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JOB SUMMARY Reports to the Director. Responsible for providing a safe, secure and effective environment of care. Generally assigned to the Emergency Trauma Center (ETC), this environment is sustained by monitoring Hospital facilities, properties, and functions in order to protect property, patients, visitors, and employees from hazardous conditions, physical harm, trespassing, vandalism, sabotage, fire, and/or theft. Directs visitors, patients, and employees to appropriate location(s), and intervenes to prevent and control patient, visitor, and/or employee disturbances. MISSION & VISION Mission: To enhance the physical, mental and emotional well-being of the communities we serve as the community’s provider of outstanding quality, superior value and comprehensive health care services. Vision: Our vision is to achieve: Innovative health care and well-being services of the highest quality at the greatest value Easy access and convenience Outstanding patient experiences Ongoing education involving physicians, patients and the community JOB SPECIFICATIONS Education and Experience The below level of knowledge, skills, and abilities are normally acquired through the successful completion of one of the following: • Two years of police experience. • Two to three years of industrial or health care security experience with evidence of training in laws of arrest, detention and rules of evidence. • Some criminal justice, police administration, or related field of education combined with one to two years of industrial or health care security. • Two years of military police experience and one year of industrial or health care security experience. Knowledge & Skills Requires current license to carry a handgun in the State of Indiana or currently employed as a Law Enforcement Officer. Requires the successful completion of an initial basic firearms safety and training course, followed by a minimum frequency of an annual handgun proficiency qualifications course. Requires knowledge of general surveillance techniques and closed circuit television; the "rights" of citizens regarding search, seizure, investigations, and detention. Requires maintenance of a valid driver’s license and a satisfactory driving record. Demonstrates the interpersonal and communication skills (both verbal and written) necessary to interact with employees, patients, visitors, law enforcement agencies, and others; and to complete appropriate paperwork. Requires the computer knowledge necessary to accurately prepare incident reports, forms, and complete other functions and services. Working Conditions May be exposed to weather conditions (rain, show, etc.). May be exposed to potentially dangerous situations. Specialized training and knowledge may reduce the potential for injury when resolving disturbances and responding to alarms. Physical Demands Requires the physical ability and stamina (i.e., to stand for prolonged periods of time, climb stairs, restrain individuals, be outside in inclement weather, etc.) to perform the essential functions of the position.

JOB PURPOSE OR MISSION:  To provide proactive public safety and security services at any assigned General Health System facility. Performs the role of Public Safety/Security Dispatcher and/or Team Leader, when assigned. Responds to all alarms, requests for security assistance, and situations involving combative persons. Investigates and documents all safety and security related issues as assigned, to include incidents of crime that may have occurred within GHS facilities. Conducts thorough internal and external patrols (both on foot and in vehicle) and adheres to all departmental procedures and policies as outlined. Collaborates with law enforcement, fire, or medical personnel, as required, to help ensure the utmost safety of all patients, visitors, and staff.   ESSENTIAL JOB FUNCTIONS include, but are not limited to:   1.  Provides essential customer service(s) at assigned GHS facilities.   PERFORMANCE STANDARDS: Greets all persons using the “10/5 rule” and provides excellent customer service when interacting with all patients, visitors, and staff. Provides escorts of persons requesting assistance to desired location. Provides directions and/or other information as requested or needed. Responds to, investigates, and provides follow-up to any patient, visitor or staff complaint.   2.  Provides general security service at assigned GHS facilities.   PERFORMANCE STANDARDS: Conducts thorough internal/external patrols (both on foot and in vehicle) and/or covers stationary posts according to departmental schedules and guidelines, using both keen observational and visibility approaches.   3.  Provides extensive/comprehensive investigative services.   PERFORMANCE STANDARDS: Initiates and provides initial documentation of all investigations regarding security-related incidents and crimes that have occurred on or against BRGMC property, including patients and visitors.   4.  Performs security dispatch responsibilities, as assigned.   PERFORMANCE STANDARDS Adheres to all departmental procedures/policies as outlined. Provides accurate/legible documents for all information regarding requests for services, according to departmental practices and procedures. Prioritizes requests by nature of urgency and determines needed actions, dispatching appropriate staff to all requests for service consistent with situation. Reviews/monitors audio and/or video equipment according to departmental policies and initiates necessary actions. Accurately illustrates appropriate response to all alarm activations. Monitors Key Control and Recovered Items processes.   SPECIFIC EXPERIENCE REQUIREMENTS 1 year of work experience in Security, military, corrections, or law enforcement. Work experience within one of these areas within a healthcare facility preferred.     SPECIFIC EDUCATIONAL REQUIREMENTS HS diploma or GED; Associate’s/Bachelor’s Degree in Criminal Justice or related field.   SPECIAL SKILL, LICENSE AND KNOWLEDGE REQUIREMENTS Minimum of 21 years of age Valid LA driver’s license with no more than two (2) moving violations in the last three (3) years; if hired, out of state applicants must have valid LA license within 30 days Able to understand, carry out/perform, and adhere to instructions, directives, policies, procedures, etc. Able to effectively apply statutory laws, legal precedents, policy, and training in response to situations Able to make independent decisions during stressful situations, within scope of company policies, personal experience, and legal boundaries Dependable and motivated to complete duties without constant supervision. Able to interact appropriately with a diverse population Able to remain calm in stressful situations Ability to operate computers, monitors, cameras, CCTV systems, printers, mobile devices/scanners and or other office and security-related equipment, as required Basic officer certifications, International Association of Healthcare Security & Safety preferred. Successful completion of military advancement or related course preferred.     HIPAA REQUIREMENTS: Maintains knowledge of and adherence to all applicable HIPAA regulations appropriate to Job Position including but not limited to: patient demographics, patient related complaints, and information related to patient location.     SAFETY REQUIREMENTS: Maintains knowledge of and adherence to all applicable safety practices appropriate to Job Position including but not limited to: Incident reporting, PPE, exposure control plans, environment of care, identifies patients if necessary, monitors alarms and interfaces with all age groups and complies with related competencies.    

Sheppard Pratt at Ellicott City is an inpatient psychiatric facility in Howard County serving adults and adolescents. Prior to its affiliation with Sheppard Pratt in July 2002, the hospital operated as Taylor Manor.  We are looking to hire a Security Officer!  This position is located on Sheppard Pratt's Ellicott City campus.  Security Officers ensure the security of patients, staff, volunteers, and visitors and the protection of the Hospital, grounds and property by patrolling on foot and in vehicle, and enforcing Hospital and Security policies and procedures.  Investigates potential or actual security incidents and maintains required documentation.  May assist in orienting new Security Officers.  May function as "charge officer" on an assigned shift.  Once commissioned, functions as a Special Police Officer on Sheppard Pratt Health System (SPHS) property with the authority and responsibility of police powers to handcuff, make arrests, and initiate emergency petitions for the protection and preservation of good order and peace on SPHS property. Requires:  High School diploma or GED and at least six (6) months of proven security experience, preferably in a healthcare environment Must be able to qualify for a commission by the State of Maryland as a Special Police Officer (per Article 41, Sec. 70A of Annotated Code of Maryland) in order to make arrests, initiate emergency petitions and perform other responsibilities and duties as needed.   Must possess a valid driver's license at time of appointment in order to operate a SPHS vehicle and meet the standards of the SPHS Driver's Licensing Policy throughout tenure in position. Working Environment & Physical Demands:  Work requires adequate physical and mental fitness to complete the required training and carry out job duties to ensure the highest level of safety and protection to self, visitors and staff.  Annual defensive tactics training requires approximately 24 hours of training that involves a higher level of physical demand and mental stress than is typically involved in a daily work shift.  Training skills include demonstrated application of minimal use of force, use of hard and soft restraints, management of combative patients, weapons defense, ground control, use of handcuffs, and arrest and control, and may require doing push-ups, sit ups, jogging in place, running up stairs, and striking a bag repeatedly with tactical baton.   Connect with the Recruiter for this position on   LinkedIn! .   

Sheppard Pratt at Ellicott City is an inpatient psychiatric facility in Howard County serving adults and adolescents. Prior to its affiliation with Sheppard Pratt in July 2002, the hospital operated as Taylor Manor.  We are looking to hire a Security Officer!  This position is located on Sheppard Pratt's Ellicott City campus.  Security Officers ensure the security of patients, staff, volunteers, and visitors and the protection of the Hospital, grounds and property by patrolling on foot and in vehicle, and enforcing Hospital and Security policies and procedures.  Investigates potential or actual security incidents and maintains required documentation.  May assist in orienting new Security Officers.  May function as "charge officer" on an assigned shift.  Once commissioned, functions as a Special Police Officer on Sheppard Pratt Health System (SPHS) property with the authority and responsibility of police powers to handcuff, make arrests, and initiate emergency petitions for the protection and preservation of good order and peace on SPHS property. Requires:  High School diploma or GED and at least six (6) months of proven security experience, preferably in a healthcare environment Must be able to qualify for a commission by the State of Maryland as a Special Police Officer (per Article 41, Sec. 70A of Annotated Code of Maryland) in order to make arrests, initiate emergency petitions and perform other responsibilities and duties as needed.   Must possess a valid driver's license at time of appointment in order to operate a SPHS vehicle and meet the standards of the SPHS Driver's Licensing Policy throughout tenure in position. Working Environment & Physical Demands:  Work requires adequate physical and mental fitness to complete the required training and carry out job duties to ensure the highest level of safety and protection to self, visitors and staff.  Annual defensive tactics training requires approximately 24 hours of training that involves a higher level of physical demand and mental stress than is typically involved in a daily work shift.  Training skills include demonstrated application of minimal use of force, use of hard and soft restraints, management of combative patients, weapons defense, ground control, use of handcuffs, and arrest and control, and may require doing push-ups, sit ups, jogging in place, running up stairs, and striking a bag repeatedly with tactical baton.   Connect with the Recruiter for this position on   LinkedIn! .   

