNTABILITY: Nursing Director/Nurse Manager   PERFORMANCE CRITERIA: TEAM WORK • Involves other departments in project planning and implementation. • Is supportive of others and provides help and assistance when possible. • Regularly attends and participates in team and/or department meetings and work activities. • Keeps others informed. • Regularly offers and requests constructive feedback and coaching. • Establishes and maintains effective working relations.   SERVICE EXCELLENCE (both internal and external) • Welcomes patients and customers in a warm, friendly manner. • Actively listens and constructively responds to questions and concerns in a timely manner. • Ensures the dignity of patient/customer is maintained at all times. • Abides by and upholds the Hospital Service Excellence Standards. • Respects the diversity of the patient/customer population (i.e. ages and culture).   RESPONSIBILITIES:   USE OF NURSING PROCESS IN PATIENT CARE Assessment • Interviews and identifies obvious and potential patient problems.  Formulates nursing diagnoses and verifies Advanced Directive. • Initiates and completes age appropriate systems review and initial assessment within 24 hours, as appropriate to area. • Initiates, as appropriate, additional specific assessment forms, e.g. skin integrity form, patient at risk for falls. • Initiates and documents, at time of admission, proposed discharge needs. • Identifies goals and expected outcomes in patient care collaborating with patient and/or patient representative. • Maintains continual reassessment and documents in nursing progress notes, utilizing the nursing process.   Planning • Initiates a nursing plan of care within 24 hours, as appropriate to area, based on assessment data and guidelines of practice. • Collaborates with the patient, family, and other health care professionals in developing plan of care and identifying mutually accepted goals. • Revises nursing diagnoses and goals of nursing care to meet the changes in the patient's status and perception of outcome goals. • Initiates a multidisciplinary approach to discharge planning. • Designs a teaching plan with specific components that fulfill the teaching/learning needs of the patient/family representative. • Assists other health professionals in planning care.   Implementation • Assumes accountability for providing safe care to patients and demonstrates efficiency in prioritizing patient care within established policies and guidelines of nursing practice. • Prepares patients physically and psychologically for treatments, surgical procedures, and diagnostic studies. • Demonstrates safe and effective use of equipment. • Participates and assists other in the planning, implementation and coordination of health teaching and counseling of the patient, family, or patient representative. • Coordinates and assists others in initiating appropriate referrals for discharge and follow-up care and documents this in the record. • Utilizes appropriate measures to prevent transmission of infectious disease. Washes hands appropriately, uses barrier protection as warranted, utilizes sterile technique and isolation protocols/universal precautions. • Ensures safe care through positive patient identification prior to all procedures (e.g. blood transfusion). • Demonstrates knowledge of restraint protocol and safe management of the patient in restraints (protective, mechanical, and chemical). • Demonstrates knowledge, skill and adherence to policies for the following nursing interventions:      • medication administration      • blood administration      • IV therapy      • point of care testing      • restraints • Demonstrates competence in applying nursing skills in stressful, acute and complex situations.   Evaluation of Patient Care • Reviews patient status with physicians and other health care professionals and revises nursing care plans to reflect changes. • Measures the effectiveness of care, based on nursing process and identified patient outcomes. • Evaluates and revises the teaching and discharge plans in collaboration with patient/family representative and other health care professionals. • Identifies and actively participates in quality assurance and improvement activities.  Serves as a resource.   DOCUMENTATION AND COMMUNICATION • Documents patient response to and level of understanding of treatments, procedures, medication and teaching at designated intervals on appropriate records. • Summarizes and documents patient status on transfer/discharge, including needs and goals. • Communicates clearly, concisely and accurately in shift-to-shift report. • Records and reports information through appropriate channels. • Demonstrates competency in basic computer skills and seeks help from resources as needed.   MANAGEMENT AND LEADERSHIP SKILLS • Demonstrates leadership skills in charge responsibilities.  Provides appropriate guidance to other staff nurses. • Establishes priorities in the management of patient care.  Demonstrates ability to adapt to new or unexpected situations. • Demonstrates ability to utilize identified patient acuity as a basis for determining appropriate staff assignments. • Recognizes own limitations and seeks help from appropriate resources in making clinical decisions (i.e., resource nurses, clinical nurse specialists, other disciplines). • Demonstrates knowledge of and compliance with nursing policies and procedures, and practice standards (e.g. JCAHO, DMH, DPH). • Demonstrates knowledge of and compliance with pertinent health care laws, (e.g. abuse, consent, guardianship). • Acts as a mentor/role model for staff and students.  Assumes preceptor role. • Demonstrates strong interpersonal skills in professional relationships including conflict management.   PROFESSIONAL RESPONSIBILITIES • Demonstrates support for evidence based practice and nursing research as evidenced by consistently questioning rationale and plans for patient care and delivery methods. • Participates in performance improvement activities using evidenced based practice. • Makes recommendations for changes in practice based on integration of evidence nursing and research findings; and evaluates effectiveness of practice changes. • Maintains confidentiality of patient information. • Demonstrates knowledge of and advocacy for patient rights. • Demonstrates courtesy, tact, and professional behavior in relationships with patients, families, visitors, peers, and others. • Complies with personnel policies/guidelines, including mandatory education requirements. • Participates in activities related to the development of professional skills through meetings, conferences and other planned activities. • Demonstrates flexibility in response to reassignments. • Responds appropriately during unexpected events. • Provides guidance to other staff and assistive personnel.   SELF-DEVELOPMENT • Identifies advanced nursing skills and implements a plan for skill acquisition to improve nursing practice. • Identifies and evaluates professional goals yearly. • Fulfills goals within established time frame. • Displays ability to accept and respond appropriately to recommendations for change. • Seeks additional education opportunities in relevant clinical areas. • Participates on committees and/or unit based projects on unit needs.