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Unit Clerk-Per Diem Position: Job Summary: The Unit Clerk is responsible for maintaining medical records, assisting with patient care, and performing clerical and CQI duties. Education, Training and Licenses Required: * Telemetry certification required within 6 months of hire date * BLS required within 6 months of hire date Experience Required: * One year experience as Unit Clerk preferred * Computer knowledge required Knowledge/Skills/Abilities: * High school graduate or GED required. * Medical terminology preferred. * Health Information Management awareness preferred. Equipment Knowledge Required: * Phone use, BP monitoring equipment and use, IVAC temp use, computer, typewriter. * Competency with the electronic documentation system must be obtained within 30 days of hire with full proficiency by 90 days of hire. Safety Requirements: Employees are responsible for all aspects of the hospital safety and health program including compliance with safety rules and regulations, remedying unsafe working conditions, and for continuously practicing safety while performing duties. Sonoma Specialty Hospital policy prohibits employees with patient contact or those who prepare products for patient use from wearing artificial nails. Physical Requirements: While performing the duties of this job, the position is frequently required to do the following: * Stoop, kneel, crouch, reach, and stand for sustained period of time. * Walk, push, pull, lift, carry objects from a lower to higher position or horizontally from position to position or otherwise move objects. * Feel sizes, shapes, temperatures, and textures by touching with skin, particularly that of the fingertips. * Express or exchange ideas orally and potentially loudly, accurately, or quickly. * Perceive the nature of sound with no less than a 40 db loss @ 1000 Hz and 2000 Hz with or without correction. * Exert up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently. * Minimum standard of visual acuity with or without correction. * While worker may possibly be subjected to temperature changes, the worker is generally not substantially exposed to adverse environmental conditions as the work is predominantly inside. Working Conditions (Noise, Environmental, Demands, Shift, Setting, Human Interface, etc.): Able to work in a fast paced, moderately noisy environment. Able to keep positive working relations with MDs, RNs and ancillary staff members in crisis situations. Priority setting and rapid assessment skills required. Maintains positive public relations with patients and patients family members. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly exposed to hospital areas and general office environment. The work environment is a clean, well-lit, well-ventilated, and temperature controlled environment. The noise level in the work environment is usually moderate. The hours of duty are lengthy and irregular.

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES   Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES CHARGE NURSE:  Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes.  Facilitates immediate and direct complaint intervention and resolution.  Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system.  Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes.  Assists in the identification and management of staff, patient, and family educational needs.  Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions.  Possess the authority to send employees home in the interest of safe patient care.    ARU/TCU : Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU : Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION : Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   FORENSIC NURSING : Provide timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain forensic nursing competences and participate in quality assurance projects, community education and peer review.   HOSPICE :  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST :  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING : Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.   RESOURCE POOL :  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES   Demonstrates effective leadership and professional skills according to Standards of Care. Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes. MINIMUM HIRING REQUIREMENTS   Associate’s or Bachelor’s Degree from an accredited school of nursing Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED:   Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.   Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC orAHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS   Bachelor’s degree from an accredited school of nursing Specialty certifications as preferred per department: AHA ACLS and CAPA for Same Day Surgery CPAN for PACU Minimum of six months critical care experience for PACU   

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES   Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES CHARGE NURSE:  Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes.  Facilitates immediate and direct complaint intervention and resolution.  Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system.  Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes.  Assists in the identification and management of staff, patient, and family educational needs.  Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions.  Possess the authority to send employees home in the interest of safe patient care.    ARU/TCU : Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU : Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION : Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   FORENSIC NURSING : Provide timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain forensic nursing competences and participate in quality assurance projects, community education and peer review.   HOSPICE :  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST :  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING : Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.   RESOURCE POOL :  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES   Demonstrates effective leadership and professional skills according to Standards of Care. Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes. MINIMUM HIRING REQUIREMENTS   Associate’s or Bachelor’s Degree from an accredited school of nursing Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED:   Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.   Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC orAHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS   Bachelor’s degree from an accredited school of nursing Specialty certifications as preferred per department: AHA ACLS and CAPA for Same Day Surgery CPAN for PACU Minimum of six months critical care experience for PACU   

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES   Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES CHARGE NURSE:  Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes.  Facilitates immediate and direct complaint intervention and resolution.  Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system.  Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes.  Assists in the identification and management of staff, patient, and family educational needs.  Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions.  Possess the authority to send employees home in the interest of safe patient care.    ARU/TCU : Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU : Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION : Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   FORENSIC NURSING : Provide timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain forensic nursing competences and participate in quality assurance projects, community education and peer review.   HOSPICE :  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST :  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING : Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.   RESOURCE POOL :  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES   Demonstrates effective leadership and professional skills according to Standards of Care. Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes. MINIMUM HIRING REQUIREMENTS   Associate’s or Bachelor’s Degree from an accredited school of nursing Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED:   Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.   Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC orAHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS   Bachelor’s degree from an accredited school of nursing Specialty certifications as preferred per department: AHA ACLS and CAPA for Same Day Surgery CPAN for PACU Minimum of six months critical care experience for PACU   

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES   Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES CHARGE NURSE:  Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes.  Facilitates immediate and direct complaint intervention and resolution.  Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system.  Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes.  Assists in the identification and management of staff, patient, and family educational needs.  Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions.  Possess the authority to send employees home in the interest of safe patient care.    ARU/TCU : Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU : Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION : Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   FORENSIC NURSING : Provide timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain forensic nursing competences and participate in quality assurance projects, community education and peer review.   HOSPICE :  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST :  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING : Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.   RESOURCE POOL :  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES   Demonstrates effective leadership and professional skills according to Standards of Care. Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes. MINIMUM HIRING REQUIREMENTS   Associate’s or Bachelor’s Degree from an accredited school of nursing Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED:   Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.   Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC orAHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS   Bachelor’s degree from an accredited school of nursing Specialty certifications as preferred per department: AHA ACLS and CAPA for Same Day Surgery CPAN for PACU Minimum of six months critical care experience for PACU   