Part-Time/Per Diem Security Officers: Should be available to work day (7am-3pm), evening (3pm-11pm), night (11pm-7am) shifts during the week and weekend as needed Generally work two weekend shifts per month (Saturday & Sunday) and two holiday shifts per year, as coverage is needed Ensure the security of patients, staff, volunteers, and visitors and the protection of the Hospital, grounds and property by patrolling on foot and in vehicle, and enforcing Hospital and Security policies and procedures Investigate potential or actual security incidents and maintain required documentation May assist in orienting new Security Officers May function as "charge officer" on an assigned shift Once commissioned, function as a Special Police Officer on Sheppard Pratt Health System (SPHS) property with the authority and responsibility of police powers to handcuff, make arrests, and initiate emergency petitions for the protection and preservation of good order and peace on SPHS property Requires: High School diploma or GED At least 6 months of proven security experience, preferably in a healthcare environment Must be able to qualify for a commission by the State of Maryland as a Special Police Officer (per Article 41, Sec. 70A of Annotated Code of Maryland) in order to make arrests, initiate emergency petitions and perform other responsibilities and duties as needed Must possess a valid driver's license at time of appointment in order to operate a SPHS vehicle and meet the standards of the SPHS Driver's Licensing Policy throughout tenure in position Working Environment & Physical Demands: Work requires adequate physical and mental fitness to complete the required training and carry out job duties to ensure the highest level of safety and protection to self, visitors and staff. Annual defensive tactics training requires approximately 24 hours of training that involves a higher level of physical demand and mental stress than is typically involved in a daily work shift. Training skills include demonstrated application of minimal use of force, use of hard and soft restraints, management of combative patients, weapons defense, ground control, use of handcuffs, and arrest and control, and may require doing push-ups, sit ups, jogging in place, running up stairs, and striking a bag repeatedly with tactical baton. Work requires standing and walking approximately for a significant amount of work time; readiness to climb barriers or stairs (multiple flights); and pushing (e.g., disabled vehicles), lifting up to 150 lbs., and/or restraining persons. Work requires a continuously high level of alertness in order to react promptly and effectively to emergencies. Involves frequent exposure to extreme temperatures and/or aggressive persons and/or hazardous situations. Connect with the Recruiter for this position on  LinkedIn.

The Communication Officer is responsible to the Director of Security for performing all control room duties; reporting criminal offenses to Director; interacting with Police, CPS and Fire officials; and representing the Medical Center in a polite, friendly, professional manner to all patients, family members, visitors, staff, and the general public. Work toward the departmental aim of providing for: 1. Personal safety of all patients, visitors, medical staff, volunteers and employees of the Medical Center. 2. Protection of personal property belonging to all patients, visitors, medical staff, volunteers and employees of the Medical Center. 3. The protection of the physical privacy of all patients, visitors, medical staff, volunteers and employees of the Medical Center 4. The protection of all Medical Center owned property. Qualifications: High School Diploma or equivalent. Minimum 1-year security or emergency call center experience.  Successful completion of drug screen process required.  Must become registered with the Texas Board of Private Security within 90 days of hire.

Under the direction of the Registered Nurse and according to established policies and procedures, provides basic nursing care to patients.  Assists professional nurses and respiratory therapists with complex patient care up to the validated level of training. Provides age and developmentally appropriate care to adult and geriatric patients and their families.    PRINCIPAL DUTIES AND RESPONSIBILITIES: Exemplifies the RML REACH (Service Excellence) culture by demonstrating respect, excellence, appreciation, concern and honor in all interactions with patients, families and co-workers, and as identified in departmental and hospital wide behavioral expectations. Provides technical nursing care up to the validated level of training for the individual, under the direction of a Registered Nurse.  Records information promptly and accurately in the medical record.  All care provided is consistent with and appropriate to the age and developmental status of adult and geriatric patients. The patient care technician: Provides timely and complete personal hygiene care and activities of daily living, including bathing, turning, weighing, toileting, ambulating, positioning, and feeding patients.  Provides post mortem care.  Uses appropriate personal protective equipment, hand hygiene, and isolation practices in all situations. Obtains vital signs and other patient data collection, including blood pressure, temperature, pulse, respiration.  Measures and records patient intake and output.  Performs calorie counts. Empties urinary drainage bags, linen hampers, etc.  Removes and replaces patient soft restraints according to policy after initial restraints have been applied by RN. Supports the established respiratory care needs of patients.  Replaces tracheostomy mask, nasal cannula or ventilator tubing that has become disconnected or displaced, and notifies RN or RCP.  Replaces pulse oximeter probe on patient’s finger; observes pulse oximeter readings while providing care and notifies nurse or RCP of low readings.  Reports pulse oximeter, ventilator or telemetry alarms to the RCP or RN. Performs simple procedures such as non-sterile dressing changes under the direction of a registered nurse. Performs common bedside tests including blood glucose monitoring, and checking stools for occult blood.  Reports findings immediately to the patient’s nurse, and documents in Meditech. Observes and reports patient signs and symptoms and responses to treatments.  Reports changes in the patient’s condition to the registered nurse and respiratory therapist. Assists with admissions and discharges.  Orients patient and family to room, unit and environment.  Handles patient belongings carefully and records them upon admission.  Collects and packages patient belongings at discharge. Observes or reports the emotional and spiritual needs of patients and assists in providing supportive care. Answers call lights and responds to needs for all patients, not just those assigned.  Assists other staff members in providing care to any patient on the unit.  Offers assistance to other staff without being asked. Performs related services and duties such as cleaning equipment, obtaining and replacing patient room supplies, and similar related activities.  Ensures that all supplies used are charged according to policy. Insures the enhancement of personal knowledge and skills by participating in continuing education programs and reading pertinent literature, etc. Maintains confidentiality of the patient’s clinical and personal information and medical record.  Uses information systems, including computer systems, for hospital business only and within all hospital policies for information confidentiality and system security.  Complies with HIPAA guidelines. Conducts all communications with patients, families and staff in a positive, respectful manner.  Answer telephones in a pleasant, professional manner.  Directs callers to appropriate personnel and/or relays unit information.  Pages personnel and physicians. Documents accurately and timely in Meditech. Provides an environment that is safe for the patient based on age and developmental status.  Activities includes, but are not limited to:  responding to call lights and alarms quickly with appropriate intervention, using patient’s name and date of birth to identify patient prior to performing patient testing, complies with swallowing and skin breakdown precautions, and implements appropriate interventions consistent with the falls prevention protocol. Facilitates patient/family participation in self-care based on age and developmental status. Demonstrates appropriate psychosocial support based on age and developmental status. Actively participates in staff meetings and continuing education activities.  Participates on committees or task forces and attends meetings as may be assigned.  Meets all annual and ongoing employee requirements (TB Testing, Annual Review, Annual Clinical Validation, and performance evaluation, etc.) by demonstrating completion prior to due date. Responsible for supporting a safe work environment for self and others, by reporting unsafe conditions, and by using appropriate safe work practices such as proper body mechanics and applicable safety devices (patient lift and transfer equipment; safety needles and sharps disposal, PPE, etc.).  Complies with Employee Health Services policies regarding illness and injury reporting. JOB REQUIREMENTS AND CHARACTERISTICS           Minimum Preferred Skills and Abilities The analytical ability to discern significant signs, symptoms and changes in patient condition and accurately report and document patient related data. The interpersonal skills necessary to consistently interact in a courteous and professional manner with patients, families and staff; reinforce patient performance of basic care techniques, communicate with family members; and interact with various levels of hospital staff. The physical ability to transport patients and carry supplies and equipment. The organizational skills necessary to deal with a number of tasks simultaneously.   Knowledge and Experience High school graduate or equivalent. Demonstrates successful completion of PCT competencies to validate all required skills.   License & Certifications Effective January 2001, all Patient Care Technicians must have acquired skills in providing basic care to patients through documentation of: Completion and documented evidence prior to January 1996 of a nursing assistant education program certified by the State of Illinois or Successfully passed the written nursing assistant competency test after January 1996 or Enrolled nursing student who has completed one semester of clinical training, or Demonstrated completion of a hospital-based PCT training program and/or equivalent PCT experience subject to the approval of the respective Unit Manager and Chief Nursing Officer.     Working Conditions Work is performed in a patient care environment. Work is performed in a restricted area which requires adherence to departmental attire policies. Ability to stand and walk for long periods of time. Ability to lift and push heavy objects (such as stretchers, patient care equipment.) The above statements are intended as to describe the general nature and level of the work being performed by people assigned this job.  They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities, and working conditions associated with it. 2/19/2010

