Job Title: Clinical Nurse Profession: RN Specialty: CSICU Duration: 13 weeks Shift: Night Hours per Shift: 11.5 Experience: 2 years of Post Open Heart and Cardiac Care Unit experience License: NYS RN License Certifications: BLS Must-Have: Excellent organizational skills, EPIC experience preferred Description: The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a designated group of patients and their families. Delivers patient care by incorporating the tenets of the professional practice model of Relationship Centered Care and through the application of the nursing process based upon theory, research, and evidence-based practice. Assesses and evaluates patient care needs and applies critical thinking skills in patient care management. Integrates relevant assessment and intervention skills in the delivery of nursing care. Collaborates with the interdisciplinary healthcare team in the development, implementation, and evaluation of the plan of care. Prioritizes all aspects of patient care including teaching, rounding, coaching, and planning for after hospital care while delegating to others as appropriate. Educates patients and caregivers while anticipating needs and readiness to learn about their plan of care, transition of care, promotion of health, and prevention of disease. Communicates effectively and professionally with patients, family, and all members of the Interdisciplinary Patient Care Team. Manages assignments within the Care Delivery Model of Modified Primary Nursing and demonstrates effective allocation of material resources. Role models the tenets of Relationship Centered Care through various actions including Admission Welcome, Bedside Shift Report, and Purposeful Hourly Rounding. Considers the patient’s values, preferences, cultural diversity, expressed needs, and knowledge in all aspects of care. Establishes and maintains a therapeutic relationship with the patient and family. Uses evidence-based practices to improve understanding of patients’ perceptions of care. Initiates service recovery for patients and family members who have concerns and escalates to appropriate management as needed. Demonstrates caring, respect, compassion, empathy, and active listening through dialogue and body language. Supports staff in using evidence-based practices to improve understanding of patient perceptions of care. Conducts Purposeful Hourly Rounding on assigned patients, addressing core patient needs. Practices safe and efficient patient-centered care, identifying and escalating barriers and opportunities for improvement. Demonstrates clinical skills and knowledge crucial to quality and safety in the patient population served. Implements process improvement strategies based on institutional evidence and procedures. Engages in formal and informal peer and institutional review processes. Collaborates with interdisciplinary teams to create and implement quality improvement projects and evidence-based practice activities. Contributes to quality and safety practices and required compliance measures. Implements principles of high reliability to identify and avoid high-risk behaviors to provide a safe environment for patients. Escalates potential safety hazards or gaps from best practice following the institutional chain of command protocol. Utilizes institutional information technology to document nursing practice and support quality improvement initiatives. Performs charge nurse duties as assigned. Coordinates with clinical management to ensure supplies are utilized appropriately and inventory is sufficient for patient care. Escalates material or staffing resource deficits to clinical management as needed. Demonstrates patient-focused and cost-effective approaches to patient care regarding all resources. Documents in an accurate and thorough manner in compliance with hospital, regulatory, and legal standards. Facilitates patient throughput on a shift basis. Contributes to a supportive environment of care for clinical colleagues, patients, and their families. Advances clinical competence in nursing practice to progress from novice to expert. Projects a professional image to colleagues and communicates with styles that demonstrate caring and respect. Incorporates ethical principles into decision-making for patients and families. Encourages a spirit of scholarship, inquiry, life-long learning, and innovation for self and others. Acquires knowledge and skills relevant to the role, patient population, clinical specialty, and health community needs. Participates in shared decision-making through specialty practice councils and nursing department initiatives.
