ESSENTIAL DUTIES AND RESPONSIBILITIES
- The associate is aware of hospital and department compliance for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of department or hospital administrative staff.
- Purposefully conducts all aspects of the job in an ethical manner in support of the hospital’s commitment to ethical behavior in all areas of personal and professional activity.
- Successfully completes hospital-wide orientation, annual hospital competencies and department specific competencies.
- For the safety of our patients and co-workers, St. Luke’s Hospital requires seasonal and job related vaccinations. This is reviewed regularly during periodic health assessments.
Performs patient care functions as required.
- Assumes primary responsibility for the plan of care through their shift or episode of care for a patient or group of patients, per unit standards and nursing care required for the specified patient population.
- Effectively delegates tasks and responsibilities to other health care team members and assumes responsibility for follow-up and collaboration.
- Performs admission assessment process per specific department standards to include patient history, physical, and psycho-social assessment. Utilizes physical assessment data, diagnostic data (lab, radiology, diagnostic testing), pharmacological information and patient/family perceptions in formulating nursing diagnosis related to focus problem areas and identifying goals of care.
- Assumes responsibility for developing a plan of care that is mutually established with the patient and family. Each patient is treated as an individual, with their identified goals and expectations reviewed each shift to verify priorities.
- Implements the plan of care according to current standards of nursing practice, evidence-based practice, and hospital protocol/procedures.
- Integrates multidisciplinary approach to maintain comfort, support human functions and responses, and maintain an environment conductive to safety and well-being. Implements measures to promote a safe environment.
- Partners with healthcare team to achieve the patient care outcomes and goals of care.
- Administers medications and nursing treatments within scope of practice.
Participates in care coordination of the patient across the continuum.
- Focuses plan of care on patient-centric goals.
- Focuses on patients’ care needs across all sites of care.
- Collaborates with the patient/family to anticipate steps needed to ensure safe transitions in care.
Demonstrates effective communication and safe hand-offs.
- Demonstrates good verbal and written communication skills with patients, families, healthcare team members and other customers. Verbal communication is clear and precise. Written communication is legible, if handwritten, and done in a timely manner using approved abbreviations.
- Real-time Electronic Medical Record (EMR) documentation is done in accordance with hospital and unit policies.
- Hand-offs are done with attention to detail and with safety as a high priority. Hand-offs are utilized to communicate patient treatment and assessment information, patient education needs, goals of care and other quality care measures at each change of caregiver or setting of care.
- Tools are consistently utilized for hand-offs to assure that critical information is shared and updated with each hand-off.
- Communication with providers occurs during routine rounding and as needed.
Supports evidence-based clinical practice and questions the rationale and scientific basis for clinical practice and/or changes in practice.
- Complies with changes in clinical practice and standards.
- Participates in data collection when the opportunity is presented.
- Supports/participates in interpretation of clinical literature and uses to validate and/or change clinical practice. Utilizes Advanced Practice Nurses to assist with research process.
Provides educational opportunities for patients, families and other healthcare team members .
- Integrates patient/family teaching throughout the hospitalization, including the plan and goals of care, pre- and post-operative procedures, diagnostic procedures, and discharge teaching.
- Integrates preventative health maintenance into the education plan.
- Assists in the orientation of new associates by acting as a resource and mentor to associates. Collaborates with unit leadership, as appropriate. Serves in preceptor role, as appropriate.
- Participates in the education experiences of students and/or RN interns.
- Uses principles of health literacy.
- Utilizes evidenced based models of learning.
Provides professional nursing practice through compliance with established department routines, policies, and procedures.
- Participates in mandatory education and department staff meetings, per established guidelines.
- Participates in shared governance and performance improvement activities at the department and/or organization level.
- Maintains safety through use of established infection prevention principles, safe patient handling programs, and speak up culture.
- Continually maintains and strives to enhance personal technical and clinical competence in all job related duties.
- Participates in appropriate professional organizations.
Performs other duties as deemed necessary to meet the hospital’s mission, to give the healthcare we’d like our loved ones to receive.