Under the direction of the Registered Nurse and according to established policies and procedures, provides basic nursing care to patients.  Assists professional nurses and respiratory therapists with complex patient care up to the validated level of training. Provides age and developmentally appropriate care to adult and geriatric patients and their families.    PRINCIPAL DUTIES AND RESPONSIBILITIES: Exemplifies the RML REACH (Service Excellence) culture by demonstrating respect, excellence, appreciation, concern and honor in all interactions with patients, families and co-workers, and as identified in departmental and hospital wide behavioral expectations. Provides technical nursing care up to the validated level of training for the individual, under the direction of a Registered Nurse.  Records information promptly and accurately in the medical record.  All care provided is consistent with and appropriate to the age and developmental status of adult and geriatric patients. The patient care technician: Provides timely and complete personal hygiene care and activities of daily living, including bathing, turning, weighing, toileting, ambulating, positioning, and feeding patients.  Provides post mortem care.  Uses appropriate personal protective equipment, hand hygiene, and isolation practices in all situations. Obtains vital signs and other patient data collection, including blood pressure, temperature, pulse, respiration.  Measures and records patient intake and output.  Performs calorie counts. Empties urinary drainage bags, linen hampers, etc.  Removes and replaces patient soft restraints according to policy after initial restraints have been applied by RN. Supports the established respiratory care needs of patients.  Replaces tracheostomy mask, nasal cannula or ventilator tubing that has become disconnected or displaced, and notifies RN or RCP.  Replaces pulse oximeter probe on patient’s finger; observes pulse oximeter readings while providing care and notifies nurse or RCP of low readings.  Reports pulse oximeter, ventilator or telemetry alarms to the RCP or RN. Performs simple procedures such as non-sterile dressing changes under the direction of a registered nurse. Performs common bedside tests including blood glucose monitoring, and checking stools for occult blood.  Reports findings immediately to the patient’s nurse, and documents in Meditech. Observes and reports patient signs and symptoms and responses to treatments.  Reports changes in the patient’s condition to the registered nurse and respiratory therapist. Assists with admissions and discharges.  Orients patient and family to room, unit and environment.  Handles patient belongings carefully and records them upon admission.  Collects and packages patient belongings at discharge. Observes or reports the emotional and spiritual needs of patients and assists in providing supportive care. Answers call lights and responds to needs for all patients, not just those assigned.  Assists other staff members in providing care to any patient on the unit.  Offers assistance to other staff without being asked. Performs related services and duties such as cleaning equipment, obtaining and replacing patient room supplies, and similar related activities.  Ensures that all supplies used are charged according to policy. Insures the enhancement of personal knowledge and skills by participating in continuing education programs and reading pertinent literature, etc. Maintains confidentiality of the patient’s clinical and personal information and medical record.  Uses information systems, including computer systems, for hospital business only and within all hospital policies for information confidentiality and system security.  Complies with HIPAA guidelines. Conducts all communications with patients, families and staff in a positive, respectful manner.  Answer telephones in a pleasant, professional manner.  Directs callers to appropriate personnel and/or relays unit information.  Pages personnel and physicians. Documents accurately and timely in Meditech. Provides an environment that is safe for the patient based on age and developmental status.  Activities includes, but are not limited to:  responding to call lights and alarms quickly with appropriate intervention, using patient’s name and date of birth to identify patient prior to performing patient testing, complies with swallowing and skin breakdown precautions, and implements appropriate interventions consistent with the falls prevention protocol. Facilitates patient/family participation in self-care based on age and developmental status. Demonstrates appropriate psychosocial support based on age and developmental status. Actively participates in staff meetings and continuing education activities.  Participates on committees or task forces and attends meetings as may be assigned.  Meets all annual and ongoing employee requirements (TB Testing, Annual Review, Annual Clinical Validation, and performance evaluation, etc.) by demonstrating completion prior to due date. Responsible for supporting a safe work environment for self and others, by reporting unsafe conditions, and by using appropriate safe work practices such as proper body mechanics and applicable safety devices (patient lift and transfer equipment; safety needles and sharps disposal, PPE, etc.).  Complies with Employee Health Services policies regarding illness and injury reporting. JOB REQUIREMENTS AND CHARACTERISTICS           Minimum Preferred Skills and Abilities The analytical ability to discern significant signs, symptoms and changes in patient condition and accurately report and document patient related data. The interpersonal skills necessary to consistently interact in a courteous and professional manner with patients, families and staff; reinforce patient performance of basic care techniques, communicate with family members; and interact with various levels of hospital staff. The physical ability to transport patients and carry supplies and equipment. The organizational skills necessary to deal with a number of tasks simultaneously.   Knowledge and Experience High school graduate or equivalent. Demonstrates successful completion of PCT competencies to validate all required skills.   License & Certifications Effective January 2001, all Patient Care Technicians must have acquired skills in providing basic care to patients through documentation of: Completion and documented evidence prior to January 1996 of a nursing assistant education program certified by the State of Illinois or Successfully passed the written nursing assistant competency test after January 1996 or Enrolled nursing student who has completed one semester of clinical training, or Demonstrated completion of a hospital-based PCT training program and/or equivalent PCT experience subject to the approval of the respective Unit Manager and Chief Nursing Officer.     Working Conditions Work is performed in a patient care environment. Work is performed in a restricted area which requires adherence to departmental attire policies. Ability to stand and walk for long periods of time. Ability to lift and push heavy objects (such as stretchers, patient care equipment.) The above statements are intended as to describe the general nature and level of the work being performed by people assigned this job.  They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities, and working conditions associated with it. 2/19/2010

Under the direction of the Registered Nurse and according to established policies and procedures, provides basic nursing care to patients.  Assists professional nurses and respiratory therapists with complex patient care up to the validated level of training. Provides age and developmentally appropriate care to adult and geriatric patients and their families.    PRINCIPAL DUTIES AND RESPONSIBILITIES: Exemplifies the RML REACH (Service Excellence) culture by demonstrating respect, excellence, appreciation, concern and honor in all interactions with patients, families and co-workers, and as identified in departmental and hospital wide behavioral expectations. Provides technical nursing care up to the validated level of training for the individual, under the direction of a Registered Nurse.  Records information promptly and accurately in the medical record.  All care provided is consistent with and appropriate to the age and developmental status of adult and geriatric patients. The patient care technician: Provides timely and complete personal hygiene care and activities of daily living, including bathing, turning, weighing, toileting, ambulating, positioning, and feeding patients.  Provides post mortem care.  Uses appropriate personal protective equipment, hand hygiene, and isolation practices in all situations. Obtains vital signs and other patient data collection, including blood pressure, temperature, pulse, respiration.  Measures and records patient intake and output.  Performs calorie counts. Empties urinary drainage bags, linen hampers, etc.  Removes and replaces patient soft restraints according to policy after initial restraints have been applied by RN. Supports the established respiratory care needs of patients.  Replaces tracheostomy mask, nasal cannula or ventilator tubing that has become disconnected or displaced, and notifies RN or RCP.  Replaces pulse oximeter probe on patient’s finger; observes pulse oximeter readings while providing care and notifies nurse or RCP of low readings.  Reports pulse oximeter, ventilator or telemetry alarms to the RCP or RN. Performs simple procedures such as non-sterile dressing changes under the direction of a registered nurse. Performs common bedside tests including blood glucose monitoring, and checking stools for occult blood.  Reports findings immediately to the patient’s nurse, and documents in Meditech. Observes and reports patient signs and symptoms and responses to treatments.  Reports changes in the patient’s condition to the registered nurse and respiratory therapist. Assists with admissions and discharges.  Orients patient and family to room, unit and environment.  Handles patient belongings carefully and records them upon admission.  Collects and packages patient belongings at discharge. Observes or reports the emotional and spiritual needs of patients and assists in providing supportive care. Answers call lights and responds to needs for all patients, not just those assigned.  Assists other staff members in providing care to any patient on the unit.  Offers assistance to other staff without being asked. Performs related services and duties such as cleaning equipment, obtaining and replacing patient room supplies, and similar related activities.  Ensures that all supplies used are charged according to policy. Insures the enhancement of personal knowledge and skills by participating in continuing education programs and reading pertinent literature, etc. Maintains confidentiality of the patient’s clinical and personal information and medical record.  Uses information systems, including computer systems, for hospital business only and within all hospital policies for information confidentiality and system security.  Complies with HIPAA guidelines. Conducts all communications with patients, families and staff in a positive, respectful manner.  Answer telephones in a pleasant, professional manner.  Directs callers to appropriate personnel and/or relays unit information.  Pages personnel and physicians. Documents accurately and timely in Meditech. Provides an environment that is safe for the patient based on age and developmental status.  Activities includes, but are not limited to:  responding to call lights and alarms quickly with appropriate intervention, using patient’s name and date of birth to identify patient prior to performing patient testing, complies with swallowing and skin breakdown precautions, and implements appropriate interventions consistent with the falls prevention protocol. Facilitates patient/family participation in self-care based on age and developmental status. Demonstrates appropriate psychosocial support based on age and developmental status. Actively participates in staff meetings and continuing education activities.  Participates on committees or task forces and attends meetings as may be assigned.  Meets all annual and ongoing employee requirements (TB Testing, Annual Review, Annual Clinical Validation, and performance evaluation, etc.) by demonstrating completion prior to due date. Responsible for supporting a safe work environment for self and others, by reporting unsafe conditions, and by using appropriate safe work practices such as proper body mechanics and applicable safety devices (patient lift and transfer equipment; safety needles and sharps disposal, PPE, etc.).  Complies with Employee Health Services policies regarding illness and injury reporting. JOB REQUIREMENTS AND CHARACTERISTICS           Minimum Preferred Skills and Abilities The analytical ability to discern significant signs, symptoms and changes in patient condition and accurately report and document patient related data. The interpersonal skills necessary to consistently interact in a courteous and professional manner with patients, families and staff; reinforce patient performance of basic care techniques, communicate with family members; and interact with various levels of hospital staff. The physical ability to transport patients and carry supplies and equipment. The organizational skills necessary to deal with a number of tasks simultaneously.   Knowledge and Experience High school graduate or equivalent. Demonstrates successful completion of PCT competencies to validate all required skills.   License & Certifications Effective January 2001, all Patient Care Technicians must have acquired skills in providing basic care to patients through documentation of: Completion and documented evidence prior to January 1996 of a nursing assistant education program certified by the State of Illinois or Successfully passed the written nursing assistant competency test after January 1996 or Enrolled nursing student who has completed one semester of clinical training, or Demonstrated completion of a hospital-based PCT training program and/or equivalent PCT experience subject to the approval of the respective Unit Manager and Chief Nursing Officer.     Working Conditions Work is performed in a patient care environment. Work is performed in a restricted area which requires adherence to departmental attire policies. Ability to stand and walk for long periods of time. Ability to lift and push heavy objects (such as stretchers, patient care equipment.) The above statements are intended as to describe the general nature and level of the work being performed by people assigned this job.  They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities, and working conditions associated with it. 2/19/2010

