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Full-time RN-Birthcare Center

at UnityPoint in Cedar Rapids, IA

RN-BIRTHCARE CENTER (JOB ID: 25202)
CEDAR RAPIDS WOMENS & CHILDREN
FTE: 0.600000
HOURS: 12 hour days/nights rotating shifts

POSITION SUMMARY
The RN is responsible for the delivery of safe and reliable patient care, in coordination with the healthcare team. The primary role of the RN is the execution of the nursing process in providing required care and evaluation of the care given. Responsibilities include: assessment, nursing diagnosis related to focus problem areas, planning, implementation and evaluation of nursing care. Performance of these responsibilities requires specialized knowledge, critical thinking and skills based on principles of psychological, social, physical and biological sciences that utilize the nursing process.

PERSONAL SPECIFICATIONS

A. Education
· Writes, reads, comprehends and speaks fluent English.
· Must have successfully completed an accredited nursing program.
· BSN preferred.

B. Qualifications/Experience
· Must possess current RN licensure in the State of Iowa or compact state.

C. Special Skills/Knowledge
· Maintain current BLS certification.
· Must be able to successfully complete a basic computer course on the Electronic Medical Record (EMR) through in-hospital training.
· Demonstrates proficiency in the manual skills and techniques required to perform basic/advanced nursing procedures in the administration of medication therapy and the operation of specialized equipment.
· Specialty certification encouraged.

D. Mental and Cognitive Traits Required
· Respects patient confidentiality in all communication; fully adheres to St. Luke’s Standards of Excellence and Code of Conduct.
· Exercises sound judgment, seeking advice when appropriate.
· Grasps new concepts and acquires new skills and procedures readily.
· Directs concerns regarding patient care and/or hospital policies to the Manager or appropriate designee.

E. Behavior Demands
· Upholds standards of excellence.

F. Age Specific Requirements (Describe the age group of population served)

☒ 0-12 months
☒ 12 months – 17 years
☒ 18 years – 65 years
☒ 65 years and older

Considers the special needs and behaviors of specific age groups served when performing his/her job duties.

ESSENTIAL DUTIES AND RESPONSIBILITIES

· The associate is aware of hospital and department compliance for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of department or hospital administrative staff.
· Purposefully conducts all aspects of the job in an ethical manner in support of the hospital’s commitment to ethical behavior in all areas of personal and professional activity.
· Successfully completes hospital-wide orientation, annual hospital competencies and department specific competencies.
· For the safety of our patients and co-workers, St. Luke’s Hospital requires seasonal and job related vaccinations. This is reviewed regularly during periodic health assessments.

Performs patient care functions as required.

· Assumes primary responsibility for the plan of care through their shift or episode of care for a patient or group of patients, per unit standards and nursing care required for the specified patient population.
· Effectively delegates tasks and responsibilities to other health care team members and assumes responsibility for follow-up and collaboration.
· Performs admission assessment process per specific department standards to include patient history, physical, and psycho-social assessment. Utilizes physical assessment data, diagnostic data (lab, radiology, diagnostic testing), pharmacological information and patient/family perceptions in formulating nursing diagnosis related to focus problem areas and identifying goals of care.
· Assumes responsibility for developing a plan of care that is mutually established with the patient and family. Each patient is treated as an individual, with their identified goals and expectations reviewed each shift to verify priorities.
· Implements the plan of care according to current standards of nursing practice, evidence-based practice, and hospital protocol/procedures.
· Integrates multidisciplinary approach to maintain comfort, support human functions and responses, and maintain an environment conductive to safety and well-being. Implements measures to promote a safe environment.
· Partners with healthcare team to achieve the patient care outcomes and goals of care.
· Administers medications and nursing treatments within scope of practice.

Participates in care coordination of the patient across the continuum.

• Focuses plan of care on patient-centric goals.
• Focuses on patients’ care needs across all sites of care.
• Collaborates with the patient/family to anticipate steps needed to ensure safe transitions in care.

Demonstrates effective communication and safe hand-offs.

· Demonstrates good verbal and written communication skills with patients, families, healthcare team members and other customers. Verbal communication is clear and precise. Written communication is legible, if handwritten, and done in a timely manner using approved abbreviations.
· Real-time Electronic Medical Record (EMR) documentation is done in accordance with hospital and unit policies.
· Hand-offs are done with attention to detail and with safety as a high priority. Hand-offs are utilized to communicate patient treatment and assessment information, patient education needs, goals of care and other quality care measures at each change of caregiver or setting of care.
· Tools are consistently utilized for hand-offs to assure that critical information is shared and updated with each hand-off.
· Communication with providers occurs during routine rounding and as needed.