ROLE SUMMARY The Registered Nurse will assess, plan, implement, evaluate and supervise individual patient care according to unit policies and procedures.  Accept responsibility for direction of co-workers in the implementation of care plans.  May be required to work on other units according to distribution of staff and patients.   CORE RESPONSIBILITIES   Completes nursing assessment of patient and documents appropriately into patient chart.  Develops and reviews and revises a plan of care, including a discharge plan, based upon the assessment of patient's needs. Implements medical and nursing orders per plan of care and documents appropriately.  Evaluates patient's response to care. Engages in patient and family teaching as appropriate. Oversees staff assigned for providing patient care. Collaborates with leadership to assure the integration of the ANA’s Scope & Standards of Practice, assuring that these standards are identified as the measurement criteria for nursing practice on the unit. Unit specific orientation and ongoing training and competencies are assigned based on department role, scope of services, and organizational standards.  Documentation of these trainings and competencies will be held in an electronic format.   DEPARTMENT/ROLE SPECIFIC RESPONSIBILITIES CHARGE NURSE:  Responsible for coordination of patient care in collaboration with physicians and ancillary departments to achieve quality outcomes.  Facilitates immediate and direct complaint intervention and resolution.  Participates in ongoing evaluation of patients, assuring efficiency of communication with patients, follow-up and flow through the system.  Performs daily rounds on the floors to assess patients and possible critical situations to determine patient care needs and outcomes.  Assists in the identification and management of staff, patient, and family educational needs.  Oversight of charging and documentation accuracy, including review and analysis of effectiveness of nursing interventions.  Possess the authority to send employees home in the interest of safe patient care.    ARU/TCU : Attends family conferences, patient care Conferences, and daily stand up meetings.   CARE CLINIC, SAME DAY SURGERY, AND PACU : Collaborates with the Clinical Nurse Manager to assure integration of ASPAN’s Standards of Perioperative Nursing Practice.   CLINICAL EDUCATION : Instructs Nurse Residency or clinical certification classes as directed by the program director. Deliver clinical curriculum utilizing various methods.   FORENSIC NURSING : Provide timely, non-judgmental, compassionate care to victims of trauma and violence, to include but not limited to Intimate Partner Violence, Child Abuse, Strangulation, Elder Abuse and Sexual Assault and Abuse. Follow established forensic nursing protocols. Triage and assess patient, provide prophylaxis for pregnancy and STI’s, coordinate medical and psychological care, provide advocacy, community resource and law enforcement referrals. Perform complete head to toe physical, document patient history, collect forensic evidence including photographic documentation. Be available for call coverage according to forensic nursing protocol. Maintain forensic nursing competences and participate in quality assurance projects, community education and peer review.   HOSPICE :  Serves as patient case manager and focuses specifically on the physical, spiritual, and emotional needs of the patient and family in a nurturing and supportive role.  Attends the first available hospice volunteer training after acceptance of employment.   HOSPITALIST :  Integrates health care for clients from pre-admission to post-discharge.  The nurse functions in structured and unstructured health care settings.  The nurse utilizes independent nursing judgment when integrating health care.  Will have knowledge of and utilize appropriate age-related patient care protocols relating to the physical and psychological needs of adult and geriatric patients.   MEDICAL IMAGING : Procedural Nurse:  Provides IV moderate sedation and pain relief.  Assists with biopsies, the placement of drains for abscesses, and the insertion of chest tubes.  May assist with Peripheral Runoffs, PAS port placements and removals, Nephrostomy/Biliary tube placements, AV Fistulograms with and without angioplasty, IVC Filter placement and removal, Discograms and thrombolytic infusion therapy.   Vascular Access Nurse: Hard stick IVs, ultrasound guided IVs, PICC insertions, mid-line insertions, port accesses, and dressing changes.   RESOURCE POOL :  Float within designated pod and clinical specialty.   The above statements are intended to describe the general nature and level of work performed by people assigned to this job.  They are not intended to be an exhaustive list of all responsibilities, duties and skills required of personnel so classified and employees may be required to perform other duties as assigned.   SKILLS, KNOWLEDGE, AND ABILITIES   Demonstrates effective leadership and professional skills according to Standards of Care. Ability to assess a patient’s condition, formulate plan of care, select appropriate interventions, evaluate patient’s response to plan of care and to explain to patient/family about this process. Ability to assess, evaluate, explain, teach, problem solve using critical thinking; and perform calculations. Demonstrates excellent professional and clinical skills and utilization of the Nursing process of direct and indirect patient care which includes assessment, planning, implementation and evaluation of nursing care to meet patient needs and improve patient outcomes. MINIMUM HIRING REQUIREMENTS   Associate’s or Bachelor’s Degree from an accredited school of nursing Current Wyoming Registered Nurse License (see Appendix A for alternative licensure accepted) AHA BLS 6 months experience required unless otherwise specified below Minimum of five years ICU, ER or related experience for Hospitalist Minimum of one year medical or surgical nursing experience required for Care Clinic and Same Day Surgery Minimum of one year experience required for Resource Pool   REQUIREMENTS TO BE COMPLETED ONCE HIRED:   Specialty certifications, per department, must be obtained prior to completion of RN Nurse Resident graduation.  Specialty certification grace periods are not applicable to employees hired with current specialty certifications or CRMC RN Nurse Resident graduates Specialty certifications grace periods, unless otherwise specified per department (see mandatory requirements for specialty units): AHA ACLS, AHA PALS, and AAP NRP should be obtained within 6 months of hire or transfer as required by specialty unit. TNCC and ENPC should be obtained within 1 year of hire or transfer as required by specialty unit.   Candidates must meet the following mandatory requirements for specialty units once hired: Administrative Reps. – AHA ACLS Administration Rapid Response – AHA ACLS, TNCC, ENPC orAHA PALS Behavioral Health – CPI training prior to completion of orientation Cardiac Services – AHA ACLS ED – NIH Stroke Scale certification during orientation, AHA ACLS, TNCC within 6 months, CPI within 1 year, ENPC Endoscopy – AHA ACLS Forensic Nursing – ACLS, TNCC and ENPC within one year of hire; Complete SANE training within one year of hire ICU – AHA ACLS, TNCC, and NIH Stroke Scale certification within 1 year Labor and Delivery – AAP NRP within three months of hire, AHA ACLS within 6 months of completing L&D orientation, Fetal Heart Monitoring within 6 months of completing L&D orientation, PeriOp 101 within 1 year of hire/transfer to L&D MBU – AAP NRP within 6 months of hire, AHA ACLS if floated to L&D Medical Imaging – Procedural Nurse: AHA ACLS, AHA PALS, and Moderate Sedation within six months of hire Nursery – AAP NRP within 6 months of hire OR – TNCC or AHA ACLS within 1 year, CNOR within 2 years, PeriOp 101 course within 1 year PACU– AHA ACLS, AHA PALS PCU – AHA ACLS and TNCC Peds – AHA NRP within 6months of hire, AHA PALS or ENPC within6 months of finishing specialized orientation Resource- AHA ACLS, CPI within 6 months Telemetry – AHA ACLS within 1 year of hire   PREFERRED QUALIFICATIONS   Bachelor’s degree from an accredited school of nursing Specialty certifications as preferred per department: AHA ACLS and CAPA for Same Day Surgery CPAN for PACU Minimum of six months critical care experience for PACU   

