Union Hospital RN-UAP INFUSION in TERRE HAUTE, Indiana

Job duties:

  • Assessment

  • Performs comprehensive assessments to include identification of actual or potential physical, psychosocial, teaching, safety, infection control, and environmental needs.

  • Applies department-specific advanced assessment skills and knowledge to patients with complex medical and nursing care needs.

  • Interprets assessment data in terms of the patient’s age-related needs.

  • Evaluates assessment findings and responds appropriately.

  • Effectively interviews patient/family/S.O. assessing current illness and present and past health status.

  • Evaluates data obtained in patient assessments to make knowledgeable interpretations.

  • Reassesses patients according to department policy.

  • Identifies discharge needs during encounters.

  • Provides input for discharge planning and follow-up and assists in the coordination of an interdisciplinary approach to patient care.

  • Planning

  • Develops individualized plan of care by appropriately referencing SOCs, Care Paths, and Standardized Teaching Plans.

  • Physical needs

  • Psychosocial needs

  • Teaching needs

  • Environmental

  • Safety

  • Infection Control

  • Revises plan of care based on patient/family/S.O. input and as patient=s needs/problems change.

  • Collaborates with other health care providers regarding the plan of care

  • References appropriate standards of care and/or standardized teaching plans in plan of care

  • Revises nursing care as patient’s needs/problems change.

  • Responsible for patient and family relations.

  • Utilizes additional resources in goal setting, discharge planning, and teaching.

  • Implementation

  • Assists patients to regain or maintain optimal outcomes.

  • Food and fluid intake

  • Bowel and bladder function

  • Skin condition

  • Range of motion

  • Comfort

  • Balance between rest and activity

  • Safety

  • Independence

  • Responds appropriately to emergency situations.

  • Provides patient education to meet patient/family/S.O. needs.

  • Clarifies ambiguous and/or inappropriate physician orders.

  • Follows organization policies and procedures.

  • Applies principles of infection control and safety to patient care needs.

  • Takes steps to improve patient satisfaction with care.

  • Identifies underlying factors contributing to patient and/or family complaints.

  • Develops, implements, and communicates strategies to increase patient and family satisfaction with care.

  • Reports current patient status/needs to other nurses.

  • Notifies physician of significant changes in patient’s condition and potential or suspected complications.

  • Obtains consent per Clinic policy.

  • Reprioritizes nursing actions and assists other nurses to reprioritize nursing actions for assigned patients.

  • Responsible for patient tracking, scheduling, and charges for billing.

  • Assists with special procedures such as Tilt Table tests and Transesophageal echocardiograms.

  • Expert in performance of generic skills

  • Expert in performance of department-specific skills.

  • Teaches rationale for action/inaction based on scientific principle and/or legal implications.

  • Evaluation

  • Evaluates the effectiveness of nursing interventions, including patient teaching in relation to expected outcomes and takes appropriate action.

  • Evaluates if appropriate referrals have been made and takes appropriate action.

  • Appropriately prioritizes patient care needs.

  • Documents care in all phases of the nursing process per policy.

  • Evaluates effectiveness of patient/family/S.O. teaching and takes appropriate action.

  • Ethics

  • Acts as a patient advocate.

  • Delivers care in a non-judgmental and non-discriminatory manner that protects client autonomy, dignity, and rights and in a manner that is sensitive to client diversity.

  • Seeks appropriate assistance to address ethical dilemmas.

  • Formulates ethical decisions utilizing appropriate resources.

  • Acts as a resource to colleagues when needed and follows chain of command for Ethic Committee referrals.

  • Professional Development/Leadership

  • Functions within the scope of the Indiana Nurse Practice Act.

  • Effectively uses verbal and nonverbal communication with patients, families, visitors, and members of the health care team.

  • Patients

  • Families/S.O.’s

  • Visitors

  • Co-workers

  • Management

  • Physicians

  • Other department personnel

  • Students

  • Analyzes and adjusts own reactions in order to maintain a therapeutic relationship with patient, family, staff, and physicians.

  • Adapts to changes in a positive, professional manner.

  • Participates in setting realistic, measurable goals for performance and methods for achieving them.

