Graduate Nurse - OB/GYN

				Overview:

Summary:
Under the supervision of a licensed RN, the graduate nurse is responsible for utilizing the nursing process to provide direct patient care to an assigned group of patients during a shift and periodizing the delivery of care using time and resources efficiently integrating an evidence and standards based framework model.      

Type of Opportunity: Full Time      
FTE:  1.000000      
Exempt:  No      
Work Schedule: Varied Days and Hours    

Responsibilities:

Responsibilities:
*Graduate Nurse, Under the direct supervision of a Registered Nurse, assumes these responsibilities
*Per unit and practice standards, provides direct patient care by assessing, planning, implementing,
evaluating, and documenting individual patient needs, actions taken, and patient responses.
*Coordinates patient care through collaboration with patient/family and healthcare team
*Performs assessment per evidence-based standards and documents in EMR and any designed
documentation platforms
*Initiates, utilizes and documents appropriate protocols and standards of care
*Administers medication and treatment as prescribed by physician, provider, or standard protocols and
documents according to policy
*Identifies and meets patient and family learning and discharge needs on admission and throughout episode
of care
*Evaluates patient progression towards outcomes per unit standards and documents
*Performs at basic competency levels in emergency situations
*Delegates or assigns aspects of patient care to healthcare team members commensurate with their
validated competency to perform task
*Assumes responsibility for clinical supervision of LPNs and non-licensed assistive personnel
*Provides leadership through communication about and validation of patient care
*Assists with various procedures, treatment, surgical techniques or assigns to other healthcare team
members as appropriate
*Completes yearly education per PARTE and PACCER modules and any unit specific requirements on time.
*Demonstrates competencies in required psychomotor skills
*Assumes professional responsibility for current nursing structure and clinical standards of care
*Incorporates PHS MVV and CARES in caregiving
*Supports DON philosophies of shared governance and models of care deliveries
*Mandatory yearly in-service to include BLS, safety training, bloodborne pathogen/infection/TB training.
*Participates in unit/department governance.
*Documents own continuing education.
*Participates in quality improvement activities.
*Completes mandatory in-services, competencies and Graduate Nurse requirements on time.

Caring Practices
Incorporates nursing activities that create a compassionate, supportive, and therapeutic
environment for patients and staff with the aim of promoting comfort and healing and preventing
unnecessary suffering. Critical Elements of Caring Practices Performance *Applies The Promise and
incorporates into care interactions.  *Applies Exceptional Patient Experience principles and incorporates into care interactions *Applies respect and timely response in interactions with patient, family, health care team members *Interacts with patient and family providing compassionate, non-judging, empathetic care Clinical Judgment and Action Uses clinical reasoning, which includes clinical decision-making, critical thinking, and a global grasp of the patient care situation, coupled with nursing skills acquired through a process of integrating formal and informal experiential knowledge and evidence-based guidelines to manage patient care. Critical Elements of Clinical Judgment and Action Performance *Consistently uses the nursing process to structure and revise care *Anticipates, recognizes, and responds to changes in condition *Accurately communicates with healthcare team members to relay changes in patient status *Consistently provides care based upon need and urgency *Consistently applies patient safety principles *Develops, plans, and evaluate patient short and long term care goals. Charts problems, plans and goals appropriately in NICP *Consistently follows policies, procedures, standing order sets, care bundles, core measure practices *Consistently follows red rules: Patient identification and hand-washing *Seeks consultation if uncertain on how to respond to patient needs *Adjusts care to establish and support care goals *Integrates technology into daily care of patient by appropriate initiation of technology, maintenance, troubleshooting, and discontinuation *Consistently and accurately documents care per policies & standards 

Patient Advocacy
Works on behalf of the patient/family representing their concerns and helps resolve ethical and clinical issues that impact the patient situation. Critical Elements of Patient Advocacy Performance *Maintains patient confidentiality/personal/medical information *Identifies ethical and clinical issues *Acts with integrated healthcare team using appropriate resources to resolve ethical/clinical issues *Advocates for patient needs, values, and goals *Compliance with JC Rights and responsibilities of the Individual elements

Clinical Inquiry
Uses high standards and evidence-based practices along with questioning, research and evaluation skills to provide informed and/or change practice Critical Elements of Clinical Inquiry Performance *Supports process/quality improvement initiatives and incorporation into practice *Follows and is informed on Department outcome measures *Actively participates in changes in practice/roll outs *Seeks advice and consultation on care from colleagues and interdisciplinary team

Collaboration
Involves multidisciplinary team as well as patient/family to promote optimal and realistic goals and outcomes Critical Elements of Collaboration Performance *Provides and coordinates independent, interdependent, and dependent care interventions with interdisciplinary care team *Selects appropriate Screenings from HED to facilitate interdisciplinary care when needed *Appropriately delegates care, monitoring delegated team members care and responds as appropriate with the goal of optimizing care *Interactions with care team in respectful, professional manner

Facilitation of Learning
Fosters patient/family learning to promote self-care using both formal and informal processes as applicable and at an appropriate level of understanding. Critical Elements of Facilitation of Learning Performance *Self: Completes all required learning modules, programs in specified time *Self: Uses available resources within system to enhance own continuous learning *Self: sets and achieves learning and performance goals yearly *Self: Consults, teaches, supports continuous learning with colleagues *Self: Actively seeks learning/mentorship *Patient: Assess  patient's learning style, readiness to learn, challenges to learning and adapts patient education to meet needs *Patient: Incorporates patient in learning about diagnosis(es), care management, medications using appropriate verbal and written communication tools/resources

Response to Diversity
Uses holistic body, mind, spirit approach in provision of care by recognizing, appreciating, and incorporating cultural, spiritual, gender, race, ethnicity, lifestyle, socioeconomic, age, and value differences in practice. Critical Elements of Response to Diversity Performance *Provides communication/ medical interpretation services for population served based upon language preference *Consistently provides care to population served with appreciation to diversity elements as designated above *Consistently communicates and documents patient diversity needs *Uses PHS established internal
resources and vendors

System Thinking
Manages environmental and system resources across the healthcare system and community to meet patient/family needs or provision of quality care. Critical Elements of Systems Thinking Performance *Utilizes internal and PHS resources to provide evidence based care including policy, protocols, procedures, ap
			

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Presbyterian Healthcare Services