Reporting to the Nursing Director or Manager and according to the established policies, procedures, nursing standards of care and practice, and the direction of the medical staff, renders competent, humane, individualized care to every patient and their family.  Utilizes the nursing process to assess, plan, implement and evaluate the delivery of individual patient care to facilitate continuity of care through the continuum. Provides age and developmentally appropriate care to adult and geriatric patients.  Complies with all RML hospital and departmental policies. PRINCIPAL DUTIES & RESPONSIBILITIES:  Primary responsibilities: Exemplifies the RML REACH (Service Excellence) culture by demonstrating respect, excellence, appreciation, concern and honor in all interactions with patients, families and co-workers, and as identified in departmental and hospital wide behavioral expectations. Maintains accountability for the overall care management of assigned patients.  Accepts and responds to written and verbal physician orders, coordinates and participates in emergency and “code” situations, performs cardio-pulmonary resuscitation, performs clinical assessments, administers and monitors patients’ response to medications, blood products and nutritional support, and performs complex patient treatments. Demonstrates clinical competence by consistently applying the nursing process, and performs within the scope of practice of the registered nurse in the State of Illinois.  Responsible for maintaining nursing knowledge and skills appropriate to the specific clinical population for whom the nurse is providing care (treatments, medications, equipment, etc.)  Obtains necessary information prior to implementing new or unfamiliar care practices, or responsibly declines to provide care and notifies supervisor until able to obtain the appropriate skill. Assesses patients’ progress in accordance with established goals and initiates appropriate actions; documents according to established standards and reports information regarding patient’s condition and interventions performed (e.g., medications given, treatments performed, etc.) to all appropriate individuals.  Notifies physician and documents significant changes in patient condition.  Provides a complete and thorough report to the next shift.  Documents completely and timely in the Meditech system. Works in a team environment with the Patient Care Technicians and Respiratory Therapists to plan and provide patient centered care.  Works closely with other disciplines to define an individualized plan of care and relevant interventions, correlated with medical and team care goals.   Provides input to organized “staffing” meetings to discuss patient progress and revise goals, as requested.  Revises patient’s plan of care based upon changes in patient’s status, needs, and unexpected outcomes. Works closely with other disciplines and the care coordinator to ensure timely interventions and education that lead the patient and family to readiness for discharge. Demonstrates the organizational skills and the ability to direct others in the planning and delivery of patient care.  Supervises the work of the LPN, as assigned, and the PCT.  Gives clear direction to PCT at the beginning of the shift on work to be accomplished, and collaborates with PCT throughout the shift to ensure completion.  Provides guidance and direction to other team members and notifies department manager of apparent break in providing the expected standard of care, or of observations indicating potential educational needs of co-workers. Executes the medical treatment plan by implementing physician orders.  Seeks clarification or consultation on any unclear or questionable order by consulting with the ordering physician or on-call physician after hours, prior to implementation.  If question is not resolved, nurse refers question to Clinical Supervisor, Nursing Director/Manager or Chief Nursing Officer as necessary for resolution. Maintains the basic human rights and confidentiality of each patient, family and significant others in providing information and in delivering patient care.  Is aware of and complies with applicable regulations and laws related to healthcare workers and the care of hospitalized patients, such as abuse reporting.  Recognizes and complies with patients’ rights to have pain assessed and managed. Observes and reports the emotional and spiritual needs of patients and assists in providing and obtaining appropriate supportive care to patients and their families, especially in end of life circumstances.  In collaboration with the physician, evaluates and implements strategies to effectively manage patient’s comfort. Demonstrates appropriate psychosocial interventions based on patients’ age and developmental status. Facilitates patient/family participation in self-care tasks as appropriate for each patient’s age, developmental status and level of functioning. Evaluates environmental safety and promotes a safe patient care environment that is based on each patient’s age, developmental status and level of functioning.  Implements all relevant patient safety initiatives, including but not limited to:  consistently uses two forms of patient identification prior to medication administration, treatment, and procedures; responds to call lights and alarms and provides appropriate intervention; follows restraint policy and uses minimally restrictive devices; implements falls prevention precautions; ensures frequent rounding, and complies with swallowing and skin breakdown precautions, etc. Demonstrates knowledge of and consistently adheres to all infection control and transmission prevention precautions.  Ensures that other healthcare workers and visitors are aware of and use the personal protective equipment required to appropriately interact with the patients under the nurse’s care. Participates in department quality improvement and performance improvement activities, especially including opportunities to promote patient safety.  Notes areas for improvement in day to day department operations or patient care practices, and brings to the attention of department director/manager. Actively participates in the educational development of healthcare students and participates in the formal and informal education of other team members. Maintains effective colleague relationships with other members of the health care team through consistently professional and respectful communications. Identifies own learning and professional development needs and seeks opportunities within and outside of RML to meet these needs.  Actively participates in staff meetings and continuing education activities.  Provides information and feedback to other staff members on related clinical and professional topics.  Meets all employee requirements including but not limited to: license renewal, TB testing, CPR, General Annual Review and Annual Clinical Validation, and performance evaluation, by demonstrating completion, or participating in the required activity prior to the expiration or due date. Participates in welcoming, orientation and precepting of new team members, and orients and serves as resource to temporary (agency) personnel. Is responsible for supporting a safe work environment for self and others, by reporting unsafe conditions, and by using appropriate safe work practices such as proper body mechanics and applicable safety devices (patient lift and transfer equipment, safety needles and sharps disposal, PPE, etc.)  Complies with Employee Health Service policies regarding illness and injury. Maintains confidentiality of the patient’s medical information verbally, on-line and in print.  Complies with all hospital policies related to computer use and system security.  Complies with HIPAA requirements.  JOB REQUIREMENTS AND CHARACTERISTICS            Minimum Preferred Skills and Abilities The analytical ability necessary to assess patient conditions and utilize the nursing process and professional judgment to provide comprehensive care to patients. The interpersonal skills necessary to positively interact with patients, families, physicians, and other members of the health care team. The physical ability for almost constant standing, walking, lifting, and moving patients and patient care equipment. The ability to perform effectively under the pressure of stressful and /or emergency situations. The clinical and technical skills to work with high technology equipment and computers. The ability to work in a team setting to provide patient centered care.   Knowledge and Experience Competence documented by references based on nursing experience and education. Recent acute hospital experience with complex medical patients preferred, including: Ventilator experience Wound care experience Acute rehabilitation or restorative experience Critical care experience License & Certifications Diploma, AA, AS or Bachelors degree in nursing from an accredited nursing school. Current Illinois registered nurse license. Current CPR. ACLS preferred. Bachelor’s degree preferred. Working Conditions Work is performed in a patient care environment The above statements are intended to describe the general nature and level of the work being performed by people assigned this job.  They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities, and working conditions associated with it. Rev. 1/2011

Under the direction of the Registered Nurse and according to established policies and procedures, provides basic nursing care to patients.  Assists professional nurses and respiratory therapists with complex patient care up to the validated level of training. Provides age and developmentally appropriate care to adult and geriatric patients and their families.    PRINCIPAL DUTIES AND RESPONSIBILITIES: Exemplifies the RML REACH (Service Excellence) culture by demonstrating respect, excellence, appreciation, concern and honor in all interactions with patients, families and co-workers, and as identified in departmental and hospital wide behavioral expectations. Provides technical nursing care up to the validated level of training for the individual, under the direction of a Registered Nurse.  Records information promptly and accurately in the medical record.  All care provided is consistent with and appropriate to the age and developmental status of adult and geriatric patients. The patient care technician: Provides timely and complete personal hygiene care and activities of daily living, including bathing, turning, weighing, toileting, ambulating, positioning, and feeding patients.  Provides post mortem care.  Uses appropriate personal protective equipment, hand hygiene, and isolation practices in all situations. Obtains vital signs and other patient data collection, including blood pressure, temperature, pulse, respiration.  Measures and records patient intake and output.  Performs calorie counts. Empties urinary drainage bags, linen hampers, etc.  Removes and replaces patient soft restraints according to policy after initial restraints have been applied by RN. Supports the established respiratory care needs of patients.  Replaces tracheostomy mask, nasal cannula or ventilator tubing that has become disconnected or displaced, and notifies RN or RCP.  Replaces pulse oximeter probe on patient’s finger; observes pulse oximeter readings while providing care and notifies nurse or RCP of low readings.  Reports pulse oximeter, ventilator or telemetry alarms to the RCP or RN. Performs simple procedures such as non-sterile dressing changes under the direction of a registered nurse. Performs common bedside tests including blood glucose monitoring, and checking stools for occult blood.  Reports findings immediately to the patient’s nurse, and documents in Meditech. Observes and reports patient signs and symptoms and responses to treatments.  Reports changes in the patient’s condition to the registered nurse and respiratory therapist. Assists with admissions and discharges.  Orients patient and family to room, unit and environment.  Handles patient belongings carefully and records them upon admission.  Collects and packages patient belongings at discharge. Observes or reports the emotional and spiritual needs of patients and assists in providing supportive care. Answers call lights and responds to needs for all patients, not just those assigned.  Assists other staff members in providing care to any patient on the unit.  Offers assistance to other staff without being asked. Performs related services and duties such as cleaning equipment, obtaining and replacing patient room supplies, and similar related activities.  Ensures that all supplies used are charged according to policy. Insures the enhancement of personal knowledge and skills by participating in continuing education programs and reading pertinent literature, etc. Maintains confidentiality of the patient’s clinical and personal information and medical record.  Uses information systems, including computer systems, for hospital business only and within all hospital policies for information confidentiality and system security.  Complies with HIPAA guidelines. Conducts all communications with patients, families and staff in a positive, respectful manner.  Answer telephones in a pleasant, professional manner.  Directs callers to appropriate personnel and/or relays unit information.  Pages personnel and physicians. Documents accurately and timely in Meditech. Provides an environment that is safe for the patient based on age and developmental status.  Activities includes, but are not limited to:  responding to call lights and alarms quickly with appropriate intervention, using patient’s name and date of birth to identify patient prior to performing patient testing, complies with swallowing and skin breakdown precautions, and implements appropriate interventions consistent with the falls prevention protocol. Facilitates patient/family participation in self-care based on age and developmental status. Demonstrates appropriate psychosocial support based on age and developmental status. Actively participates in staff meetings and continuing education activities.  Participates on committees or task forces and attends meetings as may be assigned.  Meets all annual and ongoing employee requirements (TB Testing, Annual Review, Annual Clinical Validation, and performance evaluation, etc.) by demonstrating completion prior to due date. Responsible for supporting a safe work environment for self and others, by reporting unsafe conditions, and by using appropriate safe work practices such as proper body mechanics and applicable safety devices (patient lift and transfer equipment; safety needles and sharps disposal, PPE, etc.).  Complies with Employee Health Services policies regarding illness and injury reporting. JOB REQUIREMENTS AND CHARACTERISTICS           Minimum Preferred Skills and Abilities The analytical ability to discern significant signs, symptoms and changes in patient condition and accurately report and document patient related data. The interpersonal skills necessary to consistently interact in a courteous and professional manner with patients, families and staff; reinforce patient performance of basic care techniques, communicate with family members; and interact with various levels of hospital staff. The physical ability to transport patients and carry supplies and equipment. The organizational skills necessary to deal with a number of tasks simultaneously.   Knowledge and Experience High school graduate or equivalent. Demonstrates successful completion of PCT competencies to validate all required skills.   License & Certifications Effective January 2001, all Patient Care Technicians must have acquired skills in providing basic care to patients through documentation of: Completion and documented evidence prior to January 1996 of a nursing assistant education program certified by the State of Illinois or Successfully passed the written nursing assistant competency test after January 1996 or Enrolled nursing student who has completed one semester of clinical training, or Demonstrated completion of a hospital-based PCT training program and/or equivalent PCT experience subject to the approval of the respective Unit Manager and Chief Nursing Officer.     Working Conditions Work is performed in a patient care environment. Work is performed in a restricted area which requires adherence to departmental attire policies. Ability to stand and walk for long periods of time. Ability to lift and push heavy objects (such as stretchers, patient care equipment.) The above statements are intended as to describe the general nature and level of the work being performed by people assigned this job.  They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities, and working conditions associated with it. 2/19/2010

