This role is considered for the new graduate or nurse with less than 12 months experience. The nurse will utilize this time to learn the institution and nursing practice. It is expected that a nurse in this role successfully meets all requirements of the Nurse Residency Program and Departmental Orientation. Utilizes the institution’s care delivery and professional practice models as the frame of reference for practicing as a professional nurse. Participates in activities to develop own practice, and to support group practice goals at the unit level. Is accountable to patient, family and team members for care provided and to the nurse manager for totality of work performance. Is accountable to hold to the Service Standards and to the Nursing Mission, Vision and Values.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
Clinical Practice/Care Delivery
- Novice; Focus of clinical practice/care delivery and on own learning.
- Uses/applies evidence-based practice, accesses appropriate resources.
- Follows unit based protocols, documentation, pathways, etc
- Involves patient and family in care
- Conducts patient/family needs assessment; initiates and documents patient/family education
- Assists with precepting students, may assist with share days or shadow days PRN
- Responsible for accessing education applicable to own professional development; focus on completion of
competencies appropriate for patient care setting.
- Successful completion of orientation within 12 months (18 months for those with an identified
- Accountable for orientation e.g. assignments, goal setting, communication of needs, attending required
- Accountable for achieving/maintaining requirements for unit practice.
- Attends mandatory training and education classes specific to unit/department.
- Support and attend educational offerings such as in-services, etc.
- Follows unit policies, procedures, protocols and Best Practices.
- Supports hospital initiatives for process improvement plans, including data collection.
- Aware of patient and team member satisfaction scores and contributes to unit initiatives for improvement.
- Recognizes potential/actual patient/family issues and seeks assistance to address if unable to resolve independently.
- Participates in some or all elements of research/EBP/QI.
- Supports Charge Nurse role and demonstrates basic understanding of the role.
- Actively contributes to teamwork (cooperates with peers, flexible with assignments, takes admissions as required, etc).
- May orient to charge if needed (situation dependent upon unit and individual’s progress).
- Attends staff meetings (per unit protocols).
- Aware of and supports organizational nursing governance structure and opportunities.
- Participates in unit level decision making ; provides feedback as appropriate.
- Participates in organizational initiatives such as surveys (AHRQ Culture of Safety, Employee Satisfaction, and others).
- Maintains standards for unit operations (equipment maintenance, scheduling guidelines, etc).
- Maintains regulatory requirements for TJC/CARF readiness; participates in tracer activities.
- Demonstrates knowledge and skills necessary to provide care appropriate to the patient population(s) served. Demonstrates knowledge of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs. Provides the care needed as described in the unit/area/department policies and procedures.
- Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required.
- Diploma in Nursing or Associates Degree in Nursing required.
- Completes all mandatory training and classes.
- Current BLS certification required. Unit based licensure as required for the role as defined at the unit/department level. (examples include but are not limited to Neonatal Resuscitation Program [NRP], Certification in Pre-Transport/Post-Resuscitation Stabilization Care of Sick Infants for Neonatal Healthcare Providers [STABLE], Advanced Cardiovascular Life Support [ACLS), Trauma 101, etc.)
- Maintenance of 10 contact hours of education every two years.
- Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs.
- Ability to learn and use computer systems in order to manage patient information.
- Demonstrated effective verbal and written communication skills.
- Weekend, shift work, holiday, on-call, and overtime may be required.
- Work requires maximum lifting weight of 35 lbs when participating in patient care tasks 50% of the time to position and/or assist patients on to carts or into wheelchairs or beds, and generally, with ambulation. Work requires standing and/or walking for up to 100% of scheduled work time; maximum lifting weight of 50 lbs when lifting equipment and supplies.
- There is potential for regular exposure to patients possessing infectious diseases requiring observance of universal precautions requiring wearing protective clothing, gloves, and mask as appropriate, and observance of safe work practices.
Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives.
- Takes action to correct observed risks to patient safety.
- Reports adverse events and near misses to appropriate management authority..
- Implements policies, procedure, and standards consistently in the performance of assigned duties.
- Develops effective working relationships and maintains good communication with other team members.
- Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.