REGISTERED NURSE SPEC CARE

Summary

Appropriate specialty organizations relevant to the patient population (AWHONN, ACOG, AORN, AAP, BabyFriendly USA, etc.) under care of the Registered Nurse (RN). In the Registered Nurse’s daily practice, the Registered Nurse develops an overall view of patients, families and caregivers, and establishes strong partnerships to deliver optimal care.

Essential Duties and Responsibilities

• Maintains competencies on Mother/Baby, GYN, Pedi and basic Med-Surg.
• Maintains competencies in either L&D or ‘sick baby’ management (L&D track and/or Nursery track).
• Once training and competencies are completed in the RN’s designated ‘track’, and the Clinical Director and Clinical Resource Nurse deem appropriate, the RN may train to the other track if desired—both sets of competencies must be maintained.

• Supports and promotes the mission and values of Covenant Health Ministry.
• Renders professional nursing care to patients within an assigned unit of the hospital, in support of medical care as directed by medical staff and pursuant to objectives and policies of the hospital
• Compliant in completion of all unit specific competencies and requirements required to care for all patients/patient types with the department.
• Involved in quality improvement planning and processes for the area of practice 
• Clinical documentation and care plans completed comprehensively for all patients assigned in a timely manner
• Seeks feedback regarding practice and takes actions as appropriate.
• Practice reflects knowledge of current practice standards
  (ANA, NH Nurse Practice Act, Specialty standards)
• Communicates patient information appropriate for continuity and safe care through hand offs, walking rounds, and physician/provider interaction.
• Provides a safe and secure environment for patients, visitors, and staff by following established procedures and protocols
• Implements resources and initiatives that are in place or in process to improve patient safety.
• Works within guidelines of Just Culture Environment to promote error reporting and adoption of safe practices.
• Assures issues are addressed through appropriate use of the chain of command
• Completes appropriate rounding in collaboration with LNAs (Licensed Nursing Assistant) on all assigned patients
• Identifies and assists in correction of patient care safety issues.
• Recognizes and praises excellent performance in colleagues and co-workers, when identified
• Builds respectful relationships through early and pro-active identification of concerns, complements or suggestions
• Collaborates unit to unit and shift to shift for resolution of conflicts and issues in a timely manner
• Consults with nurses in other department/units to draw upon expertise in other clinical areas/specialties
• Displays professional, positive perspective at all times, including when faced with difficult circumstances
• Seeks opportunities to assist all team members
• Displays willingness to resolve tension within the unit or department, for example, by volunteering to accept an admission, or adjust an assignment
• Demonstrates practice that is consistent with the tenets of shared governance and with the philosophy of the unit and the organization.
• Assists with solution identification in response to problems and conflicts
• Effectively delegates aspects of care and unit activities to other nursing personnel
• Collaborates in planning, supervising, and instructing other nurses and assistants.
• Works collaboratively with nursing students and instructors
• Participates in peer review of colleagues
• Demonstrates characteristics of the SPIRIT of St. Joseph Hospital with a commitment to my co-workers and holds peers accountable for the same
• Avoids use of unauthorized overtime
• Manages ETO per policy
• Other duties as consistent with this role.

Job Requirements

Job Knowledge and Skills

• STABLE course completion certification preferred or obtained prior to completion of orientation.
• K2 Maternity Crisis Modules required by 6 months post hire or prior to specialty track orientation completion (whichever is first)
• Basic Fetal Monitoring required by 6 months post hire or prior to L&D specialty track orientation completion (whichever is first)
• Intermediate Fetal Monitoring or K2 Fetal Monitoring module completion required or obtained prior to completion of orientation.
• Complete Breastfeeding Self Study / Clinical Management of Breastfeeding for Health Professionals (Jean Loiselle) completion required or obtained prior to completion of orientation.
• Complete Periop 101 OB required within 6 months after completion of specialty track orientation completion.
• NEDS (Organ Donation) education/review  required annually
• Malignant Hyperthermia education/review required annually
• Vaccine education (per Vaccine For Children/NH Immunization Program) required
• Point of Care testing (pH testing, ROM , glucose testing)
• Unit specific education review biannually, including but not limited to:  Period of Purple Crying, Safeguarding Their Tomorrows, Safe Sleep, Metabolic Screening, Hearing Screenings, CCHD testing (Congenital Cardiac Heart Disease screening), etc.
• Crisis Prevention Institute (CPI) training preferred or obtained prior to completion of orientation.

Education and Experience

• Current New Hampshire RN license required
• Basic Cardiac Life Support required
• Basic Dysrhythmia preferred or obtained prior to completion of orientation.
• Neonatal Resuscitation Program required by 6 months post hire or prior to specialty track orientation completion (whichever is first)
• Pediatric Advanced Life Support (PALS) certification preferred
• Graduate of an approved Nursing program preferred
• Specialty Certification preferred upon hire; required within 2 years of eligibility

Our Core Values:

Compassion

We show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.

Integrity

We promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources.

Collaboration

We work in partnership, dialogue and shared purpose to create healthy communities.

Excellence

We deliver all services with the highest level of quality, while seeking creative innovation.

Applicants, employees and former employees are protected from employment discrimination based on race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age (40 or older), disability, and genetic information (including family medical history).