Under the direction of the Registered Nurse and according to established policies and procedures, provides basic nursing care to patients.  Assists professional nurses and respiratory therapists with complex patient care up to the validated level of training. Provides age and developmentally appropriate care to adult and geriatric patients and their families.    PRINCIPAL DUTIES AND RESPONSIBILITIES: Exemplifies the RML REACH (Service Excellence) culture by demonstrating respect, excellence, appreciation, concern and honor in all interactions with patients, families and co-workers, and as identified in departmental and hospital wide behavioral expectations. Provides technical nursing care up to the validated level of training for the individual, under the direction of a Registered Nurse.  Records information promptly and accurately in the medical record.  All care provided is consistent with and appropriate to the age and developmental status of adult and geriatric patients. The patient care technician: Provides timely and complete personal hygiene care and activities of daily living, including bathing, turning, weighing, toileting, ambulating, positioning, and feeding patients.  Provides post mortem care.  Uses appropriate personal protective equipment, hand hygiene, and isolation practices in all situations. Obtains vital signs and other patient data collection, including blood pressure, temperature, pulse, respiration.  Measures and records patient intake and output.  Performs calorie counts. Empties urinary drainage bags, linen hampers, etc.  Removes and replaces patient soft restraints according to policy after initial restraints have been applied by RN. Supports the established respiratory care needs of patients.  Replaces tracheostomy mask, nasal cannula or ventilator tubing that has become disconnected or displaced, and notifies RN or RCP.  Replaces pulse oximeter probe on patient’s finger; observes pulse oximeter readings while providing care and notifies nurse or RCP of low readings.  Reports pulse oximeter, ventilator or telemetry alarms to the RCP or RN. Performs simple procedures such as non-sterile dressing changes under the direction of a registered nurse. Performs common bedside tests including blood glucose monitoring, and checking stools for occult blood.  Reports findings immediately to the patient’s nurse, and documents in Meditech. Observes and reports patient signs and symptoms and responses to treatments.  Reports changes in the patient’s condition to the registered nurse and respiratory therapist. Assists with admissions and discharges.  Orients patient and family to room, unit and environment.  Handles patient belongings carefully and records them upon admission.  Collects and packages patient belongings at discharge. Observes or reports the emotional and spiritual needs of patients and assists in providing supportive care. Answers call lights and responds to needs for all patients, not just those assigned.  Assists other staff members in providing care to any patient on the unit.  Offers assistance to other staff without being asked. Performs related services and duties such as cleaning equipment, obtaining and replacing patient room supplies, and similar related activities.  Ensures that all supplies used are charged according to policy. Insures the enhancement of personal knowledge and skills by participating in continuing education programs and reading pertinent literature, etc. Maintains confidentiality of the patient’s clinical and personal information and medical record.  Uses information systems, including computer systems, for hospital business only and within all hospital policies for information confidentiality and system security.  Complies with HIPAA guidelines. Conducts all communications with patients, families and staff in a positive, respectful manner.  Answer telephones in a pleasant, professional manner.  Directs callers to appropriate personnel and/or relays unit information.  Pages personnel and physicians. Documents accurately and timely in Meditech. Provides an environment that is safe for the patient based on age and developmental status.  Activities includes, but are not limited to:  responding to call lights and alarms quickly with appropriate intervention, using patient’s name and date of birth to identify patient prior to performing patient testing, complies with swallowing and skin breakdown precautions, and implements appropriate interventions consistent with the falls prevention protocol. Facilitates patient/family participation in self-care based on age and developmental status. Demonstrates appropriate psychosocial support based on age and developmental status. Actively participates in staff meetings and continuing education activities.  Participates on committees or task forces and attends meetings as may be assigned.  Meets all annual and ongoing employee requirements (TB Testing, Annual Review, Annual Clinical Validation, and performance evaluation, etc.) by demonstrating completion prior to due date. Responsible for supporting a safe work environment for self and others, by reporting unsafe conditions, and by using appropriate safe work practices such as proper body mechanics and applicable safety devices (patient lift and transfer equipment; safety needles and sharps disposal, PPE, etc.).  Complies with Employee Health Services policies regarding illness and injury reporting. JOB REQUIREMENTS AND CHARACTERISTICS           Minimum Preferred Skills and Abilities The analytical ability to discern significant signs, symptoms and changes in patient condition and accurately report and document patient related data. The interpersonal skills necessary to consistently interact in a courteous and professional manner with patients, families and staff; reinforce patient performance of basic care techniques, communicate with family members; and interact with various levels of hospital staff. The physical ability to transport patients and carry supplies and equipment. The organizational skills necessary to deal with a number of tasks simultaneously.   Knowledge and Experience High school graduate or equivalent. Demonstrates successful completion of PCT competencies to validate all required skills.   License & Certifications Effective January 2001, all Patient Care Technicians must have acquired skills in providing basic care to patients through documentation of: Completion and documented evidence prior to January 1996 of a nursing assistant education program certified by the State of Illinois or Successfully passed the written nursing assistant competency test after January 1996 or Enrolled nursing student who has completed one semester of clinical training, or Demonstrated completion of a hospital-based PCT training program and/or equivalent PCT experience subject to the approval of the respective Unit Manager and Chief Nursing Officer.     Working Conditions Work is performed in a patient care environment. Work is performed in a restricted area which requires adherence to departmental attire policies. Ability to stand and walk for long periods of time. Ability to lift and push heavy objects (such as stretchers, patient care equipment.) The above statements are intended as to describe the general nature and level of the work being performed by people assigned this job.  They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities, and working conditions associated with it. 2/19/2010

Reporting to the Nursing Director or Manager and according to the established policies, procedures, nursing standards of care and practice, and the direction of the medical staff, renders competent, humane, individualized care to every patient and their family.  Utilizes the nursing process to assess, plan, implement and evaluate the delivery of individual patient care to facilitate continuity of care through the continuum. Provides age and developmentally appropriate care to adult and geriatric patients.  Complies with all RML hospital and departmental policies. PRINCIPAL DUTIES & RESPONSIBILITIES:  Primary responsibilities: Exemplifies the RML REACH (Service Excellence) culture by demonstrating respect, excellence, appreciation, concern and honor in all interactions with patients, families and co-workers, and as identified in departmental and hospital wide behavioral expectations. Maintains accountability for the overall care management of assigned patients.  Accepts and responds to written and verbal physician orders, coordinates and participates in emergency and “code” situations, performs cardio-pulmonary resuscitation, performs clinical assessments, administers and monitors patients’ response to medications, blood products and nutritional support, and performs complex patient treatments. Demonstrates clinical competence by consistently applying the nursing process, and performs within the scope of practice of the registered nurse in the State of Illinois.  Responsible for maintaining nursing knowledge and skills appropriate to the specific clinical population for whom the nurse is providing care (treatments, medications, equipment, etc.)  Obtains necessary information prior to implementing new or unfamiliar care practices, or responsibly declines to provide care and notifies supervisor until able to obtain the appropriate skill. Assesses patients’ progress in accordance with established goals and initiates appropriate actions; documents according to established standards and reports information regarding patient’s condition and interventions performed (e.g., medications given, treatments performed, etc.) to all appropriate individuals.  Notifies physician and documents significant changes in patient condition.  Provides a complete and thorough report to the next shift.  Documents completely and timely in the Meditech system. Works in a team environment with the Patient Care Technicians and Respiratory Therapists to plan and provide patient centered care.  Works closely with other disciplines to define an individualized plan of care and relevant interventions, correlated with medical and team care goals.   Provides input to organized “staffing” meetings to discuss patient progress and revise goals, as requested.  Revises patient’s plan of care based upon changes in patient’s status, needs, and unexpected outcomes. Works closely with other disciplines and the care coordinator to ensure timely interventions and education that lead the patient and family to readiness for discharge. Demonstrates the organizational skills and the ability to direct others in the planning and delivery of patient care.  Supervises the work of the LPN, as assigned, and the PCT.  Gives clear direction to PCT at the beginning of the shift on work to be accomplished, and collaborates with PCT throughout the shift to ensure completion.  Provides guidance and direction to other team members and notifies department manager of apparent break in providing the expected standard of care, or of observations indicating potential educational needs of co-workers. Executes the medical treatment plan by implementing physician orders.  Seeks clarification or consultation on any unclear or questionable order by consulting with the ordering physician or on-call physician after hours, prior to implementation.  If question is not resolved, nurse refers question to Clinical Supervisor, Nursing Director/Manager or Chief Nursing Officer as necessary for resolution. Maintains the basic human rights and confidentiality of each patient, family and significant others in providing information and in delivering patient care.  Is aware of and complies with applicable regulations and laws related to healthcare workers and the care of hospitalized patients, such as abuse reporting.  Recognizes and complies with patients’ rights to have pain assessed and managed. Observes and reports the emotional and spiritual needs of patients and assists in providing and obtaining appropriate supportive care to patients and their families, especially in end of life circumstances.  In collaboration with the physician, evaluates and implements strategies to effectively manage patient’s comfort. Demonstrates appropriate psychosocial interventions based on patients’ age and developmental status. Facilitates patient/family participation in self-care tasks as appropriate for each patient’s age, developmental status and level of functioning. Evaluates environmental safety and promotes a safe patient care environment that is based on each patient’s age, developmental status and level of functioning.  Implements all relevant patient safety initiatives, including but not limited to:  consistently uses two forms of patient identification prior to medication administration, treatment, and procedures; responds to call lights and alarms and provides appropriate intervention; follows restraint policy and uses minimally restrictive devices; implements falls prevention precautions; ensures frequent rounding, and complies with swallowing and skin breakdown precautions, etc. Demonstrates knowledge of and consistently adheres to all infection control and transmission prevention precautions.  Ensures that other healthcare workers and visitors are aware of and use the personal protective equipment required to appropriately interact with the patients under the nurse’s care. Participates in department quality improvement and performance improvement activities, especially including opportunities to promote patient safety.  Notes areas for improvement in day to day department operations or patient care practices, and brings to the attention of department director/manager. Actively participates in the educational development of healthcare students and participates in the formal and informal education of other team members. Maintains effective colleague relationships with other members of the health care team through consistently professional and respectful communications. Identifies own learning and professional development needs and seeks opportunities within and outside of RML to meet these needs.  Actively participates in staff meetings and continuing education activities.  Provides information and feedback to other staff members on related clinical and professional topics.  Meets all employee requirements including but not limited to: license renewal, TB testing, CPR, General Annual Review and Annual Clinical Validation, and performance evaluation, by demonstrating completion, or participating in the required activity prior to the expiration or due date. Participates in welcoming, orientation and precepting of new team members, and orients and serves as resource to temporary (agency) personnel. Is responsible for supporting a safe work environment for self and others, by reporting unsafe conditions, and by using appropriate safe work practices such as proper body mechanics and applicable safety devices (patient lift and transfer equipment, safety needles and sharps disposal, PPE, etc.)  Complies with Employee Health Service policies regarding illness and injury. Maintains confidentiality of the patient’s medical information verbally, on-line and in print.  Complies with all hospital policies related to computer use and system security.  Complies with HIPAA requirements.  JOB REQUIREMENTS AND CHARACTERISTICS            Minimum Preferred Skills and Abilities The analytical ability necessary to assess patient conditions and utilize the nursing process and professional judgment to provide comprehensive care to patients. The interpersonal skills necessary to positively interact with patients, families, physicians, and other members of the health care team. The physical ability for almost constant standing, walking, lifting, and moving patients and patient care equipment. The ability to perform effectively under the pressure of stressful and /or emergency situations. The clinical and technical skills to work with high technology equipment and computers. The ability to work in a team setting to provide patient centered care.   Knowledge and Experience Competence documented by references based on nursing experience and education. Recent acute hospital experience with complex medical patients preferred, including: Ventilator experience Wound care experience Acute rehabilitation or restorative experience Critical care experience License & Certifications Diploma, AA, AS or Bachelors degree in nursing from an accredited nursing school. Current Illinois registered nurse license. Current CPR. ACLS preferred. Bachelor’s degree preferred. Working Conditions Work is performed in a patient care environment The above statements are intended to describe the general nature and level of the work being performed by people assigned this job.  They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities, and working conditions associated with it. Rev. 1/2011

