Job Description

Summary:

This clinical Support RN position is within the Float pool at Miriam Hospital. This role requires a minimum of 12 months experience in critical care or emergency medicine. The schedule consists of 3 12-hour shifts.

Under the general supervision of the Nurse Manager (or designee) and within hospital and departmental policies and procedures the clinical support nurse provides nursing expertise to the inpatient units targeting high-risk and decompensating patients on the med/surg floors facilitates timely transfer of patients to a higher level of care and assists the Nursing Supervisor with appropriate utilization of resources. All essential functions performed in this position reflect the age specific needs of the patients.

Responsibilities:

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Lifespan employees are expected to embrace Lifespan\'s mission of "Delivering health with care" and successfully role model Lifespan\'s values of Compassion Accountability Respect and Excellence as these guide our everyday actions with patients customers and one another.

Recognizes and reports deviations from patient or established norms. Identifies deviations from established norms not related to chief patients complaints. Reports patients responses to treatment(s) and documents nursing interventions.

Provides basic comfort and support according to patient needs. Fosters patient(s) and family participation in achieving optimum level of patients functioning and performing activities of daily living. Sets priorities in individual patients assignments. Seeks guidance and resources when necessary in management of patient care.

Identifies and assesses emergency situations. Initiates appropriate response and intervention. Plans for potential needs during emergency situations.

Defines nursing diagnosis and expected patients outcomes. May modify nursing plan of care based on diagnosis and/or outcomes. Documents on appropriate nursing assessment forms.

Implements nursing interventions and evaluates based on patients outcomes. Modifies plan of care accordingly including documentation.

The Clinical Support Nurse maintains knowledge of contemporary professional nursing practice within the legal framework of the Rhode Island Nurse Practice Act. Attends training and retraining as needed to maintain current knowledge of hospital and patients care practices and procedures.

Utilizes established protocols and collaborates with the health team to facilitate therapeutic interventions and attainment of desired patient outcomes.

Participates in quality improvement processes and risk management activities. Attends unit-based or hospital meetings to facilitate patient care management.

Functions in a cooperative and productive manner in the work environment.

Integrates complete physical assessment with nursing assessment and records reviews in developing a comprehensive and individualized plan of care.

Follows all documentation guidelines per policy and procedure.

Maintains quality assurance safety environmental and infection control in accordance with established hospital department policies procedures and objectives. Maintains safe environment for patients visitors and staff.

Demonstrates self-direction in maintaining and advancing clinical and professional competency.

Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes human development stages and cultural patterns in each step of the care process.

Collaborates with Nursing Supervisor to provide support to nursing units. Makes rounds to evaluate nursing care. Initiates corrective measures as indicated.

Provides functional guidance and education to RNs CNAs and other licensed personnel as required.

Responds to Code Blue Rapid Response Team and similar hospital emergencies. Proactively rounds on high-risk patients and assists in facilitation of transfers to higher level of care.

Conducts audits for universal protocol procedures in the medical-surgical areas as needed.

Completes occurrence reports as required. Initiates follow-up or corrective interventions as indicated.

Consults with Clinical Manager or Charge Nurse regarding unit routines and any professional development opportunities identified.

May assume shift charge responsibility on an assigned unit. Responsibility includes maintaining an overview of unit activities and delegating work responsibilities with equitable assignments. Makes bed and patient assignments and assigns primary patients to staff.

Performs other duties as necessary.

Other information:

BASIC KNOWLEDGE:

Graduate of a school of nursing Baccalaureate in Nursing preferred with current license to practice as a Registered Nurse in the State of Rhode Island Conformity to the Code of Professional Nurses. Understanding of the provisions of the Nurse Practice Act of the state of Rhode Island.

Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes human development stages and sensitivity to cultural diversity in each step of the care process.

Current ACLS BLS and NIH Stroke certification is required.

Current certification in related specialty or certification within two years.

EXPERIENCE:

Five years of progressively responsible clinical experience in medical/surgical nursing two years critical care or emergency department experience preferred. Demonstrated clinical leadership as Charge Nurse or Preceptor.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Prolonged standing and walking. Exposed to all patient elements. May be required to lift/turn patients and equipment. Repeated bending squatting stooping.

INDEPENDENT ACTION:

Plans and organizes priorities for effective patient care within the scope of existing departmental policies generally refers specific problems to supervisor where clarification of departmental policies and procedures may be required.

SUPERVISORY RESPONSIBILITY:

None.

Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Lifespan is a VEVRAA Federal Contractor.

Location: The Miriam Hospital USA:RI:Providence

Work Type: Full Time

Shift: Shift 3

Union: Non-Union

The Miriam Hospital