  • Provides formal and/or informal evaluation and feedback to improve peer performance in a constructive manner.

  • Is able to effectively manage time.

  • Recognizes, corrects, and reports own errors and those of co-workers.

  • Identifies own limitations, seeks opportunities for improvement, and seeks assistance of others.

  • Accepts assistance, information, and suggestions from others in a positive manner to improve practice.

  • Accepts assignments and reassignments in a cooperative manner.

  • Follows proper chain of command for problem reporting and problem solving involving patient/family/S.O./staff, etc.

  • Meets organization policies for education and training.

  • Shares knowledge and skills with colleagues and others, including orientation and cross-training.

  • Plans formal or informal department-based teaching activities based on identified educational/training needs.

  • Facilitates positive learning experiences of students by serving as a resource person, evaluating care provided to patient and exhibiting behaviors that are conducive to student learning.

  • Effectively assumes charge and team leading responsibilities.

  • Restricts personal activities to a minimum; e.g. phone calls, appointments, etc.

  • Adheres to department philosophy and participates in performance improvement activities.

  • Participates in developing, implementing, and evaluating department opportunities for improvement and evaluation of their attainment.

  • Suggests or plans performance improvement activities.

  • Formulates recommendations to improve nursing practice based on performance improvement activities.

  • Attends department staff meetings and/or obtains information from staff meetings if unable to attend.

  • Problem solves in a constructive manner.

  • Participates in at least three of the following:

  • Department/nursing/organization committee/team

  • Project to meet department opportunities for improvement

  • Policy/procedure development revisions

  • SOC development/revisions

  • Patient education plans and/or materials development and/or revisions

  • Research activities

  • Formal or informal patient care conferences

  • Volunteer community service related to health care

  • Chairs/leads departmental committee/team as requested

  • Shows an understanding of the principles of growth and development over the life span and possesses the ability to assess data reflective of the patient’s status and interpret appropriate information needed to identify each patient’s requirements relative to his or her age-specific needs.

  • Staff Teaching/Development

  • Presents at least two department-based and/or Clinic-wide educational programs based on assessment of learner’s needs.

  • Assists with orientation or serves as a Preceptor.

  • Demonstrates and teaches complex equipment, procedures and nursing process skills as needs are identified.

  • Utilizes opportunities for incidental teaching with staff.

  • Responsible for outreach Clinic operations as needed.

  • Assist doctor with daily time management, and make sure exams and charts are dictated in a timely manner.

  • Coordination of Care

  • Delegates to RN’s, LPN’s, NA’s, Techs, Volunteers and receptionists.

  • May supervise delegate care and adjusts assignments appropriately based on patient acuity and needs and staff competencies when assigned by manager.

  • Interpersonal Skills

  • Provides and/or coordinates activities to help staff cope with their reactions to patients, families, staff and physicians.

  • Provides evaluation/feedback to improve peer performance in a constructive manner.

  • Fosters positive relationships with other members of the health care team.

  • Promotes positive working relationships:

  • In usual work situations.

  • In difficult or stressful situations.

  • Promotes new staff in a positive, professional manner.

  • Promotes acceptance of nursing students in a positive, professional manner.

  • Self-Development

  • Independently performs annual self-evaluation.

  • Follows Clinic policies and procedures.

  • Participates in continuing education:

  • Utilizes new internal and external information to improve performance.

  • Attends at least one work-related external program and presents an in-service to staff.

  • Demonstrates independent study related to specialty area; e.g. periodicals, videos, etc.

  • Maintains knowledge of the growth and development process as it relates to patient population served.

  • Maintains knowledge and understanding of the range of treatment needed by the patient population served.

  • Department Development

  • Takes primary responsibility for participating in department goal setting and evaluation of their attainment.

  • Promotes department philosophy, goals, and objective to co-workers, patients, and families.

Education/Training & Experience:

  • Currently licensed by the Indiana State Board of Nurses= Registration and Nursing Education as a Registered Nurse.

  • Chemotherapy knowledge

  • IV Experience

  • OCN preferred

As an EOE/AA employer, Union Hospital, Inc. will not discriminate in its employment practices due to an applicant's age, race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran or disability status..