REQUIRES:Law enforcement , corrections, military or security exp. Valid drivers license w/MVA driving record req. Excellent oral & written communications & exp w/ computers.  

Under the direction of the Registered Nurse and according to established policies and procedures, provides basic nursing care to patients.  Assists professional nurses and respiratory therapists with complex patient care up to the validated level of training. Provides age and developmentally appropriate care to adult and geriatric patients and their families.    PRINCIPAL DUTIES AND RESPONSIBILITIES: Exemplifies the RML REACH (Service Excellence) culture by demonstrating respect, excellence, appreciation, concern and honor in all interactions with patients, families and co-workers, and as identified in departmental and hospital wide behavioral expectations. Provides technical nursing care up to the validated level of training for the individual, under the direction of a Registered Nurse.  Records information promptly and accurately in the medical record.  All care provided is consistent with and appropriate to the age and developmental status of adult and geriatric patients. The patient care technician: Provides timely and complete personal hygiene care and activities of daily living, including bathing, turning, weighing, toileting, ambulating, positioning, and feeding patients.  Provides post mortem care.  Uses appropriate personal protective equipment, hand hygiene, and isolation practices in all situations. Obtains vital signs and other patient data collection, including blood pressure, temperature, pulse, respiration.  Measures and records patient intake and output.  Performs calorie counts. Empties urinary drainage bags, linen hampers, etc.  Removes and replaces patient soft restraints according to policy after initial restraints have been applied by RN. Supports the established respiratory care needs of patients.  Replaces tracheostomy mask, nasal cannula or ventilator tubing that has become disconnected or displaced, and notifies RN or RCP.  Replaces pulse oximeter probe on patient’s finger; observes pulse oximeter readings while providing care and notifies nurse or RCP of low readings.  Reports pulse oximeter, ventilator or telemetry alarms to the RCP or RN. Performs simple procedures such as non-sterile dressing changes under the direction of a registered nurse. Performs common bedside tests including blood glucose monitoring, and checking stools for occult blood.  Reports findings immediately to the patient’s nurse, and documents in Meditech. Observes and reports patient signs and symptoms and responses to treatments.  Reports changes in the patient’s condition to the registered nurse and respiratory therapist. Assists with admissions and discharges.  Orients patient and family to room, unit and environment.  Handles patient belongings carefully and records them upon admission.  Collects and packages patient belongings at discharge. Observes or reports the emotional and spiritual needs of patients and assists in providing supportive care. Answers call lights and responds to needs for all patients, not just those assigned.  Assists other staff members in providing care to any patient on the unit.  Offers assistance to other staff without being asked. Performs related services and duties such as cleaning equipment, obtaining and replacing patient room supplies, and similar related activities.  Ensures that all supplies used are charged according to policy. Insures the enhancement of personal knowledge and skills by participating in continuing education programs and reading pertinent literature, etc. Maintains confidentiality of the patient’s clinical and personal information and medical record.  Uses information systems, including computer systems, for hospital business only and within all hospital policies for information confidentiality and system security.  Complies with HIPAA guidelines. Conducts all communications with patients, families and staff in a positive, respectful manner.  Answer telephones in a pleasant, professional manner.  Directs callers to appropriate personnel and/or relays unit information.  Pages personnel and physicians. Documents accurately and timely in Meditech. Provides an environment that is safe for the patient based on age and developmental status.  Activities includes, but are not limited to:  responding to call lights and alarms quickly with appropriate intervention, using patient’s name and date of birth to identify patient prior to performing patient testing, complies with swallowing and skin breakdown precautions, and implements appropriate interventions consistent with the falls prevention protocol. Facilitates patient/family participation in self-care based on age and developmental status. Demonstrates appropriate psychosocial support based on age and developmental status. Actively participates in staff meetings and continuing education activities.  Participates on committees or task forces and attends meetings as may be assigned.  Meets all annual and ongoing employee requirements (TB Testing, Annual Review, Annual Clinical Validation, and performance evaluation, etc.) by demonstrating completion prior to due date. Responsible for supporting a safe work environment for self and others, by reporting unsafe conditions, and by using appropriate safe work practices such as proper body mechanics and applicable safety devices (patient lift and transfer equipment; safety needles and sharps disposal, PPE, etc.).  Complies with Employee Health Services policies regarding illness and injury reporting. JOB REQUIREMENTS AND CHARACTERISTICS           Minimum Preferred Skills and Abilities The analytical ability to discern significant signs, symptoms and changes in patient condition and accurately report and document patient related data. The interpersonal skills necessary to consistently interact in a courteous and professional manner with patients, families and staff; reinforce patient performance of basic care techniques, communicate with family members; and interact with various levels of hospital staff. The physical ability to transport patients and carry supplies and equipment. The organizational skills necessary to deal with a number of tasks simultaneously.   Knowledge and Experience High school graduate or equivalent. Demonstrates successful completion of PCT competencies to validate all required skills.   License & Certifications Effective January 2001, all Patient Care Technicians must have acquired skills in providing basic care to patients through documentation of: Completion and documented evidence prior to January 1996 of a nursing assistant education program certified by the State of Illinois or Successfully passed the written nursing assistant competency test after January 1996 or Enrolled nursing student who has completed one semester of clinical training, or Demonstrated completion of a hospital-based PCT training program and/or equivalent PCT experience subject to the approval of the respective Unit Manager and Chief Nursing Officer.     Working Conditions Work is performed in a patient care environment. Work is performed in a restricted area which requires adherence to departmental attire policies. Ability to stand and walk for long periods of time. Ability to lift and push heavy objects (such as stretchers, patient care equipment.) The above statements are intended as to describe the general nature and level of the work being performed by people assigned this job.  They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities, and working conditions associated with it. 2/19/2010

