Summary:

Under the direct supervision of the Clinical Manager (or designee) implement supervise and evaluate the nursing care of each patient using a nursing process and in accordance with established hospital and departmental policies and procedures. From admission to discharge plan with consideration of the aging process throughout the life span including all developmental stages as well as cultural patterns.

Responsibilities:

Consistently applies the corporate values of respect honesty and fairness and the constant pursuit of excellence in improving the health status of the people of the region through the provision of customer-friendly geographically accessible and high-value services within the environment of a comprehensive integrated academic health system. Is responsible for knowing and acting in accordance with the principles of the Lifespan Corporate Compliance Program and Code of Conduct.

Responsible for the safe delivery of patient care:

1. Provides direct nursing care to patients with complex needs.

2. Implements the steps of the nursing process (assessment diagnosis planning intervention and evaluation) and integrate these activities with all members of the health care team.

3. Delegates and supervises nursing care activities provided by personnel assigned to assist in the provision of nursing care such as but not limited to Licensed Practical nurses Nursing Student Associates Certified Nursing assistants Technician Unit Assistants and Unit Service Coordinators.

4. Evaluates the effectiveness of patient care activities and assures compliance to standards.

5. Manages the implementation of therapeutic/diagnostic orders as per policy.

6. Evaluates and communicates to physician patient response and condition changes.

7. Keeps family informed of care status and changes in that status.

8. Coordinates discharge planning for patients families utilizing hospital and community resources.

9. Teaches patients and families in accordance with standards and patient teaching guidelines.

10. Maintains patient and family confidentiality according to hospital policy.

11. Service as an active patient and family advocate.

12. Documents according to policy and procedure.

Responsible for emergency and safety conduct:

1. Maintains Basic Life Support certification. Identified cardiopulmonary arrest and initiates CPR.

2. Demonstrates adherence to Universal Precautions Safety Programs and other infection control measures.

3. Review fire disaster and infection control in manual.

4. Demonstrates ability to perform responsibilities in emergency/code situation. Checks emergency equipment.

5. Reports unsafe situations to the Registered Nurse or to the Clinical Manager.

6. Lifts correctly to avoid hard t self. Utilizes assistive devices when available.

7. Maintains an environment conducive to patient comfort and safety.

• Exercise proper care in the use of equipment and report need for repair to the appropriate person.
• Utilize side rails and restraints in accordance with Nursing procedure and policy of The Miriam Hospital
• Adheres to fall precaution protocol
• Adheres to constant observation protocols as assigned.

Responsible for professional conduct:

1. Engaging in life-long learning to expand capacity of self and others to create and sustain a learning organization and a purposeful manner of behavior.

2. Meets and maintains credentialing requirements according to the nursing policy and procedures.

3. Maintains a pattern of reliable attendance punctuality and completion of timely work assignments.

4. Responds willingly to the special needs of the department (i.e. flexibility with time).

5. Utilizes time equipment and supplies in a cost-effective manner.

6. Participates in unit activities including meetings and projects such as Quality Assessment and Improvement.

7. Participates in the orientation of all team members.

8. Participate in appropriate staff education programs to maintain and expand job knowledge and skills.

9. Establishes annual developmental goals in collaboration with Clinical Manager.

10. Utilizes appropriate resources in administering care to patients and families.

11. Participates in the preceptor program as assigned.

12. Contributes to ongoing performance appraisals of personnel as determined by the Clinical Manager.

13. Assumes charge position responsibilities for the patient care unit as delegated.

14. Works with faculty and students of academic affiliation to meet learner objective within the context of the prescribed plan of care.

15. Updates knowledge of professional nursing medical technical and technological developments. Participate with others to implement accepted clinical advancements into practice.

16. With nursing leadership incorporates approved research findings into practice.

17. Consults with nurses with advance clinical expertise on an as needed basis (Advanced Practice Nurse Nurse Practitioner Clinical Educator etc.)

Responsible for Endoscopy:

1. Monitors the patient during the administration of Conscious Sedation according to policy.

2. Monitors the patient post-procedure for complications.

3. Assists physician performing endoscopic procedures including preparing and administering medications as directed by physician and retrieving passing and handling instruments/supplies as directed by the physician.

4. Assures all necessary equipment and supplies are set up in procedure room prior to examination.

5. Monitors the inventory of medical supplies and equipment and assures adequate levels are maintained in accordance with established guidelines and to meet anticipated needs.

6. Assists with cleaning disinfecting and maintaining endoscopes and accessories according to policy and procedure.

7. Performs specimen testing when directed while following guidelines for handling specimens.

8. Adheres to Endoscopy Department policies and procedures.

In addition to the Registered Nurse Job description an RN in the Endoscopy department is responsible for the additional duties (inclusive of but not limited to) listed below:

* Monitoring and management of hemodynamics

* Administration and monitoring of patients under sedation throughout and following procedures

* Universal Protocol

Other information:

BASIC KNOWLEDGE:

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

Must have current licensure to practice as a Registered Nurse in the State of Rhode Island or in another state that participates in the Nurse Licensure Compact.

Successful completion of the Hospital's Patient Care Delivery Orientation Program which includes entry level credentialing of selected skills.

Certified in Basic Cardiac Life Support. ACLS certification required.

EXPERIENCE:

Two years* medical-surgical nursing experience and telemetry experience required.

Two years Endoscopy experience preferred.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

General hospital environment with occasional stressful conditions associated with patient care. Position required frequent standing walking and sitting.

INDEPENDENT ACTION:

Performs independently within department policies and practices. Refers specific complex problems to supervisor where clarification of department policies and procedure 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 1

Union: Non-Union