SUMMARY: Under general supervision, the AHD Staff Nurse II provides nursing care to patients, including medications and treatment. Plans, implements, and evaluates patient care and performs related duties as required. The Registered Nurse II level is the journey level class where incumbents have had the required professional nursing experience and are capable of independently performing the full range of clinical nursing services involving patient care. Staff Nurse II's may supervise the work of professional and paraprofessional staff of the unit to which assigned. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level.  Not all duties listed are necessarily performed by each individual in the classification. 1. Accompanies, assists, and represents the needs of patients to other providers. 2. Accurately provide care with respect to medication administration, skin and wound care, ADL's and other essential patient care related activities. 3. Develops, implements, evaluates and makes modifications in the nursing care plan; prepares required records and reports. 4. Gathers and assess information about patients to meet nursing needs; assists and consults with physician in the performance of procedures and diagnostic tests; contracts physicians and/or other departments to obtain or provide patient information. 5. May provide oversight to staff who monitor telemetry systems; s primary nurse of changes in underlying rhythms and of any life threatening arrhythmias that may develop; interprets and posts telemetry strips at the hours specified; admits and discharges patients with telemetry units as appropriate. 6. Organizes, supervises, makes adjustments and accepts responsibility for the quality of care provided patients by co-workers for a given work period; at the level II assumes responsibility as a charge nurse when assigned. 7. Participates in promoting a healthful, safe, and therapeutic environment for patient and families; set up and controls the environment essential for infection control. 8. Participates in the implementation of patient care standards, infection control standards and quality assurance criteria; assist with conducting studies; participates in unit and other meetings. 9. Provides and evaluates patient care established standards and criteria in conformity with the nursing care plan. Will adhere to the No Pass Zone. 10. Monitors patients for significant and critical changes and initiates procedures as required; documents care given according to set standards and at required intervals. 11. Interprets and explains procedures, regimens, and services to patients and families; teaches patients and family members health care and disease prevention techniques. 12. Prepares patients and/or area for procedures and operations; assists physicians; uses instruments and equipment related to the area of assignment. 13. Utilizes evidenced based best practice by hourly rounding on all assigned patients.   Between the hours of 2200 and 0700 rounding will be every two hours. 14. Shift report will be done at the bedside with the patient involved to the best of their ability. 15. AIDET (acknowledge, Introduce, Duration, Explanation, and Thank you) will be used in patient and family interactions when appropriate. MINIMUM QUALIFICATIONS: Education: Graduate of an accredited nursing program required; Bachelor's degree in Nursing preferred. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.  Minimum Experience: Six months experience as a Registered Nurse I with AHS or the equivalent of one year full time recent experience at a comparable level in a minimum 100-bed hospital or in the area of specialty; (if experience is not recent, completion of an approved refresher course may be acceptable).  Required BLS - Basic Life Support Certification issued by the American Heart Association.  Required ACLS - Advanced Cardiac Life Support Certification - issued by the American Heart Association for nurses in the Emergency Department, OR, PACU, CCU or Telemetry.  Required CPI -Crisis Prevention Intervention training for Emergency Department.  Required   PALS - Pediatric Advanced Life Support Certification- issued by the AHA American Heart Association for nurses in the Emergency Department.  Preferred Licenses/Certification: CCRN – For Critical Care Registered.  Preferred Certification: CEN- Certified Emergency Nurse –For Emergency Department Nurse

JOB SUMMARY:   Care for patients in adult and older adult age groups.   PRINCIPAL DUTIES AND RESPONSIBILITIES: Cares for medical and surgical cardiac patients undergoing antiarrhythmic therapy, invasive treatments or procedures, cardiovascular surgery and patients with pulmonary disease, who require an intermediate level of care. Monitors and assesses patients requiring continuous cardiac monitoring (telemetry). Manages patients requiring mechanical ventilation or IV Insulin therapy. Provides postoperative care for cardiovascular surgery patients including coronary artery bypass, femoral-popliteal bypass, thoracotomy/lobectomy and abdominal aneurysm repair.   SCOPE OF CARE: The 6th floor is an Intermediate Care Unit and contains 46 beds. It provides care to patients who no longer need or do not need the level of care provided in the Intensive Care Unit, but requires a greater amount of care than that which can be provided on a general acute unit. Services provided include telemetry monitoring.