Reporting to the Nursing Director or Manager and according to the established policies, procedures, nursing standards of care and practice, and the direction of the medical staff, renders competent, humane, individualized care to every patient and their family.  Utilizes the nursing process to assess, plan, implement and evaluate the delivery of individual patient care to facilitate continuity of care through the continuum. Provides age and developmentally appropriate care to adult and geriatric patients.  Complies with all RML hospital and departmental policies. PRINCIPAL DUTIES & RESPONSIBILITIES:  Primary responsibilities: Exemplifies the RML REACH (Service Excellence) culture by demonstrating respect, excellence, appreciation, concern and honor in all interactions with patients, families and co-workers, and as identified in departmental and hospital wide behavioral expectations. Maintains accountability for the overall care management of assigned patients.  Accepts and responds to written and verbal physician orders, coordinates and participates in emergency and “code” situations, performs cardio-pulmonary resuscitation, performs clinical assessments, administers and monitors patients’ response to medications, blood products and nutritional support, and performs complex patient treatments. Demonstrates clinical competence by consistently applying the nursing process, and performs within the scope of practice of the registered nurse in the State of Illinois.  Responsible for maintaining nursing knowledge and skills appropriate to the specific clinical population for whom the nurse is providing care (treatments, medications, equipment, etc.)  Obtains necessary information prior to implementing new or unfamiliar care practices, or responsibly declines to provide care and notifies supervisor until able to obtain the appropriate skill. Assesses patients’ progress in accordance with established goals and initiates appropriate actions; documents according to established standards and reports information regarding patient’s condition and interventions performed (e.g., medications given, treatments performed, etc.) to all appropriate individuals.  Notifies physician and documents significant changes in patient condition.  Provides a complete and thorough report to the next shift.  Documents completely and timely in the Meditech system. Works in a team environment with the Patient Care Technicians and Respiratory Therapists to plan and provide patient centered care.  Works closely with other disciplines to define an individualized plan of care and relevant interventions, correlated with medical and team care goals.   Provides input to organized “staffing” meetings to discuss patient progress and revise goals, as requested.  Revises patient’s plan of care based upon changes in patient’s status, needs, and unexpected outcomes. Works closely with other disciplines and the care coordinator to ensure timely interventions and education that lead the patient and family to readiness for discharge. Demonstrates the organizational skills and the ability to direct others in the planning and delivery of patient care.  Supervises the work of the LPN, as assigned, and the PCT.  Gives clear direction to PCT at the beginning of the shift on work to be accomplished, and collaborates with PCT throughout the shift to ensure completion.  Provides guidance and direction to other team members and notifies department manager of apparent break in providing the expected standard of care, or of observations indicating potential educational needs of co-workers. Executes the medical treatment plan by implementing physician orders.  Seeks clarification or consultation on any unclear or questionable order by consulting with the ordering physician or on-call physician after hours, prior to implementation.  If question is not resolved, nurse refers question to Clinical Supervisor, Nursing Director/Manager or Chief Nursing Officer as necessary for resolution. Maintains the basic human rights and confidentiality of each patient, family and significant others in providing information and in delivering patient care.  Is aware of and complies with applicable regulations and laws related to healthcare workers and the care of hospitalized patients, such as abuse reporting.  Recognizes and complies with patients’ rights to have pain assessed and managed. Observes and reports the emotional and spiritual needs of patients and assists in providing and obtaining appropriate supportive care to patients and their families, especially in end of life circumstances.  In collaboration with the physician, evaluates and implements strategies to effectively manage patient’s comfort. Demonstrates appropriate psychosocial interventions based on patients’ age and developmental status. Facilitates patient/family participation in self-care tasks as appropriate for each patient’s age, developmental status and level of functioning. Evaluates environmental safety and promotes a safe patient care environment that is based on each patient’s age, developmental status and level of functioning.  Implements all relevant patient safety initiatives, including but not limited to:  consistently uses two forms of patient identification prior to medication administration, treatment, and procedures; responds to call lights and alarms and provides appropriate intervention; follows restraint policy and uses minimally restrictive devices; implements falls prevention precautions; ensures frequent rounding, and complies with swallowing and skin breakdown precautions, etc. Demonstrates knowledge of and consistently adheres to all infection control and transmission prevention precautions.  Ensures that other healthcare workers and visitors are aware of and use the personal protective equipment required to appropriately interact with the patients under the nurse’s care. Participates in department quality improvement and performance improvement activities, especially including opportunities to promote patient safety.  Notes areas for improvement in day to day department operations or patient care practices, and brings to the attention of department director/manager. Actively participates in the educational development of healthcare students and participates in the formal and informal education of other team members. Maintains effective colleague relationships with other members of the health care team through consistently professional and respectful communications. Identifies own learning and professional development needs and seeks opportunities within and outside of RML to meet these needs.  Actively participates in staff meetings and continuing education activities.  Provides information and feedback to other staff members on related clinical and professional topics.  Meets all employee requirements including but not limited to: license renewal, TB testing, CPR, General Annual Review and Annual Clinical Validation, and performance evaluation, by demonstrating completion, or participating in the required activity prior to the expiration or due date. Participates in welcoming, orientation and precepting of new team members, and orients and serves as resource to temporary (agency) personnel. Is responsible for supporting a safe work environment for self and others, by reporting unsafe conditions, and by using appropriate safe work practices such as proper body mechanics and applicable safety devices (patient lift and transfer equipment, safety needles and sharps disposal, PPE, etc.)  Complies with Employee Health Service policies regarding illness and injury. Maintains confidentiality of the patient’s medical information verbally, on-line and in print.  Complies with all hospital policies related to computer use and system security.  Complies with HIPAA requirements.  JOB REQUIREMENTS AND CHARACTERISTICS            Minimum Preferred Skills and Abilities The analytical ability necessary to assess patient conditions and utilize the nursing process and professional judgment to provide comprehensive care to patients. The interpersonal skills necessary to positively interact with patients, families, physicians, and other members of the health care team. The physical ability for almost constant standing, walking, lifting, and moving patients and patient care equipment. The ability to perform effectively under the pressure of stressful and /or emergency situations. The clinical and technical skills to work with high technology equipment and computers. The ability to work in a team setting to provide patient centered care.   Knowledge and Experience Competence documented by references based on nursing experience and education. Recent acute hospital experience with complex medical patients preferred, including: Ventilator experience Wound care experience Acute rehabilitation or restorative experience Critical care experience License & Certifications Diploma, AA, AS or Bachelors degree in nursing from an accredited nursing school. Current Illinois registered nurse license. Current CPR. ACLS preferred. Bachelor’s degree preferred. Working Conditions Work is performed in a patient care environment The above statements are intended to describe the general nature and level of the work being performed by people assigned this job.  They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities, and working conditions associated with it. Rev. 1/2011

For 165 years, Touro has been in the vanguard of medical excellence. As one of New Orleans' most enduring monuments, Touro Infirmary stands for stability. Tens of thousands of babies have been born here, and we've treated more than a million people. Our modern facilities utilize the latest technology. Touro offers a full range of services including emergency services, preventive diagnostics, surgical care, women’s services, cardiology, cancer treatment, rehabilitation, imaging, orthopedics, stroke care and more. In its history, Touro Infirmary has cared for generations of New Orleanians. Our patients and the community can count on our ongoing commitment the health and wellbeing for generations to come.   Job Summary: This job description is intended to describe the general nature and level of the work being preformed by people assigned to this work.  This is not an exhaustive list of all duties and responsibilities.  LCMC/Touro Infirmary reserves the right to amend and change responsibilities to meet organizational needs as necessary.   POSITION SUMMARY: The purpose of this job is to provide a visual security presence to ensure a safe and secure environment for patients, visitors, physicians and staff.   POSITION DUTIES: Patrols the main area on a constant basis to maintain crowd control and order.  Perform safety and equipment inspections.  Provide information and assistance to students, staff, and the general public. Responds to all calls for assistance immediately unless involved in or responding to an emergency situation. Documents details on the daily shift report.  Operate security screening equipment, access control systems, video security and intrusion detection systems.  Report and control unauthorized or suspicious persons, unsafe conditions or other irregularities. Completes reports completely accurately and legibly 100% of the time.  Completes all reports by the end of the shift.  Receives and secures valuables without discrepancies, ensuring the inventory is documented. Work and respond to all radio calls in a timely manner.  Responds to calls for service.  Call police or fire departments in cases of emergency, such as fire or presence of unauthorized persons. Monitor and adjust controls that regulate building systems, such as air conditioning, furnace, or boiler.  Operate detecting devices to screen individuals and prevent passage of prohibited articles into restricted areas.  Work with electronic alarm systems, monitoring closed-circuit television screens in a central station. Enters supply room(s) on nursing units as needed to perform necessary job functions.  Refrains from manipulating or removing any intravenous fluids that are stored in the area.   JOB SPECIFICATIONS: Education: Required: High school diploma or equivalent.            Preferred: Police academy graduate.   Experience: Required: 1 year experience in the security field.    Preferred: 3 years in a hospital setting. Prior military, law enforcement, or armed security experience preferred.   License/Certification: Annual Baton Training, Annual Firearms Training, Basic Life Support/CPR, Cert Non-Violent Crises Intervention       Training: Required: As required by jurisdiction- Knowledge of: state and federal criminal codes; firearms; crisis intervention skills and use; universal precautions; and, PPE. Preferred: Training from a police academy.   Skills: As required by jurisdiction-Must be skilled with firearms, handcuffs and restraining. Must have the ability to walk and stand for long periods of time and to interact with customers who may be criminal, violent, disruptive, combative, disoriented, etc.                 Touro Infirmary is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status or any other characteristic protected by law.

