Miami, FL On Call/Pool JS Emergency Room
Summary
The Clinical Staff Nurse functions as a champion of quality patient care and professional caregiver who demonstrates critical thinking skills and scientific judgment in the anticipation and planning for the care of the patient. The CSN is responsible to perform at a competent level of nursing and consistently demonstrates nursing process. These standards include: assessment, diagnosis, identification of outcomes, planning, implementation, coordination of care, teaching and health promotion and evaluation. The CSN is also responsible to hold the highest standards of professional performance, which include: ethics, cultural diversity, communication, collaboration, evidence based practice, nursing research, quality, resource utilization, and environmental health. These standards of practice encompass the actions and foundation of professional nursing. The CSN will function within the JHS CARE Model, which includes accountability for planning, implementing, evaluating and communicating all phases of nursing care for assigned patients. The CSN possesses clinical knowledge and skills to meet standards as required by specific clinical areas.
Responsibilities
Implements and coordinates the delivery of care in collaboration with physician and other provider and healthcare staff. Utilizes the nursing process (assessment, planning, implementation, and evaluation) in applying nursing knowledge. Documents all pertinent information regarding nursing care, care plans and observations. Accounts for narcotics/emergency equipment on each tour of duty. Maintains a working knowledge of facility infection control procedures. Recognizes, questions and reports significant patient findings and/or inconsistencies in medical/nursing orders/treatment regime. Collaborates and seeks corrective action. Selects and individualizes/updates and adheres to clinical procedures/ protocols/standards/ clinical pathways, plans of care/narcotics policies and discharge/teaching plans. Completes and submits patient/unit charges. Recognizes/prioritizes overt/convert unit needs/problems/implements corrective action independently. Assumes charge nurse role when assigned/supervises designated personnel/takes action as needed. Applies the use of logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions and approaches to problems. Provides functional direction and assistance to LPN's and CNA's, and completes new staff orientation as assigned. Makes rounds on a timely basis to ensure continuity of care. Maintains HIPAA compliance at all times. Follows and performs all related unit specific policies and procedures, as detailed on the unit specific competency check-list. Utilizes job and unit specific equipment as required. Demonstrates behaviors of service excellence and CARE values (Compassion, Accountability, Respect and Expertise). Performs all other related job duties as assigned.
Experience
Generally requires 1 to 3 years of related experience.
Education
Associate's degree in Nursing is required. BSN degree is preferred. Any Employee who will be performing Point of Care testing in the Operating Room, Neuro ICU, NICU, PICU, Pedi-ER, Cath Lab and/or Interventional Radiology areas, the educational degree must be verified at the time of hire. Minimum education level required to be verified is Associate's degree.
Skill
General Competencies: Ability to analyze, organize and prioritize work accurately while meeting multiple deadlines. Ability to communicate effectively in both oral and written form. Ability to handle difficult and stressful situations with professional composure. Ability to understand and follow instructions. Ability to exercise sound and independent judgment. Knowledge and skill in use of job appropriate technology and software applications. Nursing Competencies: Ability to understand, respects and accommodates patients preferences and needs with regards to their individual beliefs, customs and practices. Must have ability to clearly, accurately and effectively provide information to doctors, other nurses, patients, and family members. Must have ability to show compassion, patience and maintain non-judgmental approach to patients, their families as well as other employees and customers. Unit Specific Competencies: Must have clinical knowledge, skill and ability to fully and accurately complete all required unit competencies, as indicated in the unit competency check-list.
Credentials
Valid Florida RN license is required. American Heart Association Basic Life Support (BLS) and any additional applicable life support certification for Healthcare Providers is required upon hire with at least 6 months validity and maintenance at JHS for the duration of employment. Must meet and maintain valid and current all unit specific and organizational skills/competencies, certifications/licensures, as required by regulatory and/or nursing standard of practice for the specialty.
Working Conditions
Physical Requirements - Job function requires extended standing or walking. Must be able to carry objects weighing 21 to 50 pounds. Able to lift or move objects weighing 51 to 100 pounds with the use of appropriate devices. Jobs in this group require frequent visual acuity to perform activities related to extended use of computers. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).
Environmental Conditions - Jobs in this group are required to function in a fast paced environment with occasional high pressure or emergent and stressful situations. Frequent interaction with a diverse population including team members, providers, patients, insurance companies and other members of the public. Function is subject to inside environmental conditions, with occasional outdoor exposures. Exposure to various environments such as: communicable diseases, toxic substances, medicinal preparations and other conditions common to a hospital and medical office environment. May also be exposed to needle sticks, airborne infections, medical gases, X-Ray, chemical exposures and other potential hazards. Must wear Personal Protective Equipment (PPE) when exposed to infectious/clinical hospital environment. Reasonable accommodations can be made to enable people with disabilities to perform the described essential functions. Additional information and provision requests for reasonable accommodation will be provided by the home unit/department in collaboration with the Reasonable Accommodations Committee (RAC).