JOB SUMMARY:   Care for patients in adult and older adult age groups.   PRINCIPAL DUTIES AND RESPONSIBILITIES: Cares for medical and surgical cardiac patients undergoing antiarrhythmic therapy, invasive treatments or procedures, cardiovascular surgery and patients with pulmonary disease, who require an intermediate level of care. Monitors and assesses patients requiring continuous cardiac monitoring (telemetry). Manages patients requiring mechanical ventilation or IV Insulin therapy. Provides postoperative care for cardiovascular surgery patients including coronary artery bypass, femoral-popliteal bypass, thoracotomy/lobectomy and abdominal aneurysm repair.   SCOPE OF CARE: The 6th floor is an Intermediate Care Unit and contains 46 beds. It provides care to patients who no longer need or do not need the level of care provided in the Intensive Care Unit, but requires a greater amount of care than that which can be provided on a general acute unit. Services provided include telemetry monitoring.

SUMMARY: Under general supervision, the AHD Staff Nurse II provides nursing care to patients, including medications and treatment. Plans, implements, and evaluates patient care and performs related duties as required. The Registered Nurse II level is the journey level class where incumbents have had the required professional nursing experience and are capable of independently performing the full range of clinical nursing services involving patient care. Staff Nurse II's may supervise the work of professional and paraprofessional staff of the unit to which assigned. DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level.  Not all duties listed are necessarily performed by each individual in the classification. 1. Accompanies, assists, and represents the needs of patients to other providers. 2. Accurately provide care with respect to medication administration, skin and wound care, ADL's and other essential patient care related activities. 3. Develops, implements, evaluates and makes modifications in the nursing care plan; prepares required records and reports. 4. Gathers and assess information about patients to meet nursing needs; assists and consults with physician in the performance of procedures and diagnostic tests; contracts physicians and/or other departments to obtain or provide patient information. 5. May provide oversight to staff who monitor telemetry systems; s primary nurse of changes in underlying rhythms and of any life threatening arrhythmias that may develop; interprets and posts telemetry strips at the hours specified; admits and discharges patients with telemetry units as appropriate. 6. Organizes, supervises, makes adjustments and accepts responsibility for the quality of care provided patients by co-workers for a given work period; at the level II assumes responsibility as a charge nurse when assigned. 7. Participates in promoting a healthful, safe, and therapeutic environment for patient and families; set up and controls the environment essential for infection control. 8. Participates in the implementation of patient care standards, infection control standards and quality assurance criteria; assist with conducting studies; participates in unit and other meetings. 9. Provides and evaluates patient care established standards and criteria in conformity with the nursing care plan. Will adhere to the No Pass Zone. 10. Monitors patients for significant and critical changes and initiates procedures as required; documents care given according to set standards and at required intervals. 11. Interprets and explains procedures, regimens, and services to patients and families; teaches patients and family members health care and disease prevention techniques. 12. Prepares patients and/or area for procedures and operations; assists physicians; uses instruments and equipment related to the area of assignment. 13. Utilizes evidenced based best practice by hourly rounding on all assigned patients.   Between the hours of 2200 and 0700 rounding will be every two hours. 14. Shift report will be done at the bedside with the patient involved to the best of their ability. 15. AIDET (acknowledge, Introduce, Duration, Explanation, and Thank you) will be used in patient and family interactions when appropriate. MINIMUM QUALIFICATIONS: Education: Graduate of an accredited nursing program required; Bachelor's degree in Nursing preferred. Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California.  Minimum Experience: Six months experience as a Registered Nurse I with AHS or the equivalent of one year full time recent experience at a comparable level in a minimum 100-bed hospital or in the area of specialty; (if experience is not recent, completion of an approved refresher course may be acceptable).  Required BLS - Basic Life Support Certification issued by the American Heart Association.  Required ACLS - Advanced Cardiac Life Support Certification - issued by the American Heart Association for nurses in the Emergency Department, OR, PACU, CCU or Telemetry.  Required CPI -Crisis Prevention Intervention training for Emergency Department.  Required   PALS - Pediatric Advanced Life Support Certification- issued by the AHA American Heart Association for nurses in the Emergency Department.  Preferred Licenses/Certification: CCRN – For Critical Care Registered.  Preferred Certification: CEN- Certified Emergency Nurse –For Emergency Department Nurse