Reporting to the Nursing Director or Manager and according to the established policies, procedures, nursing standards of care and practice, and the direction of the medical staff, renders competent, humane, individualized care to every patient and their family.  Utilizes the nursing process to assess, plan, implement and evaluate the delivery of individual patient care to facilitate continuity of care through the continuum. Provides age and developmentally appropriate care to adult and geriatric patients.  Complies with all RML hospital and departmental policies. PRINCIPAL DUTIES & RESPONSIBILITIES:  Primary responsibilities: Exemplifies the RML REACH (Service Excellence) culture by demonstrating respect, excellence, appreciation, concern and honor in all interactions with patients, families and co-workers, and as identified in departmental and hospital wide behavioral expectations. Maintains accountability for the overall care management of assigned patients.  Accepts and responds to written and verbal physician orders, coordinates and participates in emergency and “code” situations, performs cardio-pulmonary resuscitation, performs clinical assessments, administers and monitors patients’ response to medications, blood products and nutritional support, and performs complex patient treatments. Demonstrates clinical competence by consistently applying the nursing process, and performs within the scope of practice of the registered nurse in the State of Illinois.  Responsible for maintaining nursing knowledge and skills appropriate to the specific clinical population for whom the nurse is providing care (treatments, medications, equipment, etc.)  Obtains necessary information prior to implementing new or unfamiliar care practices, or responsibly declines to provide care and notifies supervisor until able to obtain the appropriate skill. Assesses patients’ progress in accordance with established goals and initiates appropriate actions; documents according to established standards and reports information regarding patient’s condition and interventions performed (e.g., medications given, treatments performed, etc.) to all appropriate individuals.  Notifies physician and documents significant changes in patient condition.  Provides a complete and thorough report to the next shift.  Documents completely and timely in the Meditech system. Works in a team environment with the Patient Care Technicians and Respiratory Therapists to plan and provide patient centered care.  Works closely with other disciplines to define an individualized plan of care and relevant interventions, correlated with medical and team care goals.   Provides input to organized “staffing” meetings to discuss patient progress and revise goals, as requested.  Revises patient’s plan of care based upon changes in patient’s status, needs, and unexpected outcomes. Works closely with other disciplines and the care coordinator to ensure timely interventions and education that lead the patient and family to readiness for discharge. Demonstrates the organizational skills and the ability to direct others in the planning and delivery of patient care.  Supervises the work of the LPN, as assigned, and the PCT.  Gives clear direction to PCT at the beginning of the shift on work to be accomplished, and collaborates with PCT throughout the shift to ensure completion.  Provides guidance and direction to other team members and notifies department manager of apparent break in providing the expected standard of care, or of observations indicating potential educational needs of co-workers. Executes the medical treatment plan by implementing physician orders.  Seeks clarification or consultation on any unclear or questionable order by consulting with the ordering physician or on-call physician after hours, prior to implementation.  If question is not resolved, nurse refers question to Clinical Supervisor, Nursing Director/Manager or Chief Nursing Officer as necessary for resolution. Maintains the basic human rights and confidentiality of each patient, family and significant others in providing information and in delivering patient care.  Is aware of and complies with applicable regulations and laws related to healthcare workers and the care of hospitalized patients, such as abuse reporting.  Recognizes and complies with patients’ rights to have pain assessed and managed. Observes and reports the emotional and spiritual needs of patients and assists in providing and obtaining appropriate supportive care to patients and their families, especially in end of life circumstances.  In collaboration with the physician, evaluates and implements strategies to effectively manage patient’s comfort. Demonstrates appropriate psychosocial interventions based on patients’ age and developmental status. Facilitates patient/family participation in self-care tasks as appropriate for each patient’s age, developmental status and level of functioning. Evaluates environmental safety and promotes a safe patient care environment that is based on each patient’s age, developmental status and level of functioning.  Implements all relevant patient safety initiatives, including but not limited to:  consistently uses two forms of patient identification prior to medication administration, treatment, and procedures; responds to call lights and alarms and provides appropriate intervention; follows restraint policy and uses minimally restrictive devices; implements falls prevention precautions; ensures frequent rounding, and complies with swallowing and skin breakdown precautions, etc. Demonstrates knowledge of and consistently adheres to all infection control and transmission prevention precautions.  Ensures that other healthcare workers and visitors are aware of and use the personal protective equipment required to appropriately interact with the patients under the nurse’s care. Participates in department quality improvement and performance improvement activities, especially including opportunities to promote patient safety.  Notes areas for improvement in day to day department operations or patient care practices, and brings to the attention of department director/manager. Actively participates in the educational development of healthcare students and participates in the formal and informal education of other team members. Maintains effective colleague relationships with other members of the health care team through consistently professional and respectful communications. Identifies own learning and professional development needs and seeks opportunities within and outside of RML to meet these needs.  Actively participates in staff meetings and continuing education activities.  Provides information and feedback to other staff members on related clinical and professional topics.  Meets all employee requirements including but not limited to: license renewal, TB testing, CPR, General Annual Review and Annual Clinical Validation, and performance evaluation, by demonstrating completion, or participating in the required activity prior to the expiration or due date. Participates in welcoming, orientation and precepting of new team members, and orients and serves as resource to temporary (agency) personnel. Is responsible for supporting a safe work environment for self and others, by reporting unsafe conditions, and by using appropriate safe work practices such as proper body mechanics and applicable safety devices (patient lift and transfer equipment, safety needles and sharps disposal, PPE, etc.)  Complies with Employee Health Service policies regarding illness and injury. Maintains confidentiality of the patient’s medical information verbally, on-line and in print.  Complies with all hospital policies related to computer use and system security.  Complies with HIPAA requirements.  JOB REQUIREMENTS AND CHARACTERISTICS            Minimum Preferred Skills and Abilities The analytical ability necessary to assess patient conditions and utilize the nursing process and professional judgment to provide comprehensive care to patients. The interpersonal skills necessary to positively interact with patients, families, physicians, and other members of the health care team. The physical ability for almost constant standing, walking, lifting, and moving patients and patient care equipment. The ability to perform effectively under the pressure of stressful and /or emergency situations. The clinical and technical skills to work with high technology equipment and computers. The ability to work in a team setting to provide patient centered care.   Knowledge and Experience Competence documented by references based on nursing experience and education. Recent acute hospital experience with complex medical patients preferred, including: Ventilator experience Wound care experience Acute rehabilitation or restorative experience Critical care experience License & Certifications Diploma, AA, AS or Bachelors degree in nursing from an accredited nursing school. Current Illinois registered nurse license. Current CPR. ACLS preferred. Bachelor’s degree preferred. Working Conditions Work is performed in a patient care environment The above statements are intended to describe the general nature and level of the work being performed by people assigned this job.  They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities, and working conditions associated with it. Rev. 1/2011

Reporting to the Nursing Director or Manager and according to the established policies, procedures, nursing standards of care and practice, and the direction of the medical staff, renders competent, humane, individualized care to every patient and their family.  Utilizes the nursing process to assess, plan, implement and evaluate the delivery of individual patient care to facilitate continuity of care through the continuum. Provides age and developmentally appropriate care to adult and geriatric patients.  Complies with all RML hospital and departmental policies. PRINCIPAL DUTIES & RESPONSIBILITIES:  Primary responsibilities: Exemplifies the RML REACH (Service Excellence) culture by demonstrating respect, excellence, appreciation, concern and honor in all interactions with patients, families and co-workers, and as identified in departmental and hospital wide behavioral expectations. Maintains accountability for the overall care management of assigned patients.  Accepts and responds to written and verbal physician orders, coordinates and participates in emergency and “code” situations, performs cardio-pulmonary resuscitation, performs clinical assessments, administers and monitors patients’ response to medications, blood products and nutritional support, and performs complex patient treatments. Demonstrates clinical competence by consistently applying the nursing process, and performs within the scope of practice of the registered nurse in the State of Illinois.  Responsible for maintaining nursing knowledge and skills appropriate to the specific clinical population for whom the nurse is providing care (treatments, medications, equipment, etc.)  Obtains necessary information prior to implementing new or unfamiliar care practices, or responsibly declines to provide care and notifies supervisor until able to obtain the appropriate skill. Assesses patients’ progress in accordance with established goals and initiates appropriate actions; documents according to established standards and reports information regarding patient’s condition and interventions performed (e.g., medications given, treatments performed, etc.) to all appropriate individuals.  Notifies physician and documents significant changes in patient condition.  Provides a complete and thorough report to the next shift.  Documents completely and timely in the Meditech system. Works in a team environment with the Patient Care Technicians and Respiratory Therapists to plan and provide patient centered care.  Works closely with other disciplines to define an individualized plan of care and relevant interventions, correlated with medical and team care goals.   Provides input to organized “staffing” meetings to discuss patient progress and revise goals, as requested.  Revises patient’s plan of care based upon changes in patient’s status, needs, and unexpected outcomes. Works closely with other disciplines and the care coordinator to ensure timely interventions and education that lead the patient and family to readiness for discharge. Demonstrates the organizational skills and the ability to direct others in the planning and delivery of patient care.  Supervises the work of the LPN, as assigned, and the PCT.  Gives clear direction to PCT at the beginning of the shift on work to be accomplished, and collaborates with PCT throughout the shift to ensure completion.  Provides guidance and direction to other team members and notifies department manager of apparent break in providing the expected standard of care, or of observations indicating potential educational needs of co-workers. Executes the medical treatment plan by implementing physician orders.  Seeks clarification or consultation on any unclear or questionable order by consulting with the ordering physician or on-call physician after hours, prior to implementation.  If question is not resolved, nurse refers question to Clinical Supervisor, Nursing Director/Manager or Chief Nursing Officer as necessary for resolution. Maintains the basic human rights and confidentiality of each patient, family and significant others in providing information and in delivering patient care.  Is aware of and complies with applicable regulations and laws related to healthcare workers and the care of hospitalized patients, such as abuse reporting.  Recognizes and complies with patients’ rights to have pain assessed and managed. Observes and reports the emotional and spiritual needs of patients and assists in providing and obtaining appropriate supportive care to patients and their families, especially in end of life circumstances.  In collaboration with the physician, evaluates and implements strategies to effectively manage patient’s comfort. Demonstrates appropriate psychosocial interventions based on patients’ age and developmental status. Facilitates patient/family participation in self-care tasks as appropriate for each patient’s age, developmental status and level of functioning. Evaluates environmental safety and promotes a safe patient care environment that is based on each patient’s age, developmental status and level of functioning.  Implements all relevant patient safety initiatives, including but not limited to:  consistently uses two forms of patient identification prior to medication administration, treatment, and procedures; responds to call lights and alarms and provides appropriate intervention; follows restraint policy and uses minimally restrictive devices; implements falls prevention precautions; ensures frequent rounding, and complies with swallowing and skin breakdown precautions, etc. Demonstrates knowledge of and consistently adheres to all infection control and transmission prevention precautions.  Ensures that other healthcare workers and visitors are aware of and use the personal protective equipment required to appropriately interact with the patients under the nurse’s care. Participates in department quality improvement and performance improvement activities, especially including opportunities to promote patient safety.  Notes areas for improvement in day to day department operations or patient care practices, and brings to the attention of department director/manager. Actively participates in the educational development of healthcare students and participates in the formal and informal education of other team members. Maintains effective colleague relationships with other members of the health care team through consistently professional and respectful communications. Identifies own learning and professional development needs and seeks opportunities within and outside of RML to meet these needs.  Actively participates in staff meetings and continuing education activities.  Provides information and feedback to other staff members on related clinical and professional topics.  Meets all employee requirements including but not limited to: license renewal, TB testing, CPR, General Annual Review and Annual Clinical Validation, and performance evaluation, by demonstrating completion, or participating in the required activity prior to the expiration or due date. Participates in welcoming, orientation and precepting of new team members, and orients and serves as resource to temporary (agency) personnel. Is responsible for supporting a safe work environment for self and others, by reporting unsafe conditions, and by using appropriate safe work practices such as proper body mechanics and applicable safety devices (patient lift and transfer equipment, safety needles and sharps disposal, PPE, etc.)  Complies with Employee Health Service policies regarding illness and injury. Maintains confidentiality of the patient’s medical information verbally, on-line and in print.  Complies with all hospital policies related to computer use and system security.  Complies with HIPAA requirements.  JOB REQUIREMENTS AND CHARACTERISTICS            Minimum Preferred Skills and Abilities The analytical ability necessary to assess patient conditions and utilize the nursing process and professional judgment to provide comprehensive care to patients. The interpersonal skills necessary to positively interact with patients, families, physicians, and other members of the health care team. The physical ability for almost constant standing, walking, lifting, and moving patients and patient care equipment. The ability to perform effectively under the pressure of stressful and /or emergency situations. The clinical and technical skills to work with high technology equipment and computers. The ability to work in a team setting to provide patient centered care.   Knowledge and Experience Competence documented by references based on nursing experience and education. Recent acute hospital experience with complex medical patients preferred, including: Ventilator experience Wound care experience Acute rehabilitation or restorative experience Critical care experience License & Certifications Diploma, AA, AS or Bachelors degree in nursing from an accredited nursing school. Current Illinois registered nurse license. Current CPR. ACLS preferred. Bachelor’s degree preferred. Working Conditions Work is performed in a patient care environment The above statements are intended to describe the general nature and level of the work being performed by people assigned this job.  They are not exhaustive lists of all duties, responsibilities, knowledge, skills, abilities, and working conditions associated with it. Rev. 1/2011