Description
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Summary:
The Clinical Nurse III practices at the level of a competent to expert practitioner of nursing, as defined by Benner, P. (1984). From Novice to Expert. Addison-Wesley Publishing Company. The nurse at this level demonstrates competence in caring for patients with complex problems. In addition the Clinical Nurse III demonstrates clinical leadership skills through contribution to standards of care and unit goals. The Clinical Nurse III serves as a role model for other staff and a preceptor for new employees and participates in endeavors to increase nursing knowledge.
3rd Floor – Medical/Surgical
Third floor Johnston Health, Smithfield is a 33-bed Medical Surgical Unit that serves primarily medical patients, although Pediatric patients are seen occasionally for overnight observation. Third floor nurses will get exposure to wound/wound vac care, tube feedings and tracheostomies and will care for patients with a variety of medical diagnoses, to include:
· Pneumonia
· Congestive Heart Failure
· Abdominal Pain
· Altered Mental Status
· Chronic Obstructive Pulmonary Disease
· Hypertension
· Hypotension
· Diabetes
· Shortness of Breath, among others
Full time is 3 12-hour shifts. Our standard shifts are 0645-1915 and 1845-0715 with every other weekend. Holidays are rotated among staff. Each shift is staffed with a charge nurse and nurses are paired with an NA teammate to assist with care. Nurse-to-patient ratios on the unit are typically 1:5 or 1:6.
Responsibilities:
1. Assessment - Synthesizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial and educational needs. Synthesizes assessment data into meaningful whole prior to communication with others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs
2. Education - Participates in identifying and meeting learning needs of self and others. Participates in development and presentation of staff education programs geared to unit needs and staff level. Assists in development of, and utilizes patient education materials relevant to patient population.
3. Evaluation - Evaluates patient progress and revises plan accordingly. Maintains accountability for carrying out components of the plan.
4. Implementation - Demonstrates expertise in care of patients with complex problems, including appropriate physical, psychosocial and educational aspects of care. Performs bedside point of care testing as required for patient care plan. Provides direction in implementation of the plan and serves as a resource to other staff members. Utilizes hospital standards, policies and procedures in delivery of care
5. Leadership - Develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified timeframe or renegotiates with supervisor. Participates in activities that facilitate intra/interdepartmental collaboration and serves as role model for nursing involvement. Functions as a consultant in various phases of the nursing process throughout the hospital. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Models behaviors that effectively give feedback to coworkers. Incorporates awareness of public policy and regulatory guidelines affecting the health care environment into practice. Promotes a safe, clean environment.
6. Planning - Collaborates with patient/family to prepare or update the plan of care. Consistently makes use of available multidisciplinary resources in planning care. Uses full range of communication means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Consistently demonstrates ability to prioritize tasks for patients with complex problems.
7. Research - Reads journals that contain articles and studies that are applicable to practice and discusses their feasibility of implementation with others. With assistance, applies research findings to practice. Brings ideas and questions to the staff at large for assessment of applicability. Assists with data collection in research being conducted in work area. Shares knowledge with staff.
Other Information
Other information:
Education Requirements:
● Graduation from a school of professional nursing.
Licensure/Certification Requirements:
● Licensed to practice as a Registered Nurse in the state of North Carolina.
● Basic Life Support (BLS) for Healthcare Provider certification
● For positions at Magnet Hospitals, professional certification relevant to the practice area and on the ANCC Magnet approved list within the probationary period of employment.
Professional Experience Requirements:
● One (1) year of nursing experience.
Knowledge/Skills/and Abilities Requirements:
Job Details
Legal Employer: NCHEALTH
Entity: Johnston Health
Organization Unit: 3rd Floor
Work Type: Full Time
Standard Hours Per Week: 0.90
Salary Range: $33.10 - $50.62 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Onsite
Work Schedule: Night Job
Location of Job: US:NC:Smithfield
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.
Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.