JOB SUMMARY The Staff Nurse applies and demonstrates knowledge of the delivery of professional nursing care, including all aspects of practice, as defined by the MN Board of Nursing and reinforced in St. Lukes policies. Plans, delegates to, and organizes nursing personnel. Manages and coordinates information between patient, family and healthcare team members; provides for education of patient's families and staff and evaluates outcomes. MINIMUM QUALIFICATIONS Education:  See Licensure/Certification/Registration, requirements. Experience: N/A Licensure/Registration/Certification: Current license in Minnesota to practice as Registered Nurse. ACLS certification within nine (9) months of hire. Successful completion of orientation to include assigned ECG and critical care modules as determined by Nurse Manager and Critical Care Educator. Successful completion of charge nurse training by date agreed upon with Nurse Manager and Critical Care Educator. BLS Certification with a designation of either BLS Provider or Healthcare Provider from either the American Heart Association or American Red Cross, or Military Training Network. PREFERRED QUALIFICATIONS Education: N/A Experience: Recent acute care nursing experience within last three (3) years. Preference given to individuals with previous telemetry, critical care experience. Licensure/Registration/Certification: Current ACLS certification. KNOWLEDGE, SKILLS AND ABILITIES Knowledge of current principles and techniques of nursing practice; knowledge of the practical application of the nursing process and physical assessment. Ability to function as a team leader, primary nurse and role model; to accept individual responsibility and accountability for decisions and outcome; to communicate effectively with patients, families, personnel and Physicians and establish professional working relationships with the same; to recognize the legal limits of nursing practice; to maintain professional competency through continuing education and independent study. Ability to support St. Lukes goals and objectives.   READING - Advanced: Ability to read, analyze, and interpret the most complex documents. Ability to respond effectively to the most sensitive inquires or complaints. WRITING - Intermediate: Ability to write routine reports, correspondence, or procedures. SPEAKING - Intermediate: Ability to effectively present information in one-on-one, small group situations or before groups of customers, clients, and other employees of the organization. MATHEMATICAL SKILLS - Intermediate Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals and to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to compute rate, ratio, and percent and to draw or interpret bar graphs to apply concepts of basic algebra and geometry. REASONING ABILITY - Intermediate Skills: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. AGE SPECIFIC COMPETENCIES: Skilled at assessment and knowledgeable of growth and development. Provides appropriate care respective to the ages of the patients served per clinical environment. STROKE SPECIFIC COMPETENCIES - Demonstrates knowledge of signs and symptoms of stroke and the need to activate a Stroke Alert. Skilled at providing stroke specific assessments and interventions related to the care of the stroke patient, to include but not limited to Stroke Dysphagia screening and neurologic assessments. Completes eight (8) hours stroke specific education initially. Maintains compliance in acquiring four hours of stroke specific education annually as a member of the acute stroke care team. PHYSICAL DEMANDS AND ENVIRONMENT PHYSICAL DEMANDS Prolonged, extensive, or considerable standing/walking; lifts, positions, pushes and/or transfers patients; considerable reaching, stooping, bending, kneeling and crouching. Ability to see, hear, stand, bend, kneel, walk and lift up to fifty (50) pounds.   Stand - Continuously Over 2/3 (5.5 – 8 hours) Walk - Continuously Over 2/3 (5.5 – 8 hours) Sit - Frequently 1/3 to 2/3 (2.5 – 5.5 hours) Use hands to finger, handle, or feel - Continuously Over 2/3 (5.5 – 8 hours) Reach with hands and arms - Continuously Over 2/3 (5.5 – 8 hours) Stoop, Squat, Kneel, or Crouch - Continuously Over 2/3 (5.5 – 8 hours) Bending-repetitive forward - Continuously Over 2/3 (5.5 – 8 hours) Talk or hear - Continuously Over 2/3 (5.5 – 8 hours)   LIFTING REQUIREMENTS Up to 10 pounds - Continuously Over 2/3 (5.5 – 8 hours) Up to 25 pounds - Continuously Over 2/3 (5.5 – 8 hours) Up to 35 pounds - Frequently 1/3 to 2/3 (2.5 – 5.5 hours) Up to 50 pounds - Occasionally Under 1/3 (1-2.5 hours)   WORK ENVIRONMENT Typical Noise Level - Moderate noise (examples: business office with computers and printers, light traffic)   WORKING CONDITIONS Regularly exposed to the risk of blood borne diseases; contact with patients under wide variety of circumstances; exposed to unpleasant elements (accidents, injuries and illness); subject to varying and unpredictable situations; handles emergency or crisis situations; may perform emergency care; occasionally subjected to irregular hours; occasional pressure due to multiple calls and inquiries.

JOB SUMMARY The Staff Nurse applies and demonstrates knowledge of the delivery of professional nursing care, including all aspects of practice, as defined by the MN Board of Nursing and reinforced in St. Lukes policies. Plans, delegates to, and organizes nursing personnel. Manages and coordinates information between patient, family and healthcare team members; provides for education of patient's families and staff and evaluates outcomes. MINIMUM QUALIFICATIONS Education:  See Licensure/Certification/Registration, requirements. Experience: N/A Licensure/Registration/Certification: Current license in Minnesota to practice as Registered Nurse. ACLS certification within nine (9) months of hire. Successful completion of orientation to include assigned ECG and critical care modules as determined by Nurse Manager and Critical Care Educator. Successful completion of charge nurse training by date agreed upon with Nurse Manager and Critical Care Educator. BLS Certification with a designation of either BLS Provider or Healthcare Provider from either the American Heart Association or American Red Cross, or Military Training Network. PREFERRED QUALIFICATIONS Education: N/A Experience: Recent acute care nursing experience within last three (3) years. Preference given to individuals with previous telemetry, critical care experience. Licensure/Registration/Certification: Current ACLS certification. KNOWLEDGE, SKILLS AND ABILITIES Knowledge of current principles and techniques of nursing practice; knowledge of the practical application of the nursing process and physical assessment. Ability to function as a team leader, primary nurse and role model; to accept individual responsibility and accountability for decisions and outcome; to communicate effectively with patients, families, personnel and Physicians and establish professional working relationships with the same; to recognize the legal limits of nursing practice; to maintain professional competency through continuing education and independent study. Ability to support St. Lukes goals and objectives.   READING - Advanced: Ability to read, analyze, and interpret the most complex documents. Ability to respond effectively to the most sensitive inquires or complaints. WRITING - Intermediate: Ability to write routine reports, correspondence, or procedures. SPEAKING - Intermediate: Ability to effectively present information in one-on-one, small group situations or before groups of customers, clients, and other employees of the organization. MATHEMATICAL SKILLS - Intermediate Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals and to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to compute rate, ratio, and percent and to draw or interpret bar graphs to apply concepts of basic algebra and geometry. REASONING ABILITY - Intermediate Skills: Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations. AGE SPECIFIC COMPETENCIES: Skilled at assessment and knowledgeable of growth and development. Provides appropriate care respective to the ages of the patients served per clinical environment. STROKE SPECIFIC COMPETENCIES - Demonstrates knowledge of signs and symptoms of stroke and the need to activate a Stroke Alert. Skilled at providing stroke specific assessments and interventions related to the care of the stroke patient, to include but not limited to Stroke Dysphagia screening and neurologic assessments. Completes eight (8) hours stroke specific education initially. Maintains compliance in acquiring four hours of stroke specific education annually as a member of the acute stroke care team. PHYSICAL DEMANDS AND ENVIRONMENT PHYSICAL DEMANDS Prolonged, extensive, or considerable standing/walking; lifts, positions, pushes and/or transfers patients; considerable reaching, stooping, bending, kneeling and crouching. Ability to see, hear, stand, bend, kneel, walk and lift up to fifty (50) pounds.   Stand - Continuously Over 2/3 (5.5 – 8 hours) Walk - Continuously Over 2/3 (5.5 – 8 hours) Sit - Frequently 1/3 to 2/3 (2.5 – 5.5 hours) Use hands to finger, handle, or feel - Continuously Over 2/3 (5.5 – 8 hours) Reach with hands and arms - Continuously Over 2/3 (5.5 – 8 hours) Stoop, Squat, Kneel, or Crouch - Continuously Over 2/3 (5.5 – 8 hours) Bending-repetitive forward - Continuously Over 2/3 (5.5 – 8 hours) Talk or hear - Continuously Over 2/3 (5.5 – 8 hours)   LIFTING REQUIREMENTS Up to 10 pounds - Continuously Over 2/3 (5.5 – 8 hours) Up to 25 pounds - Continuously Over 2/3 (5.5 – 8 hours) Up to 35 pounds - Frequently 1/3 to 2/3 (2.5 – 5.5 hours) Up to 50 pounds - Occasionally Under 1/3 (1-2.5 hours)   WORK ENVIRONMENT Typical Noise Level - Moderate noise (examples: business office with computers and printers, light traffic)   WORKING CONDITIONS Regularly exposed to the risk of blood borne diseases; contact with patients under wide variety of circumstances; exposed to unpleasant elements (accidents, injuries and illness); subject to varying and unpredictable situations; handles emergency or crisis situations; may perform emergency care; occasionally subjected to irregular hours; occasional pressure due to multiple calls and inquiries.