Supports evidence-based clinical practice and questions the rationale and scientific basis for clinical practice and/or changes in practice.

· Complies with changes in clinical practice and standards.
· Participates in data collection when the opportunity is presented.
· Supports/participates in interpretation of clinical literature and uses to validate and/or change clinical practice. Utilizes Advanced Practice Nurses to assist with research process.

Provides educational opportunities for patients, families and other healthcare team members .

· Integrates patient/family teaching throughout the hospitalization, including the plan and goals of care, pre- and post-operative procedures, diagnostic procedures, and discharge teaching.
· Integrates preventative health maintenance into the education plan.
· Assists in the orientation of new associates by acting as a resource and mentor to associates. Collaborates with unit leadership, as appropriate. Serves in preceptor role, as appropriate.
· Participates in the education experiences of students and/or RN interns.
· Uses principles of health literacy.
· Utilizes evidenced based models of learning.

Provides professional nursing practice through compliance with established department routines, policies, and procedures.

· Participates in mandatory education and department staff meetings, per established guidelines.
· Participates in shared governance and performance improvement activities at the department and/or organization level.
· Maintains safety through use of established infection prevention principles, safe patient handling programs, and speak up culture.
· Continually maintains and strives to enhance personal technical and clinical competence in all job related duties.
· Participates in appropriate professional organizations.
· Performs other duties as deemed necessary to meet the hospital’s mission, to give the healthcare we’d like our loved ones to receive.

ST. LUKE’S STANDARDS OF EXCELLENCE

A. Sense of Ownership
Demonstrates personal commitment to St. Luke’s through quality job performance, a sense of responsibility for high achievement, professional appearance, awareness of current events throughout the hospital, and positive promotion of St. Luke’s.

B. Positive Attitude
Maintains a sense of understanding at all times while conveying energy and pride in all forms of communication: verbal, written and non-verbal.

C. Compassion
Understands the feelings of another, and shows a sincere desire to help them. Involves listening carefully to them, talking to them about their feelings and concerns, meets special needs and uses appropriate non-verbal behavior.

D. Responsiveness
Accommodates the needs of others through the use of timely actions, clarification, apologies, considerations, and the offering of additional information.

E. Communication
Openly interacts with patients and visitors through greetings and introductions, courteous gestures, engaged listening and feedback in dialog, providing helpful information, and avoiding technical language.

F. Commitment to Co-Workers
Cooperatively seeks to support and contribute to the work of others by offering assistance, acknowledging accomplishments, applying fair and respectful treatment, and addressing conflict in an appropriate manner.

G. Privacy/Confidentiality
Upholds the information and dignity of the patient in the highest regard through private and appropriate conversations and security procedures such as filing charts, logging out of computer screens, closing doors/curtains, and covering patients.

H. Safe Practice
Keeps work area and surrounding environment clean and safe, reports practices and situations that may cause harm. Follows patient safety policies including but not limited to hand washing and patient identification.

ST. LUKE’S PRACTICE

The St. Luke’s Hospital Comfort/C.A.R.E. professional practice model is based on Katherine Kolcaba’s Theory of Comfort. This model takes a holistic view of patients, with healthcare providers using their knowledge, expertise, critical thinking and creativity to plan interventions that provide comfort for patients and their families. The Theory of Comfort among all healthcare disciplines, professionals from all disciplines at St. Luke’s ascribe to it. All disciplines benefit from viewing the patient holistically and focusing on what makes that patient unique. All associates are part of a team with the patient’s comfort and care as its ultimate goal. Using one theoretical framework ensures that everyone is “speaking the same language” as they work together to care for patients.

IMG_NOT_ALLOWED

The Comfort/C.A.R.E. model directs the healthcare team to begin their relationship with each patient and family by identifying the patient’s healthcare needs. These needs fall into four realms identified by Kolcaba’s theory: physical, psychospiritual, sociocultural and environmental. C.A.R.E. represents how we provide the comfort needs of our patients. This is outlined below.