POSITION SUMMARY: The Director of Professional Practice Development will provide professional development and education for staff in preparing for contemporary practice and supporting them in acquiring knowledge and skills to competently deliver optimum patient focused care and services within a culture of safety.    KEY RESPONSIBILITIES: Ensuring educational activities are congruent with Morton Hospital’s mission, goals, values, priorities and resources. Providing an appropriate climate for the adult learner and facilitate the learning process by developing, planning and presenting educational activities that foster the development of competency. Assisting learners to identify both their learning needs and the effective learning activities required to meet those needs while fostering a positive attitude about the benefits and opportunities of life-long learning. Identifying changes that should be made in practice and service using an evidence-based approach and facilitating the initiation of, adoption of, and adaptation to the change. Acting as a formal and informal consultant, assisting with the integration of new learning into practice and service by assisting nurses in identifying problems, identifying available internal and external educational resources and selecting educational options. Designing, creating and applying research by supporting the integration of research into practice and helping to develop staff members’ knowledge and skills in the research process, as well as fostering the use of systematic evaluative research data with regard to clinical, educational and managerial development. Modeling behaviors that reflect standards of professional organizations as well as the community Maintaining clinical competence in medical surgical-telemetry practice by working in assignments with a nurse. Integrating ethical principles in all aspects of practice. Providing ongoing evaluation of the quality and effectiveness of the educational activities in achieving outcomes that promote the delivery of cost-effective high quality healthcare. Creates and implements programs at work that connect employees with business goals. Participates in progressive improvement/quality improvements programs to improve the delivery of care and services, modifies training and education programs in response to outcomes. Demonstrates effective leadership skills including: critical thinking, problem solving, goal setting, decision making, delegation, strategic planning, project management, coaching and mentoring. Provides educational opportunities that benefit staff at all stages of their career development. Supports staff development with educational activities including: remediation, certification, mentoring, life support, regulatory requirements, product or system roll outs. Coordinates and teaches orientation, in-services and continuing education programs. Evaluation of their own practice in relation to professional practice standards, relevant regulations, maintaining continuing professional nursing competence and teaching and learning effectiveness. Collaborating with others in the practice of professional development at the institutional, local, regional and state levels. Promotes curriculum strands in all programs of a culture of safety, patient and family centered care as well as HCAHPS and core measures. Identifies specific patient care issues and new service lines that effect program planning and development. Collaborates with members of the multidisciplinary team in assessing, planning, implementing and evaluating patient care delivery. Promotes cultural competency. Participates with the Patient Care Directors to conduct a formal annual needs analysis to determine new strategic programmatic planning. Ensures professional development activities are in education management system to schedule, record employee registration for, track attendance to, and evaluate effectiveness of professional development.   CUSTOMER SERVICE SKILLS: TEAM WORK Involves other departments in project planning and implementation. Supports other departments and provides help and assistance when possible. Regularly attends and participates in team and/or departmental meetings and activities. Keeps others 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. (MediTech, Pyxis, fax, copier, software programs)   REQUIRED KNOWLEDGE, SKILLS & EDUCATION: Director of Professional Practice Development: Medical Surgical Nursing and Maternity The areas of responsibility include: EBHS, S1, S2, M2, Maternity, OPD, Pre-op, CNA’s, Unit Secretaries, Nursing Students and Nursing Orientation Licensed as a Registered Nurse in the State of Massachusetts BSN required. Graduate degree in nursing preferred; Certification in BLS, ACLS, PALS, NRP and Fetal Monitoring are required Has worked in an adult care setting for a minimum of 10 years, with 3 recent years in a unit with Telemetry. Prefer BLS,  ACLS, PALS, NRP and Fetal Monitoring Instructor certification Has knowledge of relevant educational content and appropriate methods of delivery and the ability to develop and facilitate relevant and effective education for adult learners. Director of Professional Practice Development: Critical Care The areas of responsibility include: ED, ICU, IVR, PACU, Radiology, Respiratory, Medical Assistants and Paramedic Students.  Assists in Nursing Orientation.  Licensed as a Registered Nurse in the State of Massachusetts BSN required.  Graduate degree in nursing preferred. Certification in BLS, ACLS, PALS, TNCC and MOAB are required Has worked in an adult care setting for a minimum of 10 years, with 3 recent years in a unit with Telemetry. Prefer BLS,  ACLS, PALS, TNCC and MOAB Instructor certification Has knowledge of relevant educational content and appropriate methods of delivery and the ability to develop and facilitate relevant and effective education for adult learners   Director of Professional Practice Development: Evening Shift The areas of responsibility include: EBHS, S1, S2, M2, Maternity, OPD, Pre-op, CNA’s, Unit Secretaries, Nursing Students and Nursing Orientation Licensed as a Registered Nurse in the State of Massachusetts BSN required.  Graduate degree in nursing preferred. Certification in BLS and ACLS are required Has worked in an adult care setting for a minimum of 10 years, with 3 recent years in a unit with Telemetry. Provide ongoing Telemetry education Prefer BLS and ACLS Instructor certification Has knowledge of relevant educational content and appropriate methods of delivery and the ability to develop and facilitate relevant and effective education for adult learners.      

POSITION SUMMARY:   The focus of the nursing care on this unit is caring for cardiac medical-surgical patients. Provide age appropriate Nursing care to cardiac telemetry med-surg patients. The nurse will be caring for patients with cardiac disease, cardiac surgery post op day 1, pre and post cardiac diagnostic and interventional procedures. Must be adaptable to a fast paced ever-changing environment.   A strong team player.   Must possess exemplary customer service skills and demonstrate consistent use of EMMC Caring Behaviors.   Ability to communicate well with all members of the healthcare team.   Must project a professional image at all times.   Must have a high level of interpersonal and communication skills and be a demonstrated team player. Must demonstrate reliability and accountability to team members and patients. All EMMC nurses participate in activities that promote self and staff development as well as the development of unit specific strategic goals. MINIMUM EDUCATION REQUIRED: Current Maine RN license or eligibility to obtain Maine RN license required.   MINIMUM EXPERIENCE/SKILLS REQUIRED:   BLS and ACLS certification or must be obtained within 12 months of hire. Successful completion of an EKG Course and a Cardiac Care Course or must be completed within 12 months of hire. Ability to complete a comprehensive age specific nursing care to the population of patients within the assigned unit/area.   PHYSICAL REQUIREMENTS: Capacity to concentrate in a busy and often stressful environment.   Ability to come in close contact with people.   Sitting, and extended periods of standing and walking are required.     Stretchers, monitors, pumps are moved several times a day to accommodate patient and equipment transfers.   The nurse must be able to lift 10 lbs. with one hand to attach IV pumps to IV poles.   Reaching and stretching may be required at any time.   Ability to push and pull heavy computers on wheels; push wheelchairs with 300+ pound patients, frequently lifting 50 pounds without assistance; high volume of stooping, bending, lifting, pulling and twisting.   The nurse must be able to stretch, reach, and retrieve equipment from the supply carts of bend to reach equipment supplied below knee level. Must possess upper body strength, agility and lung capacity necessary to perform cardiopulmonary resuscitation and have the ability to wear protective equipment and to pass fit testing. Portable O2 tanks are lifted from O2 racks to stretchers to accompany patients. Must be able to perform various sensory requirements such as visual and color acuity, speech, smell, touch, manual dexterity, fine motor skills and hearing in order to assess and treat the patient accurately. Use of the electronic medical record requires visual acuity for reading information on computer screens and fine motor skills for keyboarding and use of a mouse.   WORKING ENVIRONMENT: Fast paced clinical environment.   Participation in unit specific and hospital wide activities that promote self and staff development. Participation in the development of unit specific strategic goals that assist with the fulfillment of the Eastern Maine Medical Center mission and vision.

POSITION SUMMARY:   The focus of the nursing care on this unit is caring for cardiac medical-surgical patients. Provide age appropriate Nursing care to cardiac telemetry med-surg patients. The nurse will be caring for patients with cardiac disease, cardiac surgery post op day 1, pre and post cardiac diagnostic and interventional procedures. Must be adaptable to a fast paced ever-changing environment.   A strong team player.   Must possess exemplary customer service skills and demonstrate consistent use of EMMC Caring Behaviors.   Ability to communicate well with all members of the healthcare team.   Must project a professional image at all times.   Must have a high level of interpersonal and communication skills and be a demonstrated team player. Must demonstrate reliability and accountability to team members and patients. All EMMC nurses participate in activities that promote self and staff development as well as the development of unit specific strategic goals. MINIMUM EDUCATION REQUIRED: Current Maine RN license or eligibility to obtain Maine RN license required.   MINIMUM EXPERIENCE/SKILLS REQUIRED:   BLS and ACLS certification or must be obtained within 12 months of hire. Successful completion of an EKG Course and a Cardiac Care Course or must be completed within 12 months of hire. Ability to complete a comprehensive age specific nursing care to the population of patients within the assigned unit/area.   PHYSICAL REQUIREMENTS: Capacity to concentrate in a busy and often stressful environment.   Ability to come in close contact with people.   Sitting, and extended periods of standing and walking are required.     Stretchers, monitors, pumps are moved several times a day to accommodate patient and equipment transfers.   The nurse must be able to lift 10 lbs. with one hand to attach IV pumps to IV poles.   Reaching and stretching may be required at any time.   Ability to push and pull heavy computers on wheels; push wheelchairs with 300+ pound patients, frequently lifting 50 pounds without assistance; high volume of stooping, bending, lifting, pulling and twisting.   The nurse must be able to stretch, reach, and retrieve equipment from the supply carts of bend to reach equipment supplied below knee level. Must possess upper body strength, agility and lung capacity necessary to perform cardiopulmonary resuscitation and have the ability to wear protective equipment and to pass fit testing. Portable O2 tanks are lifted from O2 racks to stretchers to accompany patients. Must be able to perform various sensory requirements such as visual and color acuity, speech, smell, touch, manual dexterity, fine motor skills and hearing in order to assess and treat the patient accurately. Use of the electronic medical record requires visual acuity for reading information on computer screens and fine motor skills for keyboarding and use of a mouse.   WORKING ENVIRONMENT: Fast paced clinical environment.   Participation in unit specific and hospital wide activities that promote self and staff development. Participation in the development of unit specific strategic goals that assist with the fulfillment of the Eastern Maine Medical Center mission and vision.