C=Continuity
· Communication
· Continuity of Care
· Collaboration
Care is organized to assure reliable, consistent care. We recognize value in communication, not only within disciplines, but with patients and their loved ones to ease anxiety and provide comfort and confidence in the care they are receiving. Our philosophy is that everyone is a care coordinator, recognizing that each episode of care is part of the continuum.
A=Accountability
· Advocacy
· Accountability/ Ownership
Individuals are held accountable for their own competence, clinical performance and exemplary professional practice. All members of the healthcare team are responsible for advocating for patients and their families, supporting them to reach their optimal potential.
R=Relationship
Centered
· Respect and Dignity
Care is provided through a holistic and therapeutic relationship with the patient and family. Positive working relationships with our healthcare colleagues contribute to safety and positive clinical outcomes. Developing collaborative relationships with our patients, families and community partners enhance of delivering “the healthcare we’d like our loved ones to receive.”
Diversity is honored.
E=Evidence based
· Education
Care is based on latest scientific evidence and best practices. Evidence-based competencies and staff educational opportunities support the skill development of our workforce in meeting the care and comfort needs of our patients and families.

WORKING CONDITIONS

Physical Requirements
(Check if essential to perform the job)
Stand or Sit (stationary position)
☐None
☐Occasionally (1%-33% of the work day)
☐Frequently (34%-66% of the work day)
☒Continuously (67%-100% of the work day)
Walk (move, traverse)
☐None
☐Occasionally (1%-33% of the work day)
☐Frequently (34%-66% of the work day)
☒Continuously (67%-100% of the work day)
Use hands/fingers to handle or feel (operate, activate, use, prepare, inspect, place, detect, position, keyboarding)
☐None
☐Occasionally (1%-33% of the work day)
☐Frequently (34%-66% of the work day)
☒Continuously (67%-100% of the work day)
Climb (stairs/ladders) or balance (ascent/descent, stability)
☐None
☐Occasionally (1%-33% of the work day)
☒Frequently (34%-66% of the work day)
☐Continuously (67%-100% of the work day)
Bend/Stoop/Twist
☐None
☐Occasionally (1%-33% of the work day)
☒Frequently (34%-66% of the work day)
☐Continuously (67%-100% of the work day)
Squat/Crouch/Crawl
☐None
☒Occasionally (1%-33% of the work day)
☐Frequently (34%-66% of the work day)
☐Continuously (67%-100% of the work day)
Talk/Hear (communicate, detect, converse with, discern, convey, instruct, express oneself, exchange information)
☐None
☐Occasionally (1%-33% of the work day)
☐Frequently (34%-66% of the work day)
☒Continuously (67%-100% of the work day)
See (detect and determine color and depth perception, perceive, identify, recognize, judge, observe, inspect, estimate, assess)
☐None
☐Occasionally (1%-33% of the work day)
☐Frequently (34%-66% of the work day)
☒Continuously (67%-100% of the work day)
Taste/Smell (detect, distinguish, determine)
☐None
☐Occasionally (1%-33% of the work day)
☒Frequently (34%-66% of the work day)
☐Continuously (67%-100% of the work day)
Pushing or Pulling None Occasionally Frequently Continuously
0-10 lbs




11-24 lbs




25-34 lbs




35-50 lbs




51-74 lbs




75-100 lbs




100+ lbs



☐ *In rare instances, there may be situations where the associate may require additional weight requirements. In any circumstance, staff members are encouraged to utilize provided safe patient handling equipment and/or seek additional assistance.
Lifting Requirements
(Check appropriate category to function in the job)
Lifting None Occasionally Frequently Continuously
0-10 lbs




11-24 lbs




25-34 lbs




35-50 lbs




51-74 lbs




75-100 lbs




100+ lbs



☐ *In rare instances, there may be situations where the associate may require additional weight requirements. In any circumstance, staff members are encouraged to utilize provided safe patient handling equipment and/or seek additional assistance.

Carrying None Occasionally Frequently Continuously
0-10 lbs




11-24 lbs




25-34 lbs




35-50 lbs




51-74 lbs




75-100 lbs




100+ lbs



☐ *In rare instances, there may be situations where the associate may require additional weight requirements. In any circumstance, staff members are encouraged to utilize provided safe patient handling equipment and/or seek additional assistance.

OSHA Categories
☒ Category I:
Duties performed routinely require exposure to blood, body fluid and tissue.
☐ Category II:
Normal routine involves no exposure to blood, body fluid or tissue, but exposure or potential for exposure may occur.
☐ Category III:
Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid.

Hazards & Atmospheric Conditions
(Check if essential to perform the job)
☒ Exposure to Fumes
☒ Mechanical Hazards
☐ Exposure to Dust
☐ Chemical Hazards
☐ Exposure to Extreme Temperatures
☐ Electrical Hazards
☐ Wet and/or Humid
☐ Radiant Energy Hazards
☒ Noise
☐ Explosives Hazards
☐ Vibration
☐ Burn Hazards
☒ Mists or Gases
☒ Exposure to violent or potentially violent patients
☐ Other



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Published at 05-15-2017
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