POSITION SUMMARY:   The focus of the nursing care on this unit is caring for cardiac medical-surgical patients. Provide age appropriate Nursing care to cardiac telemetry med-surg patients. The nurse will be caring for patients with cardiac disease, cardiac surgery post op day 1, pre and post cardiac diagnostic and interventional procedures. Must be adaptable to a fast paced ever-changing environment.   A strong team player.   Must possess exemplary customer service skills and demonstrate consistent use of EMMC Caring Behaviors.   Ability to communicate well with all members of the healthcare team.   Must project a professional image at all times.   Must have a high level of interpersonal and communication skills and be a demonstrated team player. Must demonstrate reliability and accountability to team members and patients. All EMMC nurses participate in activities that promote self and staff development as well as the development of unit specific strategic goals. MINIMUM EDUCATION REQUIRED: Current Maine RN license or eligibility to obtain Maine RN license required.   MINIMUM EXPERIENCE/SKILLS REQUIRED:   BLS and ACLS certification or must be obtained within 12 months of hire. Successful completion of an EKG Course and a Cardiac Care Course or must be completed within 12 months of hire. Ability to complete a comprehensive age specific nursing care to the population of patients within the assigned unit/area.   PHYSICAL REQUIREMENTS: Capacity to concentrate in a busy and often stressful environment.   Ability to come in close contact with people.   Sitting, and extended periods of standing and walking are required.     Stretchers, monitors, pumps are moved several times a day to accommodate patient and equipment transfers.   The nurse must be able to lift 10 lbs. with one hand to attach IV pumps to IV poles.   Reaching and stretching may be required at any time.   Ability to push and pull heavy computers on wheels; push wheelchairs with 300+ pound patients, frequently lifting 50 pounds without assistance; high volume of stooping, bending, lifting, pulling and twisting.   The nurse must be able to stretch, reach, and retrieve equipment from the supply carts of bend to reach equipment supplied below knee level. Must possess upper body strength, agility and lung capacity necessary to perform cardiopulmonary resuscitation and have the ability to wear protective equipment and to pass fit testing. Portable O2 tanks are lifted from O2 racks to stretchers to accompany patients. Must be able to perform various sensory requirements such as visual and color acuity, speech, smell, touch, manual dexterity, fine motor skills and hearing in order to assess and treat the patient accurately. Use of the electronic medical record requires visual acuity for reading information on computer screens and fine motor skills for keyboarding and use of a mouse.   WORKING ENVIRONMENT: Fast paced clinical environment.   Participation in unit specific and hospital wide activities that promote self and staff development. Participation in the development of unit specific strategic goals that assist with the fulfillment of the Eastern Maine Medical Center mission and vision.

JOB SUMMARY:   Provides professional care and service within assigned area in accordance with established standards, institutional policy and procedures, professional judgement, and, as appropriate for assignment, nursing care plan, and physician's treatment plan.   Demonstrates knowledge and skills necessary to provide care appropriate to the ages and culture of the patients/clients served.   Supervises non-professional nursing or allied health staff.   Performs other related duties as deemed competent. QUALIFICATIONS: Education:            Graduate of an accredited school of Nursing is required. Experience:          Preferably, a minimum of one year, Med-Surg or related.   License/Registration:         Current license to practice as a Registered Nurse in North Carolina.    Certification:                       Current CPR through the American Heart Association (AHA) is required. ACLS is required for Telemetry; CCU; ED; Medical Detox; Float; Med Surg and Family Center within 6 months of hire. PALs required for CCU and ED within 6 months of hire. Family Center:   NRP required and successful completion of AWHONN Intermediate FHR Monitoring course expected within 6 months of hire; Tele; ICVR; CCU; ED; PACU - training in EKG recognition or completion of EKG class; Medical Detox; Behavioral Health; Emergency Department; CCU and Float Pool required initially and annually CPI training; Oncology: prefer RNOCN        Other:                    Thorough knowledge of nursing standards, basic computer knowledge, principles and procedures; ability to work well with others.   TYPICAL PHYSICAL DEMANDS:   Range of motion within functional limits.   Requires frequently: pushing 40 lbs; pulling 80 lbs; standing; walking; repetitive trunk rotation-standing; manual dexterity; both handedness (both hands must be used) functional vision and hearin g ; Occasionally:   lifting 35 lbs from floor to waist and waist to eye level; one handed carrying 15lbs; work kneeling; work squatting/crouching; visual color discrimination; and visual depth perception.   In the environment occasionally exposed to wetness; slippery surfaces; and accident exposure.  

JOB SUMMARY:   Provides professional care and service within assigned area in accordance with established standards, institutional policy and procedures, professional judgement, and, as appropriate for assignment, nursing care plan, and physician's treatment plan.   Demonstrates knowledge and skills necessary to provide care appropriate to the ages and culture of the patients/clients served.   Supervises non-professional nursing or allied health staff.   Performs other related duties as deemed competent. QUALIFICATIONS: Education:            Graduate of an accredited school of Nursing is required. Experience:          Preferably, a minimum of one year, Med-Surg or related.   License/Registration:         Current license to practice as a Registered Nurse in North Carolina.    Certification:                       Current CPR through the American Heart Association (AHA) is required. ACLS is required for Telemetry; CCU; ED; Medical Detox; Float; Med Surg and Family Center within 6 months of hire. PALs required for CCU and ED within 6 months of hire. Family Center:   NRP required and successful completion of AWHONN Intermediate FHR Monitoring course expected within 6 months of hire; Tele; ICVR; CCU; ED; PACU - training in EKG recognition or completion of EKG class; Medical Detox; Behavioral Health; Emergency Department; CCU and Float Pool required initially and annually CPI training; Oncology: prefer RNOCN        Other:                    Thorough knowledge of nursing standards, basic computer knowledge, principles and procedures; ability to work well with others.   TYPICAL PHYSICAL DEMANDS:   Range of motion within functional limits.   Requires frequently: pushing 40 lbs; pulling 80 lbs; standing; walking; repetitive trunk rotation-standing; manual dexterity; both handedness (both hands must be used) functional vision and hearin g ; Occasionally:   lifting 35 lbs from floor to waist and waist to eye level; one handed carrying 15lbs; work kneeling; work squatting/crouching; visual color discrimination; and visual depth perception.   In the environment occasionally exposed to wetness; slippery surfaces; and accident exposure.